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Minimally invasive total hip arthroplasty with the anterior approach

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Author(s): Bal B | Vallurupalli Santaram

Journal: Indian Journal of Orthopaedics
ISSN 0019-5413

Volume: 42;
Issue: 3;
Start page: 301;
Date: 2008;
Original page

Keywords: Total hip arthroplasty | minimally invasive surgery | Anterior approach of hip

ABSTRACT
Background: Total hip athroplasty with the anterior surgical approach is advised because the dissection is entirely within intermuscular planes. In this report we describe a minimally invasive technique of anterior total hip arthroplasty, with the early outcomes. Materials and Methods: The technique of minimally invasive total hip arthroplasty with anterior approach (Smith-Petersen) is described. We reviewed data on 100 consecutive patients who underwent anterior total hip arthroplasty with uncemented components. Mean patient age was 61 years (range 33-91). Mean patience BMI 29.8 (range 18.1-51.8). Results: Minumum follow up duration is 10 months. The mean duration of surgery was 53 min (range 34-87) with mean blood loss 185 cc (range 65-630), and the mean incision length was 10.4 cm. Clinical and radiographic outcomes were similar to historical outcomes of standard total hip arthroplasty. Conclusions: With proper surgeon training, minimally invasive total hip replacement with the anterior surgical interval is safe and efficacious.
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