title: One surgeon's experience with the 2-incision technique for total hip arthroplasty.
abstract: This study's purpose was to analyze the complications that occurred during and after one surgeon's first 200 two-incision total hip arthroplasties. Complications included 4 intraoperative femur fractures, 4 postoperative femur fractures, 2 nondisplaced greater trochanter fractures greater than 2 cm, 14 asymptomatic greater trochanter fractures 2 cm or less, 1 malpositioned cup requiring revision, 1 loose stem, 7 cases of heterotopic ossification of grade 2 or higher, 4 dislocations, 1 superficial infection, 80 lateral femoral cutaneous nerve neuropraxias (78 resolved within 6 weeks), and 4 femoral nerve neuropraxias (3 resolved within 12 weeks). This study shows that the 2-incision technique can be performed with a low risk of major complications, and patients can expect reduced tissue trauma and faster rehabilitation. When carefully sought out, minor complications were not uncommon after 2-incision total hip arthroplasty.
authors.affiliation: Alliance Community Hospital, Ohio, USA.
authors.forename: Roger S
authors.initials: RS
authors.lastname: Palutsis
authors.forename: Kate C
authors.initials: KC
authors.lastname: Sheridan
authors.forename: Ray C
authors.initials: RC
authors.lastname: Wasielewski
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005264:Femoral Fractures / Q000209:etiology; D006617:Hip Dislocation / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D059348:Peripheral Nerve Injuries; D057068:Periprosthetic Fractures / Q000209:etiology; D011183:Postoperative Complications; D012867:Skin / Q000294:innervation