{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:19:42Z","timestamp":1765905582378,"version":"3.48.0"},"reference-count":0,"publisher":"Tunisian Society of Medical Sciences","issue":"2","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tunis Med"],"abstract":"<jats:p>Introduction\u00a0: L\u2019arthroplastie totale de hanche (ATH) est une intervention chirurgicale efficace. Multiples voies d'abord ont \u00e9t\u00e9 d\u00e9crites.\nObjectif\u00a0: Comparer les r\u00e9sultats fonctionnels et radiologiques des voies d\u2019abord post\u00e9ro-lat\u00e9rale et ant\u00e9rieure chez des patients op\u00e9r\u00e9s d\u2019une ATH de premi\u00e8re intention.\nM\u00e9thodes: Les patients op\u00e9r\u00e9s d\u2019une ATH de premi\u00e8re intention ont \u00e9t\u00e9 inclus dans une \u00e9tude descriptive r\u00e9trospective et r\u00e9partis en deux groupes selon la voie d\u2019abord : voie ant\u00e9rieure (VA) et voie post\u00e9ro-lat\u00e9rale (VPL). Nous avons compar\u00e9 les donn\u00e9es d\u00e9mographiques et p\u00e9ri-op\u00e9ratoires, le r\u00e9sultat fonctionnel \u00e0 6 semaines et \u00e0 6mois post-op\u00e9ratoire selon les scores Postel Merle d\u2019Aubign\u00e9 (PMA) et Harris (HHS) , le positionnement radiologique des implants et les complications postop\u00e9ratoires.\nR\u00e9sultats: Chaque groupe comportait 100 patients. Pour le groupe VA, le temps op\u00e9ratoire \u00e9tait plus court, les patients avaient moins de douleur, moins de saignement et un s\u00e9jour hospitalier plus court, des scores PMA et Harris meilleurs \u00e0 six semaines et sans diff\u00e9rence \u00e0 six mois, un meilleur positionnement de la cupule cotylo\u00efdienne, un sous-dimensionnement de la tige f\u00e9morale et plus de fractures iatrog\u00e8nes du f\u00e9mur proximal. Les patients du groupe VPL avaient moins de complications cutan\u00e9es et nerveuses et plus d\u2019instabilit\u00e9 proth\u00e9tiques.\nConclusion: Les donn\u00e9es actuelles comparant les r\u00e9sultats d'une ATH primaire par voie ant\u00e9rieure ou post\u00e9ro-lat\u00e9rale ne d\u00e9montrent pas clairement une sup\u00e9riorit\u00e9 d'une approche. Nous recommandons le choix de l'approche chirurgicale bas\u00e9es sur les caract\u00e9ristiques du patient et les habitudes et la pr\u00e9f\u00e9rence du chirurgien.<\/jats:p>","DOI":"10.62438\/tunismed.v103i2.5416","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:17:05Z","timestamp":1765905425000},"source":"Crossref","is-referenced-by-count":0,"title":["La voie ant\u00e9rieure versus voie post\u00e9ro-lat\u00e9rale dans l\u2019arthroplastie totale de hanche : R\u00e9sultats cliniques et radiologiques"],"prefix":"10.62438","volume":"103","author":[{"given":"Khalil","family":"Fendri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Amine","family":"Selmene","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Houssem Eddine","family":"Kraiem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malek","family":"Bachar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mourad","family":"Zaraa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wael","family":"Chebbi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"31112","published-online":{"date-parts":[[2025,2,1]]},"container-title":["La Tunisie M\u00e9dicale"],"original-title":[],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T17:17:05Z","timestamp":1765905425000},"score":1,"resource":{"primary":{"URL":"https:\/\/latunisiemedicale.com\/index.php\/tunismed\/article\/view\/5416"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,1]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2,1]]}},"URL":"https:\/\/doi.org\/10.62438\/tunismed.v103i2.5416","relation":{},"ISSN":["2724-7031","0041-4131"],"issn-type":[{"value":"2724-7031","type":"electronic"},{"value":"0041-4131","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2,1]]}}}