Arthroplasty today · 2025
Abdominal Pannus Should Not Dictate Surgical Approach in Primary Total Hip Arthroplasty.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bialek Samantha, Oetojo William, Burnham Robert, Brown Nicholas
Аннотация
BACKGROUND: Increased pannus size is a risk factor for complications with anterior approach total hip arthroplasty (THA). However, it is unclear if changing to a posterior approach mitigates this risk. The purpose of this study was to evaluate whether abdominal pannus size had a differential effect on complication rate comparing anterior vs posterior THA.
METHODS: One thousand consecutive primary THA patients-478 anterior and 522 posterior-were retrospectively reviewed for complications and their abdominal pannus was radiographically measured on an anteroposterior pelvis image and placed into 1 of 4 categories based on its vertical size (no pannus [G0], above symphysis [G1], below symphysis [G2], or below ischial tuberosities [G3]). Chi-squared tests for univariate and logistic regression models controlled for age, race, gender, body mass index, Charlson comorbidity index, and smoking.
RESULTS: Comparing wound complications at increasing pannus size, anterior vs posterior (G0 1.9% vs 3.9%, P = .21; G1 7.2% vs 6.7%, P = .08; G2 17.9% vs 11.6%, P = .27; G3 16.7% vs 15.5%, P = .84), similar results were found with reoperations (G0 0.9% vs 1.1%, P = .080; G1 1.4% vs 2%, P = .72; G2 3.0% vs 5.8%, P = .41; G3 1.7% vs 4.5%, P = .33). Additionally, logistic regression models demonstrated no statistically significant difference in the odds of wound complications or reoperations between the approaches at each pannus size.
CONCLUSIONS: In patients with an abdominal pannus, there is no difference in the risk of delayed wound healing or reoperation within 90 postoperative days comparing anterior to posterior approach.
METHODS: One thousand consecutive primary THA patients-478 anterior and 522 posterior-were retrospectively reviewed for complications and their abdominal pannus was radiographically measured on an anteroposterior pelvis image and placed into 1 of 4 categories based on its vertical size (no pannus [G0], above symphysis [G1], below symphysis [G2], or below ischial tuberosities [G3]). Chi-squared tests for univariate and logistic regression models controlled for age, race, gender, body mass index, Charlson comorbidity index, and smoking.
RESULTS: Comparing wound complications at increasing pannus size, anterior vs posterior (G0 1.9% vs 3.9%, P = .21; G1 7.2% vs 6.7%, P = .08; G2 17.9% vs 11.6%, P = .27; G3 16.7% vs 15.5%, P = .84), similar results were found with reoperations (G0 0.9% vs 1.1%, P = .080; G1 1.4% vs 2%, P = .72; G2 3.0% vs 5.8%, P = .41; G3 1.7% vs 4.5%, P = .33). Additionally, logistic regression models demonstrated no statistically significant difference in the odds of wound complications or reoperations between the approaches at each pannus size.
CONCLUSIONS: In patients with an abdominal pannus, there is no difference in the risk of delayed wound healing or reoperation within 90 postoperative days comparing anterior to posterior approach.