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Date Published: 12/12/2025
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DOI: https://doi.org/10.51298/vmj.v556i2.16430
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Vol. 556 No. 2 (2025)
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Đặng, H. G., Đào, X. T., & Hoàng, G. D. (2025). OUTCOMES OF CEMENTLESS TOTAL HIP ARTHROPLASTY UTILIZING THE DIRECT ANTERIOR APPROACH. Vietnam Medical Journal, 556(2). https://doi.org/10.51298/vmj.v556i2.16430

OUTCOMES OF CEMENTLESS TOTAL HIP ARTHROPLASTY UTILIZING THE DIRECT ANTERIOR APPROACH

Hoàng Giang Đặng, Xuân Thành Đào, Gia Du Hoàng

Main Article Content

Abstract

Introduction: Total Hip Arthroplasty (THA) using the Direct Anterior Approach (DAA) has demonstrated superior efficacy during the first 6 weeks post-surgery. Although it offers many advantages, DAA THA has its own disadvantages, leading to the occurrence of both intraoperative and postoperative complications. In Vietnam, several hospitals have implemented this surgical approach. However, reports on the technical results are still limited; therefore, we conducted this study to evaluate the therapeutic efficacy as well as the potential complications. Results: 61 patients (73 hips) underwent THA via the DAA, with early outcomes assessed during the first 3 months post-surgery. Operative time: median 70 (20.5) minutes (range: 51–127 minutes). 94% of patients were able to sit up independently in bed on the first day, 98.6% of patients began walking practice within 3 days. The acetabular abduction angle and anteversion angle were 43,9 ±5,40 and 16,4 ± 3,70, respectively. The mean Harris Hip Scores (HHS) at discharge, 6 weeks, and 3 months post-surgery were 54,98± 7,37; 81,94±11,71; 95,02±4,25 points, respectively. Complications occurred in 9/73 cases (12.3%): including 1 superficial infection, 2 wound hematomas, 2 lateral femoral cutaneous nerve (LFCN) injuries, 2 greater trochanter fractures, and 1 acetabular liner breakage detected at the 5th month. All complications occurred entirely within the first 50 surgical cases. Conclusion: THA-DAA is a safe and effective surgical technique. The rate of complications requiring reoperation is low (1/73). However, to minimize complications, surgeons must undergo formal and extended training compared to conventional THA techniques

Article Details

Keywords

Total Hip Arthroplasty, Direct Anterior Approach.

References

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