Abstract
The use of lateral DAA-THA for the treatment of end-stage hip disorders has good recent clinical efficacy, does not require special surgical beds and traction equipment, uses traditional surgical instruments, reduces the requirements for surgical beds and surgical instruments, enters through the nerve and muscle anatomical gap without cutting any muscle or nerve tissue, is minimally invasive, and has good surgical maneuverability, low bleeding, low postoperative pain, short hospitalization time, and rapid recovery. It is a safe and effective minimally invasive procedure because of its light weight, short hospital stay, and rapid recovery. In this paper, we used imaging to observe the angle of the posterior prosthesis. And the results showed that hip arthroplasty using the direct anterior approach improved hip mobility in early stages compared with other approaches and reduced pain. The direct anterior approach and length between total hip arthroplasty using direct lateral and posterior lateral approach and partial data (surgical time, blood loss, etc.) were significantly worse than those using direct forward approach. In addition, the direct anterior approach to total hip arthroplasty is subject to a learning curve and requires at least 33 cases of experience to achieve a lower complication rate.
Highlights
Total hip arthroplasty (THA) is an effective treatment for end-stage hip disorders to correct deformity, relieve pain, and reestablish hip function
E direct anterior approach (DAA) does not damage the muscles around the hip joint, does not cause significant damage to the posterior structures of the hip capsule, and has a better postoperative balance of lower limb muscle strength than the traditional approach, so it has the accuracy of prosthesis placement and good postoperative hip stability, reducing the risk of postoperative soft tissue imbalance caused by periprosthetic muscle injury and postoperative hip dislocation caused by improper placement of the prosthesis [22]
The direct anterior approach to total hip arthroplasty is subject to a learning curve and requires at least 33 cases of experience to achieve a lower complication rate
Summary
Total hip arthroplasty (THA) is an effective treatment for end-stage hip disorders to correct deformity, relieve pain, and reestablish hip function. E DAA does not damage the muscles around the hip joint, does not cause significant damage to the posterior structures of the hip capsule, and has a better postoperative balance of lower limb muscle strength than the traditional approach, so it has the accuracy of prosthesis placement and good postoperative hip stability, reducing the risk of postoperative soft tissue imbalance caused by periprosthetic muscle injury and postoperative hip dislocation caused by improper placement of the prosthesis [22] Activities such as squatting, sitting on a low stool, and bending to put on socks and laces can be performed in the early postoperative period, and no special protection is needed for the postoperative hip joint [23,24,25]. The direct anterior approach to total hip arthroplasty is subject to a learning curve and requires at least 33 cases of experience to achieve a lower complication rate
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