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dc.contributor.authorAmlie, Einar Johan Braémeng
dc.contributor.authorHavelin, Leif Ivareng
dc.contributor.authorFurnes, Oveeng
dc.contributor.authorBaste, Valborgeng
dc.contributor.authorNordsletten, Larseng
dc.contributor.authorHøvik, Øysteineng
dc.contributor.authorDimmen, Sigbjørneng
dc.description.abstract<p>Background &mdash; The surgical approach in total hip arthroplasty (THA) is often based on surgeon preference and local traditions. The anterior muscle-sparing approach has recently gained popularity in Europe. We tested the hypothesis that patient satisfaction, pain, function, and health-related quality of life (HRQoL) after THA is not related to the surgical approach.</p> <p>Patients &mdash; 1,476 patients identified through the Norwegian Arthroplasty Register were sent questionnaires 1&ndash;3 years after undergoing THA in the period from January 2008 to June 2010. Patient-reported outcome measures (PROMs) included the hip disability osteoarthritis outcome score (HOOS), the Western Ontario and McMaster Universities osteoarthritis index (WOMAC), health-related quality of life (EQ-5D-3L), visual analog scales (VAS) addressing pain and satisfaction, and questions about complications. 1,273 patients completed the questionnaires and were included in the analysis.</p> <p>Results &mdash; Adjusted HOOS scores for pain, other symptoms, activities of daily living (ADL), sport/recreation, and quality of life were significantly worse (p &lt; 0.001 to p = 0.03) for the lateral approach than for the anterior approach and the posterolateral approach (mean differences: 3.2&ndash;5.0). These results were related to more patient-reported limping with the lateral approach than with the anterior and posterolateral approaches (25% vs. 12% and 13%, respectively; p &lt; 0.001).</p> <p>Interpretation &mdash; Patients operated with the lateral approach reported worse outcomes 1&ndash;3 years after THA surgery. Self-reported limping occurred twice as often in patients who underwent THA with a lateral approach than in those who underwent THA with an anterior or posterolateral approach. There were no significant differences in patient-reported outcomes after THA between those who underwent THA with a posterolateral approach and those who underwent THA with an anterior approach.</p>eng
dc.publisherTaylor & Franciseng
dc.rightsAttribution CC BY-NCeng
dc.titleWorse patient-reported outcome after lateral approach than after anterior and posterolateral approach in primary hip arthroplastyeng
dc.typeJournal articleeng
dc.subject.nsiVDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Ortopedisk kirurgi: 784
dc.subject.nsiVDP::Midical sciences: 700::Clinical medical sciences: 750::Orthopaedic surgery: 784
dc.rights.holderCopyright Nordic Orthopaedic Federationeng
bora.peerreviewedPeer reviewedeng
bora.journalTitleActa Orthopaedicaeng
dc.type.documentJournal article

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