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KMID : 0386720030150010065
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Journal of the Korean Hip Society
2003 Volume.15 No. 1 p.65 ~ p.70
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Minimally Invasive Primary Total Hip Arthroplasty(Preliminary Report)
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Min Byung-Woo
Jeon Si-Hyun
Lee Kyung-Jae
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Abstract
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Purpose: To evaluate the effectiveness of a minimally invasive (MIS) primary total hip arthroplasty.
Materials and Methods: Primary total hip arthroplasties were performed in 86 patients between January 2002 and June 2002. The incision length, the positions of the femoral stem and acetabular cup, operative time, transfusion units, postoperative rehabilitation time and complications were compared between the MIS (19 cases) and traditional incision (19 cases) groups.
Results: The average incision lengths were 7.1 and 16.7cm in the MIS and traditional incision group, respectively. The postoperative positions of the femoral stem and acetabular cup were satisfactory in all cases. The average operative time and transfusion unit were 90 minutes and 0.7 units and 106.3 minutes and 1.8 units in MIS and traditional incision groups, respectively. No intraoperative or postoperative complications were observed in any of the cases.
Conclusion: Minimally invasive surgery, in total hip arthroplasty, has the advantages of smaller incisions, smaller amounts of blood loss and shorter rehabilitation times. Further follow up is required to assess the long term complications.
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KEYWORD
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Total hip arthroplasty, Surgical approach, Minimally invasive surgery
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