Comparison of the 2-incision and mini-incision posterior total hip arthroplasty technique: a retrospective match-pair controlled study.
We compared the outcomes of the mini-posterior and 2-incision total hip arthroplasty approaches by analyzing 43 matched pairs of patients. The following outcomes were evaluated: (1) Harris Hip Score, (2) Medical Outcomes Study 36-Item Short-Form Health Survey, (3) the Medical Outcomes Study Sleep Scale, and (4) the Western Ontario and McMaster Osteoarthritis Index. Function was regained earlier by patients having the 2-incision total hip arthroplasty as determined by length of hospitalization (P = .002) and multiple return to function parameters, although this may be the result of hip precautions placed on the posterior group. Posterior mini-incision patients had less operating time (P < .0001) and blood loss (P = .001). Complications did not differ between surgical techniques. No patients were revised. The 2-incision operation was better for function and length of stay, and the posterior mini-incision was easier to perform, although these groups used different selection criteria.
Duwelius
Paul J
PJ
St. Vincent Hospital and Medical Center, Orthopaedic and Fracture Clinic, Portland, Oregon, USA.
Burkhart
Robert L
RL
Hayhurst
John O
JO
Moller
Hans
H
Butler
Jay B V
JB
D000328:Adult; D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006304:Health Status; D006621:Hip Joint / Q000502:physiology*; D006801:Humans; D007902:Length of Stay; D008297:Male; D016555:Matched-Pair Analysis; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome