scholarly journals Simultaneous bilateral minimally invasive total hip arthroplasty: A comprehensive review of the literature

2018 ◽  
Vol 10 (3) ◽  
Author(s):  
Michael-Alexander Malahias ◽  
Kulapat Chulsomlee ◽  
Fritz Thorey
Keyword(s):  
Clinical Trials ◽  
Total Hip Arthroplasty ◽  
Minimally Invasive ◽  
Hip Arthroplasty ◽  
Hip Osteoarthritis ◽  
Operation Time ◽  
Postoperative Rehabilitation ◽  
Total Hip ◽  
One Stage ◽  
Transfusion Requirements

Several studies have reported that minimally- invasive total hip arthroplasty (MISTHA) may significantly reduce postoperative pain and results in faster postoperative rehabilitation when compared with the traditional lateral or posterior approach. Regarding bilateral hip osteoarthritis, there is still no consensus whether simultaneous bilateral MIS-THA can be established as the treatment of choice. Therefore, we searched the international databases of Pubmed, Medline, and Cochrane Database of Systematic Reviews using the key words minimally invasive bilateral total hip arthroplasty. From the initial 23 articles we found five clinical studies which met our inclusion criteria. From the perspective of possible intra- and postoperative complications, one-stage bilateral MIS THA was equally safe or safer than two-stage interventions. In addition, from a clinical outcome perspective, the one-stage procedure can be considered to be preferable. Higher blood transfusion requirements, which were expected following the standard bilateral simultaneous THA, seemed to be minimized with the simultaneous bilateral MIS THA. The supine position of the patient minimized the mean operation time. Approaches using the lateral decubitus position of the patient should be avoided in simultaneous bilateral THA due to the increased operation time. There is a lack of randomized, controlled clinical trials, comparing simultaneous bilateral MIS THA with staged bilateral MIS THA. Although simultaneous bilateral MIS THA seems to be efficacious, cost-effective and safe, more clinical trials are required to establish its superiority over the sequential MIS THA.

scholarly journals Cementless one-stage bilateral total hip arthroplasty in osteoarthritis patients: functional outcomes and complications

2017 ◽  
Vol 9 (2) ◽  
Author(s):  
Afshin Taheriazam ◽  
Amin Saeidinia
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Functional Outcomes ◽  
Hip Osteoarthritis ◽  
Harris Hip Score ◽  
Superficial Infection ◽  
Total Hip ◽  
One Stage ◽  
The Mean ◽  
Hardinge Approach

Total hip arthroplasty (THA) is one of the successful and cost-benefit surgical treatments. One-stage bilateral THA (BTHA) has a large number of advantages, although there are concerns about the higher complications in this procedure. Aim of our study was to evaluate the complications and outcomes of cementless one-stage BTHA in osteoarthritis patients. A total of 147 patients from 2009 till 2012, underwent one-stage BTHA in Milad and Erfan hospitals, Tehran, Iran. A prospective analysis of the functional outcomes and complications of one-stage BTHA through Hardinge approach in patients with osteoarthritis was performed. We evaluated all patients clinically and radiologically with serial followups. A clinical hip score based upon the modified Harris Hip Score (MHHS) was performed preoperatively and again postoperatively. During the period of study 89 men (60.5%) and 58 women (39.4%) with a mean age of 54.67±7.08 years at the time of presentation were recruited. The mean surgical time was 2.8±0.25 hrs. The mean hospital stay was 3.83±0.65 days. Hemoglobin level decreased significantly after operation (P=0.038). There was two deep venous thromboses, one superficial infection and one temporal proneal palsy but no pulmonary embolism, dislocation, periprosthetic fracture or heterotrophic ossification. The mean preoperative MHHS score was 41.64±5.42 in patients. MHHS score improved to 89.26±4.68 in the last followup (P=0.0001). Our results recommended the use of cementless one-stage BTHA through Hardinge approach in patients with bilateral hip osteoarthritis.

scholarly journals One-Stage Bilateral Total Hip Arthroplasty. Modern Representations and Our Experience

2020 ◽  
Vol 106 (3) ◽  
pp. 52-62
Author(s):  
O.M. Kosiakov ◽  
P.V. Bulych ◽  
K.O. Hrebennikov ◽  
A.V. Myloserdov ◽  
Ye. V. Tuz ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Surgical Intervention ◽  
Joint Damage ◽  
Cost Effective ◽  
Modern Medicine ◽  
Postoperative Rehabilitation ◽  
Surgical Interventions ◽  
Total Hip ◽  
One Stage

