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Direct Anterior Approach to Hip Replacement and Associated Complications: A Retrospective Case Series

Direct Anterior Approach to Hip Replacement and Associated Complications: A Retrospective Case Series

Status
Completed
Phases
Unknown
Study type
Observational
Source
ANZCTR
Registry ID
ACTRN12620000051943
Enrollment
281
Registered
2020-01-22
Start date
2019-02-04
Completion date
2019-09-30
Last updated
2020-02-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Hip replacement demand continues to rise with the ageing population. There are several surgical approaches to perform hip replacement. The posterior approach is the most commonly performed approach, with several variations. Recently, there has been an increasing interest in the Direct Anterior Approach, due to the belief that it may result in decreased pain, faster recovery, improved hip stability and decreased risk of dislocation. Whilst some small early studies have reported decreased narcotic consumption, shorter length of stay and earlier independent mobilization; other have suggested increased rates of persistent pain, increased dislocation rates, component malposition and a comparable dislocation rate. Most studies already described in the medical literature are small numbers <50 patients and have short follow-up (<1year ) The aim of our study is to determine the long term patient outcomes and complication profile for the direct anterior approach in Total Hip Replacement using a large cohort. Hip function, hip pain, walking aid use, complications and patient satisfaction will be assessed by means of a patient survey completed 2 year and 5 year anniversary of their surgery. The survey will take approximately 10 minutes to complete and may be returned electronically or via reply paid envelope.

Interventions

In patients undergoing anterior approach to hip replacement, complications and Patient reported outcome scores were measured and analysed. We received approval to assess medical records and contact patients to send questionnaires to collected this data. The questionnaires were completed at 2 and 5 years post surgery and took 10 minutes to complete . Our mean follow up was 3.7 years.

Sponsors

The Joint Studio
Lead SponsorOther Collaborative groups

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Anterior approach to Primary total hip replacement

Exclusion criteria

nil

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026