ISSN 2415-1297 (Online)   ISSN 2415-1300 (Print)
 
             
 
Volume : 25 Issue : 1 Year : 2017
 
A Comparison of Anterolateral and Posterolateral Approaches in Primary Total Hip Arthroplasty [Med J Islamic World Acad Sci]
Med J Islamic World Acad Sci. 2017; 25(1): 1-5 | DOI: 10.5505/ias.2017.23334  

A Comparison of Anterolateral and Posterolateral Approaches in Primary Total Hip Arthroplasty

Faruk Buğlak1, Mehmet A. E. Aksekili2, Kasım Kılıçarslan3, Bahar Anaforoğlu4, İzzet Korkmaz5
1Department of Orthopedics, Malatya State Hospital, Malatya, Turkey.
2Department of Orthopedics, School of Medicine, Yıldırım Beyazıt University, Ankara, Turkey.
3Department of Orthopedics and Traumatology, Atatürk Training and Research Hospital, Ankara, Turkey.
4Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Yıldırım Beyazıt University, Ankara, Turkey.
5Department of Orthopedics, Gölbaşı Hasvak State Hospital, Ankara, Turkey.

The aim of this study was to compare the short-term clinical and radiological results of anterolateral and posterolateral
approaches in total hip arthroplasty.
The study included patients who were operated on for hip osteoarthritis. The patients were allocated to one of two groups
for applying uncemented total hip prosthesis with the anterolateral or posterolateral approach. They were operated on
by one surgical team composed of two senior surgeons. They were clinically evaluated using the Harris Hip Score and
radiologically using direct radiographs. Various parameters were recorded in both the groups, including amount of blood
loss, surgical time, and duration of hospitalization.
A total of 70 patients were followed up for a mean duration of 18 months (range 6–36 months), 34 in the anterolateral
group and 36 in the posterolateral group. No statistically significant differences were observed between the anterolateral
and posterolateral approaches for a total hip prosthesis in terms of the clinical and radiological results.
The most successful results can be obtained using the technique that the surgeon performs better according to his
experience of total hip arthroplasty.

Keywords: Anterolateral surgical approach, posterolateral surgical approach, total hip arthroplasty


Faruk Buğlak, Mehmet A. E. Aksekili, Kasım Kılıçarslan, Bahar Anaforoğlu, İzzet Korkmaz. A Comparison of Anterolateral and Posterolateral Approaches in Primary Total Hip Arthroplasty. Med J Islamic World Acad Sci. 2017; 25(1): 1-5

Corresponding Author: Mehmet A. E. Aksekili, Türkiye


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