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Learning curve in tissue sparing total hip replacement: comparison between different approaches

BACKGROUND: The tissue sparing surgery (TSS) concept means not only smaller incisions but also less tissue disruption, allowing decreased blood loss and improved function. However, TSS techniques can result in more complications related to the learning curve. The aim of this study was to compare the...

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Autores principales: D’Arrigo, Carmelo, Speranza, Attilio, Monaco, Edoardo, Carcangiu, Alessandro, Ferretti, Andrea
Formato: Texto
Lenguaje:English
Publicado: Springer Milan 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657353/
https://www.ncbi.nlm.nih.gov/pubmed/19384637
http://dx.doi.org/10.1007/s10195-008-0043-1
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author D’Arrigo, Carmelo
Speranza, Attilio
Monaco, Edoardo
Carcangiu, Alessandro
Ferretti, Andrea
author_facet D’Arrigo, Carmelo
Speranza, Attilio
Monaco, Edoardo
Carcangiu, Alessandro
Ferretti, Andrea
author_sort D’Arrigo, Carmelo
collection PubMed
description BACKGROUND: The tissue sparing surgery (TSS) concept means not only smaller incisions but also less tissue disruption, allowing decreased blood loss and improved function. However, TSS techniques can result in more complications related to the learning curve. The aim of this study was to compare the learning curve of an experienced surgeon with different TSS approaches for total hip replacement (THR) from a clinical and surgical point of view, focussing especially on complications related to the use of different geometric stems. MATERIALS AND METHODS: Sixty patients scheduled to be operated for a primary THR were enrolled in the study and were randomly assigned to surgery by one of three different TSS approaches: lateral with mini incision (group A), minimally invasive anterior (group B) and minimally invasive antero-lateral (group C). Results from the three TSS groups were compared with a control group of 149 patients (group D). RESULTS: Our results reveal significantly reduced blood loss in the TSS groups compared with the control group, with no differences between the TSS groups. We found better early functional scores in the two minimally invasive groups (anterior and anterolateral), and a lower rate of complications with the antero-lateral TSS approach. CONCLUSION: The antero-lateral TSS approach seems to be safer and less demanding than standard THR surgery, and is suitable for use with different stems.
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spelling pubmed-26573532009-03-25 Learning curve in tissue sparing total hip replacement: comparison between different approaches D’Arrigo, Carmelo Speranza, Attilio Monaco, Edoardo Carcangiu, Alessandro Ferretti, Andrea J Orthop Traumatol Tissue-Sparing Surgery Section BACKGROUND: The tissue sparing surgery (TSS) concept means not only smaller incisions but also less tissue disruption, allowing decreased blood loss and improved function. However, TSS techniques can result in more complications related to the learning curve. The aim of this study was to compare the learning curve of an experienced surgeon with different TSS approaches for total hip replacement (THR) from a clinical and surgical point of view, focussing especially on complications related to the use of different geometric stems. MATERIALS AND METHODS: Sixty patients scheduled to be operated for a primary THR were enrolled in the study and were randomly assigned to surgery by one of three different TSS approaches: lateral with mini incision (group A), minimally invasive anterior (group B) and minimally invasive antero-lateral (group C). Results from the three TSS groups were compared with a control group of 149 patients (group D). RESULTS: Our results reveal significantly reduced blood loss in the TSS groups compared with the control group, with no differences between the TSS groups. We found better early functional scores in the two minimally invasive groups (anterior and anterolateral), and a lower rate of complications with the antero-lateral TSS approach. CONCLUSION: The antero-lateral TSS approach seems to be safer and less demanding than standard THR surgery, and is suitable for use with different stems. Springer Milan 2009-01-31 2009-03 /pmc/articles/PMC2657353/ /pubmed/19384637 http://dx.doi.org/10.1007/s10195-008-0043-1 Text en © Springer-Verlag 2009
spellingShingle Tissue-Sparing Surgery Section
D’Arrigo, Carmelo
Speranza, Attilio
Monaco, Edoardo
Carcangiu, Alessandro
Ferretti, Andrea
Learning curve in tissue sparing total hip replacement: comparison between different approaches
title Learning curve in tissue sparing total hip replacement: comparison between different approaches
title_full Learning curve in tissue sparing total hip replacement: comparison between different approaches
title_fullStr Learning curve in tissue sparing total hip replacement: comparison between different approaches
title_full_unstemmed Learning curve in tissue sparing total hip replacement: comparison between different approaches
title_short Learning curve in tissue sparing total hip replacement: comparison between different approaches
title_sort learning curve in tissue sparing total hip replacement: comparison between different approaches
topic Tissue-Sparing Surgery Section
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657353/
https://www.ncbi.nlm.nih.gov/pubmed/19384637
http://dx.doi.org/10.1007/s10195-008-0043-1
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