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Archives of Orthopaedic and Trauma Surgery

Erschienen in:

01.12.2009 | Orthopaedic Surgery

Minimally invasive total hip arthroplasty: a randomized controlled prospective trial

verfasst von: Farhad Mazoochian, Patrick Weber, Sara Schramm, Sandra Utzschneider, Andreas Fottner, Volkmar Jansson

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 12/2009

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Abstract

Introduction

Advantages of minimally invasive total hip arthroplasty (THA) are controversially discussed.

Method

In this prospective study 51 patients (52 hips) were randomly allocated to a classical lateral or a minimally invasive approach (modification of the Hardinge-approach). Operating time, intraoperative blood loss, postoperative hemoglobin, muscle enzymes CK and myoglobin were recorded. Radiologically the positioning of the prosthesis was analyzed. WOMAC- and Harris Hip Score (HHS) were assessed preoperatively, at discharge, at 6 weeks and 3 months.

Results

In the minimally invasive group there was a shorter length of surgery, the scores in the WOMAC and HHS were slightly better at discharge and at the 3 months- examination, myoglobin-rise was slightly less. The positioning of the prosthesis was good in both groups. Minimally invasive THA led to a quicker recovery, at 3 months postoperative there was still a slight difference to the standard group.

Conclusion

If these slight differences subside has to be examined in studies with a longer follow-up.

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Titel: Minimally invasive total hip arthroplasty: a randomized controlled prospective trial
verfasst von: Farhad Mazoochian
Patrick Weber
Sara Schramm
Sandra Utzschneider
Andreas Fottner
Volkmar Jansson
Publikationsdatum: 01.12.2009
Verlag: Springer-Verlag
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 12/2009
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-009-0870-4

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Minimally invasive total hip arthroplasty: a randomized controlled prospective trial