Summary. Relevance. Total hip arthroplasty remains one of the most successful and cost-effective surgical interventions in modern medicine. This is proven by the ever-growing number of total arthroplasties worldwide, which reached 650,000 implantations in Europe only in 2018. In 2024, this number is expected to be 730,000 [1]. According to experts, from 15 to 25 percent of patients need a bilateral procedure [2, 8]. The experience of our Center allows us to recommend a successful one-stage replacement of both hip joints for patients with a number of medical and social comorbidities. Objective. The study is set out to highlight the possibilities of performing simultaneous bilateral arthroplasty of the hip joint in a group of patients with bilateral joint damage, as well as to substantiate the economic, medical and social benefits of this surgical intervention. Materials and Methods. We have analyzed the data from publications of our foreign colleagues. We also present our own observations – more than 100 cases over the past 11 years (2008-2019). Results. Based on data from foreign publications and our own observations, the undoubted advantages, features and limitations of this type of surgical intervention are shown. Complex cases of bilateral joint damage and the results of one-stage surgical treatment have been demonstrated. Conclusions. One-stage bilateral hip arthroplasty is the method of choice for symmetric lesions and should take its rightful place in the arsenal of modern orthopedics clinics. We continue to advocate simultaneous bilateral hip replacement for a selected group of healthy patients ≤65 years old. Thoughtful preoperative planning, surgical intervention lasting up to 90 minutes on each joint, careful postoperative monitoring, strictly controlled prevention of thromboembolic complications and active postoperative rehabilitation provide our patients with quick and safe functional recovery.

Total hip arthroplasty: minimally invasive surgery or not? Meta-analysis of clinical trials

2018 ◽  
Vol 43 (7) ◽  
pp. 1573-1582 ◽  
Author(s):  
Filippo Migliorini ◽  
Massimiliano Biagini ◽  
Björn Rath ◽  
Nadine Meisen ◽  
Markus Tingart ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Minimally Invasive Surgery ◽  
Total Hip Arthroplasty ◽  
Minimally Invasive ◽  
Hip Arthroplasty ◽  
Invasive Surgery ◽  
Meta Analysis ◽  
Total Hip

Bmi and Gender do not Influence Surgical Accuracy during Minimally Invasive Total Hip Arthroplasty

2011 ◽  
Vol 21 (6) ◽  
pp. 688-693 ◽  
Author(s):  
Philipp Von Roth ◽  
Markus Olivier ◽  
Bernd Preininger ◽  
Carsten Perka ◽  
Robert Hube
Keyword(s):  
Total Hip Arthroplasty ◽  
Minimally Invasive ◽  
Hip Arthroplasty ◽  
Operation Time ◽  
Harris Hip Score ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Total Hip ◽  
Implant Positioning ◽  
And Gender

We investigated the accuracy of implant positioning during total hip arthroplasty (THA) through a minimally invasive approach in relation to body mass index (BMI) and gender by assessing 48 patients. Functional and radiological parameters were evaluated. BMI positively correlated with operation time (p=0.04), but BMI and gender had no influence on implant positioning. The Harris hip score (HHS) increased significantly (46.5±11.8 preoperatively, 92.1±9.7 postoperatively, p<0.0001). The surgical approach described resulted in reproducibility of implant positioning independent of influence by BMI or gender.

scholarly journals Inter-limb differences in patients following total hip arthroplasty four to five years after surgery: a cross-sectional study

2020 ◽  
Author(s):  
Stefanie John ◽  
David Weizel ◽  
Anna Sophie Heumann ◽  
Anja Fischer ◽  
Katja Orlowski ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Center Of Pressure ◽  
Hip Osteoarthritis ◽  
Operation Time ◽  
Hip Strength ◽  
Total Hip ◽  
Post Surgery ◽  
Flexion Extension ◽  
Hip Flexion

