Comparative Study of the Results of Hip Replacement Surgery Between Direct Anterior Approach and Posterior Approach in Krathumbean Hospital, Samuth Sakhon
Keywords:
hip replacement surgery, direct anterior approach, posterior approachAbstract
Objective: The aim was to compare the results of hip replacement surgery between direct anterior approach and posterior approach in Krathumbean Hospital.
Methodology: This research was a retrospective case-control study by collecting the data from medical records. The sample group was medical records of patients who underwent hip replacement surgery from January 2016 to September 2022 at Krathumbaen Hospital, Samut Sakhon Province. Using purposive sampling; the patients were divided into 2 groups, 70 patients per group: the 1st group was patients who received direct anterior approach hip replacement and the 2nd group was patients who underwent posterior approach hip replacement. The data from medical records; including sex, age, duration of surgery, blood loss in surgery, receiving pain medication, number of days in hospital stay after surgery, ability to practice walking after surgery, femoral fractures, and hip dislocations; were analyzed by chi-square and independent t test.
Results: When comparing the data of the two groups, it was found that age, duration of surgery, number of days in hospital stay after surgery, ability to practice walking after surgery, femoral fractures, and hip dislocations were significantly different (p < .05). But the blood loss, receiving pain medication had no significant differences (p > .05).
Conclusion: Hip replacement surgery by direct anterior approach, although it takes longer to perform than posterior approach; the number of days in bed after surgery was timed shorter, the ability to practice walking was faster after surgery, and postoperative dislocation of the hip joints was not found.
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ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์
