title: Minimally invasive hip surgery: the approach did not make the difference.
abstract: BACKGROUND
  We hypothesized that minimally invasive surgery was superior to conventional surgery for total hip arthroplasty procedure.
  
  
  OBJECTIVE
  To compare the results of total hip replacement (THR) made by minimally invasive lateral approach with the results of THR made by conventional lateral approach.
  
  
  METHODS
  Prospective, randomized trial. Fifty patients were selected and then divided into two groups based on utilized approach.
  
  
  METHODS
  Perioperative bleeding, postoperative pain, time of recovery, components orientation, complications and functional results. Five-year follow-up.
  
  
  RESULTS
  No differences were found in blood loss, postoperative pain, surgical time, components orientation, rate of complications or functional result. Minimally invasive lateral approach produced faster recovery with less hospital stay and earlier walking start.
  
  
  CONCLUSIONS
  Our results suggested that minimally invasive lateral approach has not provided significant benefits over conventional lateral approach for the implantation of a total hip arthroplasty.
authors: Department of Orthopaedic Surgery and Traumatology, Hospital de Reina Sofia de Tudela, Carretera de Tarazona Km 3, 31500 Tudela, Navarra, Spain. varelaegocheaga@yahoo.es
authors: J R
authors: JR
authors: Varela-Egocheaga
authors: M A
authors: MA
authors: Suárez-Suárez
authors: M
authors: M
authors: Fernández-Villán
authors: V
authors: V
authors: González-Sastre
authors: J R
authors: JR
authors: Varela-Gómez
authors: A
authors: A
authors: Murcia-Mazón
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods; D061646:Operative Time; D010149:Postoperative Pain / Q000209:etiology; D011446:Prospective Studies; D020127:Recovery of Function; D016896:Treatment Outcome