Comparison of supine and lateral decubitus positions for total hip arthroplasty with the direct lateral approach in overweight and obese patients

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dc.authorscopusidOlcay Güler / 55431355200
dc.authorwosidOlcay Güler / JHC-9873-2023
dc.contributor.authorGüler, Olcay
dc.contributor.authorÖztürk, Sidar
dc.contributor.authorÖzgezmez, Ferit Tufan
dc.contributor.authorCerci, Mehmet Halis
dc.date.accessioned2020-08-30T20:06:15Z
dc.date.available2020-08-30T20:06:15Z
dc.date.issued2020
dc.departmentİstinye Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümüen_US
dc.description.abstractBackground. The purpose of our study is to compare the results of supine and lateral decubitus positions for total hip arthroplasty (THA) with the direct lateral (DL) approach in overweight and obese patients. Methods. Patients who had a THA with the DL approach using the lateral decubitus position (LD group) (n=54) or supine position (S group) (n=45) were retrospectively investigated. Demographic characteristics, age, and body mass indexes were calculated. Blood loss of patients, amount of transfusion, Harris Hip Scores (HHSs) (preop, 6 weeks, 3 months, 6 months, and 12 months), incision size, surgery time, postoperative acetabular cup inclination angle, femoral stem alignment, follow-up period, hospital stay, preoperative-postoperative leg length inequality, and complication rates (infection, wound site problems, and dislocation rates) were compared. Results. Both groups did not differ from each other by means of age, gender, BMI, and affected side (p=0.814, p=0.723, p=0.582, and p=0.833, respectively). The incision length (p<0.001), blood loss (p=0.010), and amount of blood transfused (p=0.002) were significantly higher in the S group than in the LD group. The surgical time was significantly longer in the S group (p<0.001). There were no statistically significant differences between the LD and S groups in terms of pre- and postoperative height, cup inclination, stem alignment, duration of hospital stay, and follow-up period. The change between pre- and postoperative HHS in the LD and S groups was statistically significant. Post hoc binary comparison analysis was conducted to investigate the difference between the groups. The values of HHS were significantly increased from the preoperative period to the final follow-up. Conclusions. The LD and S groups had comparable functional outcomes one year postoperatively. However, the S group was associated with worse intraoperative outcomes than the LD group.en_US
dc.identifier.citationGüler, O., Öztürk, S., Özgezmez, F. T., & Çerçi, M. H. (2020). Comparison of Supine and Lateral Decubitus Positions for Total Hip Arthroplasty with the Direct Lateral Approach in Overweight and Obese Patients. BioMed Research International, 2020.en_US
dc.identifier.doi10.1155/2020/8684067en_US
dc.identifier.issn2314-6133en_US
dc.identifier.issn2314-6141en_US
dc.identifier.pmid32149141en_US
dc.identifier.scopus2-s2.0-85081291309en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1155/2020/8684067
dc.identifier.urihttps://hdl.handle.net/20.500.12713/445
dc.identifier.volume2020en_US
dc.identifier.wosWOS:000518931800012en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorGüler, Olcayen_US
dc.language.isoenen_US
dc.publisherHindawi Ltden_US
dc.relation.ispartofBiomed Research Internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleComparison of supine and lateral decubitus positions for total hip arthroplasty with the direct lateral approach in overweight and obese patientsen_US
dc.typeArticleen_US

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