Article
Medicine, General & Internal
Yoichi Ohta, Ryo Sugama, Yukihide Minoda, Shigekazu Mizokawa, Shinji Takahashi, Mitsuhiko Ikebuchi, Tamotsu Nakatsuchi, Hiroaki Nakamura
Summary: A retrospective study compared the early postoperative outcomes of minimally invasive total hip arthroplasty between anterolateral and posterolateral approaches. The surgical time was longer in the posterolateral group, and the C-reactive protein level was higher in the posterolateral group only on postoperative day 3. There was no significant difference in the recovery rate of muscle strength between the two approaches.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Marko Ostojic, David Kordic, Goran Moro, Zdenko Ostojic
Summary: This study compared the surgical outcomes between the posterior hip approach and the newly introduced Rottinger approach in total hip arthroplasty. Results showed that the Rottinger approach had lower intraoperative blood loss, faster rehabilitation, and fewer postoperative complications.
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY
(2022)
Article
Orthopedics
Juncheng Ge, Philippe Hernigou, Wanshou Guo, Nianfei Zhang, Changquan Liu, Qidong Zhang
Summary: This study compared the early postoperative clinical outcomes and component alignment between the minimally invasive small incision (MISI) technique and conventional minimally invasive surgical (MIS) techniques in unicompartmental knee arthroplasty (UKA). The results showed that the MISI group had faster recovery, shorter hospital stays, and smaller incisions, but longer tourniquet usage time. There were no significant differences in range of motion, pain scores, and knee society scores between the two groups at six months postoperative follow-up, as well as no statistical differences in radiographic measurements.
INTERNATIONAL ORTHOPAEDICS
(2023)
Article
Orthopedics
Matthieu Lalevee, Lucas Martinez, Benjamin Rey, Julien Beldame, Jean Matsoukis, Thomas Poirier, Helena Brunel, Stephane Van Driesschef, Nathalie Noe, Fabien Billuart
Summary: Gait deficits persist beyond one year postoperative THA with MIALA, including decreased walking speed and muscle strength. These results may indicate muscle damage after surgery, requiring rehabilitation.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2023)
Article
Medicine, General & Internal
Christos Koutserimpas, Maria Piagkou, Ilias Karaiskos, Athanasios Karamitros, Konstantinos Raptis, Konstantinos Kourelis, Nikolaos Christodoulou
Summary: A study of 603 patients undergoing total hip arthroplasty with the ALMIS technique showed significant improvements in hip range of motion and Harris Hip Score postoperatively, with only a small percentage experiencing surgery-related complications.
MEDICINA-LITHUANIA
(2023)
Review
Orthopedics
Filippo Migliorini, Andrea Pintore, Joerg Eschweiler, Francesco Oliva, Frank Hildebrand, Nicola Maffulli
Summary: This systematic review investigated factors influencing the surgical outcome of minimally invasive surgery for total hip arthroplasty (MIS THA). The study found that older age and greater BMI may have a negative impact on the prognosis of MIS THA, and the clinical outcome is strongly influenced by the preoperative status of patients.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Orthopedics
Fabien Billuart, Matthieu Lalevee, Helena Brunel, Stephane Van Driessche, Julien Beldame, Jean Matsoukis
Summary: The study aimed to evaluate the impact of the modified minimally invasive anterolateral approach on gluteus minimus and gluteus medius lesions and investigate the effectiveness of compensatory strategies. The results showed that femoral implantation in hip extension did not reduce the rate of gluteal lesions, but releasing the superior gluteal nerve branch may help to preserve the innervation of the tensor fasciae latae. Furthermore, some rare lesions of the proximal pelvic muscles were observed.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2022)
Article
Orthopedics
Hongwen Liu, Li Yin, Jiao Li, Shaojiang Liu, Qifeng Tao, Jie Xu
Summary: The minimally anterolateral approach (MAA) and direct anterior approach (DAA) have similar clinical outcomes in total hip arthroplasty (THA), but MAA THA may lead to better patient-reported outcomes. MAA also offers advantages such as shorter operative times, less blood loss, lower Hb drop, fewer blood transfusions, and fewer nerve injuries compared to DAA.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2022)
Article
Orthopedics
Matthias Luger, Rainer Hochgatterer, Clemens Schopper, Lorenz Pisecky, Jakob Allerstorfer, Antonio Klasan, Tobias Gotterbarm, Bernhard Schauer
Summary: Severely obese and morbidly obese patients undergoing MIS anterolateral total hip arthroplasty with a short curved stem have significantly increased operation time, higher risks for early PJI and general surgical complications within the first 90 days, as well as a greater risk for revision surgery.
