TY - JOUR
T1 - Short-term difference only in reported outcomes (PROMs) after anterior or posterior approach to total hip arthroplasty
T2 - a 4-year prospective multi-centre observational study
AU - Lin, D. Yin
AU - Samson, Anthony J.
AU - Cehic, Matthew G.
AU - Brown, Brigid
AU - Kaambwa, Billingsley
AU - Wilson, Christopher
AU - Kroon, Hidde M.
AU - Jaarsma, Ruurd L.
PY - 2023/2/17
Y1 - 2023/2/17
N2 - Background: The direct anterior approach (DAA) in total hip arthroplasty (THA) may demonstrate better functional recovery compared to the posterior approach (PA). Methods: In this prospective multi-centre study, patient-related outcome measures (PROMs) and length of stay (LOS) were compared between DAA and PA THA patients. The Oxford Hip Score (OHS), EQ-5D-5L, pain and satisfaction scores were collected at four perioperative stages. Results: 337 DAA and 187 PA THAs were included. The OHS PROM was significantly better in the DAA group at 6 weeks post-operatively (OHS: 33 vs. 30, p = 0.02, EQ-5D-5L: 80 vs. 75, p = 0.03), but there were no differences at 6 months and at 1 year. EQ-5D-5L scores were similar between both groups at all time points. LOS as inpatient was significantly different, in favour of DAA [median 2 days (IQR 2–3) vs. PA 3 (IQR 2–4), p ≤ 0.0001].Conclusions: Patients undergoing DAA THA have shorter LOS and report better short-term Oxford Hip Score PROMs at 6 weeks, but DAA did not convey long-term benefits over PA THA.
AB - Background: The direct anterior approach (DAA) in total hip arthroplasty (THA) may demonstrate better functional recovery compared to the posterior approach (PA). Methods: In this prospective multi-centre study, patient-related outcome measures (PROMs) and length of stay (LOS) were compared between DAA and PA THA patients. The Oxford Hip Score (OHS), EQ-5D-5L, pain and satisfaction scores were collected at four perioperative stages. Results: 337 DAA and 187 PA THAs were included. The OHS PROM was significantly better in the DAA group at 6 weeks post-operatively (OHS: 33 vs. 30, p = 0.02, EQ-5D-5L: 80 vs. 75, p = 0.03), but there were no differences at 6 months and at 1 year. EQ-5D-5L scores were similar between both groups at all time points. LOS as inpatient was significantly different, in favour of DAA [median 2 days (IQR 2–3) vs. PA 3 (IQR 2–4), p ≤ 0.0001].Conclusions: Patients undergoing DAA THA have shorter LOS and report better short-term Oxford Hip Score PROMs at 6 weeks, but DAA did not convey long-term benefits over PA THA.
KW - Total hip arthroplasty (THA)
KW - Recovery
KW - Patient outcomes
UR - http://www.scopus.com/inward/record.url?scp=85148346051&partnerID=8YFLogxK
U2 - 10.1186/s13018-023-03603-0
DO - 10.1186/s13018-023-03603-0
M3 - Article
C2 - 36803363
AN - SCOPUS:85148346051
SN - 1749-799X
VL - 18
JO - Journal of Orthopaedic Surgery and Research
JF - Journal of Orthopaedic Surgery and Research
IS - 1
M1 - 119
ER -