Comparison of Wound Complications and Deep Infections With Direct Anterior and Posterior Approaches in Obese Hip Arthroplasty Patients

Journal of Arthroplasty

Volumn 33, Issue 1, 2018, Pages 220-223

  Purcell, Richard L ^a,b   Parks, Nancy L ^a   Cody, John P ^a,b   Hamilton, William G ^a,c  

^a ANDERSON ORTHOPAEDIC RESEARCH INSTITUTE   (United States)

^b WALTER REED ARMY MEDICAL CENTER   (United States)

^c Mount Vernon Hospital USA   (United States)

Author keywords

anterior approach; infection; obesity; posterior approach; total hip arthroplasty; wound complications

Indexed keywords

ADULT; ARTICLE; BODY MASS; CLINICAL OUTCOME; COHORT ANALYSIS; CONTROLLED STUDY; FEMALE; HIP ARTHROPLASTY; HUMAN; INFECTION RISK; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; OBESITY; PERIPROSTHETIC JOINT INFECTION; POSTOPERATIVE INFECTION; REPEAT PROCEDURE; RETROSPECTIVE STUDY; SURGICAL APPROACH; SURGICAL RISK; WOUND CLOSURE; WOUND COMPLICATION; WOUND DEHISCENCE; AGED; COMPARATIVE STUDY; COMPLICATION; HIP REPLACEMENT; INFECTION; JOINT; MIDDLE AGED; POSTOPERATIVE COMPLICATION; PROCEDURES; REOPERATION; VERY ELDERLY; VIRGINIA; YOUNG ADULT;

ADULT; AGED; AGED, 80 AND OVER; ARTHROPLASTY, REPLACEMENT, HIP; BODY MASS INDEX; FEMALE; HUMANS; JOINTS; MALE; MIDDLE AGED; OBESITY; POSTOPERATIVE COMPLICATIONS; PROSTHESIS-RELATED INFECTIONS; REOPERATION; RETROSPECTIVE STUDIES; SURGICAL WOUND DEHISCENCE; VIRGINIA; YOUNG ADULT;

EID: 85028451574     PISSN: 08835403     EISSN: 15328406     Source Type: Journal    
DOI: 10.1016/j.arth.2017.07.047     Document Type: Article

References (14)

1. Bergin, P.F., Doppelt, J.D., Kephart, C.J., Benke, M.T., Graeter, J.H., Holmes, A.S., et al. Comparison of minimally invasive direct anterior versus posterior total hip arthroplasty based on inflammation and muscle damage markers. J Bone Joint Surg Am 93 (2011), 1392–1398.
2. Barrett, W.P., Turner, S.E., Leopold, J.P., Prospective randomized study of direct anterior vs postero-lateral approach for total hip arthroplasty. J Arthroplasty 28 (2013), 1634–1638.
3. Zawadsky, M.W., Paulus, M.C., Murray, P.J., Johansen, M.A., Early outcome comparison between the direct anterior approach and the mini-incision posterior approach for primary total hip arthroplasty: 150 consecutive cases. J Arthroplasty 29 (2014), 1256–1260.
4. Watts, C.D., Houdek, M.T., Wagner, E.R., Sculco, P.K., Chalmers, B.P., Taunton, M.J., High risk of wound complications following direct anterior total hip arthroplasty in obese patients. J Arthroplasty 30 (2015), 2296–2298.
5. Christensen, C.P., Karthikeyan, T., Jacobs, C.A., Greater prevalence of wound complications requiring reoperation with direct anterior approach total hip arthroplasty. J Arthroplasty 29 (2014), 1839–1841.
6. Russo, M.W., Macdonell, J.R., Paulus, M.C., Keller, J.M., Zawadsky, M.W., Increased complications in obese patients undergoing direct anterior total hip arthroplasty. J Arthroplasty 30 (2015), 1384–1387.
7. Jewett, B.A., Collis, D.K., High complication rate with anterior total hip arthroplasties on a fracture table. Clin Orthop Relat Res 469 (2011), 503–507.
8. Purcell, R.L., Parks, N.L., Gargiulo, J.M., Hamilton, W.G., Severely obese patients have a higher risk of infection after direct anterior approach total hip arthroplasty. J Arthroplasty 31:9 Suppl (2016), 162–165.
9. Parvizi, J., Bauer, T.W., Springer, B.D., Della Valle, C.J., et al. New definition for periprosthetic joint infection: from the Workgroup of the Musculoskeletal Infection Society. Clin Orthop Relat Res 469 (2011), 2992–2994.
10. Dowsey, M.M., Choong, P.F., Obesity is a major risk factor for prosthetic infection after primary hip arthroplasty. Clin Orthop Relat Res 466 (2008), 153–158.
11. Jahng, K.H., Bas, M.A., Rodriguez, J.A., Cooper, H.J., Risk factors for wound complications after direct anterior approach hip arthroplasty. J Arthroplasty 31 (2016), 2583–2587.
12. Nieman, D.C., Henson, D.A., Nehlsen-Cannarella, S.L., Ekkens, M., Utter, A.C., Butterworth, D.E., et al. Influence of obesity on immune function. J Am Diet Assoc 99 (1999), 294–299.
13. Wagner, E.R., Kamath, A.F., Fruth, K.M., Harmsen, W.S., Berry, D.J., Effect of body mass index on complications and reoperations after total hip arthroplasty. J Bone Joint Surg Am 98 (2016), 169–179.
14. Lubbeke, A., Zingg, M., Vu, D., Miozzari, H.H., Christofilopoulos, P., Uçkay, I., et al. Body mass and weight thresholds for increased prosthetic joint infection rates after primary total joint arthroplasty. Acta Orthop 87 (2016), 132–138.