Outcome Analysis For Total Hip Arthroplasty By Mini Anterior Approach - A Case Series

Abstract


Introduction : In total hip replacement, the anterior approach is intermuscular and internervous and allows the surgeon to reach the capsule without muscle detachment. Advantages include faster recovery and excellent functional outcome. Aim of our study is to analyse the functional results following THR by anterior approach.

Materials & methods : Patients presenting with indication for total hip replacement were included into the study. Patients with ipsilateral fractures or previous history of surgery were excluded. Total hip replacement was proceeded and followed them for post op rehabilitation and their clinical and radiological parameters were analysed.

Results : Study included a total of 5 cases with M : F 4:1. Average Harris Hip Score was 90 at latest follow up, confirming an excellent clinical outcome. Minimum follow up was 1 year in all the cases. Patients were into their routine daily activities without any limitations.

Conclusion : Anterior approach provides an excellent functional outcome with a low rate of complications. To overcome the most common difficulties encountered during the anterior approach for THR, reduce complications, and achieve a satisfactory clinical result in a reproducible manner, the steps of the surgical technique must be followed.



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