Document Detail

A comparison of a less invasive piriformis-sparing approach versus the standard posterior approach to the hip: A randomised controlled trial.
MedLine Citation:
PMID:  22219246     Owner:  NLM     Status:  In-Data-Review    
We undertook a randomised controlled trial to compare the piriformis-sparing approach with the standard posterior approach used for total hip replacement (THR). We recruited 100 patients awaiting THR and randomly allocated them to either the piriformis-sparing approach or the standard posterior approach. Pre- and post-operative care programmes and rehabilitation regimes were identical for both groups. Observers were blinded to the allocation throughout; patients were blinded until the two-week assessment. Follow-up was at six weeks, three months, one year and two years. In all 11 patients died or were lost to follow-up. There was no significant difference between groups for any of the functional outcomes. However, for patients in the piriformis-sparing group there was a trend towards a better six-minute walk test at two weeks and greater patient satisfaction at six weeks. The acetabular components were less anteverted (p = 0.005) and had a lower mean inclination angle (p = 0.02) in the piriformis-sparing group. However, in both groups the mean component positions were within Lewinnek's safe zone. Surgeons perceived the piriformis-sparing approach to be significantly more difficult than the standard approach (p = 0.03), particularly in obese patients. In conclusion, performing THR through a shorter incision involving sparing piriformis is more difficult and only provides short-term benefits compared with the standard posterior approach.
R J K Khan; D Maor; M Hofmann; S Haebich
Related Documents :
25371456 - Total hip replacement in patients with down syndrome and degenerative osteoarthritis of...
25221766 - Corneal astigmatism change and wavefront aberration evaluation after cataract surgery: ...
22176876 - Predicting functional status following amputation after lower extremity bypass.
21864856 - Continuous biatrial pacing to prevent early recurrence of atrial fibrillation after the...
23140536 - Assessing the effectiveness of rapamycin on angiomyolipoma in tuberous sclerosis: a two...
24951386 - Evaluating the marginal fit of zirconia copings with digital impressions with an intrao...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  94     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  43-50     Citation Subset:  AIM; IM    
University of Western Australia, Department of Surgery, Nedlands, Western Australia 6009, Australia.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Alumina-on-alumina hip implants: A wear study of retrieved components.
Next Document:  Impaction femoral allografting at revision hip arthroplasty: uncemented versus cemented technique us...