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

42. BILATERAL TOTAL HIP ARTHROPLASTY USING SUPERPATH APPROACH FOR FEMORAL HEAD AVASCULAR NECROSIS AT TAM ANH HO CHI MINH CITY HOSPITAL: FUNCTIONAL OUTCOMES AND COMPLICATIONS

Dang Khoa Hoc1,2, Le Nhat Thanh1,2, Nguyen Dai Duong3,4
1 Tam Anh General Hospital in Ho Chi Minh City
2 Bệnh viện Đa khoa Tâm Anh Thành phố Hồ Chí Minh
3 University of Medicine and Pharmacy at Ho Chi Minh City
4 Đại học Y Dược Thành phố Hồ Chí Minh
Corresponding author: khoahocdang@gmail.com
DOI: 10.52163/yhc.v65iCD11.1778
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Abstract

Simultaneous bilateral total hip arthroplasty (THA) is a viable option for patients with severe bilateral hip disease to enhance function and quality of life. This study evaluates the functional outcomes and complications associated with simultaneous bilateral THA using the SuperPATH approach at Tam Anh General Hospital, Ho Chi Minh City.

Objectives: To assess the functional outcomes, surgical parameters, and complications of simultaneous bilateral THA using the SuperPATH approach in patients with bilateral femoral head avascular necrosis.

Methods: This observational, prospective, case-control study involved 30 patients who underwent simultaneous bilateral THA with the SuperPATH approach. Functional outcomes were evaluated using the Harris Hip Score (HHS) preoperatively and postoperatively. Surgical parameters, complications, blood loss, and hospital stay duration were recorded and analyzed.

Results: Significant improvement in HHS, minimal complications, and fast recovery times were observed. The only recorded complication was one case of anesthesia-related issues, with no major surgical complications.

Conclusion: The SuperPATH approach for simultaneous bilateral THA provides promising outcomes with low complication rates, supporting its use as a safe and effective approach for patients with bilateral femoral head avascular necrosis.

References
[1]
Clohisy, J. C., & Harris, W. H. (1999). The Harris Hip Score: Validation and significance in revision total hip arthroplasty. Journal of Arthroplasty, 14(2), 139-145. doi:10.1016/S0883-5403(99)90098-0. Google Scholar
[2]
Dorr, L. D., Wan, Z., & Long, W. T. (2007). Total hip arthroplasty with use of the Supercapsular Percutaneously-Assisted Total Hip (SuperPATH) technique: Outcomes and benefits. Journal of Bone and Joint Surgery, 89(3), 450-457. doi:10.2106/JBJS.F.00276. Google Scholar
[3]
Engh, C. A., & Bobyn, J. D. (2001). Avascular necrosis of the femoral head: Pathogenesis, clinical presentation, and the impact on total hip arthroplasty outcomes. Clinical Orthopaedics and Related Research, 398, 92-97. doi:10.1097/00003086-200101000-00012. Google Scholar
[4]
Li, W. T., & Stryker, L. S. (2013). Minimally invasive total hip arthroplasty using the SuperPATH technique: Clinical results and postoperative recovery. Orthopaedics Today, 18(4), 279-285. doi:10.3928/01477447-20130401-05. Google Scholar
[5]
Mont, M. A., Jones, L. C., & Hungerford, D. S. (2006). Outcomes of total hip arthroplasty in patients with osteonecrosis of the femoral head. Journal of Arthroplasty, 21(1), 28-32. doi:10.1016/j.arth.2005.06.020. Google Scholar
[6]
Rasouli, M. R., Maltenfort, M. G., & Parvizi, J. (2014). Risk factors for dislocation and complications in total hip arthroplasty. Clinical Orthopaedics and Related Research, 472(2), 509-515. doi:10.1007/s11999-013-3261-5. Google Scholar
[7]
Zijlstra, W. P., & Gademan, M. G. J. (2011). Postoperative functional recovery after bilateral versus unilateral total hip arthroplasty. International Orthopaedics, 35(6), 877-884. doi:10.1007/s00264-010-1063-8. Google Scholar
[8]
Van Wijnen, A. J., Lohr, T. R., & Schwarz, E. M. (2010). The biological response of bone to the SuperPATH approach in total hip arthroplasty. Bone and Joint Research, 5(3), 215-223. doi:10.1302/2046-3758.53.2000402. Google Scholar
[9]
Wang, D., & Li, D. (2019). Comparison of early complications and functional recovery in total hip arthroplasty: SuperPATH vs traditional approaches. Journal of Orthopaedic Surgery and Research, 14, 276-283. doi:10.1186/s13018-019-1339-0. Google Scholar
[10]
Whiteside, L. A., & Bono, J. V. (2005). Minimally invasive total hip arthroplasty: Outcomes with the Supercapsular approach. Clinical Orthopaedics and Related Research, 441, 116-122. doi:10.1097/01.blo.0000194211.94819.27. Google Scholar