Single-incision, minimally invasive total hip arthroplasty: length doesn't matter.
A pilot cohort study of 60 primary total hip arthroplasties (THAs) was undertaken to evaluate the technical aspects and possible clinical advantages of performing THA through a single-incision, minimally invasive, 10-cm-length, direct lateral approach compared with the same approach performed through a standard-length skin incision. We could not show any significant difference with regard to operative time; in-hospital equianalgesic opioid consumption; postoperative blood loss; complications; hospital length of stay; or flexion, Harris Hip and Oxford Scores at 6 weeks' postoperatively. Restricting the length of skin incision for THA performed through a direct lateral approach does not appear to afford any clinical advantage to the patient in the short term. The mini-exposure creates technical challenges that have the potential to adversely affect primary THA outcome.
de Beer
Justin
J
Hamilton Arthroplasty Group, Hamilton Health Sciences, Henderson Hospital, Faculty of Medical Sciences, McMaster University, Hamilton, Ontario, Canada.
Petruccelli
Danielle
D
Zalzal
Paul
P
Winemaker
Mitchell J
MJ
D000368:Aged; D000369:Aged, 80 and over; D000701:Analgesics, Opioid / Q000008:administration & dosage; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D016063:Blood Loss, Surgical; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010865:Pilot Projects; D013997:Time Factors; D014213:Tretoquinol
D000701:Analgesics, Opioid; D014213:Tretoquinol