INTERNATIONAL ORTHOPAEDICS
(2021)
Review
Surgery
Tomonori Shigemura, Yasuaki Murata, Yohei Yamamoto, Yuki Shiratani, Hiroyuki Hamano, Yuichi Wada
Summary: This study systematically reviewed and meta-analyzed the outcomes of THA procedures using the MIAL approach. The results showed no significant differences between the MIAL and LT approaches in terms of operative time, cup angles, and clinical outcomes. However, THA via the MIAL approach had significantly greater operative blood loss and higher postoperative Harris hip scores.
SURGEON-JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND
(2022)
Article
Orthopedics
Yusuke Takaoka, Koji Goto, Yutaka Kuroda, Toshiyuki Kawai, Yaichiro Okuzu, Shuichi Matsuda
Summary: This study aimed to evaluate the residual damage after primary total hip arthroplasty with two types of anterolateral approach. The results showed that both approaches improved the radiodensity of the gluteus medius, and the recovery of the gluteus minimus varied between the two approaches until 1 year after surgery. However, both approaches showed similar improvements in clinical scores.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Matthias Luger, Gunter Hipmair, Clemens Schopper, Bernhard Schauer, Rainer Hochgatterer, Jakob Allerstorfer, Tobias Gotterbarm, Antonio Klasan
Summary: Cementless short-stem THA using the MIS anterolateral approach showed a low rate of PFFs within 90 days, with ASA Score being a significant risk factor. Age, sex, and BMI were not identified as risk factors.
JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY
(2021)
Article
Engineering, Biomedical
Xianzhong Xie, Mingzhu Zhu, Bingwei He, Jie Xu
Summary: To address the challenges in minimally invasive total hip arthroplasty (MITHA), we propose an image-guided navigation system using a novel position-sensing marker. Our system accurately detects the location and orientation of surgical instruments in MITHA, avoiding the issues of bulky fiducial markers and radiation exposure.
INTERNATIONAL JOURNAL OF COMPUTER ASSISTED RADIOLOGY AND SURGERY
(2023)
Article
Orthopedics
Daniel Vernaza Obando, Kelly Johana Gallego, Sofia Gonzalez, Alejandro Gallego Alvarez, Maria Bautista, Alfredo Sanchez-Vergel
Summary: The AMI approach is an excellent alternative for patients requiring THA. Although surgical time and perioperative bleeding were greater during the learning curve, this approach offers improved functional outcomes and a lower dislocation rate, without significant differences in transfusion and infection outcomes, demonstrating that responsible innovation and safe implementation of new techniques is possible.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
Article
Orthopedics
Filippo Migliorini, Joerg Eschweiler, Alice Baroncini, Markus Tingart, Nicola Maffulli
Summary: This meta-analysis compares minimally invasive surgery (MIS) and standard invasive surgery (SIS) for total knee arthroplasty (TKA), showing that MIS has advantages such as shorter hospital stays, less blood loss, faster recovery times, and better knee function scores. However, SIS allows for quicker surgical durations. The analysis concludes that while MIS is encouraged for TKA, it requires technical skill and a long learning curve.
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY
(2021)