TY - JOUR
T1 - How is the outcome of primary difficult total hip arthroplasty? A cross-sectional study
AU - Dilogo, Ismail Hadisoebroto
AU - Fahrudhin, Muh Trinugroho
AU - Canintika, Anissa Feby
N1 - Publisher Copyright:
© 2019 The Author(s)
PY - 2019
Y1 - 2019
N2 - Introduction: Total hip arthroplasty (THA) is the most common surgery for lower extremities. Improvement in surgical technique and advancement of surgical instrumentation extended the indications for difficult THA in previously impossible to treat. Methods: 81 primary THA procedures were performed in Cipto Mangunkusumo National Hospital during the period from January 2012 to June 2017. Subjects consisted of 29 and 52 patients in the difficult and simple group, respectively. Intraoperative parameters including bleeding volume, operation time, complication rate, radiological outcome and functional outcome (Harris Hip Score) were recorded at the end of follow-up and analysed. Results: The difficult group had significantly higher bleeding volume (p < 0.001), longer operation time (p < 0.001), and higher complication rate (p=<0.012), higher than the simple group. Radiological outcome was measured by the accuracy of component orientation placement in the safe zone resulted in no significant difference between two groups (p = 0,333). Functional outcome at the end of followup in the difficult group (88.67) did not have significant difference (p = 0.080) with the simple group (91.50). Conclusions: Those with difficult hips did not have significant difference in terms of radiologic and functional outcome compared with the simple hips. It is necessary to identify each primary THA procedures whether there were any, types and levels of difficulties that would be faced intraoperatively in order to improve preoperative planning so the outcome would be optimal.
AB - Introduction: Total hip arthroplasty (THA) is the most common surgery for lower extremities. Improvement in surgical technique and advancement of surgical instrumentation extended the indications for difficult THA in previously impossible to treat. Methods: 81 primary THA procedures were performed in Cipto Mangunkusumo National Hospital during the period from January 2012 to June 2017. Subjects consisted of 29 and 52 patients in the difficult and simple group, respectively. Intraoperative parameters including bleeding volume, operation time, complication rate, radiological outcome and functional outcome (Harris Hip Score) were recorded at the end of follow-up and analysed. Results: The difficult group had significantly higher bleeding volume (p < 0.001), longer operation time (p < 0.001), and higher complication rate (p=<0.012), higher than the simple group. Radiological outcome was measured by the accuracy of component orientation placement in the safe zone resulted in no significant difference between two groups (p = 0,333). Functional outcome at the end of followup in the difficult group (88.67) did not have significant difference (p = 0.080) with the simple group (91.50). Conclusions: Those with difficult hips did not have significant difference in terms of radiologic and functional outcome compared with the simple hips. It is necessary to identify each primary THA procedures whether there were any, types and levels of difficulties that would be faced intraoperatively in order to improve preoperative planning so the outcome would be optimal.
KW - Difficult hip disorders
KW - Primary difficult THA
KW - Total hip arthroplasty
UR - http://www.scopus.com/inward/record.url?scp=85075628019&partnerID=8YFLogxK
U2 - 10.1016/j.ijso.2019.10.007
DO - 10.1016/j.ijso.2019.10.007
M3 - Article
AN - SCOPUS:85075628019
SN - 2405-8572
VL - 21
SP - 68
EP - 72
JO - International Journal of Surgery Open
JF - International Journal of Surgery Open
ER -