Bikini Incision vs Longitudinal Incision for Anterior Total Hip Arthroplasty: A Systematic Review

Butler, Justin T; Singleton, Amy; Miller, Richard M.; Morse, Bradley; Naylor, Brandon; DeCook, Charles A.

doi:10.1016/j.artd.2022.06.010

Cited by 11 publications

(4 citation statements)

References 29 publications

(136 reference statements)

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“…[ 26 ] The “bikini incision” is a short oblique incision that follows the groin crease. In a systematic review comparing bikini incision with the traditional longitudinal incision, the bikini incision had better scar cosmesis and patient satisfaction [ 27 ], but increased the risk of early LCFN palsy [ 27 , 28 ]. The longitudinal incision delayed wound healing in obese patients [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Acute Surgical Site Complications in Direct Anterior Total Hip Arthroplasty: Impact of Local Subcutaneous Tissue Depth and Body Mass Index

Revelt,

Sleiman,

Kurcz

et al. 2024

Arthroplasty Today

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Section: Discussionmentioning

confidence: 99%

Acute Surgical Site Complications in Direct Anterior Total Hip Arthroplasty: Impact of Local Subcutaneous Tissue Depth and Body Mass Index

Revelt,

Sleiman,

Kurcz

et al. 2024

Arthroplasty Today

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“…Concern for increased femoral component revision following DAA [29] as well as wound complications specifically in obese patients undergoing DAA THA has also been proposed [66]. A recent systematic review comparison between the traditional longitudinal approach for DAA compared with the bikini approach demonstrated overall safety of the bikini incision, with some studies demonstrating improved scar cosmesis and decreased wound healing complications with the bikini incision [16].…”

Section: Surgical Approachesmentioning

confidence: 99%

Total Hip Arthroplasty: An Update on Navigation, Robotics, and Contemporary Advancements

Borsinger,

Chandi,

Puri

et al. 2023

HSS Journal®: The Musculoskeletal Journal of Hospital for Speci

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While total hip arthroplasty (THA) remains effective for improvement of pain and function in patients with osteoarthritis and avascular necrosis, there remain areas of continued pursuit of excellence, including decreasing rates of dislocation, leg length discrepancy, implant loosening, and infection. This review article covers several bearing surfaces and articulations, computer-assisted navigation and robotic technology, and minimally invasive surgical approaches that have sought to improve such outcomes. Perhaps the most significant improvement to THA implant longevity has been the broad adoption of highly cross-linked polyethylene, with low wear rates. Similarly, navigation and robotic technology has proven to more reproducibly achieve intraoperative component positioning, which has demonstrated clinical benefit with decreased risk of dislocation in a number of studies. Given the projected increase in THA over the coming decades, continued investigation of effective incorporation of technology, soft tissue–sparing approaches, and durable implants is imperative to continued pursuit of improved outcomes in THA.

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“…Independently from the return to function, which in most patients is guaranteed by any of the abovementioned minimally invasive surgical approaches, hip arthroplasty surgery has evolved also from an aesthetic point of view. DAA can be performed through an incision that closely follows Langer's skin lines by a transverse cutaneous wound, called the bikini (BK) technique [7,8]. It is usually reserved for young women requiring THA 2 of 9 surgery [9].…”

Section: Introductionmentioning

confidence: 99%

Aesthetic Results, Functional Outcome and Radiographic Analysis in THA by Direct Anterior, Bikini and Postero-Lateral Approach: Is It Worth the Hassle?

Martino

Brunello

Rossomando

et al. 2023

JCM

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Total hip arthroplasty (THA) can be performed by several approaches such as direct anterior (DAA), direct lateral (DL) and postero-lateral (PL). Our study was conducted to compare among different approaches, such as DAA, bikini (BK) and PL, the aesthetic impact of the scar, differences in the position of prosthetic components and differences in functional rehabilitation outcomes. Materials and methods: Population, composed by 240 patients, was collected among patients treated for primary total hip arthroplasty (THA) from 1 January 2017 to 31 December 2021 and divided by surgical approach. Of these, 160 female patients were included in the current analysis, leaving 58 DAA, 52 BK patients and 50 PL patients. Demographic and clinical parameters were retrospectively collected: age, BMI, time of surgery, length of stay, Harris Hip Score (HHS) before and after surgery at 6 months and patient, intra/post-surgical complications and Patient and Observer Scar Assessment Scale (POSAS). Results and Discussion: Our results showed a better aesthetical result in BK group compared to DAA group and faster rehabilitation with the DAA compared to PL. Optimal cup positioning was reached both in PL approach and DAA approach. DAA showed no increase in complications compared to PL approach and offered a faster recovery. Bikini approach is an alternative to the standard DAA approach and can be proposed for patients where a better aesthetic result is desired in addition to better functional recover.

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Bikini Incision vs Longitudinal Incision for Anterior Total Hip Arthroplasty: A Systematic Review

Cited by 11 publications

References 29 publications

Acute Surgical Site Complications in Direct Anterior Total Hip Arthroplasty: Impact of Local Subcutaneous Tissue Depth and Body Mass Index

Acute Surgical Site Complications in Direct Anterior Total Hip Arthroplasty: Impact of Local Subcutaneous Tissue Depth and Body Mass Index

Total Hip Arthroplasty: An Update on Navigation, Robotics, and Contemporary Advancements

Aesthetic Results, Functional Outcome and Radiographic Analysis in THA by Direct Anterior, Bikini and Postero-Lateral Approach: Is It Worth the Hassle?

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