Changes in Invasiveness and Latent Infection Rate Associated with Switching the Approach in Total Hip Replacement
| العنوان: | Changes in Invasiveness and Latent Infection Rate Associated with Switching the Approach in Total Hip Replacement |
|---|---|
| المؤلفون: | Shin Yamada, Toshihiko Yamashita, Naohisa Miyakoshi, Hiroaki Kijima, Tetsuya Kawano, Yoichi Shimada, Ima Kosukegawa, Satoshi Nagoya, Kenji Tateda, Masashi Fujii |
| المصدر: | Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders Clinical Medicine Insights: Arthritis and Musculoskeletal Disorders, Vol 14 (2021) |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Lymphocyte, invasiveness, Total hip replacement, Urology, infection rate, Diseases of the musculoskeletal system, Muscle volume, 03 medical and health sciences, 0302 clinical medicine, Rheumatology, White blood cell, Immunology and Allergy, Medicine, 030212 general & internal medicine, Original Research, 030222 orthopedics, biology, surgical approach, business.industry, Infection rate, medicine.anatomical_structure, learning curve, RC925-935, biology.protein, Operative time, Creatine kinase, sense organs, business, Posterolateral approach |
| الوصف: | Purpose: Muscle-sparing approaches for total hip replacement (THR) involve learning curves. This study aimed to clarify changes in invasiveness and infection rate with changes in approach. Methods: One surgeon changed the approach of THR from Dall’s approach (Dall) to anterolateral modified Watson-Jones approach (OCM). Another changed from Dall to a direct anterior approach (DAA). Another 3 surgeons changed from posterolateral approach (PL) to OCM. Subjects were 150 cases, comprising the last 25 cases with conventional approaches and the first 25 cases with new approaches (Dall to OCM: 25 + 25; Dall to DAA: 25 + 25; PL to OCM: 25 + 25 cases). Differences in operative time, bleeding volume, hospital stay, haemoglobin (Hb), white blood cell count, lymphocyte count, creatine kinase (CK) and C-reactive protein (CRP) were investigated. Results: In the change from Dall to OCM, only hospital stay decreased. In the change from Dall to DAA, hospital stay and CRP decreased, but bleeding volume increased. In the change from PL to OCM, operative time, CRP and CK decreased, but Hb also decreased. Cases with lymphocyte count Conclusion: Introducing muscle-sparing approaches improved many markers of invasiveness, but some items deteriorated. In the early stages of introducing a new approach, choosing cases without obesity and without high muscle volume may reduce the risk of infection. |
| تدمد: | 1179-5441 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e0359a524e0822daf506dbb9457eb287 https://pubmed.ncbi.nlm.nih.gov/34345193 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....e0359a524e0822daf506dbb9457eb287 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 11795441 |
|---|