Does the muscle sparing anterior approach result in better functional outcomes for patients compared

Muscle sparing has a positive impact on functional outcome patients with a mean age of years (range: ) that had been treated for displaced acetabular fractures were included in this series. “the anterior approach has a faster recovery and optimizes outcomes when compared with a direct lateral approach, ” says keith berend hold on, says tom sculco “the posterolateral approach is a common approach that can easily be extended, involves less blood loss, and is expeditious. There is some evidence that the anterior approach results in reduced tissue damage and faster recovery in the direct postoperative period, compared to the posterolateral approach however, there is still a lack of well-designed studies that have confirmed the better outcomes and cost-effectiveness of the anterior approach.

does the muscle sparing anterior approach result in better functional outcomes for patients compared Background: the direct anterior approach (daa) is an alternative approach to the currently most used lateral approach (la) for hip replacement in femoral neck fracture patients compared to the la, the daa minimizes soft tissue damage.

Offer training in muscle-sparing hip replacement anterior minimally invasive procedure may be possible outcomes advantages of anterior approach better functional results and a smaller extent of injury in the muscle and tendon units compared to other approaches. Total hip arthroplasty is a common surgery, with more than 330,000 procedures performed in the united states every year however, there is significant controversy over the optimal muscle-sparing approach: mini-posterior approach (mpa) or direct anterior approach (daa. A new stepwise, standardized approach to circumferential minimally invasive surgery (cmis) for the correction of adult spinal deformity showed improved radiographic scores and functional outcomes as well as markedly lower complication rates compared with previous methodology in a single-center. In comparison, the direct anterior approach requires an incision that may be 3-4 inches in length and located at the front of the hip 2 in this position, the surgeon does not need to detach any of the muscles or tendons 2 the table below illustrates the key potential benefits between traditional replacement and the direct anterior approach.

The aim of this trial is to compare the effects of targeted hip abductor strengthening to those of traditional care in a tka rehabilitation program on muscle strength, patient reported outcomes and functional performance measures. Posterior approach compared to direct lateral approach resulted in better patient-reported outcome after hemiarthroplasty for femoral neck fracture posterior approach rather than a direct lateral approach results in less pain, with better patient satisfaction and better quality of life in pain or functional outcomes could be found in. The direct superior approach (dsa) is a minimally invasive approach used in total hip replacement surgery this muscle sparing approach for total hip replacement was developed to minimize damage to the soft tissues and muscles that are critical to the proper function of your hip and leg 1 the direct superior approach was developed to allow the surgeon to avoid cutting key muscle groups, the. It is known as a relatively bloodless, direct, muscle-sparing approach into the hip that provides good visualization of the acetabulum (hip socket) 1 however, access to the femur via this approach is limited. In a study comparing the single-incision-modified smith-peterson anterior approach and the direct lateral approach, the outcomes using validated measures were found to be were significantly better for the anterior approach group at 6 wk, 6 mo, and 12 mo.

Background — the surgical approach in total hip arthroplasty (tha) is often based on surgeon preference and local traditions the anterior muscle-sparing approach has recently gained popularity in europe we tested the hypothesis that patient satisfaction, pain, function, and health-related quality of life (hrqol) after tha is not related to the surgical approach. Background compared to the posterior approach, the anterior approach to total hip arthroplasty (tha) offers the potential for an accelerated recovery secondary to less dissection and therefore less pain in the immediate postoperative period. The surgical approach that seems to be growing the fastest is the direct anterior approach much like the superior approach hip replacement, the direct anterior approach is also favored by those seeking to avoid muscle damage and wanting fewer restrictions after surgery. The bikini hip replacement is minimally invasive anterior hip replacement technique that is soft-tissue sparing and vessel sparing (preserving lateral circumflex blood vessels) compared to the standard incision anterior hip replacement scar.

Results and discussion: on the basis of analysis of 45 articles we propose an anatomical classification of muscle-sparing thoracotomies considering the way in which the muscles are spared classification distinguishes five types of muscle-sparing thoracotomies which are represented originally using cylindrical projection of thorax. Results: triceps sparing group had greater elbow flexion (1400 ± 40) compared to triceps splitting group (1260 ± 100) with p conclusion: as compared to triceps splitting approach, triceps sparing approach results in better elbow rom with less extension contracture, however both approaches result in similar functional outcome. Functional outcomes (walking speed, muscle strength) between the two groups were better for the minimally invasive patients but this was only true for the first year postoperatively after that, things evened out between the two groups. Triceps sparing approach compared with a triceps splitting concluded that triceps-sparing group has better functional patients had good muscle strength when compared to the.

Recent studies showed that the anterior-based muscle-sparing approach (abms), for example, direct anterior approach (daa), which dissects intermuscularly without the need of abductor muscle detachment, had potential benefits in early patient-reported pain, narcotic consumption, functional outcomes, shorter length of hospital stay, and. We present a retrospective review of the early results and complications in a series of 35 consecutive patients with 43 total hip arthroplasties performed through an anterior muscle sparing minimally invasive approach we found the early complication rates and radiographic outcomes comparable to those reported from arthroplasties performed via traditional approaches. The nerve-sparing technique remains the target anatomical approach to achieve better functional outcomes related to potency and continence the technical details of this procedure make the operation difficult, however, and some authors have stressed the importance of anatomical landmarks in rp in their series [ 2 – 4 .

  • This can explain the better early functional outcomes with the womac score in the two tissue sparing “intermuscular approach” groups (anterior and antero-lateral tss approach) compared to the two “transmuscular approach” groups (hardinge lateral approach and hardinge lateral approach with mini-incision) reported in our study.
  • The importance of any minimally invasive or muscle-sparing approach lies in how it relates to functional outcomes there have been reports that, compared with the mini-posterior exposure, the direct anterior approach leads to better early results in terms of pain and function 5.
  • Furthermore, we thought those patients presenting for transplantation debilitated and malnourished would derive the most benefit from this minimally invasive and, more importantly, muscle-sparing approach.

The bulbospongiosus muscle is involved with the expulsion of seminal fluid and urine from the bulbar urethra and, thus, we hypothesized that performing urethroplasty using a technique that does not split the muscle may result in better postoperative patient reported ejaculatory function and less post-void dribbling. The data presented here support the conclusion that the muscle-sparing amis approach to the hip joint for ha can be beneficial for an early return to function and performance in adls, especially in potentially frail elderly patients, even if statistical superiority cannot be demonstrated. Sparing the bulbospongiosus muscle during urethroplasty does not seem to have a significant impact on patient reported ejaculatory function or post-void dribbling compared with nonbulbospongiosus sparing urethroplasty at early followup.

Does the muscle sparing anterior approach result in better functional outcomes for patients compared
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2018.