Femoral Vessel Blood Flow Is Preserved Throughout Direct Anterior Total Hip Arthroplasty

Louis S. Stryker, Jeremy M. Gilliland, Susan M. Odum, J. Bohannon Mason

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Posterolateral and anterolateral approach THA disrupts femoral vessel blood flow, however, this has not been established for the direct anterior (DA) approach. Ten patients undergoing primary DA THA had peak vascular flow rates for the femoral artery and vein calculated via Doppler ultrasound at specified points: incision, acetabular preparation, femoral preparation and final reduction. Peak femoral arterial and venous flow decreased over baseline, but not significantly, during acetabular preparation (P= 0.88, P= 0.98) and femoral preparation (P= 0.97, P= 0.97). At final reduction, arterial peak flow was restored (P= 1) with an increase in venous flow (P= 0.55). Although there were alterations to peak flow, no vessel occlusion occurred at any point during DA THA.

Original languageEnglish (US)
Pages (from-to)998-1001
Number of pages4
JournalJournal of Arthroplasty
Volume30
Issue number6
DOIs
StatePublished - Jun 1 2015
Externally publishedYes

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Keywords

  • Direct anterior
  • Femoral blood flow
  • Peak vascular flow
  • Total hip arthroplasty
  • Vessel occlusion

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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