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Comparación del daño tisular entre los abordajes lateral y anterior para la prótesis total de cadera
Comparison of tissue damage between lateral and anterior approaches for total hip prosthesis
DE ANTA-DÍAZ B, MARTÍNEZ-MÉNDEZ D, SEBASTIÁ FORCADA E, PÉREZ-AZNAR A, GONZÁLEZ-NAVARRO B, GONZÁLEZ-PARREÑO S. 1 SERVICIO DE CIRUGÍA ORTOPÉDICA, HOSPITAL UNIVERSITARIO DE ALICANTE 2 SERVICIO DE CIRUGÍA ORTOPÉDICA. HOSPITAL UNIVERSITARIO DE ELDA (ALICANTE) 3 TRAUMATOLOGÍA Y ORTOPEDIA. UNIVERSIDAD MIGUEL HERNÁNDEZ DE ELCHE (ALICANTE)
Recepción:
12/07/2022
Aceptación:
12/07/2022
Publicación:
12/07/2022
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Resumen (ES)
ntroduction: The objective was to compare the tissue damage caused by the anterior and lateral approaches for a total
hip replacement. Methods: Prospective cohort study comparing patients undergoing total hip replacement using an
anterior or lateral approach. Tissue damage was assessed by serum levels of interleukin, tumor necrosis factor, and
acute-phase reactants, and magnetic resonance imaging. Function was assessed with the Harris hip scale. Results: The
parameters of tissue damage were significantly higher early with the lateral approach, although equalizing towards 30
postoperative days. There were no significant differences in functional outcome at 3 and 12 months. Conclusion: Although
the lateral approach presents greater tissue damage in the early postoperative period, the functional outcome and speed
of recovery in the short-term are similar between both approaches.
hip replacement. Methods: Prospective cohort study comparing patients undergoing total hip replacement using an
anterior or lateral approach. Tissue damage was assessed by serum levels of interleukin, tumor necrosis factor, and
acute-phase reactants, and magnetic resonance imaging. Function was assessed with the Harris hip scale. Results: The
parameters of tissue damage were significantly higher early with the lateral approach, although equalizing towards 30
postoperative days. There were no significant differences in functional outcome at 3 and 12 months. Conclusion: Although
the lateral approach presents greater tissue damage in the early postoperative period, the functional outcome and speed
of recovery in the short-term are similar between both approaches.
Palabras clave (ES):
damage
lateral
prosthesis;
hip
Total
approach;
anterior
approach;
tissue
Resumen (EN)
ntroduction: The objective was to compare the tissue damage caused by the anterior and lateral approaches for a total
hip replacement. Methods: Prospective cohort study comparing patients undergoing total hip replacement using an
anterior or lateral approach. Tissue damage was assessed by serum levels of interleukin, tumor necrosis factor, and
acute-phase reactants, and magnetic resonance imaging. Function was assessed with the Harris hip scale. Results: The
parameters of tissue damage were significantly higher early with the lateral approach, although equalizing towards 30
postoperative days. There were no significant differences in functional outcome at 3 and 12 months. Conclusion: Although
the lateral approach presents greater tissue damage in the early postoperative period, the functional outcome and speed
of recovery in the short-term are similar between both approaches.
hip replacement. Methods: Prospective cohort study comparing patients undergoing total hip replacement using an
anterior or lateral approach. Tissue damage was assessed by serum levels of interleukin, tumor necrosis factor, and
acute-phase reactants, and magnetic resonance imaging. Function was assessed with the Harris hip scale. Results: The
parameters of tissue damage were significantly higher early with the lateral approach, although equalizing towards 30
postoperative days. There were no significant differences in functional outcome at 3 and 12 months. Conclusion: Although
the lateral approach presents greater tissue damage in the early postoperative period, the functional outcome and speed
of recovery in the short-term are similar between both approaches.
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