Abstract
Posterior approach of the hip is commonly used in English-speaking countries. Although it provides an excellent exposure of the joint and functional results, this technique is often criticised for its high related rate of prosthetic dislocation especially when using smaller 22.2 femoral head. The technical optimisation designated by “minimally invasive access” preserves its advantages without compromising the clinical and radiological results. The prospective clinical series presented in this chapter gives evidence to the benefits of posterior minimally invasive access, with a significant improvement of the outcomes in terms of pain and functional recovery and a reliable and reproducible prosthetic implantation. Continuous visual control of each gesture reduces the rate of perioperative complications, incompatible with routine use, and minimal tissular aggression allows to obtain the results expected from a minimally invasive technique at short and long term.
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References
Harris WH (1975) A new approach to total hip replacement without osteotomy of the greater trochanter. Clin Orthop Relat Res 106:19–26
von Langenbek B (1874) Veber die Schussverletzungen des Huttgelenks. Arch Klin Chir 16:263
Berry DJ, Berger RA, Callaghan JJ, Dorr LD, Duwelius PJ, Hartzband MA, Lieberman JR, Mears DC (2003) Minimally invasive total hip arthroplasty. Development, early results and critical analysis. J Bone Joint Surg Am 85A:2235–2246
Stillwell WT (1987) The posterior approach. In: Stillwell WH (ed) The art of total hip arthroplasty. Gruwe ad Strattou Inc, Orlando, pp 217–256
Swanson TU, Hanna RS (2003) Advantages of cementless THA using minimally invasive surgical technique. Presented at the 70th annual meeting of the AAOS, New Orleans, Felmang
Bush JL, Thomas PV (2007) Limited incision posterior approach for total hip arthroplasty, AAOS monograph series 36. pp 47–55
Hartzband MA (2006) Posterolateral minimal incision for total hip replacement. MIS techniques in orthopedics. Springer, New York
Dorr DL (2006) The new process of total hip replacement. Hip arthroplasty: minimally invasive techniques and computer navigation. Saunders Elsevier, Philadelphia
Crowe J, Henderson J (2003) Pre-arthroplasty rehabilitation is effective in reducing hospital stay. Can J Occup Ther 70:88–96
Procyk S (2006) Minimally invasive posterior approach. Technical evaluation and results. Interact Surg 1:35–40. Springer
Fehring T, Mason J (2005) Catastrophic complications of minimally invasive hip surgery. J Bone Joint Surg Am 87A:711–714
Zweymüller K, Schwarzinger UM, Steindl MS (2006) Radiolucent lines and osteolysis along tapered straight cementless titanium hip stems. Acta Orthop 77(6):871–876
Garcia-Cimbrelo E, Cruz-Pardos A, Madero R, Ortega-Andreu M (2003) Total hip arthroplasty with use of the cementless Zweylmuller Alloclassic system. J Bone Joint Surg Am 85A:296–303
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Procyk, S. (2014). Minimally Invasive Posterior Approach: Technical Evaluation, Initial Results and Follow-Up at Two Years. In: Poitout, D., Judet, H. (eds) Mini-Invasive Surgery of the Hip. Springer, Paris. https://doi.org/10.1007/978-2-287-79931-0_9
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DOI: https://doi.org/10.1007/978-2-287-79931-0_9
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