Antero-lateral minimal invasive (ALMI) approach for total hip arthroplasty technique and early results

Archives of Orthopaedic and Trauma Surgery
Jörg JeroschMohie Eldin Fadel

Abstract

Minimally invasive surgery represents one of the most recent techniques to have emerged within THA. In conventional THA, the incision typically measures 15-20 cm. Minimal invasive approach defined as less invasive to the skin, muscles, or bone may reduce complications and improve recovery time. A number of different approaches and methods have been described in literature. This is a prospective study describing the technique and early results of the modified antero-lateral minimal invasive (ALMI) approach and comparing our results to the results of other investigators interested in minimal invasive THA. Seventy-five consecutive primary total hip arthroplasties (cemented and cementless) were done through a modified ALMI approach (6-8 cm), in which we kept the hip abductors intact. Neither special instruments nor specially designed prostheses were needed. Minimum follow-up was 12 months. The mean Harris hip score for patients after 12-month follow-up was 90 while the mean Merle d'Abugine mean score was 16.5. Both scores reached almost the maximum values within 3 months after surgery. The cup abduction angle for 70% patients was between 35 degrees and 45 degrees. No femoral stem mal-alignment was recorded. The mean operative time ...Continue Reading

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Citations

Jun 25, 2013·International Orthopaedics·Frederic JacquotJean-Marc Feron
May 31, 2006·Archives of Orthopaedic and Trauma Surgery·A Elmrini
Jul 13, 2006·Archives of Orthopaedic and Trauma Surgery·Oguz CebesoyMustafa Isik
Oct 19, 2010·Archives of Orthopaedic and Trauma Surgery·Doerte MatziolisCarsten Perka
Sep 24, 2009·The Orthopedic Clinics of North America·Erhan BasadJörg Jerosch
Mar 13, 2015·Clinical Orthopaedics and Related Research·Dhiren ShethRobert S Namba
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Feb 17, 2015·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Shang-Wen TsaiWei-Ming Chen
Oct 27, 2018·World Journal of Orthopedics·Lars V von EngelhardtJoerg Jerosch
Feb 22, 2007·Clinical Orthopaedics and Related Research·Stephen B MurphyMoritz Tannast
Dec 4, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Andrea Cozzi LepriRoberto Civinini

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