Abstract
PurposeThe goal of our study was to conduct an online survey that highlights patterns of practice during total hip arthroplasty (THA).MethodsThe survey was conducted in June and August 2020. Three hundred thirteen members of the German Society for Endoprosthesis participated in the survey.ResultsThe anterolateral approach is by far the most popular approach used for primary total hip arthroplasty, followed by the anterior approach during minimally invasive (55% for the anterolateral and 29% for the anterior) and regular surgery (52% for the anterolateral and 20% for the anterior). Two-thirds of the orthopaedic surgeons do not use drainages during THA. Moreover, 80% of the survey participants routinely apply tranexamic acid during surgery. Surgeons who perform minimally invasive surgery for THA use more frequently fast-track-concepts for post-operative rehabilitation. According to the interviewees, the application of fast-track-concepts leads to reduced periods of hospital stay after THA.ConclusionOur data demonstrate that patterns of practice during THA in Germany are in line with the evidence provided by current literature. This study can be seen as a stimulus to conduct similar surveys in other countries in order to promote minimally invasive surgery for THA.
Highlights
Total hip arthroplasty (THA) is a very efficient surgical procedure that provides satisfactory clinical outcomes for decades after primary implantation [1]
It has been proven that the use of tranexamic acid (TXA) reduces blood loss and risk of transfusion after primary THA, but no clear evidence exists about routes of administration, dosage, dosing regimen, or
With 52%, the anterolateral approach was by far the most popular approach used for primary total hip arthroplasty, 1 3
Summary
Total hip arthroplasty (THA) is a very efficient surgical procedure that provides satisfactory clinical outcomes for decades after primary implantation [1]. THA is an established surgical procedure since 1960, there is still a lack of evidence regarding individual steps during surgery and post-surgical care. According to the existing literature, there is no sufficient evidence for superiority of any surgical approach for THA [2, 3]. It has been proven that the use of tranexamic acid (TXA) reduces blood loss and risk of transfusion after primary THA, but no clear evidence exists about routes of administration, dosage, dosing regimen, or Surveys are valuable tools in modern evidence-based medicine and can be used to provide insight into current practice and therapeutic approaches for orthopaedic surgery. Polls can further illuminate how deeply research is integrated into the daily surgical practice [6]
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