Anterior Approach to Hip Arthroplasty with Early Mobilization Key for Reduced Hospital Length of Stay
Author:
Bontea Mihaela1, Bimbo-Szuhai Erika12ORCID, Macovei Iulia Codruta23, Maghiar Paula Bianca23ORCID, Sandor Mircea3, Botea Mihai23ORCID, Romanescu Dana24ORCID, Beiusanu Corina1, Cacuci Adriana1, Sachelarie Liliana5ORCID, Huniadi Anca23ORCID
Affiliation:
1. Department of Morphological Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 1st December Square 10, 410073 Oradea, Romania 2. Pelican Hospital, Corneliu Coposu Street 2, 410450 Oradea, Romania 3. Faculty of Medicine and Pharmacy, University of Oradea, 1st December Square 10, 410073 Oradea, Romania 4. Department of Medical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 1st December Square 10, 410073 Oradea, Romania 5. Department of Prelinical Discipline, Apollonia University, 700511 Iasi, Romania
Abstract
Background and Objectives: This study aimed to explore the preoperative factors related to early mobilization and length of stay (LOS) after total hip arthroplasty and the benefits of the anterior approach over the traditional lateral approach. Materials and Methods: Every patient benefits from information regarding details of the surgery approach, possible intra, and postoperative complications, post-operator medical care, and steps in the early mobilization protocol. The patient underwent a pre-anesthetic evaluation, was checked for preoperatory vital function, and was reevaluated for mobilization at 6, 12, 24, 36, 48, and 96 h after total hip arthroplasty using the anterior versus lateral approach. Results: The result of the statistical calculations indicates the independent negative risk factors for reaching the mobilization target: age with a coefficient of −0.046, p = 0.0154 and lateral approach with a relative risk of 0.3802 (95% CI: 0.15–0.90), p = 0.0298. Statistical data concerning the length of stay (LOS) showed significant differences in the total days spent in the hospital. The patients who were operated on using the lateral approach presented a higher body mass index than those with the anterior approach, but this difference did not reach the threshold of statistical significance. Conclusions: In our study, patient mobilization is crucial to reduce LOS.
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