C Yang1, Q Zhu, Y Han, J Zhu, H Wang, R Cong, D Zhang. 1. Institute of Orthopaedics, Xijing Hospital, The Fourth Military Medical University, 15# West Changle Road, 710032 Xi'an, Shaanxi, People's Republic of China.
Abstract
BACKGROUND: The rehabilitation of patients for total hip arthroplasty is unsatisfactory, especially the prolonged rehabilitation. AIMS: To explore indications and key points of anterolateral minimally-invasive total hip arthroplasty. METHODS:110 patients admitted for unilateral total hip arthroplasty were randomly selected for surgery with either anterolateral minimally-invasive incision or standard posterolateral incision. Demographic data, perioperative index and postoperative function index were recorded and statistically analyzed. RESULTS: No significant difference was detected in operation time, abduction angle, anteversion angle, stem alignment and stem fixation. The incision length, blood loss, perioperative transfusion and 100-mm VAS score at the first 24 h in minimally-invasive group were significantly lower. The Harris hip score and Barthel index were significantly higher in minimally-invasive group at 3 months' follow-up, but not significantly different 3 years after operation. CONCLUSIONS: There are fewer traumas, fewer blood losses and more rapid recovery in this approach.
RCT Entities:
BACKGROUND: The rehabilitation of patients for total hip arthroplasty is unsatisfactory, especially the prolonged rehabilitation. AIMS: To explore indications and key points of anterolateral minimally-invasive total hip arthroplasty. METHODS: 110 patients admitted for unilateral total hip arthroplasty were randomly selected for surgery with either anterolateral minimally-invasive incision or standard posterolateral incision. Demographic data, perioperative index and postoperative function index were recorded and statistically analyzed. RESULTS: No significant difference was detected in operation time, abduction angle, anteversion angle, stem alignment and stem fixation. The incision length, blood loss, perioperative transfusion and 100-mm VAS score at the first 24 h in minimally-invasive group were significantly lower. The Harris hip score and Barthel index were significantly higher in minimally-invasive group at 3 months' follow-up, but not significantly different 3 years after operation. CONCLUSIONS: There are fewer traumas, fewer blood losses and more rapid recovery in this approach.
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
Authors: Richard A Berger; Joshua J Jacobs; R Michael Meneghini; Craig Della Valle; Wayne Paprosky; Aaron G Rosenberg Journal: Clin Orthop Relat Res Date: 2004-12 Impact factor: 4.176