Advantages of the anterior approach in hip arthroplasty

Rationale. Recently, anterior approach for hip arthroplasty has become increasingly popular, which is explained by its less invasiveness and, as a result, the possible less postoperative pain syndrome. Purpose of the study: to evaluate and compare postoperative pain syndrome and postoperative complications in patients undergoing total hip arthroplasty using anterior or anterolateral approaches. Materials and methods. A prospective study was conducted in 50 patients with stage 3 coxarthrosis, who were divided into two groups using randomization methods: in the main group (n = 25) hip arthroplasty was performed using direct access, in the comparison group (n = 25) - anterior lateral access. Pain syndrome was assessed using a 100-point VAS scale before surgery, on the first and fifth days, and 1 month after surgery. Results. The groups were comparable in terms of gender, age, side of the lesion, BMI, time of surgery and number of bed days (p>0.05). Also, there were no statistical differences in preoperative pain syndrome according to VAS (77.4±7.2 and 76.7±7.7, respectively) - p>0.05. In turn, pain syndrome on days 1 and 5 (47.6±5.1 versus 69.4±4.9 and 32.1 ±6.2 versus 51.4±5.8, respectively) after surgery in patients of the main group was statistically lower than in patients of the comparison group - p function show_eabstract() { $('#eabstract1').hide(); $('#eabstract2').show(); $('#eabstract_expand').hide(); }