40-223
Abordaje posterior vs lateral en artroplastia total de cadera. Estudio prospectivo, aleatorizado y ciego
Posterior vs lateral approach for total hip arthroplasty. Blinded, prospectiveand randomized study
JR. VARELA-EGOCHEAGA, MA. SUÁREZ-SUÁREZ, MA. ÁLVAREZ-VEGA, ME. ÁLVAREZ-RICO, F. FERRERO-MANZANAL, M. MONTERO-DÍAZ, A. MURCIA-MAZÓN. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA, HOSPITAL DE CABUEÑES, GIJÓN.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
Métricas
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Resumen (ES)
Prospective, blinded and randomized study with 54
patients comparing posterior and lateral approaches for THA,
two groups were created with similar age, gender, weight,
BMI, diagnosis, Harris Hip Score, type of prosthesis and postoperatively
management. Results: no differences were found
in postoperatively global function, blood loss, blood transfusions,
postoperatively stay, radiographic results or complications.
We have found differences between both groups in
postoperatively pain with less pain-killers consumed in the
lateral approach, and bigger acetabular cups in posterior
approach. Conclusions: both approaches are excellent for
THA but bigger cups was implanted with posterior approach
with less risk and patients operated by lateral approach consumed
less pain-killers.
patients comparing posterior and lateral approaches for THA,
two groups were created with similar age, gender, weight,
BMI, diagnosis, Harris Hip Score, type of prosthesis and postoperatively
management. Results: no differences were found
in postoperatively global function, blood loss, blood transfusions,
postoperatively stay, radiographic results or complications.
We have found differences between both groups in
postoperatively pain with less pain-killers consumed in the
lateral approach, and bigger acetabular cups in posterior
approach. Conclusions: both approaches are excellent for
THA but bigger cups was implanted with posterior approach
with less risk and patients operated by lateral approach consumed
less pain-killers.
Palabras clave (ES):
prospectivo
Abordaje
Vía
de
acceso
Estudio
Lateral
Posterior
Abordaje
total
Artroplastia
Prótesis
Cadera
Resumen (EN)
Prospective, blinded and randomized study with 54
patients comparing posterior and lateral approaches for THA,
two groups were created with similar age, gender, weight,
BMI, diagnosis, Harris Hip Score, type of prosthesis and postoperatively
management. Results: no differences were found
in postoperatively global function, blood loss, blood transfusions,
postoperatively stay, radiographic results or complications.
We have found differences between both groups in
postoperatively pain with less pain-killers consumed in the
lateral approach, and bigger acetabular cups in posterior
approach. Conclusions: both approaches are excellent for
THA but bigger cups was implanted with posterior approach
with less risk and patients operated by lateral approach consumed
less pain-killers.
patients comparing posterior and lateral approaches for THA,
two groups were created with similar age, gender, weight,
BMI, diagnosis, Harris Hip Score, type of prosthesis and postoperatively
management. Results: no differences were found
in postoperatively global function, blood loss, blood transfusions,
postoperatively stay, radiographic results or complications.
We have found differences between both groups in
postoperatively pain with less pain-killers consumed in the
lateral approach, and bigger acetabular cups in posterior
approach. Conclusions: both approaches are excellent for
THA but bigger cups was implanted with posterior approach
with less risk and patients operated by lateral approach consumed
less pain-killers.
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