Posterolateral Minimal Incision for Total Hip Replacement: Technique and Early Results

Hartzband, Mark A.

doi:10.1007/978-0-387-29300-4_9

Cited by 12 publications

(18 citation statements)

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“…Use of ambulatory assistive devices was discontinued rapidly in most patients and there were no hip precautions used. Our results compare favorably with those of other published reports of minimally invasive hip arthroplasty [7,10]. The surgical anatomy in this technique is familiar to surgeons using a posterior hip approach, and this approach does not preclude immediate conversion to a standard posterior hip approach for any reason.…”

Section: Discussionsupporting

confidence: 84%

“…There have been continuing efforts during the past decade to develop minimally invasive surgery techniques for performing THA [2,6,9,10,18,24,30,31]. The purported benefit of minimally invasive THA compared with One of the authors certifies that he (DJR), or a member of his immediate family, has or may receive payments or benefits, in any 1 year, an amount in excess of $100,000.00 from a commercial entity (Greatbatch Medical, Clarence, NY, USA) related to this work.…”

Section: Introductionmentioning

confidence: 99%

“…Some reports of complications associated with minimally invasive THA techniques include component malposition, femoral shaft fractures, sciatic nerve palsies, femoral nerve palsy, catastrophic blood loss, significant muscle trauma, and death [1,8]. However, there are reported series of minimally invasive THA with low complication rates and excellent clinical outcomes [2,10,23].…”

Section: Introductionmentioning

confidence: 99%

“…One of the most commonly performed minimally invasive surgical techniques for THA is the mini-posterior approach [3,10,20,21]. All reported series of miniposterior approaches describe surgical detachment of the short external rotators of the hip.…”

Section: Introductionmentioning

confidence: 99%

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Minimally Invasive Total Hip Arthroplasty Using a Transpiriformis Approach: A Preliminary Report

Roger

Hill

2012

Clinical Orthopaedics &Amp; Related Research

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Background Continuing efforts have been made to develop minimally invasive surgery techniques for THA. One of the most commonly performed of these techniques is the mini-posterior approach. All reported series using this approach describe surgical detachment of the short external rotators of the hip. In 2008, Penenberg et al. described an innovative surgical technique that preserves the short external rotators. We present the results of a singleincision modification of this technique in 135 patients. Description of TechniqueThis technique is based on preservation of all of the short external rotators of the hip with the exception of the piriformis or conjoined tendon. This single-incision technique required the development of specialized instrumentation for exposure and reaming of the acetabulum. The specialized retractors also successfully minimized trauma to the skin and subcutaneous tissue. Methods For the 135 patients undergoing THA with this technique, we analyzed demographic and operative data. We recorded complications, evaluated postoperative clinical function using the Harris hip score, and assessed cup abduction angle, cup anteversion, and stem alignment on radiographs. Minimum followup was 14 months (mean, 22 months; range, 14-33 months). Results There were no dislocations, no sciatic nerve palsies, no wound complications, and low transfusion rates (8%). The postoperative Harris hip score averaged 96.5 (range, 87-100). Overall acetabular cup abduction angle averaged 41°(range, 21°-49°) and anteversion averaged 21°(range, 15°-27°). Four percent and 2% of femoral components were inserted into more than 2°varus and 2°v algus alignment, respectively.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Minimally Invasive Total Hip Arthroplasty Using a Transpiriformis Approach: A Preliminary Report

Roger

Hill

2012

Clinical Orthopaedics &Amp; Related Research

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“…Sculco et al reported the results of the miniposterior to standard THA and found a decrease in operative times and a difference in function (limp) at 6 weeks in the mini-incision group [26,27]. Hartzband and Berry et al reported earlier return to function using an MIS technique for primary THA [8,15]. Likewise, Berger et al reported decreased blood loss, decreased length of stay, and more rapid return to function [2][3][4][5][6][7].…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Skeletal Muscle Serum Markers and Primary THA: A Pilot Study

Cohen

Katz

Skrepnik

2009

Clinical Orthopaedics &Amp; Related Research

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Various reports confirm elevations in serum markers associated with skeletal muscle injury after orthopaedic surgery in the absence of overt clinical manifestations of myocardial injury. We therefore measured the influence surgical approach has on these serum markers after primary THA. We nonrandomly enrolled 30 nonconsecutive patients undergoing THA in three groups of 10 based on current surgical approaches used at our facility: (1) minimally invasive (MIS) modified Watson Jones approach; (2) miniposterior transmuscular approach (MIS-I); and (3) MIS-II incision. Blood samples for hemoglobin, hematocrit, cardiac troponin I, total creatine kinase, creatine phosphokinase, and serum myoglobin were obtained the morning before surgery as a baseline, immediately postoperatively, and 72 hours thereafter. We found reproducible trends in serum enzyme levels consistent with skeletal muscle damage resulting from primary THA. Troponin I remained normal in all but one patient indicating no myocardial contribution to measured serum enzyme levels. All three procedures resulted in similar trends in serum enzyme markers relevant to primary THA. Our preliminary data suggest no surgical approach appears to affect the degree of muscle trauma more or less than another.

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The Standard Implantation of a Total Hip Prosthesis Via Two Incisions (the Yale Technique)

Kipping

2009

Orthop Traumatol

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Posterolateral Minimal Incision for Total Hip Replacement: Technique and Early Results

Cited by 12 publications

References 1 publication

Minimally Invasive Total Hip Arthroplasty Using a Transpiriformis Approach: A Preliminary Report

Minimally Invasive Total Hip Arthroplasty Using a Transpiriformis Approach: A Preliminary Report

The Relationship Between Skeletal Muscle Serum Markers and Primary THA: A Pilot Study

The Standard Implantation of a Total Hip Prosthesis Via Two Incisions (the Yale Technique)

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