SICOT-J
Lower risk of postoperative complications with Hardinge approach in revision total hip replacement surgery
By Wong SJ, Ramalingam S, Soon AYK and 7 others.
Abstract
Introduction
The increasing volume of total hip replacement (THR), coupled with longer life expectancy and greater patient demands, is expected to result in a corresponding increase in revision THR. The surgical approach used for revision THR may influence postoperative outcomes, particularly the risk of dislocation. This study aimed to compare clinical outcomes following revision THR performed through the lateral and posterior approaches, with particular emphasis on postoperative dislocation rates.
Methods
We retrospectively reviewed prospectively collected registry data from 137 patients who underwent revision THR. Of these, 81 underwent revision THR through a lateral approach and 56 through a posterior approach. Propensity scores were generated using logistic regression to adjust for potential confounders, including age, sex, body mass index, and preoperative patient-reported outcome measures (Oxford Hip Score, WOMAC Pain, Stiffness and Physical Function scores, and SF-36 Physical and Mental Component Scores). Postoperative outcomes, including dislocation, blood loss, patient-reported outcome measures, and satisfaction, were compared between groups.