Perioperative complications and causes of 30- and 90-day readmission after direct anterior approach primary total hip arthroplasty

Eric Sali; Jean-Luc Marmorat; Fabrice Gaudot; Christophe Nich

doi:10.1016/j.jor.2019.08.006

Perioperative complications and causes of 30- and 90-day readmission after direct anterior approach primary total hip arthroplasty

J Orthop. 2019 Aug 10:17:69-72. doi: 10.1016/j.jor.2019.08.006. eCollection 2020 Jan-Feb.

Authors

Eric Sali¹, Jean-Luc Marmorat¹, Fabrice Gaudot¹, Christophe Nich¹

Affiliation

¹ Department of Traumatology and Orthopaedic Surgery, Raymond Poincare Hospital, Versailles Saint Quentin en Yvelines University, Assistance Publique - Hôpitaux de Paris 104, Boulevard Raymond Poincare, 92380, Garches, France.

Abstract

We aimed to report causes of readmission 30 and 90 days following a total hip arthroplasty (THA) using the direct anterior approach (DAA).

Methods: Three hundred and two patients (335 hips) underwent a DAA-THA for primary osteoarthritis.

Results: The main reasons for 30 and 90-day readmission were wound related problems, dislocation (rate: 0.9%) and deep infection. The readmission rates at 30 and 90 days were 1.8% and 2.7%, respectively. Age over 60 years and morbidly obese patients were at risk for complications.

Conclusion: The DAA-THA was associated with low readmission rates. Obesity should be adressed preoperatively.

Keywords: Complications; Direct anterior approach; Hospital readmission; Obesity; Total hip arthroplasty.