Single-incision, minimally invasive total hip arthroplasty

Beer, Justin de; Petruccelli, Danielle; Zalzal, Paul; Winemaker, Mitchell

doi:10.1016/j.arth.2004.05.003

Cited by 68 publications

(36 citation statements)

References 13 publications

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“…In relation to the positioning of the implants, an average acetabular angle of 41 o -50 o was observed, which shows a level that is within the ideal mean value cited in the literature (18) , both for traditional direct lateral access, and for anterior access (19) and this value is also similar to the results obtained using the navigation system (20) . With regard to the femoral positioning, it was observed that 75% of the shafts were positioned in the ideal manner.…”

Section: Discussionsupporting

confidence: 76%

Via de acesso anterolateral minimamente invasiva para as artroplastias totais de quadril

Sawaia¹,

Galvão²,

Oliveira³

et al. 2011

Rev. bras. ortop.

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Section: Discussionsupporting

confidence: 76%

Via de acesso anterolateral minimamente invasiva para as artroplastias totais de quadril

Sawaia¹,

Galvão²,

Oliveira³

et al. 2011

Rev. bras. ortop.

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“…Currently, multiple mini-incision approaches have been described to include anterior, anterolateral, direct lateral, posterior, posterolateral, and a direct two-incision approach [2-28, 34, 38, 44]. Minimally invasive THA involves a modified surgical dissection that uses internervous planes while minimising any tendon or muscle trauma during the exposure [10,19,28,29]. High-technology computer navigation can be used for correct positioning of the components given the decreased visualisation of minimally invasive surgery [32,40].…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive total hip arthroplasty: a systematic review

Cheng

Feng

Liu

et al. 2009

International Orthopaedics (SICOT)

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The purpose of this study was to compare the operative outcome between mini and standard incisions in total hip arthroplasty (THA). We identified 12 randomised or quasi-randomised control trials (RCT or qRCT) published between 1996 and 2008. Subgroup and sensitivity analyses were performed to evaluate the differences in results for surgical approach, trial quality, and follow-up duration. Operative time and blood loss were significantly reduced in the mini-incision group for studies with the posterior or posterolateral approach. Concerning postoperative complications, there were no significant differences between the two groups with no significant heterogeneity. No differences were observed between the two groups for Harris hip score and radiographic results except for cup anterversion. Although mini-incision appeared to have similar outcomes compared to standard incision, the follow-up is short-term according to current standards in THA. High-quality studies are required to compare the outcomes of these two procedures.

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“…8 Associations with obesity 9,10 and length of skin incision 4,5,11,12 have not been reproduced in some studies.…”

mentioning

confidence: 99%

Length of Stay Following Primary Total Hip Replacement

Foote

Panchoo

Blair

et al. 2009

annals

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At otal of 675 consecutive patients who underwent primary total hip replacement in ar egional orthopaedic centre in the South West of Britain were recruited prospectively. RESULTS The median length of stay was 8d ays. The majority of patients (81.5%) left hospital within 2w eeks, 13.6% within 2-4 weeks and 4.9% after 4w eeks. On multivariate analysis, age above 70 years, ASA grades 3a nd 4, prolonged operations and long incisions were highly significantly associated with hospital stay of over 2w eeks. ORTHOPAEDICSCONCLUSIONS Prolonged stay after THA is largely predetermined by case mix and this should be taken into account when units are compared for performance and in the remuneration they receive for providing this service. Slick surgery through limited incisions may reduce the length of stay.

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Single-incision, minimally invasive total hip arthroplasty

Cited by 68 publications

References 13 publications

Via de acesso anterolateral minimamente invasiva para as artroplastias totais de quadril

Via de acesso anterolateral minimamente invasiva para as artroplastias totais de quadril

Minimally invasive total hip arthroplasty: a systematic review

Length of Stay Following Primary Total Hip Replacement

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