VIDEO: Several factors may increase wound complication risk after direct anterior THA
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Key takeaways:
- Several patient and surgical factors may increase wound complication risk after direct anterior total hip arthroplasty.
- Wound complications yielded higher rates of readmission, ER visits and revision surgery.
DALLAS — In this video, Joshua C. Rozell, MD, discussed outcomes of an 11-year retrospective analysis that showed several factors may increase the risk of wound complications after direct anterior total hip arthroplasty.
Among 725 patients with osteoarthritis who underwent THA through the direct anterior approach, multivariate analysis showed patients with higher BMI, longer surgical time and those with a negative pressure wound therapy dressing had an increased risk for postoperative wound complications.
Univariate analysis showed surgeons who were in practice less than 1 year had a higher rate of wound complications vs. surgeons in practice for more than 1 year. However, Rozell said this difference did not persist in multivariate analysis.
According to Rozell, patients with wound complications had higher rates of readmission, ER visits and revision surgery for all-cause revision.
“It is important when doing anterior total hip replacement to take into consideration all of these factors to have the most optimal outcome for your patients,” Rozell, associate professor in the department of orthopedic surgery at NYU Grossman School of Medicine and director of patient-reported outcomes research, told Healio about results presented at the American Association of Hip and Knee Surgeons Annual Meeting.
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Rozell JC, et al. Paper 34. Presented at: American Association of Hip and Knee Surgeons Annual Meeting; Nov. 7-10, 2024; Dallas.
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