Functional outcomes of direct anterior approach hip arthroplasty: Oblique ‘bikini’ versus longitudinal skin incision

Introduction: The direct anterior approach (DAA) for hip arthroplasty has gained popularity in recent years with numerous articles suggesting that short-term outcomes are advantageous over alternative approaches. The ‘bikini’ inguinal crease line incision is a novel variant of the DAA, which reduces...

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Main Authors: Richard Menzies-Wilson, Iskandar Tamimi Marino, Karuppiah Mahalingham, Richard Field
Format: Article
Language:English
Published: SAGE Publishing 2020-06-01
Series:Journal of Orthopaedics, Trauma and Rehabilitation
Online Access:https://doi.org/10.1177/2210491719890883
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spelling doaj-fdc9a88cafb9402584fddffa2acb62652020-11-25T03:24:49ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49172210-49252020-06-012710.1177/2210491719890883Functional outcomes of direct anterior approach hip arthroplasty: Oblique ‘bikini’ versus longitudinal skin incisionRichard Menzies-Wilson0Iskandar Tamimi Marino1Karuppiah Mahalingham2Richard Field3 Academic Research Department, South West London Elective Orthopaedic Centre, Epsom, Surrey, UK Academic Research Department, South West London Elective Orthopaedic Centre, Epsom, Surrey, UK Orthopaedic and Spine Centre, Mater Private Hospital, Dublin, Ireland Academic Research Department, South West London Elective Orthopaedic Centre, Epsom, Surrey, UKIntroduction: The direct anterior approach (DAA) for hip arthroplasty has gained popularity in recent years with numerous articles suggesting that short-term outcomes are advantageous over alternative approaches. The ‘bikini’ inguinal crease line incision is a novel variant of the DAA, which reduces the scar. Methods: We conducted a retrospective cohort study to assess functional and general health outcomes and complications of the two different surgical incisions used in DAA total hip arthroplasty (i.e. ‘bikini’ and longitudinal incisions). Results: We found no statistical difference between the novel bikini incision and the traditional DAA hip arthroplasty. Conclusion: This approach offers a cosmetically improved scar with no compromise in outcomes.https://doi.org/10.1177/2210491719890883
collection DOAJ
language English
format Article
sources DOAJ
author Richard Menzies-Wilson
Iskandar Tamimi Marino
Karuppiah Mahalingham
Richard Field
spellingShingle Richard Menzies-Wilson
Iskandar Tamimi Marino
Karuppiah Mahalingham
Richard Field
Functional outcomes of direct anterior approach hip arthroplasty: Oblique ‘bikini’ versus longitudinal skin incision
Journal of Orthopaedics, Trauma and Rehabilitation
author_facet Richard Menzies-Wilson
Iskandar Tamimi Marino
Karuppiah Mahalingham
Richard Field
author_sort Richard Menzies-Wilson
title Functional outcomes of direct anterior approach hip arthroplasty: Oblique ‘bikini’ versus longitudinal skin incision
title_short Functional outcomes of direct anterior approach hip arthroplasty: Oblique ‘bikini’ versus longitudinal skin incision
title_full Functional outcomes of direct anterior approach hip arthroplasty: Oblique ‘bikini’ versus longitudinal skin incision
title_fullStr Functional outcomes of direct anterior approach hip arthroplasty: Oblique ‘bikini’ versus longitudinal skin incision
title_full_unstemmed Functional outcomes of direct anterior approach hip arthroplasty: Oblique ‘bikini’ versus longitudinal skin incision
title_sort functional outcomes of direct anterior approach hip arthroplasty: oblique ‘bikini’ versus longitudinal skin incision
publisher SAGE Publishing
series Journal of Orthopaedics, Trauma and Rehabilitation
issn 2210-4917
2210-4925
publishDate 2020-06-01
description Introduction: The direct anterior approach (DAA) for hip arthroplasty has gained popularity in recent years with numerous articles suggesting that short-term outcomes are advantageous over alternative approaches. The ‘bikini’ inguinal crease line incision is a novel variant of the DAA, which reduces the scar. Methods: We conducted a retrospective cohort study to assess functional and general health outcomes and complications of the two different surgical incisions used in DAA total hip arthroplasty (i.e. ‘bikini’ and longitudinal incisions). Results: We found no statistical difference between the novel bikini incision and the traditional DAA hip arthroplasty. Conclusion: This approach offers a cosmetically improved scar with no compromise in outcomes.
url https://doi.org/10.1177/2210491719890883
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