Early Results and Patient Satisfaction after Total Hip Arthroplasty using a Minimally Invasive Anterolateral Approach

Walde, Tim Alexander; Blattgerste, Dirk; Sehmisch, S; Küttler, Wolfgang; Walde, Hans-Joachim; Köster, Georg

doi:10.1177/112070000901900411

Cited by 10 publications

(8 citation statements)

References 28 publications

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“…The type of surgery in these two studies differs from that of the present research (18,19), and patient satisfaction was higher in the Trendelenburg group, as compared to that in the routine surgery group.…”

Section: Discussioncontrasting

confidence: 73%

Effect of the Trendelenburg position on the homeostasis during and post thyroidectomy

Khazaei¹,

Maleknejad²,

Firouzabadi³

et al. 2021

jsurgery

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Introduction: Thyroidectomy is one of the most common surgeries that can be accompanied by postoperative hematoma. The present study aimed to evaluate the impact of the Trendelenburg position on the homeostasis of the surgery site during and after thyroidectomy. Methods: This clinical trial was performed on 60 euthyroid patients in the age range of 18-70 years within 2019-2021. Patients were randomly assigned to the two groups of routine surgery and Trendelenburg using a table of random numbers. The primary outcome was the number of bleeding points immediately after the Trendelenburg position, and secondary outcomes included demographics, final pathology, postoperative hematoma, duration of operation, rate of fluid and seroma accumulation, and patient satisfaction. Data were analyzed in SPSS software (version 19) using Mann Whitney, Chi-square, and Fisher’s exact test. The significance level was set to 5%. Results: The mean age of the patients was 40±13 years, and the majority of them (n=48) were female. The mean number of bleeding points identified intraoperatively was significantly higher in the Trendelenburg group, as compared to that in the routine surgery group (8.7±3.8 vs 5.4±1.8; P<0.001). In the Trendelenburg group, the mean scores of intra-operative blood loss and duration of operation were obtained at 6.4±1.8 g and 118.0±32.0 min, respectively. Conclusion: As evidenced by the obtained results, the Trendelenburg position significantly increased the number of bleeding points in patients undergoing thyroidectomy; nonetheless, it had no effect on the amount of bleeding and operation duration.

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Section: Discussioncontrasting

confidence: 73%

Effect of the Trendelenburg position on the homeostasis during and post thyroidectomy

Khazaei¹,

Maleknejad²,

Firouzabadi³

et al. 2021

jsurgery

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“…Conversely, decreased weight loading is associated with muscle hypotrophy and fatty infiltration [20,11,21]. It is known that a different amount of traumatic injury occurs depending on the surgical approach that is chosen in patients with THA [10,22,23,7]. A recent report showed compensatory hypertrophy of the tensor fasciae latae muscle in patients with the lateral approach, when compared to the anterolateral approach in THA patients, due to increased muscle trauma to the gluteus medius [24].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, the transverse diameter of the tensor fasciae latae muscle was measured on the same image similar to the method described for the iliocapsularis muscle [10], with the transverse diameter being defined as the maximal diameter of the short axis of the muscle (Fig. 1).…”

Section: Quantitative Image Analysismentioning

confidence: 99%

Abductor tendon tears are associated with hypertrophy of the tensor fasciae latae muscle

