TY - JOUR
T1 - Predictive value of lateral soft tissue thickness for complications after total hip arthroplasty with a lateral incision
AU - Sprowls, Gregory R.
AU - Allen, Bryce C.
AU - Wilson, Travis J.
AU - Pruszynski, Jessica E.
AU - Hammonds, Kendall A.P.
N1 - Publisher Copyright:
© 2020, Copyright © 2020 Baylor University Medical Center.
PY - 2020/7/2
Y1 - 2020/7/2
N2 - The purpose of this study was to determine the relationship between soft tissue thickness lateral to the greater trochanter, as measured on anteroposterior pelvis radiograph, and postoperative complications following primary total hip arthroplasty. A retrospective review of 1110 consecutive patients treated at a single institution from 2003 to 2011 was conducted. Postoperative complications were divided into surgical site infections, deep wound infections, noninfectious surgical complications, need for revision surgery, and medical complications. Lateral soft tissue thickness (LSTT) was measured as the horizontal distance from the most lateral point on the greater trochanter to the skin edge obtained from anteroposterior hip radiographs. Among the 1110 study patients, 19.19% had a postoperative complication, with a deep infection rate of 3.42%. Of the previously identified risk factors, increased LSTT and body mass index were both associated with surgical site infection and deep infection, and LSTT was associated with revision surgery. An LSTT value of >5 cm was predictive of surgical site infection, deep infection, and revision surgery. This easily obtainable radiographic measurement, along with clinical examination near the operative site, might prove helpful in making preoperative risk assessments.
AB - The purpose of this study was to determine the relationship between soft tissue thickness lateral to the greater trochanter, as measured on anteroposterior pelvis radiograph, and postoperative complications following primary total hip arthroplasty. A retrospective review of 1110 consecutive patients treated at a single institution from 2003 to 2011 was conducted. Postoperative complications were divided into surgical site infections, deep wound infections, noninfectious surgical complications, need for revision surgery, and medical complications. Lateral soft tissue thickness (LSTT) was measured as the horizontal distance from the most lateral point on the greater trochanter to the skin edge obtained from anteroposterior hip radiographs. Among the 1110 study patients, 19.19% had a postoperative complication, with a deep infection rate of 3.42%. Of the previously identified risk factors, increased LSTT and body mass index were both associated with surgical site infection and deep infection, and LSTT was associated with revision surgery. An LSTT value of >5 cm was predictive of surgical site infection, deep infection, and revision surgery. This easily obtainable radiographic measurement, along with clinical examination near the operative site, might prove helpful in making preoperative risk assessments.
KW - Lateral soft tissue thickness
KW - surgical site infections
KW - total hip arthroplasty
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U2 - 10.1080/08998280.2020.1753455
DO - 10.1080/08998280.2020.1753455
M3 - Article
C2 - 32675949
AN - SCOPUS:85084268956
SN - 0899-8280
VL - 33
SP - 336
EP - 341
JO - Baylor University Medical Center Proceedings
JF - Baylor University Medical Center Proceedings
IS - 3
ER -