Femoral Vessel Blood Flow Is Preserved Throughout Direct Anterior Total Hip Arthroplasty

Louis S. Stryker; Jeremy M. Gilliland; Susan M. Odum; J. Bohannon Mason

doi:10.1016/j.arth.2015.01.012

Femoral Vessel Blood Flow Is Preserved Throughout Direct Anterior Total Hip Arthroplasty

Louis S. Stryker, Jeremy M. Gilliland, Susan M. Odum, J. Bohannon Mason

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

Posterolateral and anterolateral approach THA disrupts femoral vessel blood flow, however, this has not been established for the direct anterior (DA) approach. Ten patients undergoing primary DA THA had peak vascular flow rates for the femoral artery and vein calculated via Doppler ultrasound at specified points: incision, acetabular preparation, femoral preparation and final reduction. Peak femoral arterial and venous flow decreased over baseline, but not significantly, during acetabular preparation (P= 0.88, P= 0.98) and femoral preparation (P= 0.97, P= 0.97). At final reduction, arterial peak flow was restored (P= 1) with an increase in venous flow (P= 0.55). Although there were alterations to peak flow, no vessel occlusion occurred at any point during DA THA.

Original language	English (US)
Pages (from-to)	998-1001
Number of pages	4
Journal	Journal of Arthroplasty
Volume	30
Issue number	6
DOIs	https://doi.org/10.1016/j.arth.2015.01.012
State	Published - Jun 1 2015
Externally published	Yes

Keywords

Direct anterior
Femoral blood flow
Peak vascular flow
Total hip arthroplasty
Vessel occlusion

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.arth.2015.01.012

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title = "Femoral Vessel Blood Flow Is Preserved Throughout Direct Anterior Total Hip Arthroplasty",

abstract = "Posterolateral and anterolateral approach THA disrupts femoral vessel blood flow, however, this has not been established for the direct anterior (DA) approach. Ten patients undergoing primary DA THA had peak vascular flow rates for the femoral artery and vein calculated via Doppler ultrasound at specified points: incision, acetabular preparation, femoral preparation and final reduction. Peak femoral arterial and venous flow decreased over baseline, but not significantly, during acetabular preparation (P= 0.88, P= 0.98) and femoral preparation (P= 0.97, P= 0.97). At final reduction, arterial peak flow was restored (P= 1) with an increase in venous flow (P= 0.55). Although there were alterations to peak flow, no vessel occlusion occurred at any point during DA THA.",

keywords = "Direct anterior, Femoral blood flow, Peak vascular flow, Total hip arthroplasty, Vessel occlusion",

author = "Stryker, {Louis S.} and Gilliland, {Jeremy M.} and Odum, {Susan M.} and Mason, {J. Bohannon}",

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T1 - Femoral Vessel Blood Flow Is Preserved Throughout Direct Anterior Total Hip Arthroplasty

AU - Stryker, Louis S.

AU - Gilliland, Jeremy M.

AU - Odum, Susan M.

AU - Mason, J. Bohannon

PY - 2015/6/1

Y1 - 2015/6/1

N2 - Posterolateral and anterolateral approach THA disrupts femoral vessel blood flow, however, this has not been established for the direct anterior (DA) approach. Ten patients undergoing primary DA THA had peak vascular flow rates for the femoral artery and vein calculated via Doppler ultrasound at specified points: incision, acetabular preparation, femoral preparation and final reduction. Peak femoral arterial and venous flow decreased over baseline, but not significantly, during acetabular preparation (P= 0.88, P= 0.98) and femoral preparation (P= 0.97, P= 0.97). At final reduction, arterial peak flow was restored (P= 1) with an increase in venous flow (P= 0.55). Although there were alterations to peak flow, no vessel occlusion occurred at any point during DA THA.

AB - Posterolateral and anterolateral approach THA disrupts femoral vessel blood flow, however, this has not been established for the direct anterior (DA) approach. Ten patients undergoing primary DA THA had peak vascular flow rates for the femoral artery and vein calculated via Doppler ultrasound at specified points: incision, acetabular preparation, femoral preparation and final reduction. Peak femoral arterial and venous flow decreased over baseline, but not significantly, during acetabular preparation (P= 0.88, P= 0.98) and femoral preparation (P= 0.97, P= 0.97). At final reduction, arterial peak flow was restored (P= 1) with an increase in venous flow (P= 0.55). Although there were alterations to peak flow, no vessel occlusion occurred at any point during DA THA.

KW - Direct anterior

KW - Femoral blood flow

KW - Peak vascular flow

KW - Total hip arthroplasty

KW - Vessel occlusion

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Femoral Vessel Blood Flow Is Preserved Throughout Direct Anterior Total Hip Arthroplasty

Abstract

Keywords

ASJC Scopus subject areas

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