[Minimally invasive surgery for total hip arthroplasty. A review of 36 cases]. / Cirugía de mínima invasión en artroplastía total de cadera. Revisi6ón de 36 casos.
Acta Ortop Mex
; 21(1): 37-41, 2007.
Article
em Es
| MEDLINE
| ID: mdl-17695207
INTRODUCTION: A new approach has been developed recently that considerable decreases the size of the skin incision and that has led to controversy around the advantages it offers. OBJECTIVE: To analyze the immediate postoperative course of patients considering the following parameters: operative time, blood loss, postoperative pain. To report the complications that occurred. MATERIAL AND METHODS: Thirty six patients, with a mean age of 48 years, with a diagnosis of grade IV coxarthrosis. Twenty-four patients underwent uncemented total hip arthroplasty, and 12 total hybrid hip arthroplasty. The preoperative Harris clinical assessment was applied and a lateral approach was used in all cases. The initial incision was 6 cm long (100%). RESULTS: The final incision was 6.5 cm in 26 patients (72.22%), 7 cm in 10 patients. Necrosis of wound commissures occurred in 12 patients, superficial necrosis of wound margins in 10 patients; no wound infections were reported. The mean operative time was 65 minutes for uncemented hips and 80 minutes for hybrid hips. Mean intraoperative bleeding was 150 ml. Mean postoperative pain was 3 in the VAS. Complications included performing a neo-acetabulum in one case, and a false passage of the femur component in one case. CONCLUSION: The minimally invasive approach for total hip replacement is indicated for patients with special characteristics. It is less invasive, safe, involves minimal bleeding, shorter operative time, and is reproducible. Moreover, it offers significant benefits during the immediate postoperative period when compared with the standard incision, since it involves ess pain and mobility is resumed sooner.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Artroplastia de Quadril
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Es
Revista:
Acta Ortop Mex
Assunto da revista:
ORTOPEDIA
Ano de publicação:
2007
Tipo de documento:
Article
País de publicação:
México