Minimal invasive surgery for hip replacement: a new technique using the NILNAV hip system

Sherry, Eugene; Egan, Michael; Warnke, Patrick H.; Henderson, Antony; Eslick, Guy D.

doi:10.1046/j.1445-2197.2002.02597.x

Cited by 39 publications

(16 citation statements)

References 9 publications

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“…Recently, the concept of minimally invasive total hip arthroplasty (THA) has been introduced by some authors [1,2,10,11,15] and the media picked up and promoted it without having enough evidence-based facts about the results [12,14]. The advocates of minimally invasive THA use modified posterolateral [2,7,15,18], ventral [19], anterolateral [10] or lateral [3,9] one-incision techniques or the two-incision approach described by Berger [1]. These techniques would have to be less invasive to the muscles or bone, and result in shorter recovery time, less pain and blood loss, shorter hospitalization time, fewer complications and better cosmetic results.…”

Section: Introductionmentioning

confidence: 99%

The impact of minimally invasive total hip arthroplasty on the standard procedure

Szabó

Sztrinkai

Vass

et al. 2006

International Orthopaedics (SICO

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Minimally invasive total hip arthroplasty using a short skin incision is a subject of much debate in the literature. The present study estimates the possible minimal length of the exposure in an unselected patient cohort and compares the lateral mini-incision technique and traditional total hip arthroplasty (THA). One hundred and two patients were divided into three groups according to the type of surgery and length of incision: mini-incision (less than 10 cm) was performed in 38 patients; midi-incision (10-14 cm) in 43; and standard-incision (longer than 14 cm) in 21 patients. No statistical difference was found with regard to intraoperative and total blood loss, the rate of complications, and postoperative recovery. Significantly decreased body mass index (BMI), shorter operative time, and higher number of hips with malpositioning of the acetabular cup were found in the mini-incision group. These patients, however, experienced less pain in the early postoperative period and were highly satisfied with the cosmetic results. The length of incision was shortened and optimized (less than 14 cm) in 82% of patients, and miniincision was performed in 38 patients of this unselected cohort. Because of the understandable demand of the patients for less invasive intervention, the surgeon should use a smaller but not necessarily mini-incision with minimal soft tissue trauma that still allows him to perform the procedure well, without compromising the type of implants and the otherwise excellent long-term results. Randomized prospective studies are needed to explore the real value of the minimally invasive total hip arthroplasty.Résumé La chirurgie arthroplastie de la hanche par voie mini invasive est un sujet de débat et de controverse dans la littérature. Cette étude a pour but d'estimer la longueur minimale de la voie d'abord sur une suite de patients non sélectionnés et de comparer la technique de mini incision avec la technique d'incision traditionnelle antérolatérale. Cent deux patients ont été divisés en trois groupes, en fonction du type de chirurgie et en fonction de la longueur d'incision. Premier groupe: mini incision moins de 10 cm chez 38 patients, deuxième groupe: incision moyenne 10 à 14 cm chez 43 patients et troisième groupe: incision standard, supérieure à 14 cm chez 21 patients. Aucune différence statistique n'a été trouvée pour la perte sanguine et sur le taux des complications post-opératoires. Dans le groupe des mini incisions peu de sujets avaient une surcharge pondérale, par contre, il existait un grand nombre de hanches avec une mal position de la cupule. Ces patients ont cependant présenté moins de douleur dans la période post-opératoire et ont été très satisfaits du résultat cosmétique. La longueur de l'incision dans la chirurgie prothétique de la hanche peut être raccourcie et la longueur optimum peut être de moins de 14 cm chez 82% des patients. Une mini incision a été réalisé dans cette série, chez 38 patients du fait de la demande des patients pour une chirurgie mini invasive, les chi...

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Section: Introductionmentioning

confidence: 99%

The impact of minimally invasive total hip arthroplasty on the standard procedure

Szabó

Sztrinkai

Vass

et al. 2006

International Orthopaedics (SICO

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“…Recently, Sherry [9] reported on outcomes of THA via a mini-incision posterior approach for 14 patients in Australia. Hip replacement with the use of small incisions seems to be effective for Asian patients with relatively small body constitutions.…”

Section: Introductionmentioning

confidence: 99%

Mini-incision posterior approach for total hip arthroplasty

Nakamura

Matsuda

Arai

et al. 2004

International Orthopaedics (SICOT)

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We compared the short-term outcomes of 50 total hip arthroplasties performed through a mini-incision posterior approach with those of 42 arthroplasties performed through a conventional posterior approach. There were no significant differences in age, gender, and bodymass index between groups. The mean operative time was shorter (99±26 versus 123±30 min), and the peroperative mean blood loss was smaller with the miniincision (339±210 versus 422±177 ml). There was no significant difference between groups in post-operative mean blood loss, mean inclination angle of acetabular components, percentage of hips with good inclination angle, and mean hip score at 6 months after surgery. There was one infection in the conventional group but none in the mini group. There were no dislocations or symptomatic pulmonary embolism in either group. With the miniincision posterior approach, surgical invasion was reduced, and short-term outcome was as good as with a conventional posterior approach.

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“…Finally, numerous authors emphasize the benefit of combining navigation with minimally invasive access for a better control of implants position [12,25,27].…”

Section: Does It Induce Any Danger For the Patients?mentioning

confidence: 99%

Minimally invasive surgery of the hip: a review of the literature

Paillard

2006

Interact Surg

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Minimal invasive surgery for hip replacement: a new technique using the NILNAV hip system

Cited by 39 publications

References 9 publications

The impact of minimally invasive total hip arthroplasty on the standard procedure

The impact of minimally invasive total hip arthroplasty on the standard procedure

Mini-incision posterior approach for total hip arthroplasty

Minimally invasive surgery of the hip: a review of the literature

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