Early Discharge and Recovery with Three Minimally Invasive Total Hip Arthroplasty Approaches: A Preliminary Study

Abstract

Purported advantages of THA performed with minimally invasive surgical approaches include less muscle damage and faster recovery. The purpose of this preliminary investigation was to determine if differences existed between minimally invasive approaches in hospital discharge and early functional recovery in THA patients with a rapid rehabilitation protocol. Twenty-four consecutive patients were randomized to one of three minimally invasive surgical approaches (two-incision, mini-posterior, and mini-

When Can I Drive After Orthopaedic Surgery? A Systematic Review

“…One article included a different type of step test that involved maintaining balance on the involved limb while using the contralateral limb to step on and off a 15-cm step as quickly as possible [9]. Survey data of when patients reported return to driving were published in 14 articles [1,2,4,5,17,27,29,31,34,43,45,46,49,55]. …”

“…After right TKA, 48% of patients were driving within 1 month compared with 57% who had a left TKA [27], whereas a survey with no distinction of laterality showed 25% of patients driving within 1 month and an additional 71% driving 1 to 3 months postoperatively [46]. Patients who had THAs reported driving as early as 6 days and as late as 3 months postoperatively [1,5,45,46,49].…”

Implementation of an accelerated mobilization protocol following primary total hip arthroplasty: impact on length of stay and disposition

“…In the protocol presented above, there are no restrictions placed on the patient postoperatively, much as has been reported for two-incision THA and the various anterior approaches. That said, all approaches, including posterior approach, are amenable to accelerated rehabilitation protocols [19].…”

Is the Anterior Approach Safe? Early Complication Rate Associated With 5090 Consecutive Primary Total Hip Arthroplasty Procedures Performed Using the Anterior Approach

“…The posterior approach is commonly associated with an increased dislocation risk, but overall improved gait mechanics versus the direct lateral approach [2]. Interest in minimally invasive, two incision techniques and tissue sparing techniques has also developed in recent years [4,5,7]. Advocates of minimally invasive A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT 3 techniques have noted advantages such as decreased soft tissue trauma, diminished blood loss and pain, as well as a more rapid functional recovery [15].…”