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Outcome of direct anterior total hip arthroplasty complicated by superficial wound dehiscence requiring irrigation and debridement

Journal of Arthroplasty Apr 13, 2019

Statz JM, et al. - Using a prospectively collected, single-institution joint registry, authors reviewed 1573 total hip arthroplasty (THA) cases to explore the clinical consequences of direct anterior approach (DAA) THAs demanding postoperative superficial irrigation and debridement (I&D). An association of female sex was reported with a higher risk of undergoing superficial I&D (body mass index >30 kg/m2, >35 kg/m2, and >40 kg/m2). No candidates developed PJI at an average follow-up of 2.2 (range 0.2-5.5) years. They observed complications like femoral revision for a painful fibrously ingrown femoral component (1), pulmonary embolus (1), and death from respiratory failure (1). An averaged score of 86.8 (range 57-99) was noted for postoperative Harris Hip Scores.
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