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Is the Anterolateral or Posterolateral Approach More Effective for Early Postoperative Recovery after Minimally Invasive Total Hip Arthroplasty?

Currently, various minimally invasive surgical techniques are applied for total hip arthroplasty (THA). There are few studies comparing the early postoperative clinical outcomes of minimally invasive THA between anterolateral and posterolateral approaches. In this retrospective study, 62 patients un...

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Autores principales: Ohta, Yoichi, Sugama, Ryo, Minoda, Yukihide, Mizokawa, Shigekazu, Takahashi, Shinji, Ikebuchi, Mitsuhiko, Nakatsuchi, Tamotsu, Nakamura, Hiroaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9820980/
https://www.ncbi.nlm.nih.gov/pubmed/36614940
http://dx.doi.org/10.3390/jcm12010139
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author Ohta, Yoichi
Sugama, Ryo
Minoda, Yukihide
Mizokawa, Shigekazu
Takahashi, Shinji
Ikebuchi, Mitsuhiko
Nakatsuchi, Tamotsu
Nakamura, Hiroaki
author_facet Ohta, Yoichi
Sugama, Ryo
Minoda, Yukihide
Mizokawa, Shigekazu
Takahashi, Shinji
Ikebuchi, Mitsuhiko
Nakatsuchi, Tamotsu
Nakamura, Hiroaki
author_sort Ohta, Yoichi
collection PubMed
description Currently, various minimally invasive surgical techniques are applied for total hip arthroplasty (THA). There are few studies comparing the early postoperative clinical outcomes of minimally invasive THA between anterolateral and posterolateral approaches. In this retrospective study, 62 patients underwent minimally invasive THA via either the anterolateral approach with an intermuscular exposure using the modified Watson–Jones approach (MIS-AL, 34 hips) or mini-incision THA with a posterolateral approach (MIS-PL, 28 hips). We analyzed intraoperative data, postoperative hematological data, postoperative radiographic findings, and the postoperative recovery of muscle strength. The mean surgical time was significantly longer in the MIS-PL than in the MIS-AL group. The mean postoperative serum C-reactive protein level was significantly higher in the MIS-PL group than in the MIS-AL group only on postoperative day 3. There were no significant between-group differences in the postoperative recovery rate of muscle strength during hip abduction. The recovery rate of muscle strength during hip extension was better in the MIS-AL group than in the MIS-PL group only on postoperative day 3. In conclusion, we found no obvious advantage in early postoperative recovery between the MIS-AL and MIS-PL approaches. Therefore, the benefit of rapid postoperative recovery was comparable between the MIS-AL and MIS-PL approaches.
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spelling pubmed-98209802023-01-07 Is the Anterolateral or Posterolateral Approach More Effective for Early Postoperative Recovery after Minimally Invasive Total Hip Arthroplasty? Ohta, Yoichi Sugama, Ryo Minoda, Yukihide Mizokawa, Shigekazu Takahashi, Shinji Ikebuchi, Mitsuhiko Nakatsuchi, Tamotsu Nakamura, Hiroaki J Clin Med Article Currently, various minimally invasive surgical techniques are applied for total hip arthroplasty (THA). There are few studies comparing the early postoperative clinical outcomes of minimally invasive THA between anterolateral and posterolateral approaches. In this retrospective study, 62 patients underwent minimally invasive THA via either the anterolateral approach with an intermuscular exposure using the modified Watson–Jones approach (MIS-AL, 34 hips) or mini-incision THA with a posterolateral approach (MIS-PL, 28 hips). We analyzed intraoperative data, postoperative hematological data, postoperative radiographic findings, and the postoperative recovery of muscle strength. The mean surgical time was significantly longer in the MIS-PL than in the MIS-AL group. The mean postoperative serum C-reactive protein level was significantly higher in the MIS-PL group than in the MIS-AL group only on postoperative day 3. There were no significant between-group differences in the postoperative recovery rate of muscle strength during hip abduction. The recovery rate of muscle strength during hip extension was better in the MIS-AL group than in the MIS-PL group only on postoperative day 3. In conclusion, we found no obvious advantage in early postoperative recovery between the MIS-AL and MIS-PL approaches. Therefore, the benefit of rapid postoperative recovery was comparable between the MIS-AL and MIS-PL approaches. MDPI 2022-12-24 /pmc/articles/PMC9820980/ /pubmed/36614940 http://dx.doi.org/10.3390/jcm12010139 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ohta, Yoichi
Sugama, Ryo
Minoda, Yukihide
Mizokawa, Shigekazu
Takahashi, Shinji
Ikebuchi, Mitsuhiko
Nakatsuchi, Tamotsu
Nakamura, Hiroaki
Is the Anterolateral or Posterolateral Approach More Effective for Early Postoperative Recovery after Minimally Invasive Total Hip Arthroplasty?
title Is the Anterolateral or Posterolateral Approach More Effective for Early Postoperative Recovery after Minimally Invasive Total Hip Arthroplasty?
title_full Is the Anterolateral or Posterolateral Approach More Effective for Early Postoperative Recovery after Minimally Invasive Total Hip Arthroplasty?
title_fullStr Is the Anterolateral or Posterolateral Approach More Effective for Early Postoperative Recovery after Minimally Invasive Total Hip Arthroplasty?
title_full_unstemmed Is the Anterolateral or Posterolateral Approach More Effective for Early Postoperative Recovery after Minimally Invasive Total Hip Arthroplasty?
title_short Is the Anterolateral or Posterolateral Approach More Effective for Early Postoperative Recovery after Minimally Invasive Total Hip Arthroplasty?
title_sort is the anterolateral or posterolateral approach more effective for early postoperative recovery after minimally invasive total hip arthroplasty?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9820980/
https://www.ncbi.nlm.nih.gov/pubmed/36614940
http://dx.doi.org/10.3390/jcm12010139
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