Document Detail


Total hip arthroplasty using two-incision technique.
MedLine Citation:
PMID:  22162788     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To evaluate the effectiveness of minimally invasive surgery total hip arthroplasty (THA) using the two-incision technique as described by Mears.
METHODS: From January 2003 to December 2006, sixty-four patients underwent total hip arthroplasty using the one-incision (group I) and two-incision (group II) technique by one surgeon. There were 34 hips in group I and 30 hips in group II. There was no difference in age, gender, and causes of THA between the two groups. We evaluated the operation time, bleeding amount, incision length, ambulation, hospital stay, and complications between the two groups.
RESULTS: There was no difference in the bleeding amount between the two groups. Operation time was longer in the two-incision group than in the one-incision group. Operation time of the two-incision technique could be reduced after 15 cases. Patients started ambulation after surgery earlier in group II than group I, and the hospital stay was shorter in group II than in group I. There was no difference in clinical results between the two groups. There was no difference in component position of the acetabular cup and femoral stem between the two groups. Intraoperative periprosthetic fracture occurred in four cases (13.3%) in group II.
CONCLUSIONS: Two-incision THA has the advantage of rapid recovery and shorter hospital stay. However, longer operation time and a high complication rate compared to one-incision are problems that need to be solved in the two-incision technique.
Authors:
Sung-Chan Ki; Byung-Hak Kim; Ji-Hoon Ryu; Dae-Hyun Yoon; Young-Yool Chung
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Publication Detail:
Type:  Journal Article     Date:  2011-12-01
Journal Detail:
Title:  Clinics in orthopedic surgery     Volume:  3     ISSN:  2005-4408     ISO Abbreviation:  Clin Orthop Surg     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2011-12-13     Completed Date:  2012-05-14     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  101505087     Medline TA:  Clin Orthop Surg     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  268-73     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Kwangju Christian Hospital, Gwangju, Korea.
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MeSH Terms
Descriptor/Qualifier:
Arthroplasty, Replacement, Hip / methods*
Female
Humans
Male
Middle Aged
Retrospective Studies
Surgical Procedures, Minimally Invasive / methods*
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