Posterior approach to optimise patient-reported outcome from revision hip arthroplasty
Hip Int 2017; 27(2): 175 - 179
Article Type: ORIGINAL RESEARCH ARTICLE
AuthorsJulia Blackburn, Diana Lim, Ian Harrowell, Michael C. Parry, Ashley W. Blom, Michael R. Whitehouse
Most total hip arthroplasties (THAs) in the UK are performed through a posterior or lateral surgical approach. We aimed to investigate any difference in outcome from revision THA according to the approach at primary and revision THA surgery.
A retrospective cohort study of 205 patients who underwent revision THA for aseptic loosening. Patients rated their pain from 0-10 and completed the Self-Administered Patient Satisfaction Scale (SAPS), Oxford Hip Score (OHS), WOMAC and Short form-12 questionnaires.
205 patients (209 hips) from a cohort of 238 patients (243 hips, 86%) were available for analysis. The mean follow-up was 5 years (SD 1.71). Grouping by approach 20% (43/209) had both primary and revision procedures via a lateral approach, 20% (43/209) had their primary surgery via a lateral approach and their revision surgery via a posterior approach, whilst 60% (123/209) had both procedures via a posterior approach.
The WOMAC and OHS were significantly better in patients who had a posterior approach for both primary and revision surgery, compared to those that did not (OHS p = 0.028, WOMAC p = 0.026). We found no significant differences in pain, satisfaction or health-related quality of life between the groups.
Choice of approach for revision hip arthroplasty is influenced by a number of factors, but in clinical situations where either a lateral or posterior approach could be used, the posterior approach appears to be associated with better joint-specific outcomes. Registry data may help further explore the associations between surgical approach and the outcome from revision THA.
- • Accepted on 16/07/2016
- • Available online on 25/11/2016
- • Published in print on 31/03/2017
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- Blackburn, Julia [PubMed] [Google Scholar] 1, * Corresponding Author (email@example.com)
- Lim, Diana [PubMed] [Google Scholar] 1
- Harrowell, Ian [PubMed] [Google Scholar] 1
- Parry, Michael C. [PubMed] [Google Scholar] 1, 2
- Blom, Ashley W. [PubMed] [Google Scholar] 1
- Whitehouse, Michael R. [PubMed] [Google Scholar] 1
Musculoskeletal Research Unit, Southmead Hospital, Bristol - UK
Royal Orthopaedic Hospital, Birmingham - UK