Chinese Journal of Tissue Engineering Research ›› 2019, Vol. 23 ›› Issue (20): 3117-3123.doi: 10.3969/j.issn.2095-4344.1192
Su Lianbin1, 2, Feng Eryou1, Zhang Yiyuan1, 2, Zhuo Youguang1, 2, Xiao Lili1, Wang Wulian1, Lin Feitai1
Online:
2019-07-18
Published:
2019-07-18
Contact:
Zhang Yiyuan, Chief physician, Professor, Master’s supervisor, Department of Joint Surgery, FuZhou Second Hospital of Xiamen University, Fuzhou 350007, Fujian Province, China; Medical College of Xiamen University, Xiamen 361005, Fujian Province, China
About author:
Su Lianbin, Master candidate, Department of Joint Surgery, FuZhou Second Hospital of Xiamen University, Fuzhou 350007, Fujian Province, China; Medical College of Xiamen University, Xiamen 361005, Fujian Province, China
Supported by:
the Natural Science Foundation of Fujian Province, No. 2017J01333 (to FEY)
CLC Number:
Su Lianbin, Feng Eryou, Zhang Yiyuan, Zhuo Youguang, Xiao Lili, Wang Wulian, Lin Feitai. Whether direct anterior approach for total hip arthroplasty is a risk factor of eccentric reaming to the anterior column of the acetabulum?[J]. Chinese Journal of Tissue Engineering Research, 2019, 23(20): 3117-3123.
Quantitative analysis of participants With parameters of 10 cases in preparatory work, and according to formula of estimation of sample size in group design, the results showed that at least 26 cases would be needed to reach statistical significance. Therefore, we chose eligible 30 cases from October 2015 to December 2017, and 575 cases of THA were completed in our department. Comparison of the measurement parameters between PLA and DAA groups There was no significant difference in all preoperative parameters (P > 0.05) (Table 2). The postoperative CSA of the anterior column in the DAA group was larger than that in the PLA group (P=0.04). No significant differences were observed for the CSA of the anterior-posterior, posterior column, height of the anterior and posterior column, acetabular diameter and anteversion postoperation (P > 0.05) between two groups. Meanwhile, there was no significant difference in the bone loss perioperatively (Table 3)."
Comparison of perioperative parameters between PLA or DAA groups The postoperative cross-sectional area of the anterior and posterior column of the acetabulum, and the height of the anterior and posterior column in the two groups were less than those at baseline (P < 0.05), the acetabular diameter was larger than that at baseline (P < 0.01), and the anteversion showed no significant difference (P=0.89) (Table 3). Multivariate linear regression analysis The approach was a risk factor of the CSA loss of anterior column (β=0.36, 95%CI: 0.01-0.71, P < 0.05), and not significantly risk factor for CSA loss of posterior (β=0.22, 95%CI: -0.37-0.82, P=0.46), and anterior-posterior column (β=0.58, 95%CI: -0.23-1.40, P=0.16). The gender, laterality, body mass index, age, primary diagnosis were not associated with CSA loss of anterior, posterior and anterior-posterior column (P > 0.05) (Table 4)."
Adverse reactions Three patients in the DAA group suffered from lateral femoral cutaneous nerve injury and all recovered at postoperative 6 months. No adverse reactions such as infection, prosthesis loosening and rupture, venous thrombosis, heterotopic ossification or bone resorption occurred (Table 5). "
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