Comparison of Two-incision Microinvasive and Modified Harding Approaches for Total Hip Arthroplasty in Aged Patients
- VernacularTitle:微创双切口与改良Harding入路全髋关节置换术在高龄患者中的疗效比较
- Author:
Jianping YANG
;
Liming WANG
;
Jianchao GUI
- Publication Type:Journal Article
- Keywords:
Two-incision;
Modified Harding approach;
Total hip arthroplasty;
Aged patients
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of two-incision microinvasive and modified Harding approaches for total hip arthroplasty in aged patients.Methods From May 2003 to December 2006,21 old patients(aged 82 on average) received two-incision microinvasive total hip arthroplasty in our hospital.The outcomes of the surgery was compared with those of 39 cases(mean age,83),who underwent the operation through the modified Harding approach.Results No significant difference was observed in intraoperative blood loss between the two groups [(270?94) ml vs(280?107) ml,t=-0.360,P=0.720].On the 2nd day after the surgery,the patients in the two-incision group could raise their legs straight upward without needing help.At day 10,they could raise the legs straight up to a mean of(53?12)?,which was significantly higher than that in the Harding group [(32?16)?,t=5.262,P=0.000].However,the Harris scores were similar in both the groups in 6 months after the operation(80.6?12.6 vs 79.5?13.2,t=0.313,P=0.756).The incidence rates of orthopedics and systemic complications in the two-incision group was not significantly different from those in the Harding group [9.5%(2/21) vs 8.1%(3/37),?2=0.000,P=1.000;19.0%(4/21) vs 37.8%(14/37),?2=2.210,P=0.137].Conclusions The short-term outcomes of microinvasive two-incision total hip arthroplasty is better than that of modified Harding approach in aged patients.However,the long-term results of the two procedures are similar.
