Assessing Sexual and Functional Outcomes After Direct Anterior Approach Total Hip Arthroplasty: Insights from a Retrospective Study.

IF 1.1 4区医学 Q3 ORTHOPEDICS

Indian Journal of Orthopaedics Pub Date : 2025-05-19 eCollection Date: 2025-07-01 DOI:10.1007/s43465-025-01399-1

Supreet Bajwa, Ravi Teja Rudraraju, Kunal Aneja, Ponnanna Karineravanda Machaiah, Nitin Dawre

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引用次数: 0

Abstract

Purpose of the study: The direct anterior approach (DAA) is favored for its muscle-sparing benefits and rapid recovery after total hip arthroplasty (THA). While functional outcomes are well-documented, the impact of DAA THA on sexual health remains underexplored. This study evaluates the resumption of sexual activity and functional recovery in male patients following DAA THA.

Methods: A retrospective review of male patients who underwent DAA THA (January 2023 and December 2023) was assessed pre- and post-operatively (2 weeks, 12 weeks, and 1-year) for sexual function using the Sexual Health Inventory for Men (SHIM) and hip functionality through the Harris Hip Score (HHS). Statistical significance was set at p < 0.05.

Results: Among 64 patients (mean age: 31.4 ± 4.9 years), 73.5% resumed sexual activity within 2 weeks, rising to 95% by 12 weeks. Of those sexually active within 2 weeks, 93% reported a SHIM score of ≥ 20. By 1 year, all patients resumed sexual activity with a mean SHIM score of 23.5. Functional recovery showed a significant improvement in HHS from 39.3 ± 1.4 pre-operatively to 98.9 ± 0.9 at 1 year (p < 0.05). Minor complications, including superficial wound dehiscence (n = 2), were conservatively managed, with no dislocations or major complications reported.

Conclusion: DAA THA improves hip function and early resumption to sexual activity, an essential yet overlooked aspect in younger male patients. With 95% resuming sexual activity within 12 weeks and full functional restoration by 1 year, DAA THA proves as a safe and effective approach, making it an ideal choice for active, young individuals seeking physical and personal well-being after surgery.

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评估直接前路全髋关节置换术后的性和功能结果：来自回顾性研究的见解。

研究目的：直接前路入路（DAA）因其保留肌肉的好处和全髋关节置换术（THA）后快速恢复而受到青睐。虽然功能结果有充分的记录，但DAA THA对性健康的影响仍未得到充分探讨。本研究评估DAA THA术后男性患者的性活动恢复和功能恢复情况。方法：采用男性性健康量表（SHIM）评估术前和术后（2周、12周和1年）的性功能，通过Harris髋关节评分（HHS）评估髋关节功能，回顾性分析2023年1月和2023年12月接受DAA THA手术的男性患者。结果：64例患者（平均年龄：31.4±4.9岁）中，73.5%的患者在2周内恢复了性活动，到12周时，这一比例上升到95%。在2周内性活跃的患者中，93%报告SHIM评分≥20。1年后，所有患者恢复了性活动，SHIM平均得分为23.5。HHS的功能恢复从术前的39.3±1.4显著改善到1年后的98.9±0.9 (p n = 2)，采用保守治疗，无脱位或重大并发症报告。结论：DAA THA可改善髋关节功能和早期恢复性活动，这是年轻男性患者重要但被忽视的方面。95%的患者在12周内恢复性生活，1年内完全恢复功能，DAA THA被证明是一种安全有效的方法，是活跃的年轻人在手术后寻求身体和个人健康的理想选择。

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

Indian Journal of Orthopaedics ORTHOPEDICS-

CiteScore

1.80

自引率

0.00%

发文量

185

审稿时长

9 months

期刊介绍： IJO welcomes articles that contribute to Orthopaedic knowledge from India and overseas. We publish articles dealing with clinical orthopaedics and basic research in orthopaedic surgery. Articles are accepted only for exclusive publication in the Indian Journal of Orthopaedics. Previously published articles, articles which are in peer-reviewed electronic publications in other journals, are not accepted by the Journal. Published articles and illustrations become the property of the Journal. The copyright remains with the journal. Studies must be carried out in accordance with World Medical Association Declaration of Helsinki.