General vs Spinal Anesthesia for Total Joint Arthroplasty-Anterior Approach: A Single-Institution Observational Study

General vs Spinal Anesthesia for Total Joint Arthroplasty-Anterior Approach: A Single-Institution Observational Study

The study compares the effects of various anesthetic techniques on anterior approach total hip arthroplasty results retrospectively

Under general (GA) or spinal anesthesia (SA), total hip arthroplasty using the anterior approach (THA-A) can be safely performed. The best method is not sufficiently described in the literature currently in existence.This observational study was carried out at a single facility with consecutive enrollment of patients getting primary THA-A. The investigators compared the difference in complication rates, intraoperative blood loss, length of hospital stay, and duration of surgery, acetabular and femoral component orientation and stem subsidence.

Inclusion Criteria:

• patients who underwent direct anterior approach primary total hip arthroplasty with general anesthesia
• patients who underwent direct anterior approach primary total hip arthroplasty with spinal anesthesia

Exclusion Criteria:

• patients who underwent revision total hip arthroplasty
• patients who underwent total hip arthroplasty with approaches other than direct anterior approach
• patients who underwent primary total hip arthroplasty due to hip fractures