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Published on: September 7, 2022
Bilateral simultaneous two-incision minimally invasive total hip arthroplasty
Sanket R Diwanji1, Kyung Soon Park, Taek Rim Yoon
1Center for Joint Disease, Chonnam National University Hwasun Hospital, Hwasun-Eup, Hwasun-Gun, Jeonnam, Korea.
Summary
Bilateral simultaneous minimally invasive hip arthroplasty offers good clinical and functional outcomes. This two-incision technique shows feasibility, though fracture prevention is key.
Area of Science:
- Orthopedic Surgery
- Minimally Invasive Procedures
- Arthroplasty
Background:
- Assessing the feasibility of bilateral simultaneous minimally invasive total hip arthroplasty (MI-THA).
- Evaluating clinical, radiological outcomes, complications, and patient satisfaction.
- Focus on a modified two-incision technique for MI-THA.
Purpose of the Study:
- Determine the viability of performing bilateral simultaneous MI-THA.
- Analyze the short-term and long-term results of this surgical approach.
- Compare outcomes with traditional THA methods.
Main Methods:
- 62 patients (ages 24-69) underwent bilateral simultaneous MI-THA.
- A modified two-incision technique was employed.
- Follow-up averaged 41 months, assessing clinical and radiological parameters.
Main Results:
- Significant improvements in Harris Hip Score (41.8 to 95.3) and WOMAC score (66.2 to 5.0).
- Average surgery duration: 180.4 min; mean blood loss: 1513.2 ml.
- Low complication rate: 2 periprosthetic fractures, 1 delayed infection; no intraoperative issues.
Conclusions:
- Bilateral simultaneous MI-THA with the modified two-incision technique yields satisfactory results.
- The procedure demonstrates good clinical, radiological, and functional outcomes.
- Highlighting the need for strategies to mitigate perioperative periprosthetic fractures.