Primary Total Hip Arthroplasty with Mini-Incision Technique: Preliminary Report.
10.4055/jkoa.2003.38.4.342
- Author:
Taek Rim YOON
1
;
Bong Hyun BAE
;
Sung Man ROWE
;
Jae Yoon CHUNG
;
Keun Bae LEE
Author Information
1. Department of Orthopaedic Surgery, Chonnam National University Hospital, Gwangju, Korea. tryoon@chonnam.ac.kr
- Publication Type:Original Article
- Keywords:
Mini-incision THA
- MeSH:
Arthroplasty, Replacement, Hip*;
Humans;
Length of Stay;
Operative Time;
Patient Satisfaction;
Prostheses and Implants;
Skin
- From:The Journal of the Korean Orthopaedic Association
2003;38(4):342-348
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the usefulness of total hip arthroplasty with the mini-incision technique (mini-incision THA) by comparing it with conventional THA. MATERIALS AND METHODS: Two groups were compared; one group received conventional THA, the other group mini-incision THA. All these patients were treated using same prosthesis. We compared the postoperative clinical and radiological results. RESULTS: Skin incisions ranging from 13 cm to 28 cm were needed for conventional THA and 5.5-9 cm for mini-incision THA. The mean operative time was 53 minutes for the conventional method and 52 minutes for the mini-incision method. Mean blood loss in mini-incisionTHA was less than in conventional THA by about 240 cc, mean length of hospital stay was shortened by 5 days. Using a 5-point scale, pain was reduced in mini-incision THA. No differences were found between the two groups in terms of the opening angle of the acetabularcomponent and the intramedullary status of the femoral stem insertion. CONCLUSION: Mini-incision THA produced better clinical results and no differences were observed in the radiological findings versus conventional THA. Mini-incision THA is believed to be a useful method of reducing the skin incision and soft tissue dissection, and permits earlyrehabilitation and increases patient satisfaction.
