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[Patient satisfaction of primary hip replacement with anterior, lateral and posterior approach]
J Strassburger-Weidmann1, J C Vélez-de Lachica2
1Hospital Regional de Tlalnepantla del Instituto de Seguridad Social del Estado de México y Municipios (ISSEMyM). Estado de México. México.
Indroduction:
Today, there is insufficient evidence, that determines the best option of the surgical approach for primary total hip replacement. The objective of this study is to compare patient satisfaction results with the HOOS scale between anterior, lateral and posterior surgical access in patients treated with primary hip joint replacement.
Material And Methods:
Satisfaction results were compared with the HOOS scale between the surgical approach anterior, lateral and posterior at 48-hour, monthly, and three-month; the ANOVA statistical test and a Tukey post-hoc test were applied to the results obtained.
Results:
A higher score on the HOOS scale was obtained with the anterior approach compared to the lateral and posterior. At 48 hour, per month and three months after surgery, with a p-value of 0.012 at 48 hours, 0.014 per month and from 0.047 to three months.
Conclusions:
It was concluded, that in our study group, there was greater satisfaction of the post-operative patients of primary hip replacement with Anterior approach compared to the lateral and posterior approaches, however this difference decreases over the length of the time, reaching similar satisfaction results with all three approaches at three months.
