Abstract
Background The purpose of our study is to compare the results of supine and lateral decubitus positions for total hip arthroplasty (THA) with the direct lateral (DL) approach in overweight and obese patients. Methods Patients who had a THA with the DL approach using the lateral decubitus position (LD group) (n = 54) or supine position (S group) (n = 54) or supine position (S group) (Results Both groups did not differ from each other by means of age, gender, BMI, and affected side (p = 0.814, p = 0.814, p = 0.814, p = 0.814, p = 0.814, p = 0.814, p = 0.814, p = 0.814, Conclusions The LD and S groups had comparable functional outcomes one year postoperatively. However, the S group was associated with worse intraoperative outcomes than the LD group.
Highlights
Degenerative diseases of the hip joint are more frequently seen due to the prolongation of human life and the increase in the number of patients exposed to musculoskeletal system trauma and diseases
The superiority of one patient position to another during total hip arthroplasty (THA) has never been studied in the English literature
We aimed to compare the results of THA applied in the lateral decubitus (LD) and S positions to patients with body mass indices (BMIs) above 25 kg/m2
Summary
Degenerative diseases of the hip joint are more frequently seen due to the prolongation of human life and the increase in the number of patients exposed to musculoskeletal system trauma and diseases. The purpose of our study is to compare the results of supine and lateral decubitus positions for total hip arthroplasty (THA) with the direct lateral (DL) approach in overweight and obese patients. Patients who had a THA with the DL approach using the lateral decubitus position (LD group) (n = 54) or supine position (S group) (n = 45) were retrospectively investigated. Amount of transfusion, Harris Hip Scores (HHSs) (preop, 6 weeks, 3 months, 6 months, and 12 months), incision size, surgery time, postoperative acetabular cup inclination angle, femoral stem alignment, follow-up period, hospital stay, preoperativepostoperative leg length inequality, and complication rates (infection, wound site problems, and dislocation rates) were compared. There were no statistically significant differences between the LD and S groups in terms of pre- and postoperative height, cup inclination, stem alignment, duration of hospital stay, and follow-up period. The S group was associated with worse intraoperative outcomes than the LD group
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