Hip Arthroplasty with Minimally Invasive Surgery: A Survey Comparing the Opinion of Highly Qualified Experts vs Patients
Section snippets
Materials and Methods
In 2004, all 96 members of the American Hip Society were sent a mail survey regarding MIS hip arthroplasty. The survey questionnaires consisted of 25 questions (Appendix A) developed with the assistance of the medical survey division of the Department of Epidemiology at our institution to capture the opinion and experience of these experts with regard to MIS THA. A similar survey (Appendix B) was also designed to capture the opinion and knowledge of patients who were candidates for THA. The
Results
Of 96 members of the Hip Society who were contacted, 45 returned the completed questionnaires. Completed surveys by 45 patients who had heard of MIS surgery were included in the final analysis.
Discussion
Minimally invasive THA has become a popular issue because of the enormous implications associated with the concept, including market share (for surgeons, hospital, and implant manufactures), patient outcomes, and complications. The surgeons, administrators, and more importantly, the patients, have devoted immense attention to this issue in recent years. It has become common place for reconstructive orthopedic surgeons to face patients who speak about and possibly request MIS hip or knee
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Cited by (17)
Direct Anterior Approach for Total Hip Arthroplasty
2009, Orthopedic Clinics of North AmericaWhat are the Facts and Fiction of Minimally Invasive Hip and Knee Arthroplasty Surgery?
2009, Evidence-Based Orthopaedics: The Best Answers to Clinical QuestionsWhat are the facts and fiction of minimally invasive hip and knee arthroplasty surgery?
2008, Evidence-Based Orthopaedics: The Best Answers to Clinical QuestionsAnalysis of Published Evidence on Minimally Invasive Total Hip Arthroplasty
2008, Journal of ArthroplastyCitation Excerpt :We reviewed 386 identified abstracts and determined that 172 publications were directly related to minimally invasive hip arthroplasty. These publications were categorized as review articles (n = 69), scientific studies (including comparative studies and case series, n = 64), randomized controlled trials (RCTs, n = 9) [1-9], cadaveric studies (n = 8) [10-17], letters to the editor (n = 6), case reports (n = 3) [18-20], questionnaires (n = 3) [21-23], surgical techniques (n = 3) [24-26], internet information (n = 2) [27,28], unavailable articles (n = 2), economic analyses (n = 2) [29,30], and an RCT outline plan (n = 1) [31]. Within the scientific study group of 64 studies, we found that 4 series of patients were reported twice, so 1 of each of those series was removed from additional analysis, leaving 60 scientific studies and a total of 168 articles for analysis.
Minimally invasive hip arthroplasty: What role does patient preconditioning play?
2007, Journal of Bone and Joint SurgeryCitation Excerpt :While the debate regarding the potential benefits of minimally invasive total hip arthroplasty continues, the influence of a variety of factors on the outcome of total hip arthroplasty is not completely known. In a recent survey of members of the Hip Society in 2004, 77% of the forty-five surgeons confirmed that they had implemented changes in their routine practice when performing minimally invasive total hip arthroplasty32. These included the use of preemptive analgesia, preoperative patient education, changes in anesthesia, the use of different surgical instruments, and the use of an aggressive rehabilitation protocol33.
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No benefits or funds were received in support of the study.