Document Detail


New two-incision minimally invasive total hip arthroplasty: comparison with the one-incision method.
MedLine Citation:
PMID:  19337806     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: There has been increasing interest in performing total hip arthroplasty (THA) with minimally invasive surgery (MIS). This study was conducted to examine the effectiveness of MIS-THA using the new two-incision technique versus the one-incision technique. METHODS: A consecutive series of 113 patients who underwent MIS-THAs (63 one-incision cases, 50 two-incision cases) were studied. One-incision THA was performed with a posterolateral approach. For the two-incision, the first incision for cup insertion was made over the anterolateral side of the hip. Intermuscular dissection was performed between the gluteus medius and the tensor fascia lata. The second incision, for stem insertion, was made on the posterolateral side of the hip along the fiber of the gluteus maximus. Intermuscular dissection was made between the gluteus medius and the piriformis. RESULTS: Postoperative rehabilitation was significantly more rapid in the new two-incision group compared to the group with one incision. Postoperatively, the Harris Hip Score and the Western Ontario and the McMaster Universities Osteoarthritis Index score were significantly different between the two groups, especially the functional sections. CONCLUSIONS: The findings of this study show that our new two-incision MIS-THA is an excellent surgical modality that allows early rehabilitation.
Authors:
Taek Rim Yoon; Kyung Soon Park; Eun Kyoo Song; Jong Keun Seon; Hyoung Yeon Seo
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article     Date:  2009-04-01
Journal Detail:
Title:  Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association     Volume:  14     ISSN:  1436-2023     ISO Abbreviation:  J Orthop Sci     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-04-01     Completed Date:  2009-08-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9604934     Medline TA:  J Orthop Sci     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  155-60     Citation Subset:  IM    
Affiliation:
Center for Joint Disease and Brain, Korea 21 Project for Biomedical Human Resources, Center for Joint Disease, Chonnam National University Hwasun Hospital, 160 Ilsim-Ri, Hwasun-Eup, Hwasun-Gun, Jeonnam, 519-809, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Arthroplasty, Replacement, Hip / methods*,  rehabilitation
Female
Follow-Up Studies
Humans
Male
Middle Aged
Recovery of Function*
Surgical Procedures, Minimally Invasive / methods,  rehabilitation
Young Adult

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