Clinical, Roentgenologic and Pododynamography Results of Minimum Invasive Total Hip Arthroplasty

Abstract

Clinical, roentgenologic and pododynamographic data were analyzed for 195 patients after 207 total hip arthroplasties performed via modified minimum invasive anteroexternal approach by Watson-Jones during the period from 2004 to 2006. Clinical results showed reduction of rehabilitation period and significant relief of postoperative pain syndrome. The rate of complications corresponded to that at conventional technique application. Despite slight varus position of the femoral component roentgenologic examination results were also comparable. Analysis of gait showed its considerable improvement and decrease in preoperative asymmetry between healthy and operated sides already in 4 months after operation. Residual differences were almost not observed in 6 months after intervention. Obtained clinical results confirmed the advantages of the applied technique.

Keywords

minimum invasive technique / total hip arthroplasty / implant position / pododynamography

References

[1] Roth A., Venbrocks R.A. Total hip replacement through a minimally invasive, anterolateral approach with the patient supine. Oper. Orthop. Traumatol. 2007;19 (5-6): 442-457.

[2] Roth A., Layher F., Venbrocks R.A. Transgluteale miniinzision - technik und eigene resultate. Orthopдde. 2006; 35 (7): 744-750.

[3] Watson-Jones R. Fractures of the neck of the femur. 1936; Br. Surg. 23: 787-808.

[4] Brooker A.F., Bowerman J.W., Robinson R.A., Riley L.H. Jr. Ectopic ossification following total hip replacement: incidence and method of classification. J. Bone Jt Surg. Am.1973; 55 (8): 1629-1632.

[5] Rittmeister M., Peters A. ^nstlicher ^ftgelenksersatz ьber eine posteriore Mini-Inzision - Ergebnisse in 76 aufeinanderfolgenden Fдllen. Z. Orthop. 2005;143 (4): 403-411.

[6] Higuchi F., Gotoh M., Yamaguchi N. Suzuki R., Kunou Y., Ooishi K., Nagata K. Minimally invasive uncemented total hip arthroplasty through an anterolateral approach with a shorter skin incision. J. Orthop. Sci. 2003; 8 (6): 812-817.

[7] Hozack W.J., Krismer M., Nogler M. Minimal invasive total joint arthroplasty. Berlin: Springer Heidelberg New York, 2004: S 11-16.

[8] WENS J.F., Gurkan I., Jibodh S.R. Mini-incision total hip arthroplasty: a comparative assessment of perioperative outcomes. Orthopedics. 2002; 25 (10): 10311043.

[9] Rachbauer F. Minimal-invasive ^ftendoprothetik ьber einen direkten vorderen Zugang. Orthopдde. 2005; 34 (11): 1103-1110.

[10] Goergen T.G., Resnick D. Evaluation of acetabular anteversion following total hip arthroplasty: necessity of proper centring. Br. J. Radiol. 1975; 48 (568): 259-260.

[11] Lindgren J.U., Rysavy J. Restoration of femoral offset during hip replacement. Acta Orthop. Scand. 1992; 63 (4): 407-410.

[12] Schneider U., Breusch S.J., Thomsen M., Wirtz D.C., Lukoschek M. Einfluss der Implantatposition einer H^tendoprothese auf die Standzeit am Beispiel des CLS- Schaftes. Unfallchirurg. 2002; 105 (1): 31-35.

[13] Murray D.W. The definition and measurement of acetabular orientation. J. Bone Jt Surg. Br. 1993; 75 (2): 228-232.

[14] Lewinnek G.E., Lewis J.L., Tarr R., Compere C.L., Zimmermann J.R. Dislocation after total hip- replacement arthroplasties. J. Bone Joint Surg. Am. 1978; 60 (2): 217-220.

[15] Lembeck B., Mbiller O., Reize P., Wbdker N. Pelvic tilt makes acetabular cup navigation inaccurate. Acta Orthopaedica 2005; 76 (4): 517-523.

[16] Yang W.E., Shih C.H. Porous coated total hip arthroplasty: 5- to 10-year follow up. Changgeng Yi Xue Za Zhi. 1998; 21 (4): 397-402.

[17] Sander K., Roth A., Layher F., Babisch J., Erler K., Neumann U. Kurzzeitergebnisse nach HTEP- Implantation mit minimalinvasivem Zugang mod. n. Watson/Jones verifiziert mittels Ganganalyse. Orthopдdische Praxis. 2006; 42: 582-591.

[18] Perry J. Ganganalyse - Norm und Pathologie des Gehens., Mьnchen, Jena: Urban & Fischer; 2003.

RIGHTS & PERMISSIONS

Eco-Vector