A mini-anterior approach to the hip for total joint replacement: optimising results: improving hip joint replacement outcomes.
Direct anterior approaches to the hip have gained popularity as a minimally invasive method when performing primary total hip replacement (THR). A retrospective review of a single institution joint registry was performed in order to compare patient outcomes after THR using the Anterior Supine Intermuscular (ASI) approach versus a more conventional direct lateral approach. An electronic database identified 1511 patients treated with 1690 primary THRs between January 2006 and December 2010. Our results represent a summary of findings from our previously published work. We found that patients that underwent an ASI approach had faster functional recovery and higher Harris hip scores in the early post-operative period when compared with patients who had a direct lateral approach The overall complication rate in our ASI group was relatively low (1.7%) compared with other series using the same approach. The most frequent complication was early periprosthetic femoral fractures (0.9%). The dislocation rate in our series was 0.4% and the prosthetic joint infection rate was 0.1%. We suggest that the ASI approach is acceptable and safe when performing THR and encourages early functional recovery of our patients.
Summit Orthopaedics, 2801 N. Gantenbein Avenue, Portland, Oregon 97227, USA.
A J
AJ
Mirza
Joint Implant Surgeons, 7277 Smith's Mill Road, Suite 200, New Albany, Ohio, 43054, USA.
A V
AV
Lombardi
Joint Implant Surgeons, 7277 Smith's Mill Road, Suite 200, New Albany, Ohio, 43054, USA.
M J
MJ
Morris
Joint Implant Surgeons, 7277 Smith's Mill Road, Suite 200, New Albany, Ohio, 43054, USA.
K R
KR
Berend
D000328:Adult; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D015994:Incidence; D007902:Length of Stay / Q000639:trends; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D015207:Osteoarthritis, Hip / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology
Anterior total hip arthroplasty; Complications; Primary; Rapid recovery