Table 3 Reported complications in of primary total hip arthroplasty in both direct anterior (DA) and direct lateral (DL) groups
List of complications | Anterior hip approach (N = 40) | Lateral hip approach (N = 38) |
|---|---|---|
Femoral canal perforation | One patient had intraoperative small posteromedial femoral canal perforation (with the tip of the 1st broach). It was identified immediately and prophylactic cable was added. No consequences or modifications on the physical therapy protocol/weight bearing during postoperative period had occurred | None |
Groin pain | 3 patients complained of groin pain. It was resolved during the 6 months follow-up period | None |
Trendelenburg gait | None | 3 patients continued to have a Trendelenburg gait that was resolved within 6 months after surgery |
Infection | None | One patient had deep infection during the early postoperative period that required operative debridement/irrigation and liner exchange along with postoperative intravenous antibiotics. No recurrence of infection at two years of follow-up |
Deep venous thrombosis | None | None |
Intraoperative or Postoperative blood transfusion | None | None |
Numbness in the lateral femoral cutaneous nerve | 8 patients | None |
Delayed superficial wound healing | Five patients had delayed wound healing in the proximal part of the anterior approach incision. All patients had healed within 4 weeks post-surgery with local wound care | One patient had delayed wound healing. The patient healed after 3 weeks post-surgery |