AI Article Synopsis
- This study analyzed the outcomes of total hip arthroplasty (THA) in patients with Legg-Calvé-Perthes disease (LCPD) using two surgical methods: the direct anterior approach (DAA) and non-anterior approaches.
- The research included patients who underwent THA between 2004 and 2018, comparing their post-surgery hip function and complication rates over an average follow-up period of around 8 years.
- Results indicated that the DAA led to comparable hip function and complication rates to non-anterior approaches, suggesting it could be a viable surgical option for LCPD sequelae.
Article Abstract
Introduction: Due to multiplanar deformities of the hip, total hip arthroplasty (THA) for sequelae of Legg-Calvé-Perthes disease (LCPD) is often technically demanding. This study aimed to compare the clinical and radiographic outcomes of patients with sequelae of LCPD undergoing THA through the direct anterior approach (DAA) and non-anterior approaches to the hip.
Methods: All patients with sequelae of LCPD who underwent primary THA between 2004 and 2018 (minimum follow-up: 2 years) were evaluated and separated into two groups: THA through the DAA (Group AA), or THA through non-anterior approaches to the hip (Group non-AA). Furthermore, a consecutive control group of patients undergoing unilateral THA through the DAA for primary hip osteoarthritis (Group CC) was retrospectively reviewed for comparison.
Results: Group AA comprises 14 hips, group non-AA 17 hips and group CC 30 hips. Mean follow-up was 8.6 (± 5.2; 2-15), 9.0 (± 4.6; 3-17) and 8.1 (± 2.2; 5-12) years, respectively. At latest follow-up, Harris Hip Score was 90 (± 20; 26-100), 84 (± 15; 57-100), and 95 (± 9; 63-100) points, respectively. Overall, 6 patients treated for LCPD (each 3 patient in the AA and non-AA group) developed postoperative sciatic nerve palsy, of which only one was permanent. Complication-related revision rate at the latest follow-up was 15% in the AA-group and 25% in the non-AA group, respectively.
Conclusion: THA through the DAA might be a credible option for the treatment of sequelae of LCPD with comparable complication rates and functional outcomes to non-anterior approaches.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10449662 | PMC |
| http://dx.doi.org/10.1007/s00402-023-04791-4 | DOI Listing |
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