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Related Experiment Video

Updated: Jun 20, 2026

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A modified two-incision technique for primary total hip arthroplasty.

B Sonny Bal1, Santaram Vallurupalli

  • 1Department of Orthopedic Surgery, University of Missouri, Columbia, Missouri 65212, USA. balb@health.missouri.edu

Indian Journal of Orthopaedics
|September 16, 2009
PubMed
Summary

This study presents a modified two-incision technique for total hip arthroplasty (THA) that avoids fluoroscopy, offering muscle preservation and faster recovery. The technique proved safe and effective in 102 patients, demonstrating minimal complications.

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Area of Science:

  • Orthopedic Surgery
  • Minimally Invasive Procedures
  • Arthroplasty

Background:

  • Minimally invasive surgery (MIS) offers benefits like reduced trauma and faster recovery but can be technically challenging.
  • Two-incision MIS for total hip arthroplasty (THA) often requires fluoroscopy for precise implant placement.
  • A modified technique aims to achieve reliable implant positioning in primary THA without fluoroscopy.

Purpose of the Study:

  • To describe and evaluate a modified two-incision minimally invasive technique for primary total hip arthroplasty.
  • To assess the feasibility and safety of performing THA without fluoroscopy using this modified approach.

Main Methods:

  • A prospective study involving 102 patients (average age 60 years) undergoing primary THA.
  • Utilized a modified two-incision MIS technique without fluoroscopy.
Keywords:
Minimally invasive surgerytotal hip arthroplastytwo-incision surgery for THA

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Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
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Last Updated: Jun 20, 2026

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  • Recorded operative time, blood loss, hospital stay, radiographic outcomes, and complications.

    • Main Results:

    • Mean operative time was 77 minutes, with mean blood loss of 335 cc.
    • Average hospital stay was 2.4 days.
    • Radiographic outcomes included a mean cup abduction angle of 43.8 degrees and mean leg length discrepancy of 1.7 mm. Complications were minor, including transient thigh numbness and wound issues.

    Conclusions:

    • The modified two-incision THA technique without fluoroscopy preserves muscles and tendons, leading to shorter recovery and return to function.
    • This approach can be performed safely with minimal complications when appropriate surgeon training is in place.
    • The technique offers a viable alternative for primary total hip arthroplasty, enhancing patient outcomes.