Two surgical approaches in implantation of total hip endoprosthesis - a single center experience

Trajanovski, Aleksandar and Todorova, Teodora and Saveski, Aleksandar and Jahja, Dalip and Gavrilovski, Antonio and Gavrilovski, Andrej and Mojsova, Maja (2021) Two surgical approaches in implantation of total hip endoprosthesis - a single center experience. Journal of the Macedonian Medical Association. pp. 64-69. ISSN 0025-1097

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Abstract

Introduction. Degenerative hip diseases are one of the
most common musculoskeletal disorders. The large number of patients and the large number of surgeries performed annually at the University Clinic for TOARILUC,
due to degenerative hip diseases, as well as the existing controversy regarding the choice of optimal approach to implantation of total hip endoprosthesis, were
the motivation for conducting this study.
Aim of the study. To perform a comparative analysis
of the results obtained after the application of two approaches in the implantation of total hip endoprosthesis.
Methods. This retrospective-prospective study was
performed at the University Clinic for TOARILUC in
Skopje from January 2018 to May 2021. A total of 60
surgically treated patients with degenerative hip disease
were included in the study. The patients were divided
into 2 groups based on the approach chosen for implantation of a total hip endoprosthesis, a modified Watson
Jones antero-lateral approach according to group A
(AA), and group B with a posterior approach (PA).
Results. The mean age of patients was 62.6 years in
AA group and 71 years in PA group. Most of the patients from the two groups were retired and had normal BMI. The difference between the level of preoperative and postoperative creatinine kinase in PA group
was statistically significant (p<0.0001). We compared
the postoperative creatinine kinase level between the
two groups and found statistically significant differentce (p<0.00001). In most of the patients (34%) treated
with the posterior approach the surgery lasted for more
than 2 hours, and in those with AP approach (100%) it
lasted up to 2 hours. Only one complication occurred
in the group with posterior approach to the hip, and it was
dislocation of the prosthesis two weeks after the surgery.
Conclusion. Patients operated with a modified anterolateral approach according to Watson Jones had shorter
and more effective rehabilitation than patients operated
with posterior approach. The duration of surgery was
also shorter compared to the group treated with posterior
approach. Only one complication occurred during the study in the group with posterior approach, and it was dislocation of the prosthesis two weeks after the surgery.
Keywords: modified antero-lateral approach, posterior
approach, Harris Hip score

Item Type:	Article
Subjects:	Medical and Health Sciences > Clinical medicine
Divisions:	Faculty of Medical Science
Depositing User:	Maja Mojsova Mijovska
Date Deposited:	31 Mar 2023 10:05
Last Modified:	31 Mar 2023 10:05
URI:	https://eprints.ugd.edu.mk/id/eprint/31559

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