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Related Experiment Video

Updated: Jun 23, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Learning curve in tissue sparing total hip replacement: comparison between different approaches.

Carmelo D'Arrigo1, Attilio Speranza, Edoardo Monaco

  • 1II School of Medicine, Orthopaedic Unit, S. Andrea Hospital, "Sapienza" University of Rome, Rome, Italy.

Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology
|April 23, 2009
PubMed
Summary

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Tissue sparing surgery (TSS) for total hip replacement (THR) reduces blood loss. The antero-lateral TSS approach offers better early function and fewer complications, proving safer and less demanding than standard THR.

Area of Science:

  • Orthopedic Surgery
  • Minimally Invasive Procedures

Background:

  • Tissue sparing surgery (TSS) aims to minimize incisions and tissue disruption for improved outcomes in total hip replacement (THR).
  • TSS techniques may present a learning curve, potentially increasing complication rates.
  • Evaluating different TSS approaches is crucial for optimizing surgical practice.

Purpose of the Study:

  • To compare the clinical and surgical learning curve of an experienced surgeon using different TSS approaches for primary total hip replacement (THR).
  • To assess complications associated with various geometric stems used in TSS for THR.
  • To evaluate the safety and efficacy of minimally invasive techniques in hip replacement surgery.

Main Methods:

  • Sixty patients undergoing primary THR were randomized into three TSS groups: lateral mini-incision (A), minimally invasive anterior (B), and minimally invasive antero-lateral (C).

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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
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Published on: February 27, 2018

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Last Updated: Jun 23, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
09:51

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
09:31

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

  • A control group (D) of 149 patients receiving standard THR was included for comparison.
  • Outcomes were assessed from clinical and surgical perspectives, focusing on complications and functional recovery.

    • Main Results:

    • All TSS groups demonstrated significantly reduced blood loss compared to the control group.
    • The anterior and antero-lateral minimally invasive approaches showed superior early functional scores.
    • The antero-lateral TSS approach exhibited a lower complication rate.

    Conclusions:

    • The antero-lateral TSS approach appears to be a safer and less demanding alternative to standard THR.
    • This technique is suitable for use with various geometric stems in total hip replacement.
    • Minimally invasive techniques, particularly the antero-lateral approach, show promise for improving THR outcomes.