title: Total hip arthroplasty: is small incision better?
abstract: Outcome data are eagerly awaited at present time to evaluate the role of minimally invasive surgery in orthopedic surgery. This matched-pair study reports the outcome of total hip arthroplasty (THA) performed through regular or small incision technique by a single surgeon. There were 120 patients in this cohort with a mean age of 66.8 years (range, 39-90 years). There was no detectable difference in outcome between the two groups with regard to blood loss, analgesia requirement, functional recovery, length of hospital stay, or disposition at discharge. One patient in the small incision group with undersized femoral component required revision of the femoral stem 8 months later. The recent extensive interest for minimally invasive THA has been attributed to market-driven and patient-driven demand for this procedure. We were not able to detect any difference in outcome parameters for THA performed through small incision compared with the conventional techniques.
authors.affiliation: Rothman Institute of Orthopedics at Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Ciminiello
authors.forename: Javad
authors.initials: J
authors.lastname: Parvizi
authors.forename: Peter F
authors.initials: PF
authors.lastname: Sharkey
authors.forename: Aidin
authors.initials: A
authors.lastname: Eslampour
authors.forename: Richard H
authors.initials: RH
authors.lastname: Rothman
mesh_terms: D000077:Acetabulum / Q000000981:diagnostic imaging; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D002516:Ceramics; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging; D007839:Functional Laterality; D006801:Humans; D008297:Male; D008670:Metals; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D020959:Polyethylene; D011859:Radiography; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D008670:Metals; D020959:Polyethylene