Open AccessMinimizing complications in bikini incision direct anterior approach total hip arthroplasty: A single surgeon series of 865 cases
Author(s) -
Alva Avinash,
Nizam Ikram,
Gogos Sophia
Publication year - 2021
Publication title -
journal of experimental orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 18
ISSN - 2197-1153
DOI - 10.1186/s40634-020-00318-7
Subject(s) - medicine , survivorship curve , surgery , womac , implant , orthopedic surgery , arthroplasty , total hip arthroplasty , complication , harris hip score , osteoarthritis , population , alternative medicine , environmental health , pathology
Purpose The purpose of this study was to report all complications during the first consecutive 865 cases of bikini incision direct anterior approach (DAA) total hip arthroplasty (THA) performed by a single surgeon. The secondary aims of the study are to report our clinical outcomes and implant survivorship. We discuss our surgical technique to minimize complication rates during the procedure. Methods We undertook a retrospective analysis of our complications, clinical outcomes and implant survivorship of 865 DAA THA’s over a period of 6 years (mean = 3.9yrs from 0.9 to 6.8 years). Results The complication rates identified in this study were low. Medium term survival at minimum 2‐year survival and revision as the end point, was 99.53% and 99.84% for the stem and acetabular components respectively. Womac score improved from 49 (range 40–58) preoperatively to 3.5(range 0–8.8) and similarly, HHS scores improved from 53(range 40–56) to 92.5(range 63–100) at final follow‐up (mean = 3.9 yrs) when compared to preoperative scores. Conclusions These results suggest that bikini incision DAA technique can be safely utilised to perform THA.