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We used Laser Doppler flowmetry to measure the effect on the blood flow to the femoral head/neck junction of two surgical approaches during resurfacing arthroplasty. We studied 24 hips undergoing resurfacing arthroplasty for osteoarthritis. Of these, 12 had a posterior approach and 12 a trochanteric flip approach. A Laser probe was placed under radiological control in the superolateral part of the femoral head/neck junction. The Doppler flux was measured at stages of the operation and compared with the initial flux. In both groups the main fall in blood flow occurred during the initial exposure and capsulotomy of the hip joint. There was a greater reduction in blood flow with the posterior (40%) than with the trochanteric flip approach (11%).

Original publication

DOI

10.1302/0301-620x.90b4.20050

Type

Journal article

Journal

The Journal of bone and joint surgery. British volume

Publication Date

04/2008

Volume

90

Pages

442 - 445

Addresses

1Clinical Sciences Institute University of Warwick Medical School, Clinical Sciences Building, University Hospital, Clifford Bridge Road, Coventry CV2 2DX, UK.

Keywords

Femur Head, Humans, Osteoarthritis, Hip, Postoperative Complications, Laser-Doppler Flowmetry, Treatment Outcome, Arthroplasty, Replacement, Hip, Regional Blood Flow, Adult, Middle Aged, Female, Male, Hemodynamics