Posterior Approach vs Direct Lateral Approach Surgical approach 1 Karadsheh M THA Approaches Internet Santa Barbara CA Lineage Medical Inc 2021 June cited 2021 July 22 Available from httpswwworthobulletscomrecon12116thaapproaches ID: 935380
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Slide1
Instability in Patients with Lumbar Spine Disease or Fusion Undergoing Primary Total Hip Arthroplasty
Posterior Approach vs. Direct Lateral Approach
Surgical approach
1
Karadsheh M. THA Approaches [Internet]. Santa Barbara, CA: Lineage Medical, Inc. 2021 June [cited 2021 July 22]. Available from: https://www.orthobullets.com/recon/12116/tha-approachesLee SH, Lim CW, Choi KY, Jo S. Effect of Spine-Pelvis Relationship in Total Hip Arthroplasty. Hip & Pelvis 2019;31(1):4–10.
Amrit Parihar, Evan R. Deckard, Leonard T. Buller, R. Michael
Meneghini
Lumbar Spine Disease
2
Slide2Binary logistic regression
Presence of lumbar DJD
OR 5.24
CI 1.47 to 18.69, p=0.018
Posterior surgical approach
OR 7.93
CI 1.04 to 60.6, p=0.046
Results
Slide3Conclusion
Significance
Direct lateral approach is being phased out in favor other approaches
Need continued training of this approach for patients with lumbar DJD
Future considerations
Larger sample size
Anterior surgical approach
Direct lateral approach
should be considered for patients with lumbar DJD.