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Anterior, anterolateral oder dorsal

Hüft-TEP: Welcher Zugang ist am schonendsten?

Minimally invasive total hip arthroplasty: an overview

  • FORTBILDUNG . ÜBERSICHT
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MMW - Fortschritte der Medizin Aims and scope

Um Ihre Patienten vor einer Hüft-TEP beraten zu können, sollten Sie die wichtigsten minimalinvasiven Zugangswege zum Hüftgelenk kennen. Im nachfolgenden Beitrag werden sie kurz beschrieben und hinsichtlich ihrer spezifischen Vor- und Nachteile verglichen.

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Literatur

  1. Moretti, V.M. and Z.D. Post, Surgical Approaches for Total Hip Arthroplasty. Indian J Orthop, 2017. 51(4): p. 368–376. PMID28790465

    Article  PubMed  PubMed Central  Google Scholar 

  2. Sershon, R.A., M.W. Tetreault, and C.J. Della Valle, A Prospective Randomized Trial of Mini-Incision Posterior and 2-Incision Total Hip Arthroplasty: Minimum 5-Year Follow-Up. J Arthroplasty, 2017. 32(8): p. 2462–2465. PMID28434694

    Article  PubMed  Google Scholar 

  3. Krismer, M. and M. Nogler, [Revision arthroplasty of the hip: Direct anterior approach]. Orthopade, 2017. 46(2): p. 121–125. PMID28083682

    Article  CAS  PubMed  Google Scholar 

  4. Nogler, M. and M. Thaler, [Surgical access routes to the hip joint in the elderly]. Orthopade, 2017. 46(1): p. 18–24. PMID28004127

    Article  CAS  PubMed  Google Scholar 

  5. Cardenas-Nylander, C., V. Bellotti, E. Astarita, E. Moya Gomez, and M.R. Fernandez, Innovative approach in total hip arthroplasty: supercapsular percutaneously-assisted. Hip Int, 2016. 26 Suppl 1: p. 34–7. PMID27174058

    Article  PubMed  Google Scholar 

  6. Connolly, K.P. and A.F. Kamath, Direct anterior total hip arthroplasty: Literature review of variations in surgical technique. World J Orthop, 2016. 7(1): p. 38–43. PMID26807354

    Article  PubMed  PubMed Central  Google Scholar 

  7. Yue, C., P. Kang, and F. Pei, Comparison of Direct Anterior and Lateral Approaches in Total Hip Arthroplasty: A Systematic Review and Meta-Analysis (PRISMA). Medicine (Baltimore), 2015. 94(50): p. e2126. PMID26683920

    Article  Google Scholar 

  8. Chechik, O., M. Khashan, R. Lador, M. Salai, and E. Amar, Surgical approach and prosthesis fixation in hip arthroplasty world wide. Arch Orthop Trauma Surg, 2013. 133(11): p. 1595–600. PMID23912418

    Article  PubMed  Google Scholar 

  9. Roth, A., [The minimally invasive anterolateral approach. A review of the literature]. Orthopade, 2012. 41(5): p. 377–81. PMID22581147

    Article  CAS  PubMed  Google Scholar 

  10. Smith, T.O., V. Blake, and C.B. Hing, Minimally invasive versus conventional exposure for total hip arthroplasty: a systematic review and meta-analysis of clinical and radiological outcomes. Int Orthop, 2011. 35(2): p. 173–84. PMID20559827

    Article  PubMed  Google Scholar 

  11. Rittmeister, M. and A. Peters, [Comparison of total hip arthroplasty via a posterior mini-incision versus a classic anterolateral approach]. Orthopade, 2006. 35(7): p. 716, 718-22. PMID16688429

    Article  CAS  PubMed  Google Scholar 

  12. Berger, R.A., Total hip arthroplasty using the minimally invasive two-incision approach. Clin Orthop Relat Res, 2003(417): p. 232-41. PMID14646722

  13. Bundesauswertung zum Erfassungsjahr 2016 - Hüftendoprothesenversorgung. 2017, IQTIG — Institut für Qualitätssicherung und Transparenz im Gesundheitswesen.

  14. Watson-Jones, R., Fractures of the neck of the femur. British Journal of Surgery, 1936. 23(92): p. 787–808.

    Article  Google Scholar 

  15. Langenbeck, B., Über die Schussverletzungen des Hüftgelenks. Arch Klin Chir, 1874. 16(263).

  16. Moore, A.T., The self-locking metal hip prosthesis. JBJS, 1957. 39(4): p. 811–827.

    Article  Google Scholar 

  17. Bender, B., M. Nogler, and W.J. Hozack, Direct anterior approach for total hip arthroplasty. Orthopedic Clinics of North America, 2009. 40(3): p. 321–328.

    Article  PubMed  Google Scholar 

  18. Müller, D.A., P.O. Zingg, and C. Dora, Anterior minimally invasive approach for total hip replacement: five-year survivorship and learning curve. Hip International, 2014. 24(3).

    Article  PubMed  Google Scholar 

  19. Smith-Petersen, M., A NEW SUPRA-ARTICULAR SUBPERIOSTEAL APPROACH TO THE HIP JOINT. JBJS, 1917. 2(8): p. 592–595.

    Google Scholar 

  20. Hueter, C., Klinik der Gelenkkrankheiten mit Einschluss der Orthopädie. 1871: Vogel.

  21. Sculco, T.P., Minimally invasive total hip arthroplasty: in the affirmative. J Arthroplasty, 2004. 19(4 Suppl 1): p. 78–80. PMID15190555

    Article  PubMed  Google Scholar 

  22. Goldstein, W.M., T.F. Gleason, M. Kopplin, and J.J. Branson, Prevalence of dislocation after total hip arthroplasty through a posterolateral approach with partial capsulotomy and capsulorrhaphy. JBJS, 2001. 83(2_suppl_1): p. S2–7.

    Article  Google Scholar 

  23. Sierra, R.J., J.M. Raposo, R.T. Trousdale, and M.E. Cabanela, Dislocation of primary THA done through a posterolateral approach in the elderly. Clinical orthopaedics and related research, 2005. 441: p. 262–267.

    Article  PubMed  Google Scholar 

  24. Matta, J.M., C. Shahrdar, and T. Ferguson, Single-incision anterior approach for total hip arthroplasty on an orthopaedic table. Clinical orthopaedics and related research, 2005. 441: p. 115–124.

    Article  PubMed  Google Scholar 

  25. Charnley, J., Arthroplasty of the hip: a new operation. The Lancet, 1961. 277(7187): p. 1129–1132.

    Article  Google Scholar 

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Authors and Affiliations

  1. Klinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Straße 22, D-81675, München, Deutschland

    Florian Pohlig MHBA (Oberarzt),  Heinrich Maria Laurentius Mühlhofer,  Norbert Harrasser,  Christian Suren,  Peter Michael Prodinger &  Rüdiger von Eisenhart-Rothe

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  1. Florian Pohlig MHBA
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  2. Heinrich Maria Laurentius Mühlhofer
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  3. Norbert Harrasser
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  4. Christian Suren
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  5. Peter Michael Prodinger
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  6. Rüdiger von Eisenhart-Rothe
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Correspondence to Florian Pohlig MHBA.

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Pohlig, F., Mühlhofer, H.M.L., Harrasser, N. et al. Hüft-TEP: Welcher Zugang ist am schonendsten?. MMW - Fortschritte der Medizin 160, 61–64 (2018). https://doi.org/10.1007/s15006-018-0774-8

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  • DOI: https://doi.org/10.1007/s15006-018-0774-8

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