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Standard transgluteal versus minimal invasive anterior approach in hip arthroplasty: a prospective, consecutive cohort study

Thomas Ilchmann, Silke Gersbach, Lukas Zwicky, Martin Clauss
  • Thomas Ilchmann
    Department of Orthopedic Surgery, Kantonsspital Baselland, Liestal, Switzerland | thomas.ilchmann@ksli.ch
  • Silke Gersbach
    Department of Orthopedic Surgery, Kantonsspital Baselland, Liestal, Switzerland
  • Lukas Zwicky
    Department of Orthopedic Surgery, Kantonsspital Baselland, Liestal, Switzerland
  • Martin Clauss
    Department of Orthopedic Surgery, Kantonsspital Baselland, Liestal, Switzerland

Abstract

A minimally invasive anterior approach (MIS) was compared to a standard lateral approach in primary total hip arthroplasty. Clinical and radiological outcomes were analyzed 6 weeks, 12 weeks, one year and two years after surgery. The duration of surgery was longer, mobility one week after surgery was better and time of hospitalization was shorter for minimally invasive-treated patients. They had less pain during movement, limping, better Harris Hip Score and satisfaction after 6 weeks, which remained after 12 weeks and 1 year, but not after two years. There were two deep infections in the MIS group. Radiological results were not affected. The infections might be a point of concern, but there were no other disadvantages of the MIS approach. In fact, early rehabilitation was facilitated and clinical results were improved. Our results encourage the continuous use of the MIS anterior approach instead of the lateral approach.

Keywords

hip replacement, minimal invasive, anterior approach, early rehabilitation

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Submitted: 2013-07-11 10:33:54
Published: 2013-11-06 09:46:34
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Copyright (c) 2013 Thomas Ilchmann, Silke Gersbach, Lukas Zwicky, Martin Clauss

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