[Conventional vs minimally invasive total hip arthroplasty. A prospective study of rehabilitation and complications]

Murphy, S B; Tannast, M (2006). [Conventional vs minimally invasive total hip arthroplasty. A prospective study of rehabilitation and complications]. Orthopäde, 35(7), 761-4, 766. Heidelberg: Springer-Medizin-Verlag 10.1007/s00132-006-0969-z

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BACKGROUND: In a prospective, nonrandomized study the outcome in terms of rehabilitation and complications of total hip arthroplasty (THA) through a superior capsulotomy exposure (study group) was compared to THA performed through a direct lateral exposure (control group). PATIENTS AND METHODS: The study group (106 THA) and the control group (107 THA) were controlled for complexity and had no significant differences in age, sex, diagnosis, or body mass index. RESULTS: The study group had improved recovery at 6 weeks after surgery which was statistically significant (p<0.001). In addition, the study group had a lower incidence of perioperative complications. CONCLUSION: The current study demonstrates the potential that less-invasive surgical techniques with the philosophy of maximally preserving the abductors, posterior capsule, and short rotators may result in a safer operation with an accelerated recovery.

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