Document Detail


Which is more invasive-mini versus standard incisions in total hip arthroplasty?
MedLine Citation:
PMID:  19148642     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this study, interleukin-6 (IL-6), C-reactive protein (CRP), and haemoglobin levels were evaluated to compare the degree of surgical invasion between mini and standard incisions in total hip arthroplasty (THA). Sixty-two patients admitted for primary cementless THA were enrolled in this randomised study. The patients were allocated to have surgery through either a mini incision of <10 cm or a standard incision of 15 cm. In each group, inflammatory responses were evaluated by IL-6, CRP, and haemoglobin levels before operation and one day after operation. Significant differences were not found in IL-6, CRP, and haemoglobin levels between both groups. At six months after surgery, there were no significant differences in postoperative Harris hip scores or radiographic evaluations between both groups. In conclusion, a 5.0 cm difference in the skin incision to the hip joint seemed to have no influence on the degree of surgical invasion during THA.
Authors:
T Shitama; T Kiyama; M Naito; K Shiramizu; G Huang
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2009-01-16
Journal Detail:
Title:  International orthopaedics     Volume:  33     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-26     Completed Date:  2010-03-02     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1543-7     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Fukuoka University School of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, 814-0180, Japan. veromax3@yahoo.co.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Arthroplasty, Replacement, Hip / methods*
Blood Loss, Surgical / prevention & control
C-Reactive Protein / metabolism*
Female
Hemoglobins / metabolism*
Hip Joint / radiography,  surgery
Hip Prosthesis
Humans
Interleukin-6 / blood*
Length of Stay
Male
Middle Aged
Pain, Postoperative / prevention & control
Recovery of Function
Single-Blind Method
Surgical Procedures, Minimally Invasive / methods*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Hemoglobins; 0/Interleukin-6; 9007-41-4/C-Reactive Protein
Comments/Corrections

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


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