Articles Vol. 65 No. CĐ11- HN Chấn thương Chỉnh hình-TPHCM 02/12/2024

16. EVALUATION OUTCOMES OF ABMS APPROACH IN TOTAL HIP ARTHROPLASY

Le Dinh Khoa1,2, Ho Van Duy An1,2, Tran Ngoc Chon1,2, Nguyen Van On1,2
1 Tam Anh General Hospital, Ho Chi Minh City
2 Bệnh viện Đa khoa Tâm Anh Thành phố Hồ Chí Minh
Corresponding author: drdinhkhoa@gmail.com
DOI: 10.52163/yhc.v65iCD11.1751
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Keywords
ABMS approach total hip arthroplaty Rottinger approach
Abstract

Introduction: Total hip arthroplasty by ABMS approach has been shown to be an effective, safe and minimal invasive surgery which has faster recovery and reduces complication and dislocation rate.

Material and Methods: A prospective review of 44 total hip replacement cases by ABMS approach at Tam Anh HCM hospital from May 2023 to February 2024 with at least 6 months follow-up.

Results: Mean surgical time was 77.12 ± 17.82 minutes, mean incision length was 8.65 ± 1.87 cm, mean blood loss was 269.51 ± 85.78 ml with decrease of Hgb post operation was 1.86 ± 0.89 g/dL, 01 blood transfusion case (2.27%). Harris hip score pre-operative, 3 months and 6 months post-operative are 43.5 ± 6.8, 83.5 ± 2.8 and 91.1 ± 3.8, 02 cases had trochanteric fracture intra-operative (4.54%).

Conclusion: Total hip arthroplasty with ABMS approach has been shown to be a safe and effective surgical approach with fast recovery, lower blood loss, lower complication and dislocation rate. This approach can be easily performed with normal surgical table and suitable with variable prothesis designs without special instruments needed.

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