Tissue-Preserving, Minimally Invasive Total Hip Arthroplasty Using a Superior Capsulotomy
Conventional total hip arthroplasty in its many forms has been well established as a reliable procedure with predictable recovery. The high volume of procedures has allowed the incidences of the most common post-operative complications to be determined. Early complications vary widely by surgical approach and method of fixation, but generally include infection, dislocation, abductor morbidity, intra-operative fracture, and, rarely, nerve palsy. Preliminary reports of total hip arthroplasty using minimally invasive techniques have shown a tendency towards higher, rather than lower, complication rates [1, 6, 17, 19, 20]. Reasonable goals for evolving total hip arthroplasty include reducing the incidence of these peri-operative complications while simultaneously accelerating recovery.
KeywordsFemoral Neck Femoral Head Posterior Capsule Gluteus Medius Surgical Navigation
Unable to display preview. Download preview PDF.
- 1.Berry DJ, Berger RA, Callaghan JJ, Dorr LD, Duwelius PJ, Hartzband MA, Lieberman JR, Mears DC. Minimally invasive total hip arthroplasty. Development, early results, and a critical analysis. Presented at the Annual Meeting of the American Orthopaedic Association, Charleston, South Carolina, USA, June 14, 2003. J Bone Joint Surg Am 2003, 85-A(11): 2235–2246PubMedGoogle Scholar
- 6.Hartzband M. MIS meets CAOS. Pittsburgh, April 2003Google Scholar
- 8.Kennon RE, Keggi JM,Wetmore RS,Zatorski LE, Huo MH. and Keggi KJ. Total hip arthroplasty through a minimally invasive anterior surgical approach. J Bone Joint Surg 85-A [Suppl 49] 39–48Google Scholar
- 11.Murphy SB, Deshmukh R. Clinical results of computer-assisted total hip arthroplasty. In: Langlotz F, Davies B, and Bauer A (eds) Computer-assisted orthopedic surgery. Steinkopff-Verlag, Darmstadt. 2003, pp 250–251Google Scholar
- 12.Murphy SB, Deshmukh R. Minimally invasive computer-assisted total hip arthroplasty. In: Langlotz F, Davies B, and Bauer A (eds) Computer-assisted orthopedic surgery. Steinkopff-Verlag, Darmstadt. 2003, pp 254–255Google Scholar
- 13.Murphy SB. Minimally-invasive THR using image-guided surgical navigation. The Hip Society, Washington, D.C., 2003Google Scholar
- 14.Murphy SB. Alumina Ceramic-CeramicTotal Hip Arthroplasty using computer-assisted surgical navigation and a new minimally invasive techniuque. In: Bioceramics in joint arthroplasty. Steinkopff, Darmstadt, 2004Google Scholar
- 15.Roberts JM, Fu FH, McCain EJ, Ferguson AB. A comparison of posterolateral and anterolateral approaches to total hip arthroplasty. Clin Orthop 1983, 187: 205Google Scholar
- 20.Woolson ST. Primary total hip arthroplasty using an incision gt 12 cm in length. The Hip Society. Washington, D.C., September 11th, 2003Google Scholar
- 21.Wright J, Crockett H, Sculco T. Miniincision for total hip arthroplasty. Orthopedic Special Edition 2001, 7: 18Google Scholar