Document Detail


The mini-incision approach to total hip arthroplasty.
MedLine Citation:
PMID:  15116608     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Total hip arthroplasty (THA) usually involves an incision of approximately 20 to 25 cm long. Surgeons recently have begun to question the need for such a long incision and are developing less invasive approaches to THA. A mini-incision approach to THA promotes shorter hospital stays, faster rehabilitation, and an increase in patient satisfaction without a detrimental effect on outcome. The surgical technique is based on the classic Moore approach to the hip. The incisions measure 6 to 10 cm in length, and the surgery involves significantly less deep soft-tissue disruption. All the basic tenets of THA are respected and visualization is maintained throughout the procedure for proper placement of the components. Mini-incision THA offers a safe and effective alternative to THA performed through a larger incision. Obese patients typically are not good candidates. Patients with severe hip dysplasia or those undergoing revision surgery require a wider exposure to perform the arthroplasty to ensure the best possible result. In properly selected patients, however, THA can be performed through an abridged mini-incision without compromising the results or exposing the patient to additional risk.
Authors:
Thomas P Sculco; Louis C Jordan
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Instructional course lectures     Volume:  53     ISSN:  0065-6895     ISO Abbreviation:  Instr Course Lect     Publication Date:  2004  
Date Detail:
Created Date:  2004-04-30     Completed Date:  2004-05-19     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7507149     Medline TA:  Instr Course Lect     Country:  United States    
Other Details:
Languages:  eng     Pagination:  141-7     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, New York, USA.
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MeSH Terms
Descriptor/Qualifier:
Arthroplasty, Replacement, Hip / methods*
Humans
Surgical Procedures, Minimally Invasive
Treatment Outcome

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


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