scholarly journals Comparison of the incidence of venous thromboembolism with minimally invasive total hip arthroplasty: a case control study

2020 ◽  
Author(s):  
Toru Nishiwaki ◽  
Akihito Oya ◽  
Arihiko Kanaji
Keyword(s):  
Venous Thromboembolism ◽  
Total Hip Arthroplasty ◽  
Minimally Invasive ◽  
Hip Arthroplasty ◽  
Surgical Approach ◽  
Operative Time ◽  
Anterolateral Approach ◽  
Multidetector Row Computed Tomography ◽  
Total Hip ◽  
D Dimer

Abstract Background: Venous thromboembolism (VTE) remains a major complication after total hip arthroplasty (THA), irrespective of the surgical approach. This study investigated the incidence of VTE in patients undergoing THA through intermuscular minimally invasive surgical techniques, which included a direct anterior approach (DAA), an anterolateral approach (AL), and anterolateral supine approach (ALS), at a single institution. Methods: One hundred consecutive patients treated with each surgical approach were evaluated. Plasma D-dimer levels 1 month preoperatively and 1 day postoperatively, operative time, and intraoperative blood loss were recorded, and the presence of VTE was evaluated based on multidetector row computed tomography performed the day after surgery. Student’s t-test and Pearson’s chi-square test or one-way analysis of variance were used in statistical analysis. Results: No differences among the groups in terms of age, height, weight, operative time, intraoperative bleeding, and preoperative and postoperative D-dimer levels were observed. The overall incidence of VTE was 21%. The incidences of VTE were 30% in AL, 17% in ALS, and 16% in DAA, representing a significantly higher rate in AL than in ALS and DAA (P=0.025). The incidences of VTE on the operated side were 19% in AL, 13% in ALS, and 12% in DAA, with no statistically significant differences. The incidences of VTE on the non-operated side were 22% in AL, 9% in ALS, and 8% in DAA; these differences were statistically significant (P=0.0045). Conclusions: Results showed that the incidence of VTE was significantly higher in AL than in ALS and DAA, especially for the non-operated side.

The Optimal Skin Incision for Minimally Invasive Total Hip Arthroplasty Performed via the Anterolateral Approach

2012 ◽  
Vol 27 (6) ◽  
pp. 901-908 ◽  
Author(s):  
Philip C. Noble ◽  
Gerald Pflüger ◽  
Sabine Junk-Jantsch ◽  
Matthew T. Thompson ◽  
Jerry W. Alexander ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Minimally Invasive ◽  
Hip Arthroplasty ◽  
Skin Incision ◽  
Anterolateral Approach ◽  
Total Hip

Minimally invasive uncemented total hip arthroplasty through an anterolateral approach with a shorter skin incision

2003 ◽  
Vol 8 (6) ◽  
pp. 812-817 ◽  
Author(s):  
Fujio Higuchi ◽  
Masafumi Gotoh ◽  
Noboru Yamaguchi ◽  
Ritsu Suzuki ◽  
Yoshifumi Kunou ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Minimally Invasive ◽  
Hip Arthroplasty ◽  
Skin Incision ◽  
Anterolateral Approach ◽  
Total Hip ◽  
Uncemented Total Hip Arthroplasty

scholarly journals Accuracy of Leg Length and Offset Restoration in Femoral Pinless Navigation Compared to Navigation Using a Fixed Pin during Total Hip Arthroplasty

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
Markus Weber ◽  
Max Thieme ◽  
Moritz Kaiser ◽  
Florian Völlner ◽  
Michael Worlicek ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Minimally Invasive ◽  
Hip Arthroplasty ◽  
Anterolateral Approach ◽  
Leg Length ◽  
Total Hip ◽  
Imageless Navigation ◽  
Number Of Patients ◽  
Intraoperative Control ◽  
Pinless Navigation

