August 29, 2016
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Greater incision site soft tissue thickness found with lateral vs anterior hip incision

Investigators found approaches using a lateral hip incision for total hip arthroplasty had greater incision site soft tissue thickness compared with approaches that used an anterior incision, with a positive relationship between BMI and both measurements.

Researchers obtained subcutaneous fat measurements from the CT images of 2,004 adult patients at positions that correspond with lateral and anterior incision sites for common approaches to total hip arthroplasty. Researchers calculated a thickness ratio and collected information on BMI, sex and age through chart review.

Results showed significantly different thickness ratio averages between men and women at 1.97 and 2.68, respectively. However, researchers found no significant differences between BMI groups regarding ratios. Men and women had significantly different lateral thickness averages, according to results, and researchers noted a significant interaction between sex and BMI group. Men aged 65 years and older had a significantly different relationship between BMI and the thickness ratio compared with men aged 65 years and younger and women of all ages, researchers found. – by Casey Tingle

 

Disclosures: Sprowls reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.