Process optimized minimally invasive total hip replacement.

Orthopedic Reviews
Philipp GebelAndreas Ottersbach

Abstract

The purpose of this study was to analyse a new concept of using the the minimally invasive direct anterior approach (DAA) in total hip replacement (THR) in combination with the leg positioner (Rotex- Table) and a modified retractor system (Condor). We evaluated retrospectively the first 100 primary THR operated with the new concept between 2009 and 2010, regarding operation data, radiological and clinical outcome (HOOS). All surgeries were perfomed in a standardized operation technique including navigation. The average age of the patients was 68 years (37 to 92 years), with a mean BMI of 26.5 (17 to 43). The mean time of surgery was 80 min. (55 to 130 min). The blood loss showed an average of 511.5 mL (200 to 1000 mL). No intra-operative complications occurred. The postoperative complication rate was 6%. The HOOS increased from 43 points pre-operatively to 90 (max 100 points) 3 months after surgery. The radiological analysis showed an average cup inclination of 43° and a leg length discrepancy in a range of +/- 5 mm in 99%. The presented technique led to excellent clinic results, showed low complication rates and allowed correct implant positions although manpower was saved.

References

Mar 12, 2003·The Journal of Arthroplasty·Anthony M DiGioiaBranislav Jaramaz
Dec 23, 2004·Zeitschrift für Orthopädie und ihre Grenzgebiete·D WohlrabW Hein
Nov 3, 2005·The Journal of Bone and Joint Surgery. American Volume·B Sonny BalMatthew Barrett
May 24, 2006·Der Orthopäde·H Röttinger
Nov 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Wim H C RijnenJean W M Gardeniers
Jun 5, 2007·The Journal of Bone and Joint Surgery. American Volume·Lawrence D DorrLeigh Ellen Sirianni
Feb 19, 2009·Clinical Orthopaedics and Related Research·R Michael Meneghini, Shelly A Smits
Apr 9, 2010·Zeitschrift für Orthopädie und Unfallchirurgie·M-B GoetzB Roetman
Jul 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Ajay MalviyaElizabeth A Lingard
Sep 15, 2011·The Journal of Bone and Joint Surgery. American Volume·Patrick F BerginAnthony S Unger

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Citations

Jun 18, 2015·Archives of Orthopaedic and Trauma Surgery·Thomas De GeestGeert De Loore
Dec 30, 2017·International Orthopaedics·Nicola CapuanoAngelo Del Buono
May 8, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Falko DahmJochen G Hofstaetter

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Methods Mentioned

BETA
total

Software Mentioned

Merete
Orthopilot
Rotex
Medacta

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