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Title: | Isokinetic performance and function are similar after total hip arthroplasty applied with a posterior or anterolateral approach: a randomised controlled trial |
Authors: | Cankaya, Deniz Inci, Fatih Karakus, Dilek Turker, Hasan Bozkurt Kahve, Yakup Neyisci, Cagri Ordu Üniversitesi 0000-0001-8481-7808 0000-0001-8481-7808 0000-0003-2317-0830 0000-0002-8139-8780 |
Keywords: | Anterolateral approach; isokinetic test; abductor strength; total hip arthroplasty |
Issue Date: | 2021 |
Publisher: | SAGE PUBLICATIONS LTD LONDON |
Citation: | Cankaya, D., Inci, F., Karakus, D., Turker, HB., Kahve, Y., Neyisci, C. (). Isokinetic performance and function are similar after total hip arthroplasty applied with a posterior or anterolateral approach: a randomised controlled trial. Hip International, , -.Doi:10.1177/11207000211012989 |
Abstract: | Background: There are ongoing debates on the effects of surgical approach on outcome after total hip arthroplasty (THA). It was hypothesised that with the anterolateral approach, trauma to the abductor arm can occur and related detrimental effects can diminish the postoperative outcomes. In this first randomised controlled trial in the literature on this subject, isokinetic performance and patient-reported functional outcomes were evaluated in patients undergoing THA with a posterior approach (PA) and an anterolateral approach (ALA). Methods: A total of 48 patients scheduled to undergo THA were randomised to ALA or PA groups. The patients were evaluated preoperatively and at 6 and 12 months postoperatively, with flexion, extension and abduction strength measurements and the Harris Hip Score (HHS). The physiatrist performing isokinetic tests and the patients were blinded to the study groups. Results: Both groups were similar in respect of age, body mass index (BMI), gender and preoperative isokinetic performance and HHS. Both groups demonstrated similar isokinetic performance (p < 0.05) and there was no difference in HHS (p < 0.05) at the 6- and 12-months follow-up evaluations. Conclusion: Although there is concern about potential abductor muscle damaging during ALA, the results of this randomised controlled study demonstrated that ALA can produce similar isokinetic performance and functional outcome to PA at 6 and 12 months, despite the close proximity to the abductor arm. |
Description: | WoS Categories : Orthopedics Web of Science Index : Science Citation Index Expanded (SCI-EXPANDED) Research Areas : Orthopedics |
URI: | http://dx.doi.org/10.1177/11207000211012989 https://www.webofscience.com/wos/woscc/full-record/WOS:000648410500001 https://pubmed.ncbi.nlm.nih.gov/33896243 http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/3621 |
ISBN: | 1120-7000 1724-6067 |
Appears in Collections: | Dahili Tıp Bilimleri |
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