Skip to main content
Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology logoLink to Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology
. 2007 Dec 14;8(4):199–201. doi: 10.1007/s10195-007-0093-9

Tissue-sparing surgery in total hip arthroplasty: sensible approaches and tested evidence

D Regis 1,, A Residori 1, N Rossi 1, P Bartolozzi 1
PMCID: PMC4875013

Abstract

Minimally invasive total hip arthroplasty was advocated as a surgical procedure resulting in a faster functional recovery when compared with standard-length incision approaches. Currently, the potential benefits of low-surgical dissection are still unproven in well-designed clinical trials. Undoubtedly, smaller incisions and less soft tissue injury than in conventional arthroplasty should be promoted, according to the concept of tissue-sparing surgery. The advantages associated with less invasive surgical procedures must be evaluated carefully against the technical concerns that have the potential to adversely affect primary total hip arthroplasty outcome.

Key words: Minimally invasive surgery, Tissue-sparing surgery, Total hip arthroplasty

References

  • 1.Nilsdotter A.K., Petersson I.F., Roos E.M., Lohmander L.S. Predictors of patient relevant outcome after total hip replacement for osteoarthritis: a prospective study. Ann Rheum Dis. 2003;62:923–930. doi: 10.1136/ard.62.10.923. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Malchau H., Herberts P., Eisler T., Garellick G., Söderman P. The Swedish total hip replacement registry. J Bone Joint Surg Am. 2002;84([Suppl2]):2–20. doi: 10.2106/00004623-200200002-00002. [DOI] [PubMed] [Google Scholar]
  • 3.Roder C., Parvizi J., Eggli S., Berry D.J., Müller M.E., Busato A. Demographic factors affecting long-term outcome of total hip arthroplasty. Clin Orthop. 2003;417:62–73. doi: 10.1097/01.blo.0000096812.78689.f0. [DOI] [PubMed] [Google Scholar]
  • 4.Berger R.A., Duwelius P.J. The two-incision minimally invasive total hip arthroplasty: technique and results. Orthop Clin North Am. 2004;35:163–172. doi: 10.1016/S0030-5898(03)00110-X. [DOI] [PubMed] [Google Scholar]
  • 5.Bal B.S., Haltom D., Aleto T., Barrett M. Early complications of primary total hip replacement performed with a two-incision minimally invasive technique. J Bone Joint Surg Am. 2005;87:2432–2438. doi: 10.2106/JBJS.D.02847. [DOI] [PubMed] [Google Scholar]
  • 6.Fehring T.K., Mason J.B. Catastrophic complications of minimally invasive hip surgery. A series of three cases. J Bone Joint Surg Am. 2005;87:711–714. doi: 10.2106/JBJS.D.02666. [DOI] [PubMed] [Google Scholar]
  • 7.Pagnano M.W., Leone J., Lewallen D.G., Hanssen A.D. Two-incision THA had modest outcomes and some substantial complications. Clin Orthop. 2005;441:86–90. doi: 10.1097/01.blo.0000191275.80527.d6. [DOI] [PubMed] [Google Scholar]
  • 8.McConnell T., Tornetta P., Benson E., Manuel J. Gluteus medius tendon injury during reaming for gamma nail insertion. Clin Orthop. 2003;407:199–202. doi: 10.1097/00003086-200302000-00028. [DOI] [PubMed] [Google Scholar]
  • 9.Mardones R., Pagnano M.W., Nemanich J.P., Trousdale R.T. Muscle damage after total hip arthroplasty done with the two-incision and mini-posterior techniques. Clin Orthop. 2005;441:63–67. doi: 10.1097/01.blo.0000194727.55372.04. [DOI] [PubMed] [Google Scholar]
  • 10.Woolson ST (2007) Complications associated with minimally invasive one incision THR surgery. In: Proceedings of the Annual Meeting of the AAOS, February 2007, San Diego, p 57
  • 11.Pipino F. Tissue-sparing surgery (T.S.S.) in hip and knee arthroplasty. J Orthopaed Traumatol. 2006;7:33–35. doi: 10.1007/s10195-006-0119-8. [DOI] [Google Scholar]
  • 12.D’Imporzano M., Pierannunzii L. Minimally invasive total hip replacement. J Orthopaed Traumatol. 2006;7:42–50. doi: 10.1007/s10195-006-0121-1. [DOI] [Google Scholar]

Articles from Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology are provided here courtesy of Springer-Verlag

RESOURCES