Does surgical approach matter? Evaluating patient-reported outcomes in bilateral staged total hip arthroplasty.

IF 1.4 Q3 ORTHOPEDICS

European Journal of Orthopaedic Surgery and Traumatology Pub Date : 2025-04-02 DOI:10.1007/s00590-025-04273-w

Nicola Corradi, Alberto Trimarchi, Fabio Moreschini, Ilaria Martini, Alessandro Lorenzo Soldati, Andrea Colombelli

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Abstract

Purpose: This study examines the impact of surgical approach on patient-reported outcomes in staged bilateral total hip arthroplasty (THA) performed in same patient using two different approaches: the direct anterior approach (DAA) on one side and posterolateral approach (PL) on other side.

Methods: A retrospective analysis of 41 patients evaluated pain relief and functional outcomes using patient-reported outcome measures (PROMs) at 7 days, 6 months, and 12 months postoperatively.

Results: The DAA demonstrated significantly better pain relief and functional outcomes during the first 7 days after surgery. However, no significant differences were found between the two approaches in long-term outcomes at 6 and 12 months.

Conclusion: While the DAA may provide early recovery advantages, both approaches achieve comparable long-term results. The DAA could be a preferable option for patients prioritizing quicker recovery. Further research with larger sample sizes is warranted to confirm these findings and explore patient preferences.

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手术入路重要吗？评估双侧分期全髋关节置换术患者报告的结果。

目的：本研究探讨手术入路对同一患者分阶段双侧全髋关节置换术（THA）患者报告结果的影响，该患者采用两种不同的入路：一侧直接前路（DAA）和另一侧后外侧入路（PL）。方法：回顾性分析41例患者，采用术后7天、6个月和12个月的患者报告结果测量（PROMs）评估疼痛缓解和功能结局。结果：DAA在术后7天内表现出明显更好的疼痛缓解和功能结局。然而，在6个月和12个月的长期结果中，两种方法之间没有发现显著差异。结论：虽然DAA可能提供早期恢复优势，但两种方法的长期效果相当。对于优先考虑更快康复的患者来说，DAA可能是一个更好的选择。进一步的研究需要更大的样本量来证实这些发现并探索患者的偏好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Orthopaedic Surgery and Traumatology 医学-整形外科

CiteScore

3.00

自引率

5.90%

发文量

265

审稿时长

3-8 weeks

期刊介绍： The European Journal of Orthopaedic Surgery and Traumatology (EJOST) aims to publish high quality Orthopedic scientific work. The objective of our journal is to disseminate meaningful, impactful, clinically relevant work from each and every region of the world, that has the potential to change and or inform clinical practice.