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Minimally invasive total hip arthroplasty: a randomized controlled prospective trial

  • Orthopaedic Surgery
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Abstract

Introduction

Advantages of minimally invasive total hip arthroplasty (THA) are controversially discussed.

Method

In this prospective study 51 patients (52 hips) were randomly allocated to a classical lateral or a minimally invasive approach (modification of the Hardinge-approach). Operating time, intraoperative blood loss, postoperative hemoglobin, muscle enzymes CK and myoglobin were recorded. Radiologically the positioning of the prosthesis was analyzed. WOMAC- and Harris Hip Score (HHS) were assessed preoperatively, at discharge, at 6 weeks and 3 months.

Results

In the minimally invasive group there was a shorter length of surgery, the scores in the WOMAC and HHS were slightly better at discharge and at the 3 months- examination, myoglobin-rise was slightly less. The positioning of the prosthesis was good in both groups. Minimally invasive THA led to a quicker recovery, at 3 months postoperative there was still a slight difference to the standard group.

Conclusion

If these slight differences subside has to be examined in studies with a longer follow-up.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Großhadern Medical Center, Ludwig Maximilian University, Marchioninistr. 15, 81377, Munich, Germany

    Farhad Mazoochian, Patrick Weber, Sara Schramm, Sandra Utzschneider, Andreas Fottner & Volkmar Jansson

Authors
  1. Farhad Mazoochian
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  2. Patrick Weber
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  3. Sara Schramm
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  4. Sandra Utzschneider
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  5. Andreas Fottner
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  6. Volkmar Jansson
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Corresponding author

Correspondence to Patrick Weber.

Additional information

F. Mazoochian and P. Weber contributed equally to this work.

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Mazoochian, F., Weber, P., Schramm, S. et al. Minimally invasive total hip arthroplasty: a randomized controlled prospective trial. Arch Orthop Trauma Surg 129, 1633–1639 (2009). https://doi.org/10.1007/s00402-009-0870-4

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  • DOI: https://doi.org/10.1007/s00402-009-0870-4

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