Table 2.
Summary of select complications reported in the literature in comparative studies of direct anterior and other total hip approaches n (%)
| Author |
Complications |
||||||||||||
| Approach | No. patients | Dislocation | Femur fracture | Great trochanter fracture | Hematoma | Ankle injury | Nerve injury | Reoperation due to infection | Reoperation - other than infection | Bursitis | Superficial infection/wound complication | Acetabulum (or pelvis) fracture | |
| Alexandrov | A | 43 | 1 (2.3) | 1 (2.3) | 5 (11.6) | 1 (2.3) | 0 | 2 (4.7) | |||||
| Amile | A | 421 | 13 (3.1) | 25 (5.9) | 5 (1.2) | 8 (1.9) | |||||||
| L | 431 | 16 (3.7) | 27 (6.3) | 8 (1.9) | 21 (4.9) | ||||||||
| P | 421 | 10 (2.4) | 14 (3.3) | 5 (1.2) | 7 (1.7) | ||||||||
| Bal | A | 100 | 1 (1.0) | 4 (4.0) | |||||||||
| Barrett | A | 43 | 0 (0.0) | 0 (0.0) | 1 (2.3) | 0 (0.0) | 1 (2.3) | ||||||
| P | 44 | 1 (2.3) | 1 (2.3) | 0 (0.0) | 1 (2.3) | 0 (0.0) | |||||||
| Berend | A | 258 | 4 (1.6) | 2 (0.8) | 2 (0.8) | ||||||||
| L | 375 | 2 (0.5) | 2 (0.5) | 1 (0.3) | 1 (0.3) | 1 (0.3) | |||||||
| Bhandari | A | 1277 | 8 (0.6) | 22 (1.7) | 13 (1.0) | 5 (0.4) | 13 (1.0) | 3 (0.2) | 32 (2.5) | 1 (0.1) | 22 (1.7) | 8 (0.6) | |
| Christensen | A | 505 | 3 (0.6) | 2 (0.4) | 2 (0.4) | ||||||||
| P | 1288 | 1 (0.1) | 1 (0.1) | ||||||||||
| De Geest | A | 300 | 2 (0.7) | 12 (4.0) | 3 (1.0) | 16 (5.3) | 6 (2.0) | 14 (4.7) | 6 (2.0) | ||||
| Hallert | A | 200 | 4 (2.0) | 3 (2.0) | 3 (2.0) | 1 (1.0) | |||||||
| Hoell | A | 113 | 0 (0.0) | 1 (0.9) | 1 (0.9) | 3 (2.7) | |||||||
| Keggi | A | 687 | 17 (2.5) | 15 (2.2) | 5 (0.7) | 13 (1.9) | 5 (0.7) | 1 (0.1) | |||||
| Jewett | A | 800 | 7 (0.9) | 24 (3.0) | 0 (0.0) | 1 (0.1) | 7 (0.9) | 19 (2.4) | 1 (0.1) | ||||
| Kennon | A | 2222 | 28 (1.3) | 63 (2.8) | 24 (1.1) | 31 (1.4) | 9 (0.4) | 7 (0.3) | 3 (0.1) | ||||
| Martin | A | 41 | 1 (2.4) | 1 (2.4) | 7 (17.1) | 3 (7.3) | 3 (7.3) | ||||||
| P | 47 | 3 (6.4) | 0 (0.0) | 0 (0.0) | 7 (14.9) | 4 (8.5) | |||||||
| Matta | A | 494 | 3 (0.6) | 6 (1.2) | 3 (0.6) | 3 (0.6) | 3 (0.6) | 1 (0.2) | 1 (0.2) | 3 (0.6) | |||
| Mirza | A | 258 | 4 (1.5) | 9 (3.5) | 1 (0.4) | ||||||||
| Reichert | A | 85 | 0 (0.0) | 6 (7.1) | 1 (1.2) | 1 (1.2) | |||||||
| L | 86 | 0 (0.0) | 1 (1.2) | 1 (1.2) | 1 (1.2) | ||||||||
| Sariali | A | 1764 | 27 (1.5) | 28 (1.6) | 1 (0.1) | 3 (0.2) | |||||||
| Spaans | A | 46 | 1 (2.2) | 3 (6.5) | 1 (2.2) | ||||||||
| P | 46 | 1 (2.2) | 0 (0.0) | 1 (2.2) | |||||||||
| Wayne | A | 100 | 2 (2.0) | 8 (8.0) | 6 (6.0) | 0 (0.0) | 5 (5.0) | 0 (0.0) | 3 (3.0) | ||||
| L | 100 | 1 (1.0) | 2 (2.0) | 0 (0.0) | 3 (3.0) | 3 (3.0) | 4 (4.0) | 1 (1.0) | |||||
| Yi | A | 61 | 1 (1.6) | 2 (3.3) | 3 (4.9) | 1 (1.6) | 1 (1.6) | 1 (1.6) | 2 (3.3) | ||||
| Zawadsky | A | 100 | 0 (0.0) | 2 (2.0) | 3 (3.0) | ||||||||
| P | 50 | 1 (2.0) | 3 (6.0) | 0 (0.0) | |||||||||
A: Anterior; L: Lateral; P: Posterior.