Mini-incision total hip arthroplasty: a quantitative assessment of laboratory data and clinical outcomes

Which is more invasive—mini versus standard incisions in total hip arthroplasty?

“…The values of C-reactive protein obtained in this study were higher than that in the past report [16]. The reasons are thought to be that surgical time in both of our groups was slightly longer and the time for measurement of C-reactive protein was different.…”

Comparison of Minimally Invasive Direct Anterior Versus Posterior Total Hip Arthroplasty Based on Inflammation and Muscle Damage Markers

“…This technique helped form the rationale for laparoscopic cholecystectomy 7 , herniorrhaphy 8 , and hysterectomy 9 . This technique has been used to compare minimally invasive surgery and standard posterior approaches for total hip arthroplasty, with minimal differences reported [10][11][12] . Recently, similar methods were used to analyze total knee arthroplasties, and few differences in the increases in cytokine levels were found with various approaches 13 .…”

“…A rise in the serum creatine kinase (CK) level after trauma, exercise, or surgery has been shown to directly correlate with muscle damage [14][15][16][17] . An analysis using the limited data available on the rise and variability in CK levels after total hip arthroplasty revealed the need for a sample size of fifty-eight patients to detect a difference between the two groups 12,13,18 . Because of the limited data set, we confirmed the results of the power analysis using C-reactive protein (CRP) levels after total hip arthroplasty, which have been better characterized over the last twenty years 13,19,20 .…”

Minimal-invasiver posteriorer Zugang für die Hüfttotalendoprothesenimplantation

“…Die in den Ganganalysen von Dorr et al [11] und der Untersuchung der postoperativen Mobilisation von DiGioia et al [9] vermutete Verminderung des Muskeltraumas konnte anhand der in dieser Studie durchgeführten Analyse der Muskelenzyme nicht bestätigt werden. Dies deckt sich mit den Ergebnissen von Suzuki et al [31], die ebenfalls keine signifikanten Unterschiede beim CPKLevel zwischen dem mini-und dem standardposterioren Zugang fanden. Obwohl allgemein anerkannt ist, dass die Level der untersuchten Muskelenzyme und Proteine CPK, CKMM und Myoglobin Marker für die Schwere von Muskeltraumen bei Verletzungen sind, ist nicht eindeutig klar, ob diese Parameter Aussagekraft für die Fragestellung des chirurgischen Muskeltraumas haben [29,30,41].…”