Abstract Backgroundː Total hip arthroplasty (THA) is a successful procedure to reduce pain and restore function in patients with end-stage hip osteoarthritis. However, whether or not pre-operatively existing deficits in strength, balance, range of motion (ROM) and gait are persisting several years post-surgery in the affected limb has not been thoroughly researched. Therefore, the aim of the study was to investigate inter-limb differences in patients who had undergone THA four to five years ago and to compare the values of the operated leg to controls. Methodsː Sixteen patients (age: 65.20±5.32 years) following unilateral THA (post-operation time: 4.7±0.7 years) and ten, healthy, age-matched controls (age: 60.85±7.57 years) were examined for maximum isometric hip muscle strength, active ROM of the hip joint, balance and gait on both limbs. Paired t-tests were used to assess the inter-limb differences in the THA group. Analyses of covariance (ANCOVA) were performed to compare values of the operated leg to controls, using age as a covariate. Results: The analysis of inter-limb differences in patients following THA revealed significant deficits on the operated side for hip abduction strength (p=0.02), for hip flexion ROM (p<0.01) and for balance in terms of the length of center of pressure (COP) (p=0.04). Compared to values of the controls, the patients demonstrated significantly reduced hip strength in flexion, extension and abduction (p<0.05) on the operated leg as well as reduced ROM measures in hip flexion, extension and abduction (p<0.05). Conclusions: Inter-limb differences as well as reduced hip strength and hip ROM were still present four to five years after THA. These persisting asymmetries and deficits in patients following THA may be one explanation for the decrease in health-related quality of life (HRQoL) seen in patients over the years after surgery. Postoperative training focusing on strengthening hip muscles should be continued months and years after hip replacement in order to compensate persisting deficits and asymmetries. Trial registration: DRKS, DRKS00016945. Registered 12 March 2019 – Retrospectively registered, http://www.drks.de/DRKS00016945

scholarly journals Persisting inter‐limb differences in patients following total hip arthroplasty four to five years after surgery? A preliminary cross‐sectional study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Stefanie John ◽  
David Weizel ◽  
Anna S. Heumann ◽  
Anja Fischer ◽  
Katja Orlowski ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Center Of Pressure ◽  
Operation Time ◽  
Hip Strength ◽  
Total Hip ◽  
Control Subjects ◽  
Post Surgery ◽  
Flexion Extension ◽  
Hip Flexion

Abstract Background Total hip arthroplasty (THA) is an effective procedure for patients with end-stage hip osteoarthritis. However, whether or not pre-operatively existing functional deficits are persisting several years post-surgery in the affected limb has not been thoroughly researched. Therefore, the primary aim of this preliminary study was to include patients four to five years after undergoing THA and to investigate potential differences between the operated and non-operated leg in hip strength, range of motion (ROM), balance, and gait. The secondary aim was to compare these values from the operated leg of the patients to those of the legs of healthy subjects. Methods Sixteen patients (age: 65.20 ± 5.32 years) following unilateral THA (post-operation time: 4.7 ± 0.7 years) and ten, healthy, age-matched control subjects (age: 60.85 ± 7.57 years) were examined for maximum isometric hip muscle strength, active ROM of the hip joint, balance and gait on both limbs. Paired t-tests were used to assess the inter-limb differences in the THA group. Analyses of covariance (ANCOVA) were performed to compare groups, using age as a covariate. Results The analysis of inter-limb differences in patients following THA revealed significant deficits on the operated side for hip abduction strength (p = 0.02), for hip flexion ROM (p < 0.01) and for balance in terms of the length of center of pressure (COP) (p = 0.04). Compared to values of the control subjects, the patients demonstrated significantly reduced hip strength in flexion, extension and abduction (p < 0.05) on the operated leg as well as reduced ROM measures in hip flexion, extension and abduction (p < 0.05). Conclusions The first results of this explorative study indicated that inter-limb differences as well as reduced hip strength and hip ROM compared with control subjects were still present four to five years after THA. These persisting asymmetries and deficits in patients following THA may be one explanation for the decrease in health-related quality of life (HRQoL) seen in patients over the years after surgery. Further studies are required to replicate these findings with a larger sample size. Trial registration DRKS, DRKS00016945. Registered 12 March 2019 – Retrospectively registered,

Mild hypothermia increases blood loss and transfusion requirements during total hip arthroplasty

The Lancet ◽  
1996 ◽  
Vol 347 (8997) ◽  
pp. 289-292 ◽  
Author(s):  
H Schmied ◽  
A Reiter ◽  
A Kurz ◽  
D.I Sessler ◽  
S Kozek
Keyword(s):  
Total Hip Arthroplasty ◽  
Blood Loss ◽  
Hip Arthroplasty ◽  
Mild Hypothermia ◽  
Total Hip ◽  
Transfusion Requirements
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