Why the study?
To investigate and determine differences regarding surgical approach during total hip arthroplasty surgery and in the early postoperative period.
Does a minimally invasive posterior approach improve surgical and early postoperative outcomes compared to a conventional anterolateral approach in patients undergoing total hip arthroplasty?
Observational (n=80)
No
Does a minimally invasive posterior approach improve surgical and early postoperative outcomes compared to a conventional anterolateral approach in patients undergoing total hip arthroplasty?
A minimally invasive posterior approach for total hip arthroplasty reduces surgical duration, blood loss, pain, and hospital stay compared to a conventional anterolateral approach.
The development of new prostheses and instruments, from conventional anterior (Smith-Petersen), developed the minimally invasive anterior approach and a conventional anterolateral (Watson-Jones) has developed anterolateral minimally invasive approach to the hip. From conventional posterior developed posterior minimally invasive approach to the hip. In our hospital orthopedic surgeons used conventional anterolateral approach by Watson-Jones, and therefore the standard instruments (skin incision 20-25 cm). Trauma surgeons used posterior minimally invasive approach to hip and custom instuments (skin incision 10-12 cm). The aim of this study was to investigate and determine the existence of differences with regard to the operational approach, both during surgery and in the early postoperative period.
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Grgurović et al. (2019) conducted an observational in Total hip arthroplasty (n=80). Posterior minimally invasive approach vs. Conventional anterolateral approach (Watson-Jones) was evaluated on Perioperative and early postoperative outcomes including surgery duration, blood loss, pain intensity, analgesic consumption, and hospitalization days.
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