Minimally Invasive Total Hip Arthroplasty Using a Posterolateral Approach: Technique and Preliminary Results

Minimally invasive total hip arthroplasty (THA) has become popular over the past few years. The advantages of this technique include reduced soft tissue damage. On the other hand, there are new risks related to reduced visualization. The widespread introduction of minimally invasive THA is still controversial. Here, we present our experiences and early results with a posterolateral approach to minimally invasive THA. Between August 2005 and July 2006, 85 hips from 79 consecutive patients were operated on using posterolateral minimally invasive THA. The outcomes were assessed on the basis of clinical and radiographic parameters. The mean operative time was 55 minutes. The mean length of hospital stay was 5.3 days. Average postoperative Harris hip score was 92.0 at 3 months postoperatively Complications included only one (1.18%) intraoperative nondisplaced calcar split. There were no cases of dislocation, neurovascular injury or postoperative infection. Our study indicates an early result of low complication rate and good functional recovery following minimally invasive THA using a posterolateral approach. This minimally invasive THA technique provides short‐term safety and efficacy.

• Publication year

  2007

• Venue

  Kaohsiung Journal of Medical Sciences

• Publication date

  2007-12-01

• Fields of study

  Medicine, Engineering

• Identifiers
  DOI 10.1016/S1607-551X(08)70059-7PMID 18192096PMCID PMC11917823
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Prospective and comparative study of the anterolateral mini-invasive approach versus minimally invasive posterior approach for primary total hip replacement. Early results

  2007cited by this paper
• The impact of minimally invasive total hip arthroplasty on the standard procedure

  2006cited by this paper
• The Effect of EPSTR and Minimal Incision Surgery on Dislocation after THA

  2006cited by this paper
• Durability of implant fixation after less-invasive total hip arthroplasty.

  2006cited by this paper
• Factors Influencing Cup Orientation in 500 Consecutive Total Hip Replacements

  2006cited by this paper
• Total joint replacement in osteoarthritis.

  2006cited by this paper
• In the absence of evidence--why bother? A literature review of minimally invasive total hip replacement surgery.

  2006cited by this paper
• Reducing incision length or intensifying rehabilitation: what makes the difference to length of stay in total hip replacement in a UK setting?

  2006cited by this paper
• Two-incision THA Had Modest Outcomes and Some Substantial Complications

  2005cited by this paper
• A minimal-incision technique in total hip arthroplasty does not improve early postoperative outcomes. A prospective, randomized, controlled trial.

  2005cited by this paper
• Early results of 1000 consecutive, posterior, single-incision minimally invasive surgery total hip arthroplasties.

  2005cited by this paper
• Operative and Patient Care Techniques for Posterior Mini-incision Total Hip Arthroplasty

  2005cited by this paper
• Comparison of primary total hip replacements performed with a standard incision or a mini-incision.

  2005cited by this paper
• Comparison of primary total hip replacements performed with a standard incision or a mini-incision.

  2005cited by this paper
• Comparison of Scars from Total Hip Replacements Done with a Standard or a Mini-incision

  2005cited by this paper
• Catastrophic complications of minimally invasive hip surgery. A series of three cases.

  2005cited by this paper
• The Mini-incision Direct Lateral Approach in Primary Total Hip Arthroplasty

  2005cited by this paper
• Minimally invasive total hip arthroplasty: the Hospital for Special Surgery experience.

  2004cited by this paper
• Single-incision, minimally invasive total hip arthroplasty: length doesn't matter.

  2004cited by this paper
• Hidden blood loss following hip and knee arthroplasty. Correct management of blood loss should take hidden loss into account.

  2004cited by this paper
• Mini-incision total hip arthroplasty: a quantitative assessment of laboratory data and clinical outcomes

  2004influential reference
• Learning Curve for the Two-Incision Total Hip Replacement

  2004cited by this paper
• Mini-incision posterior approach for total hip arthroplasty

  2004cited by this paper
• Minimally invasive versus standard incision anterolateral hip replacement: a comparative study.

  2004cited by this paper
• Rapid Rehabilitation and Recovery with Minimally Invasive Total Hip Arthroplasty

  2004cited by this paper
• Hip Mechanics After Posterior Structure Repair in Total Hip Arthroplasty

  2004cited by this paper
• Mini-incision for total hip arthroplasty: a prospective, controlled investigation with 5-year follow-up evaluation.

  2004cited by this paper
• Posterolateral minimal incision for total hip replacement: technique and early results.

  2004cited by this paper
• Failure of Capsular Enhanced Short External Rotator Repair After Total Hip Replacement

  2004influential reference
• Total Hip Arthroplasty in Patients 50 Years and Younger

  2004cited by this paper
• Single-incision, minimally invasive total hip arthroplasty

  2004cited by this paper
• Primary total hip arthroplasty.

  2003cited by this paper
• Advancements in minimally invasive total hip arthroplasty.

  2003cited by this paper
• Minimal-Incision Total Hip Arthroplasty

  2003cited by this paper
• Minimally invasive total hip arthroplasty. Development, early results, and a critical analysis. Presented at the Annual Meeting of the American Orthopaedic Association, Charleston, South Carolina, USA, June 14, 2003.

  2003cited by this paper
• Mini-incision technique for total hip arthroplasty with navigation.

  2003cited by this paper
• The effect of posterolateral reconstruction on range of motion and muscle strength in total hip arthroplasty.

  2003cited by this paper
• Failure of reinserted short external rotator muscles after total hip arthroplasty.

  2002cited by this paper
• Mini-incision total hip arthroplasty: a comparative assessment of perioperative outcomes.

  2002cited by this paper
• Effect of Posterior Capsular Repair on Early Dislocation in Primary Total Hip Replacement

  2001cited by this paper
• Complete avulsion of the axillary artery as a complication of shoulder dislocation.

  1973cited by this paper

• Evaluation of minimally invasive versus conventional total hip replacement

  2021influential citation
• Enhanced recovery protocols in total joint arthroplasty: a review of the literature and their implementation

  2018cites this paper
• The direct lateral approach: impact on gait patterns, foot progression angle and pain in comparison with a minimally invasive anterolateral approach

  2012cites this paper
• Component positioning in primary total hip replacement : A prospective comparative study of two anterolateral approaches , minimally invasive versus gluteus medius

  2011cites this paper
• Orientation des pièces d’une prothèse totale de hanche de première intention : étude prospective comparative de deux voies d’abord antéro-externes, soit mini-invasive, soit par hémimyotomie du moyen fessier☆

  2011cites this paper
• Minimally Invasive Total Hip Arthroplasty

  2011cites this paper
• Short and standard stem prostheses are both viable options for minimally invasive total hip arthroplasty.

  2011cites this paper
• Component positioning in primary total hip replacement: a prospective comparative study of two anterolateral approaches, minimally invasive versus gluteus medius hemimyotomy.

  2011cites this paper
• Evidence of Reduced Muscle Trauma Through a Minimally Invasive Anterolateral Approach by Means of MRI

  2010cites this paper
• Minimally invasive total hip arthroplasty

  2009cites this paper