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The operations were performed using the posterolateral approach.
At our institution, most surgeons were using the posterolateral approach for all hip arthroplasties.
Subsets of data were also examined for possible beneficial effects of high-volume surgery in 3 hospitals using the posterolateral approach.
Of the 463 patients who were operated on using the anterolateral approach, 18 (4%) had a diagnosis of dementia as compared to 6 of 250 (2%) who were operated on using the posterolateral approach (p = 0.4).
The significantly higher dislocation rates after the posterolateral approach with and without posterior repair (12% and 14%, respectively) were of the same magnitude as those reported for THR groups in RCTs using the posterolateral approach.
25 of the 39 patients who were initially successfully treated with closed reduction had recurrent dislocations: 6 of the 8 patients operated on using the anterolateral approach and 19 of the 31 patients treated using the posterolateral approach (p = 0.7).
Similar(51)
We in the present series used the posterolateral approach of Gerwin et al. [9] which has several advantages over the traditional triceps splitting approach.
At our clinic we have routinely used the posterolateral approach, and in the choice of changing operative or implant variable to reduce the risk of dislocation, we chose a larger femoral head because this was simpler.
Since most of our surgeons had earlier used the posterolateral approach when performing hip arthroplasties in patients with a femoral neck fracture, this study shows our surgical learning curve.
There were no differences regarding age and sex comparing patients who were operated using the anterolateral or the posterolateral approach.
The posterolateral approach was used in all procedures.
More suggestions(15)
using the agile approach
using the latter approach
using the discrete approach
using the similar approach
using the instantaneous approach
using the new approach
using the dual approach
using the recommended approach
using the binary approach
using the anterior approach
using the wrong approach
using the bagging approach
using the current approach
using the lateral approach
using the retroviral approach
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