Two-incision total hip arthroplasty: techniques and pitfalls.
The two-incision total hip arthroplasty is a surgical technique that combines two standard orthopaedic surgical approaches with fluoroscopic guidance, conventional hip implants, and specialized instrumentation. The goal of this procedure is to minimize soft tissue trauma, thereby reducing postoperative morbidity and accelerate rehabilitation. Early reports in the literature have demonstrated a varying incidence of traditional complications and the emergence of additional potential intraoperative complications. We will review the two-incision total hip arthroplasty surgical technique and identify potential pitfalls. Specific recommendations on how to avoid these surgical pitfalls will be described so as to minimize the surgeon's risk of having a complication.


METHODS
Level V (expert opinion). See the Guidelines for Authors for a complete description of levels of evidence.
Tanzer
Michael
M
Division of Orthopaedic Surgery, McGill University, Montreal, Quebec, Canada. mtanz@canada.com
D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods* / Q000534:rehabilitation; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control*; D017410:Practice Guidelines as Topic