THA performed using conventional and navigated tissue-preserving techniques

Murphy, Stephen B; Ecker, Timo M; Tannast, Moritz (2006). THA performed using conventional and navigated tissue-preserving techniques. Clinical orthopaedics and related research, 453, pp. 160-167. Heidelberg: Springer 10.1097/01.blo.0000246539.57198.29

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Less invasive methods of performing total hip arthroplasty have been considered controversial after increased complication rates and component malpositioning were reported. A new method of performing total hip arthroplasty through an incision in the superior capsule, posterior to the abductors and anterior to the posterior capsule, was developed with the aim of producing a technique that maintained the joint stability of the transgluteal exposure and the rapid abductor recovery of the posterior exposure. We assessed the recovery and complications of this technique performed with surgical navigation. The study group was compared with similar subjects who had conventional total hip arthroplasty, without surgical navigation, using the transgluteal exposure. There were 185 consecutive total hip arthroplasties in the study group and 189 nonconsecutive historical total hip arthroplasties in the control group. The two groups were controlled for complexity and had no differences in body mass index, gender, diagnosis, operative side, bilateral operations, and previous surgeries. Patients were evaluated for clinical recovery and perioperative complications at 9 and 24 weeks. The study group recovered faster at both followup examinations. The study group had fewer perioperative and postoperative complications compared with the control group. Accuracy of component positioning was not compromised compared to the control group. Less invasive surgery with the philosophy of maximally preserving the abductors, posterior capsule, and short rotators may result in a safer operation with faster recovery than traditional techniques.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Tannast, Moritz

ISSN:

0009-921X

ISBN:

17312591

Publisher:

Springer

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:51

Last Modified:

05 Dec 2022 14:15

Publisher DOI:

10.1097/01.blo.0000246539.57198.29

PubMed ID:

17312591

Web of Science ID:

000242610600028

BORIS DOI:

10.48350/21504

URI:

https://boris.unibe.ch/id/eprint/21504 (FactScience: 7272)

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