Abdominal Pannus Should Not Dictate Surgical Approach in Primary Total Hip Arthroplasty.

ABSTRACT:

Background

Increased pannus size is a risk factor for complications with anterior approach total hip arthroplasty (THA). However, it is unclear if changing to a posterior approach mitigates this risk. The purpose of this study was to evaluate whether abdominal pannus size had a differential effect on complication rate comparing anterior vs posterior THA.

Methods

One thousand consecutive primary THA patients-478 anterior and 522 posterior-were retrospectively reviewed for complications and their abdominal pannus was radiographically measured on an anteroposterior pelvis image and placed into 1 of 4 categories based on its vertical size (no pannus [G0], above symphysis [G1], below symphysis [G2], or below ischial tuberosities [G3]). Chi-squared tests for univariate and logisti

SUBMITTER: Bialek S 

PROVIDER: S-EPMC11986245 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature