General vs Spinal Anesthesia for Total Joint Arthroplasty-Anterior Approach: A Single-Institution Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 437
- 试验地点
- 1
- 主要终点
- length of hospital stay
研究概览
简要总结
The study compares the effects of various anesthetic techniques on anterior approach total hip arthroplasty results retrospectively
详细描述
Under general (GA) or spinal anesthesia (SA), total hip arthroplasty using the anterior approach (THA-A) can be safely performed. The best method is not sufficiently described in the literature currently in existence.This observational study was carried out at a single facility with consecutive enrollment of patients getting primary THA-A. The investigators compared the difference in complication rates, intraoperative blood loss, length of hospital stay, and duration of surgery, acetabular and femoral component orientation and stem subsidence.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients who underwent direct anterior approach primary total hip arthroplasty with general anesthesia
- •patients who underwent direct anterior approach primary total hip arthroplasty with spinal anesthesia
排除标准
- •patients who underwent revision total hip arthroplasty
- •patients who underwent total hip arthroplasty with approaches other than direct anterior approach
- •patients who underwent primary total hip arthroplasty due to hip fractures
结局指标
主要结局
length of hospital stay
时间窗: from the date of total hip arthroplasty operation until the day that patients discharge, assesed up to 7 days
from date of operation until the date of discharge
stem subsidence
时间窗: postoperative 1 year
Subsidence was evaluated by comparing immediate post-operative radiographic images with those obtained at 1 year follow-up. Subsidence was measured as a vertical drop of stem, characterised by a radiolucent line at the proximal most aspect of the bone-prosthesis interface.
acetabular abduction
时间窗: postoperative 1 year
abduction degree of acetabular component after surgery
Mean intraoperative estimated blood loss
时间窗: from preoperative session to postoperative 1 day
Total blood volume was calculates according to Nadler's formula based on patient's sex, height and weight of the patient, whereas the estimated blood loss was calculated according to Meunier's formula (mL)
mean duration of surgery
时间窗: from preoperative session to postoperative 1 day
Duration of total hip arthroplasty surgery for each patient
stem varus/valgus degrees
时间窗: postoperative 1 year
varus or valgus angulation of femoral stem after surgery
次要结局
未报告次要终点