Equalization of biomechanical differences is a major goal in total hip arthroplasty (THA). In the current study we compared the accuracy of restoring leg length and offset using imageless navigation with an osseous fixed pin to a femoral pinless device in 97 minimally invasive THAs through an anterolateral approach in the lateral decubitus position. Leg length and offset differences were evaluated on magnification-corrected radiographs by a blinded observer. A postoperative mean difference of -0.9 mm (95% CI -2.8 mm to 1.1 mm, p = 0.38) between pinless navigation and navigation with a fixed pin was observed for leg length and that of -2.4 mm (95% CI -3.9 mm to -0.9 mm, p = 0.002) was observed for offset, respectively. The number of patients with a residual difference below 5 mm after THA was higher if using a fixed pin than in pinless navigation for both leg length (98.2%, 54/55 to 50.0%, 21/42, p < 0.001) and offset (100.0%, 55/55 to 71.4%, 30/42, p < 0.001). Imageless navigation is a feasible method in intraoperative control of leg length and offset in minimally invasive THA. The use of pins fixed to the bone has a higher precision than pinless devices. This trial is registered with DRKS00000739.

TOTAL HIP ARTHROPLASTY THROUGH A MINIMALLY INVASIVE ANTERIOR SURGICAL APPROACH

2003 ◽  
Vol 85 ◽  
pp. 39-48 ◽  
Author(s):  
ROBERT E. KENNON ◽  
JOHN M. KEGGI ◽  
ROBERT S. WETMORE ◽  
LAURINE E. ZATORSKI ◽  
MICHAEL H. HUO ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Minimally Invasive ◽  
Hip Arthroplasty ◽  
Surgical Approach ◽  
Total Hip

Modified Anterolateral Approach in Minimally Invasive Total Hip Arthroplasty

2015 ◽  
Vol 25 (3) ◽  
pp. 245-250 ◽  
Author(s):  
Shang-Wen Tsai ◽  
Cheng-Fong Chen ◽  
Po-Kuei Wu ◽  
Tain-Hsiung Chen ◽  
Chien-Lin Liu ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Minimally Invasive ◽  
Hip Arthroplasty ◽  
Anterolateral Approach ◽  
Total Hip

scholarly journals Low rate of early periprosthetic fractures in cementless short-stem total hip arthroplasty using a minimally invasive anterolateral approach

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Matthias Luger ◽  
Günter Hipmair ◽  
Clemens Schopper ◽  
Bernhard Schauer ◽  
Rainer Hochgatterer ◽  
...  
Keyword(s):  
Risk Factors ◽  
Total Hip Arthroplasty ◽  
Minimally Invasive ◽  
Hip Arthroplasty ◽  
Supine Position ◽  
Short Stem ◽  
Anterolateral Approach ◽  
Total Hip ◽  
Asa Score ◽  
Short Stems

Abstract Purpose Minimally invasive (MIS) approaches in combination with short stems have gained popularity in recent years in total hip arthroplasty (THA). A decreased risk for periprosthetic femoral fractures (PFFs) is reported for cementless short-stem THA, but in contrast to other approaches, the risk factors for PFFs for short-stem THA using MIS anterolateral approach in supine position are not described in literature. Methods A single-center consecutive series of 1052 hips in 982 patients, performed between 2014 and 2019 with a short curved stem and a press fit using an MIS anterolateral approach in supine position, was retrospectively screened for inclusion. Fourteen patients were lost to follow-up. Therefore, 1038 THAs in 968 patients were included. Risk factors for intra- and postoperative PFFs within 90 days were analyzed. We investigated for sex, age, body mass index (BMI), diagnosis, and laterality. Results In total, 18 PFFs (1.7%) occurred. Intraoperative fracture occurred in ten cases ( 0.9%), with another eight cases (0.8%) occurring postoperatively. Increased American Society of Anesthesiologists (ASA) Score was a significant risk factor for PFF (p = 0.026), whereas sex (p = 0.155), age (p = 0.161), BMI (p = 0.996), and laterality (p = 1.000) were not. Seven PFFs (0.7%) required revision arthroplasty. Conclusion Cementless short-stem THA using the MIS anterolateral approach is a procedure with a low number of PFFs within 90 days from index surgery. Fracture rates are comparable to other MIS approaches, and comparable femoral short stems are used. Age, sex, and BMI were not identified as risk factors of PFF, while risk for PFF increased with ASA Score. Level of Evidence Level IV

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