Narayanan Arvind S, Densley Sebastian M, McCauley Julie C, Kulidjian Anna A, Bugbee William D, Wilde Jeffrey M
Department of Orthopaedic Surgery, Scripps Clinic, La Jolla, CA, USA.
Shiley Center for Orthopaedic Research and Education, Scripps Clinic, La Jolla, CA, USA.
Arthroplast Today. 2024 Jan 23;25:101283. doi: 10.1016/j.artd.2023.101283. eCollection 2024 Feb.
The purpose of this study was to evaluate whether there were differences in patient-reported outcomes, operative times, satisfaction scores, and complications between patients undergoing total hip arthroplasty (THA) performed through a direct anterior approach on a specialized traction table or a regular operating room table.
Patients who underwent a direct anterior approach THA on a specialized table or a regular table with a minimum 1-year follow-up were included. Patient-reported outcome measures and THA satisfaction were recorded. Demographics, complications, and operative times (both in-room and surgical time) were evaluated. Three hundred twenty-two patients were included with 217 (67.4%) undergoing anterior THA on the specialized table and 105 (32.6%) on a regular table.
Outcome measures were similar at 4 months and 1 year postoperatively. Average operative time was 87 minutes (range, 50-160) and 90 minutes (range, 35-197) for the specialized table and regular table groups ( = .314). Average total in room time was 123 minutes (range, 87-201) and 120 minutes (range, 62-255) for the specialized table and regular table groups ( = .564). Satisfaction rates between groups did not differ ( = .564). No differences were found in complication rates at 4 months ( = .814) or 1 year ( = .547).
This study shows that the direct anterior approach for THA can be safely and efficiently performed on either a specialized traction table or a regular table. Surgeons should continue to utilize the approach and set-up they are most comfortable with to achieve an optimal outcome for the patient.
本研究的目的是评估在专门的牵引台上或常规手术台上通过直接前路进行全髋关节置换术（THA）的患者在患者报告的结局、手术时间、满意度评分和并发症方面是否存在差异。
纳入在专门手术台或常规手术台上接受直接前路THA且至少随访1年的患者。记录患者报告的结局指标和THA满意度。评估人口统计学、并发症和手术时间（包括在手术室的时间和手术时间）。共纳入322例患者，其中217例（67.4%）在专门手术台上接受前路THA，105例（32.6%）在常规手术台上接受。
术后4个月和1年时结局指标相似。专门手术台组和常规手术台组的平均手术时间分别为87分钟（范围50 - 160分钟）和90分钟（范围35 - 197分钟）（P = 0.314）。专门手术台组和常规手术台组的平均总手术室时间分别为123分钟（范围87 - 201分钟）和120分钟（范围62 - 255分钟）（P = 0.564）。两组间的满意度率无差异（P = 0.564）。4个月时（P = 0.814）或1年时（P = 0.547）的并发症发生率无差异。
本研究表明，THA的直接前路手术在专门的牵引台或常规手术台上均可安全、有效地进行。外科医生应继续采用他们最熟悉的方法和设置，以实现患者的最佳治疗效果。
