INTRODUCTION: We conducted a prospective study to compare the exposure and implant positioning in primary total hip replacement through the anterolateral minimally invasive (ALMI) approach versus the posterior minimally invasive (PMI) approach. MATERIALS AND METHODS: We applied these techniques to 2 consecutive groups (33 and 43 patients, respectively) comparable preoperatively. All the patients received the same cementless stem and acetabular component. RESULTS: There were neither significant difference in femoral or acetabular component positioning nor in limb-length discrepancy. Acetabular exposure was easy through the ALMI approach. Femoral exposure was more difficult as fractures of the trochanter and femoral perforation in our study show. CONCLUSION: For us, exposure and implant positioning through the ALMI approach and the PMI approach are comparable and reliable. However, we recommend caution during the initial learning curve in osteoporotic patients due to the higher rate of peroperative complications for the ALMI approach.
INTRODUCTION: We conducted a prospective study to compare the exposure and implant positioning in primary total hip replacement through the anterolateral minimally invasive (ALMI) approach versus the posterior minimally invasive (PMI) approach. MATERIALS AND METHODS: We applied these techniques to 2 consecutive groups (33 and 43 patients, respectively) comparable preoperatively. All the patients received the same cementless stem and acetabular component. RESULTS: There were neither significant difference in femoral or acetabular component positioning nor in limb-length discrepancy. Acetabular exposure was easy through the ALMI approach. Femoral exposure was more difficult as fractures of the trochanter and femoral perforation in our study show. CONCLUSION: For us, exposure and implant positioning through the ALMI approach and the PMI approach are comparable and reliable. However, we recommend caution during the initial learning curve in osteoporoticpatients due to the higher rate of peroperative complications for the ALMI approach.
Authors: Ronald E Delanois; Assem A Sultan; Ahmed A Albayar; Anton Khlopas; Chukwuweike U Gwam; Nipun Sodhi; Suela Lamaj; Jared M Newman; Michael A Mont Journal: Ann Transl Med Date: 2017-12
Authors: Bernd Fink; Alexander Mittelstaedt; Martin S Schulz; Pavol Sebena; Joachim Singer Journal: J Orthop Surg Res Date: 2010-07-27 Impact factor: 2.359