Comparación de abordajes antero lateral y p´osterior en artroplastia total primaria de cadera

Abstract

Comparison betv'een the antero-lateral and posterior approaches in pnimary total hip arthroplasty. In this retrospective study. 184 patients were enrolled, 95 submitted to the anterolateral (Watson .j ones) and 89 tu t he posterior approach (Moore) from June 1993 tu June 1997. The outcomes assessed were perioperative data (operative time, hospital stay, time from surgery unt il hospital discharge, surgical bleeding and the need for blood tmansfusion), as well as late complications (deep venous thronibosis DV P.
pulnionary .emboltsm, periopheral nere injuiy, prothesis instability and others). Botlt groups did not diflr tu temis of preoperatie
paranieters. Those subniitted to the posterior approach liad shorter operative times (p < 0,001), as well as redLtced bleeding (p 0,05)
and need for blood transfusion (p < 0,001) durin surgery. The outcomes, such as late complications, liad simular reduced frequcncy
in both groups. The posterior approach has been successfuly aplied in our service and proves to be an excellent alternative surgical
access to dic total hip artliroplastv.