Anesthesia, Arthroplasty Complications
Conditions
Keywords
total hip arthroplasty, general anesthesia, spinal anesthesia, direct anterior approach
Brief summary
The study compares the effects of various anesthetic techniques on anterior approach total hip arthroplasty results retrospectively
Detailed description
Under general (GA) or spinal anesthesia (SA), total hip arthroplasty using the anterior approach (THA-A) can be safely performed. The best method is not sufficiently described in the literature currently in existence.This observational study was carried out at a single facility with consecutive enrollment of patients getting primary THA-A. The investigators compared the difference in complication rates, intraoperative blood loss, length of hospital stay, and duration of surgery, acetabular and femoral component orientation and stem subsidence.
Interventions
PROCEDURETotal Hip Arthroplasty
Patients that underwent direct anterior approach total hip arthroplasty
PROCEDUREGeneral Anesthesia
Patients that underwent general/systemic anesthesia before surgery
PROCEDURESpinal Anesthesia
Patients that underwent spinal/neuraxial anesthesia before surgery
Sponsors
Bezmialem Vakif University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Inclusion criteria
* patients who underwent direct anterior approach primary total hip arthroplasty with general anesthesia * patients who underwent direct anterior approach primary total hip arthroplasty with spinal anesthesia
Exclusion criteria
* patients who underwent revision total hip arthroplasty * patients who underwent total hip arthroplasty with approaches other than direct anterior approach * patients who underwent primary total hip arthroplasty due to hip fractures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| acetabular abduction | postoperative 1 year | abduction degree of acetabular component after surgery |
| Mean intraoperative estimated blood loss | from preoperative session to postoperative 1 day | Total blood volume was calculates according to Nadler's formula based on patient's sex, height and weight of the patient, whereas the estimated blood loss was calculated according to Meunier's formula (mL) |
| mean duration of surgery | from preoperative session to postoperative 1 day | Duration of total hip arthroplasty surgery for each patient |
| length of hospital stay | from the date of total hip arthroplasty operation until the day that patients discharge, assesed up to 7 days | from date of operation until the date of discharge |
| stem subsidence | postoperative 1 year | Subsidence was evaluated by comparing immediate post-operative radiographic images with those obtained at 1 year follow-up. Subsidence was measured as a vertical drop of stem, characterised by a radiolucent line at the proximal most aspect of the bone-prosthesis interface. |
| stem varus/valgus degrees | postoperative 1 year | varus or valgus angulation of femoral stem after surgery |
Countries
Turkey (Türkiye)
Outcome results
None listed