Minimally Invasive Total Hip Arthroplasty

Berry, Daniel J.; Berger, Richard A.; Callaghan, John J.; Dorr, Lawrence D.; Duwelius, Paul J.; Hartzband, Mark A.; Lieberman, Jay R.; Mears, Dana C.

doi:10.2106/00004623-200311000-00029

Cited by 268 publications

(17 citation statements)

References 6 publications

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“…Minimally invasive surgery is a promising technique that may offer low complication rates, early mobility, and a shorter length of hospital stay as compared with traditional surgical approaches (43)(44)(45)(46). The long-term survivorship of the implants, and whether the benefits of these procedures translate into detectable differences in function or in the duration of rehabilitation, however, are not known and warrant further research.…”

Section: Surgical Advances In Hip and Knee Arthroplastymentioning

confidence: 99%

Update on hip and knee arthroplasty: Current state of evidence

Jones¹,

Westby²,

Greidanus³

et al. 2005

Arthritis & Rheumatism

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Section: Surgical Advances In Hip and Knee Arthroplastymentioning

confidence: 99%

Update on hip and knee arthroplasty: Current state of evidence

Jones¹,

Westby²,

Greidanus³

et al. 2005

Arthritis & Rheumatism

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“…Most early reports document increased perioperative complications compared with established techniques. 2,5,21,23,24 Reported complications have included increased incidence of femur fracture, cup malpositioning, dislocation, infection, abductor morbidity, and nerve palsy. 17 Less invasive techniques vary widely with regard to the tissue intervals chosen, and these choices largely determine the most common complications.…”

mentioning

confidence: 99%

THA Performed using Conventional and Navigated Tissue-preserving Techniques

Murphy

Ecker

Tannast

2006

Clinical Orthopaedics &Amp; Related Research

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Less invasive methods of performing total hip arthroplasty have been considered controversial after increased complication rates and component malpositioning were reported. A new method of performing total hip arthroplasty through an incision in the superior capsule, posterior to the abductors and anterior to the posterior capsule, was developed with the aim of producing a technique that maintained the joint stability of the transgluteal exposure and the rapid abductor recovery of the posterior exposure. We assessed the recovery and complications of this technique performed with surgical navigation. The study group was compared with similar subjects who had conventional total hip arthroplasty, without surgical navigation, using the transgluteal exposure. There were 185 consecutive total hip arthroplasties in the study group and 189 nonconsecutive historical total hip arthroplasties in the control group. The two groups were controlled for complexity and had no differences in body mass index, gender, diagnosis, operative side, bilateral operations, and previous surgeries. Patients were evaluated for clinical recovery and perioperative complications at 9 and 24 weeks. The study group recovered faster at both followup examinations. The study group had fewer perioperative and postoperative complications compared with the control group. Accuracy of component positioning was not compromised compared to the control group. Less invasive surgery with the philosophy of maximally preserving the abductors, posterior capsule, and short rotators may result in a safer operation with faster recovery than traditional techniques.

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“…Some others indicate incisions measuring 7 cm [2][3][4]9,14,30]. Overall, it appears that 10 cm is the threshold under which the authors use the term ''mini-incision'' [4,5,26].…”

Section: Introductionmentioning

confidence: 99%

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

Paillard

2006

Interact Surg

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Minimally Invasive Total Hip Arthroplasty

Cited by 268 publications

References 6 publications

Update on hip and knee arthroplasty: Current state of evidence

Update on hip and knee arthroplasty: Current state of evidence

THA Performed using Conventional and Navigated Tissue-preserving Techniques

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

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