et al. 2012

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OBJECTIVE: To evaluate the association between hypertrophy of the tensor fasciae latae muscle and abductor tendon tears. MATERIALS AND METHODS: Thirty-five patients who underwent MRI of the abductor tendons of the hip were included in this retrospective study. A subgroup of 18 patients was examined bilaterally. The area of the tensor fasciae latae muscle and the area of the sartorius muscle (size reference) were quantified at the level of the femoral head, and a ratio was calculated. Two radiologists assessed the integrity of the gluteus medius and minimus tendon in consensus. Data were analyzed with a Mann-Whitney U test. RESULTS: Sixteen out of 35 patients (46 %) had a tear of the gluteus medius or minimus tendon. The ratio of the area of the tensor fasciae latae to the sartorius muscle was significantly higher (p = .028) in the group with an abductor tendon tear (median 2.25; Interquartile Range [IQR] = 1.97-3.21) compared to the group without any tears (median 1.91; IQR = 1.52-2.26). The bilateral subanalysis showed that in patients without a tear, the ratio of the two areas did not differ between each side (p = .966), with a median of 1.54 (primary side) and 1.76 (contralateral side). In patients with an abductor tendon tear the ratio was significantly higher (p = .031) on the side with a tear (median 2.81) compared to the contralateral healthy side (1.67). CONCLUSION: Patients with abductor tendon tears showed hypertrophy of the tensor fasciae latae muscle when compared to the contralateral healthy side and to patients without a tear. AbstractObjective. To evaluate the association between hypertrophy of the tensor fasciae latae muscle and abductor tendon tears. Materials and Methods.Thirty-five patients with MRI of the abductor tendons of the hip were included in this retrospective study. A subgroup of 18 patients was examined bilaterally. The area of the tensor fasciae latae muscle and the area of the sartorius muscle (size reference) were quantified at the level of the femoral head, and a ratio was calculated. Two radiologists assessed the integrity of the gluteus medius and minimus tendon in consensus. Data were analyzed with a Mann-Whitney U test.Results. Sixteen out of 35 patients (46%) had a tear of the gluteus medius or minimus tendon. The ratio of the area of the tensor fasciae latae to the sartorius muscle was significantly higher (p=.028) in the group with an abductor tendon tear (median 2.25;Interquartile Range [IQR]= 1.97-3.21) compared to the group without tear (median 1.91; IQR= 1.52-2.26). The bilateral subanalysis showed that in patients without a tear, the ratio of the two areas did not differ between each side (p=.966), with a median of 1.54 (primary side) and 1.76 (contralateral side). In patients with an abductor tendon tear the ratio was significantly higher (p=.031) on the side with a tear (median 2.81) compared to the contralateral healthy side (1.67). Conclusion.Patients with abductor tendon tears showed hypertrophy of the tensor fasciae latae muscle when compared to the ...

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“…53 papers (72.6%) reported the term anterolateral approach to describe a complete intermuscular approach between the interval between GM and TFL 3,8–51 most of the authors were from European countries, but authors from north America were also present.…”

Section: Resultsmentioning

confidence: 99%

“Anterolateral” approach to the hip: a systematic review of the correct definition of terms

et al. 2020

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Purpose: The Watson-Jones interval plane between tensor fascia lata (TFL) and the gluteus medius (GM) has come back into fashion in the past few years - Röttinger described the anterolateral minimal invasive approach (ALMI) for use in total hip replacement, in which the standard Watson-Jones interval was used, but with a completely intermuscular plane. However, the term anterolateral is often still utilised to describe intramuscular approaches in which the GM was violated, thus creating a potential misunderstanding in the literature. Accordingly, we have designed a study to answer the following questions: (1) are there articles in the recent literature that use the term “anterolateral” to describe different approaches; (2) which would be the correct description of the anterolateral approach? Methods: We did a systematic review of the literature based on PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, to look for peer reviewed papers of any evidence level focusing on the definition of anterolateral approach; MEDLINE and EMBASE were searched. Results: 73 manuscripts met the criteria of the systematic search. 53 papers (72.6%) reported the term anterolateral approach to describe a complete intermuscular approach between the interval between GM and TFL. Nonetheless, in the remaining 20 papers (27.4%) the term anterolateral was used to describe intramuscular approaches in which the gluteus medius was violated. Conclusion: In about 1 out of 4 papers in the recent literature, the term anterolateral was utilised to describe approaches that are completely different both in terms of anatomy and function.

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Early Results and Patient Satisfaction after Total Hip Arthroplasty using a Minimally Invasive Anterolateral Approach

Cited by 10 publications

References 28 publications

Effect of the Trendelenburg position on the homeostasis during and post thyroidectomy

Effect of the Trendelenburg position on the homeostasis during and post thyroidectomy

Abductor tendon tears are associated with hypertrophy of the tensor fasciae latae muscle

“Anterolateral” approach to the hip: a systematic review of the correct definition of terms

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