Purpose: The purpose of this study was to report all complications during the first consecutive 865 cases of bikini incision direct anterior approach (DAA) total hip arthroplasty (THA) performed by a single surgeon. The secondary aims of the study are to report our clinical outcomes and implant survivorship. We discuss our surgical technique to minimize complication rates during the procedure.
Methods: We undertook a retrospective analysis of our complications, clinical outcomes and implant survivorship of 865 DAA THA's over a period of 6 years (mean = 3.9yrs from 0.9 to 6.8 years).
Results: The complication rates identified in this study were low. Medium term survival at minimum 2-year survival and revision as the end point, was 99.53% and 99.84% for the stem and acetabular components respectively. Womac score improved from 49 (range 40-58) preoperatively to 3.5(range 0-8.8) and similarly, HHS scores improved from 53(range 40-56) to 92.5(range 63-100) at final follow-up (mean = 3.9 yrs) when compared to preoperative scores.
Conclusions: These results suggest that bikini incision DAA technique can be safely utilised to perform THA.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7782761 | PMC |
| http://dx.doi.org/10.1186/s40634-020-00318-7 | DOI Listing |
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For many but not for all: the bikini incision direct anterior approach for total hip arthroplasty. A narrative review.
J Orthop Traumatol
December 2024
Department of Orthopedics and Traumatology, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, Bologna, Italy.
Total hip arthroplasty (THA) has significantly improved the lives of patients with degenerative hip disorders. The direct anterior approach (DAA) is favored for its minimally invasive nature, leading to less postoperative pain and a faster recovery. The bikini incision (BI) approach was developed to enhance aesthetic outcomes while maintaining the clinical and functional benefits of the DAA.
View Article and Find Full Text PDFBikini Incision Modification of the Direct Anterior Approach.
JBJS Essent Surg Tech
November 2024
University of Zürich, Zürich, Switzerland.
Background: Although the direct anterior approach (DAA) represents an intermuscular and internervous approach to total hip arthroplasty (THA), it did not reach global acceptance until its adoption by large teaching centers. Today, >50% of primary THA procedures in Switzerland are performed via the DAA. Besides being truly minimally invasive, a key advantage of the DAA is the inherent stability that it provides.
View Article and Find Full Text PDFHigh preservation rates of the ascending branch of the lateral femoral circumflex artery during total hip arthroplasty through the direct anterior approach.
J Exp Orthop
October 2024
Department of Orthopaedic Surgery Clinique du Sport Paris V, Ramsay Santé Paris France.
Purpose: (i) To investigate the rate of preservation of the ascending branch of the lateral femoral circumflex artery (a-LFCA) during total hip arthroplasty (THA) through a direct anterior approach (DAA), and (ii) to study factors that contribute to its successful preservation.
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J Orthop Surg Res
July 2024
Shengli Clinical College of Fujian Medical University, No.134 East Street, Fuzhou, Fujian, China.
Objective: Although the direct anterior approach can reduce muscle damage and ensure accurate prosthesis placement, the steep learning curve and increased risk of complications associated with DAA necessitate careful consideration. Therefore, we describe a technique for a novel percutaneously endoscopic-assisted total hip arthroplasty through mini bikini direct anterior approach (mDAA) and report the learning curve and initial outcomes.
Methods: The first 125 THA performed by a single surgeon between September 2020 and February 2022 using the anterior approach were included, comprising the initial 41 cases of bikini DAA (bDAA) and the subsequent 84 cases of mDAA.
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Shengli Clinical Medical College of Fujian Medical University, Fuzhou, People's Republic of China.
Article Synopsis
- A new surgical technique called Endoscopy Assisted Minimal Invasive Direct Anterior Approach (Endo-DAA) for total hip arthroplasty (THA) was developed and compared to a traditional Bikini-DAA approach.
- The study evaluated factors such as scar appearance, hip reconstruction metrics, and patient-reported outcomes, with follow-up at several intervals post-surgery.
- Results showed that the Endo-DAA technique resulted in better cosmetic scars, improved hip function scores, quicker recovery times, and fewer complications compared to the Bikini-DAA method.
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