A comparative assessment of outcomes following minimally invasive total hip replacement—posterior approach versus lateral approach
- VernacularTitle:经后方及外侧小切口微创全髋关节置换入路的比较研究
- Author:
Jian ZHANG
- Publication Type:Journal Article
- Keywords:
The total hip replacement;
A minimal-Invasive surgery;
Arthroplasty;
Hip;
Hip prosthesis;
Treatment outcome
- From:
Journal of Chongqing Medical University
2007;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical effect of lateral and posterior approaches during the total hip replacement(THA) with Minimal-Incision Surgery(MIS).Methods:Twenty-three cases were performed with lateral approach,All were performed by the same surgeon.23 cases who had undergone a MIS THA with lateral approach were compared with 36 cases who had undergone MIS THA with the posterior approaches.The average follow-up period was 12 weeks.The patients were compared with respect to the length of the incision,surgical time,intra-operative blood loss,Harris hip score,component malpositioning,complications.Results:There were no differences between the two approaches with regard to the length of the skin incision,operating time,Harris hip score,component malpositioning and major complications.Statistically significant differences were found in two groups in terms of blood sedimentation and C-reaction protein.Conclusion:Both approaches can be effectively performed without increased risk of complications.Significant benefits of posterior approaches include less soft tissue damage.
