M Schneider1, I Kawahara, S J Breusch. 1. Orthopaedic Department, Royal Infirmary, University of Edinburgh, Little France EH, GB-Edinburgh, UK.
Abstract
BACKGROUND: The technique of a minimally invasive anterolateral, intracapsular, modified Hardinge approach with transosseous refixation developed by the senior author is described in detail. MATERIAL AND METHODS: Clinical and radiographic data after cemented total hip arthroplasty reveal adequate outcome without increased complication rates despite limited incision technique (average 10 cm). This technique can be safely applied by surgeons in training and performed in acceptable operating times. RESULTS: A comparison of the described technique to a standard incision cannot be made from our data, but current literature suggests the main benefit to be cosmetic. A technically well performed operation with adequate long-term outcome remains far more important than a short incision.
BACKGROUND: The technique of a minimally invasive anterolateral, intracapsular, modified Hardinge approach with transosseous refixation developed by the senior author is described in detail. MATERIAL AND METHODS: Clinical and radiographic data after cemented total hip arthroplasty reveal adequate outcome without increased complication rates despite limited incision technique (average 10 cm). This technique can be safely applied by surgeons in training and performed in acceptable operating times. RESULTS: A comparison of the described technique to a standard incision cannot be made from our data, but current literature suggests the main benefit to be cosmetic. A technically well performed operation with adequate long-term outcome remains far more important than a short incision.
Authors: Luke Ogonda; Roger Wilson; Pooler Archbold; Marie Lawlor; Patricia Humphreys; Seamus O'Brien; David Beverland Journal: J Bone Joint Surg Am Date: 2005-04 Impact factor: 5.284