Minimally invasive approach to implantation of a hip endoprosthesis

Wetzel, R.; Dorsch, M.

doi:10.1007/s00132-006-0966-2

Cited by 11 publications

(6 citation statements)

References 8 publications

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“…B. geringeren Blutverlust, schnellere Schmerzfreiheit oder die Möglichkeit einer schnelleren Rehabilitation [12,32,33]. Einen Literaturüberblick zu Studien der minimal-invasiven Hüftal-loarthroplastik geben Reininga et al [24].…”

Section: Minimal-invasiver Vs Konventioneller Zugangunclassified

Ganganalyse nach minimal-invasiver Hüftprothesenimplantation

Sander

Layher

Anders³

et al. 2012

Orthopäde

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Upon implantation of a hip prosthesis by total hip arthroplasty (THA), clinical criteria are not always sufficient for an objective assessment of the functional outcome. Thus, functional improvement of gait behavior was comparatively validated by instrumented 3D gait analysis for a current, minimally invasive surgical approach (MIS; anterolateral approach) and a conventional, transgluteal approach (KONV). In selected cases, disturbed motion sequences were registered by measuring the muscle activity via high-resolution, monopolar surface electromyography (S-EMG) above the operation area. Despite continuous and significant improvement of practically all analyzed kinematic and kinetic gait parameters for both surgical approaches already after 5 weeks but in particular after 6 and 12 months, no significant differences were detected between the 2 procedures for any parameter or time point. The S-EMG demonstrated non-physiological muscle activation on the operated, but also on the non-operated side, even at 6 months after surgery. Advantages of the MIS approach thus seem primarily restricted to early, post-operative results, such as more rapid pain reduction and rehabilitation.

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Section: Minimal-invasiver Vs Konventioneller Zugangunclassified

Ganganalyse nach minimal-invasiver Hüftprothesenimplantation

Sander

Layher

Anders³

et al. 2012

Orthopäde

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“…Some authors define an incision length of less than 10 cm as minimally invasive [13][14][15]. Others see the definition in less traumatization of the tissue [16][17][18][19]. The minimally invasive approaches are divided into two groups: "muscle-sparing" and "mini-incision" approaches.…”

Section: Introductionmentioning

confidence: 99%

Comparison of short-term outcomes between SuperPATH approach and conventional approaches in hip replacement: a systematic review and meta-analysis of randomized controlled trials

et al. 2020

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Background It remains uncertain if the new SuperPATH approach benefits patients in artificial hip joint replacement. We conducted a systematic review and meta-analysis of randomized controlled trials to compare the short-term outcome of SuperPATH approach and conventional approaches in hip joint replacement. Methods A systematic literature search up to April 2020 was performed to identify randomized controlled trials comparing SuperPATH with conventional approaches in hip joint replacement. We measured surgical, functional, and radiological outcomes. Mean differences or odds ratios with 95% confidence intervals were calculated and pooled using random effects models and the Hartung-Knapp-Sidik-Jonkman method. Results A total of 12 RCTs involving 726 patients met the inclusion criteria, one trial with a level I evidence, 11 trials with level II evidence. The overall meta-analysis showed that SuperPATH approach reduced incision length (MD = − 4.84, 95% CI − 7.04 to − 2.64, p < 0.01), pain VAS 7 day postoperatively (MD = − 1.39, 95% CI − 2.57 to − 0.21, p = 0.03), and HHS 7 day postoperatively (MD = 10.24, 95% CI 0.27 to 20.21, p = 0.05). The two approaches did not differ in acetabular cup positioning angles, intra- and postoperative blood loss, hospitalization period, and postoperative complications. Hip replacement via SuperPATH approach had a longer operation time than hip replacement via conventional approaches. Conclusions SuperPATH approach showed better results in decreasing incision length and early pain intensity as well as improvement of short-term functional outcome. Long-term outcomes of SuperPATH approach need to be investigated.

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“…Two-incision MIS has been associated with high complication rates 7,21,22). In this study, periprosthetic fractures were found in 4 (15%) of the first 10 cases.…”

Section: Discussionmentioning

confidence: 59%

Total Hip Arthroplasty Using Two-Incision Technique

Kim

Ryu

et al. 2011

Clin Orthop Surg

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BackgroundTo evaluate the effectiveness of minimally invasive surgery total hip arthroplasty (THA) using the two-incision technique as described by Mears.MethodsFrom January 2003 to December 2006, sixty-four patients underwent total hip arthroplasty using the one-incision (group I) and two-incision (group II) technique by one surgeon. There were 34 hips in group I and 30 hips in group II. There was no difference in age, gender, and causes of THA between the two groups. We evaluated the operation time, bleeding amount, incision length, ambulation, hospital stay, and complications between the two groups.ResultsThere was no difference in the bleeding amount between the two groups. Operation time was longer in the two-incision group than in the one-incision group. Operation time of the two-incision technique could be reduced after 15 cases. Patients started ambulation after surgery earlier in group II than group I, and the hospital stay was shorter in group II than in group I. There was no difference in clinical results between the two groups. There was no difference in component position of the acetabular cup and femoral stem between the two groups. Intraoperative periprosthetic fracture occurred in four cases (13.3%) in group II.ConclusionsTwo-incision THA has the advantage of rapid recovery and shorter hospital stay. However, longer operation time and a high complication rate compared to one-incision are problems that need to be solved in the two-incision technique.

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Minimally invasive approach to implantation of a hip endoprosthesis

Cited by 11 publications

References 8 publications

Ganganalyse nach minimal-invasiver Hüftprothesenimplantation

Ganganalyse nach minimal-invasiver Hüftprothesenimplantation

Comparison of short-term outcomes between SuperPATH approach and conventional approaches in hip replacement: a systematic review and meta-analysis of randomized controlled trials

Total Hip Arthroplasty Using Two-Incision Technique

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