Document Detail


What do patients think about minimally invasive total hip arthroplasty?
MedLine Citation:
PMID:  17959006     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: The introduction of minimally invasive techniques for hip replacement into clinical practice has been driven by the perceived benefits of smaller incisions, shorter in-patient stays and faster rehabilitation. This may be at the cost of higher complication rates. The purpose of this study was to explore the opinions and priorities of patients in relation to these techniques. PATIENTS AND METHODS: A cross-sectional survey was performed in an elective out-patient setting. RESULTS: Of 44 patients approached, 36 agreed to participate. From most important to least important, patients rated the following items in order: 'rate of complications'; 'implant survival'; 'length of rehabilitation'; 'time in hospital' and 'length of scar'. Despite this, 21 of 35 (60%) responders stated they would accept the offer of minimally invasive techniques if made. CONCLUSIONS: Patients appear to prioritise long-term outcomes and low complication rates over the shorter scars, reduced in-patient stay and reduced rehabilitation times potentially offered by minimally invasive hip arthroplasty. Despite this, the technique remains popular among patients.
Authors:
C Gerrand; G McNulty; N Brewster; J Holland; A McCaskie
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  89     ISSN:  1478-7083     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2007 Oct 
Date Detail:
Created Date:  2007-10-25     Completed Date:  2007-11-29     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  685-8     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, Freeman Hospital, Newcastle Upon Tyne, UK. craig.gerrand@nuth.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Ambulatory Care / statistics & numerical data
Arthroplasty, Replacement, Hip / psychology*,  rehabilitation
Cicatrix / pathology,  psychology
Cross-Sectional Studies
England
Female
Humans
Length of Stay
Male
Middle Aged
Osteoarthritis, Hip / psychology,  surgery*
Patient Satisfaction*
Surgical Procedures, Minimally Invasive / psychology*,  rehabilitation
Comments/Corrections
Comment In:
Ann R Coll Surg Engl. 2008 Jul;90(5):441; author reply 441   [PMID:  18634745 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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