Abordaje posterior vs lateral en artroplastia total de caderaestudio prospectivo, aleatorio y ciego

  1. Álvarez Vega, M. A.
  2. Alvarez Rico, M.E.
  3. Ferrero Manzanal, F.
  4. Suárez Suárez, Miguel Ángel
  5. Montero Díaz, M.
  6. Varela Egocheaga, José Ramón
  7. Murcia Mazón, Antonio
Journal:
Revista española de cirugía osteoarticular

ISSN: 0304-5056

Year of publication: 2005

Volume: 40

Issue: 223

Pages: 126-133

Type: Article

More publications in: Revista española de cirugía osteoarticular

Abstract

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.