[The minimally invasive anterolateral approach. A review of the literature].

Der Orthopäde
A Roth

Abstract

The minimally invasive anterolateral approach for total hip arthroplasty (THA) is used with modifications on the basis of the Watson Jones approach and the approach by Hardinge. Compared to other approaches no disadvantages were found in the majority of studies concerning surgical time, blood loss, pain and complications concerning this approach. Laboratory studies described less damage to the gluteus muscles. These results are supported by magnetic resonance imaging (MRI) studies and seem to be more important in older patients. The functional results are partially contradictory although there are no indications of any disadvantages. Increased complications in the form of fractures or malpositioning of implants can be interpreted as a result of a learning curve. A shorter stay in hospital has to be interpreted in the context of the local requirements of the respective health service. The evaluation of minimally invasive techniques carried out in reviews and meta-analyses does not distinguish between different approaches and is based on different time periods and selection criteria. Thus, the conclusions drawn cannot be absolutely applied to the minimally invasive anterolateral approach.

References

Apr 6, 2004·The Orthopedic Clinics of North America·Richard A Berger
Apr 6, 2004·The Orthopedic Clinics of North America·Jonathan R HowellClive P Duncan
Dec 23, 2004·Zeitschrift für Orthopädie und ihre Grenzgebiete·D WohlrabW Hein
Mar 9, 2006·Archives of Orthopaedic and Trauma Surgery·Jörg JeroschMohie Eldin Fadel
May 11, 2006·Der Orthopäde·M SchneiderS J Breusch
Nov 15, 2006·Operative Orthopädie und Traumatologie·Reinhard Graf, Mohammad Azizbaig-Mohajer
Oct 25, 2007·British Medical Bulletin·Ansar MahmoodJohn Thompson
Dec 12, 2007·Operative Orthopädie und Traumatologie·Andreas Roth, Rudolf A Venbrocks
Sep 24, 2009·The Orthopedic Clinics of North America·Erhan BasadJörg Jerosch
Mar 31, 2010·Clinical Orthopaedics and Related Research·Jon H M GoosenCees C Verheyen
Oct 19, 2010·Archives of Orthopaedic and Trauma Surgery·Doerte MatziolisCarsten Perka
Nov 30, 2010·Acta Orthopaedica·Jakob van OldenrijkMatthias U Schafroth

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Citations

Jun 18, 2015·Archives of Orthopaedic and Trauma Surgery·Thomas De GeestGeert De Loore
Jul 18, 2018·MMW Fortschritte der Medizin·Florian PohligRüdiger von Eisenhart-Rothe
Jan 25, 2013·Clinical Orthopaedics and Related Research·Rocco P Pitto

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