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Archives of Orthopaedic and Trauma Surgery
Erschienen in: Archives of Orthopaedic and Trauma Surgery 10/2022

12.09.2021 | Hip Arthroplasty

Bikini anterior hip replacements in obese patients are not associated with an increased risk of complication

verfasst von: I. Nizam, D. Dabirrahmani, A. Alva, D. Choudary

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 10/2022

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Abstract

Purpose

Direct anterior approach (DAA) arthroplasty has generated great interest because of its minimally invasive and muscle sparing nature. Obese patients are reported to be associated with greater incidence of complications in primary joint replacement. The purpose of this study was to compare patient outcomes and complication rates between obese and non-obese patients undergoing primary total hip arthroplasty (THA) through a Bikini direct anterior incision.

Methods

This retrospective, single surgeon study compared the outcome of 258 obese patients and 200 non-obese patients undergoing DAA THA using a Bikini incision, over a 5-year period. The average follow-up was 3.2 years (range 1.1–5.6 years).

Results

There was no statistically significant differences in the complication rate between the two groups. The obese group recorded 2 major (venous thromboembolism and peri-prosthetic fracture) and 2 minor complications (superficial wound infection), compared with the non-obese group, which recorded 2 major (deep-wound infection and peri-prosthetic fracture) and 1 minor complication (superficial wound infection). Patient-reported outcomes (WOMAC and Harris Hip Scores) showed significant post-operative improvements (p < 0.001) and did not differ between the two groups.

Conclusions

Bikini DDA THA does not increase the complication rate in obese patients and offers similar clinical improvements compared to non-obese patients.
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Metadaten
Titel
Bikini anterior hip replacements in obese patients are not associated with an increased risk of complication
verfasst von
I. Nizam
D. Dabirrahmani
A. Alva
D. Choudary
Publikationsdatum
12.09.2021
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Orthopaedic and Trauma Surgery / Ausgabe 10/2022
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-021-04143-0

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