A MINIMALLY INVASIVE APPROACH FOR TOTAL HIP REPLACEMENT AND METAL ON METAL HIP RESURFACING: METHOD AND EARLY RESULTS

G.S. Chana

doi:10.1302/0301-620X.86BSUPP_IV.0860451b

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A MINIMALLY INVASIVE APPROACH FOR TOTAL HIP REPLACEMENT AND METAL ON METAL HIP RESURFACING: METHOD AND EARLY RESULTS

G.S. Chana

A MINIMALLY INVASIVE APPROACH FOR TOTAL HIP REPLACEMENT AND METAL ON METAL HIP RESURFACING: METHOD AND EARLY RESULTS

Chana G. A MINIMALLY INVASIVE APPROACH FOR TOTAL HIP REPLACEMENT AND METAL ON METAL HIP RESURFACING: METHOD AND EARLY RESULTS. Orthop Procs. 2004;86-B(SUPP_IV):451-451. doi:10.1302/0301-620X.86BSUPP_IV.0860451b

Chana, G.S.. “A MINIMALLY INVASIVE APPROACH FOR TOTAL HIP REPLACEMENT AND METAL ON METAL HIP RESURFACING: METHOD AND EARLY RESULTS.” Orthopaedic Proceedings, vol. 86-B, no. SUPP_IV, 2004, pp. 451-451., https://doi.org/10.1302/0301-620X.86BSUPP_IV.0860451b

Chana, G. (2004). A MINIMALLY INVASIVE APPROACH FOR TOTAL HIP REPLACEMENT AND METAL ON METAL HIP RESURFACING: METHOD AND EARLY RESULTS. Orthopaedic Proceedings, 86-B(SUPP_IV), 451-451. https://doi.org/10.1302/0301-620X.86BSUPP_IV.0860451b

Chana, G. (2004) “A MINIMALLY INVASIVE APPROACH FOR TOTAL HIP REPLACEMENT AND METAL ON METAL HIP RESURFACING: METHOD AND EARLY RESULTS.” Orthopaedic Proceedings, 86-B(SUPP_IV), pp. 451-451. Available at: https://doi.org/10.1302/0301-620X.86BSUPP_IV.0860451b

Chana, G.S. “A MINIMALLY INVASIVE APPROACH FOR TOTAL HIP REPLACEMENT AND METAL ON METAL HIP RESURFACING: METHOD AND EARLY RESULTS.” Orthopaedic Proceedings 86-B, no. SUPP_IV (2004): 451-451. https://doi.org/10.1302/0301-620X.86BSUPP_IV.0860451b

Chana G. A MINIMALLY INVASIVE APPROACH FOR TOTAL HIP REPLACEMENT AND METAL ON METAL HIP RESURFACING: METHOD AND EARLY RESULTS. Orthop Procs. 2004 Apr 1;86-B(SUPP_IV):451-451. https://doi.org/10.1302/0301-620X.86BSUPP_IV.0860451b

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Abstract

The purpose of this study was to evaluate the early results of a new and minimally invasive posterior gluteus maximus splitting approach for total hip arthroplasty (THA) and metal-on-metal hip (MOM) resurfacing.

Thirty patients underwent THA (both cemented and uncemented) and 20 underwent MOM resurfacing. This single incision approach permitted THA through an incision ranging from 5.5 cm to 9 cm, and MOM resurfacing through an incision ranging from 7.5 cm to 10 cm. Intraoperative fluoroscopy was unnecessary. Body mass index was not a selection criterion. With the exception of the severely obese, this approach is suitable for all patients.

Fewer than 5% of patients needed blood transfusions. Patients were mobilised early and discharged from hospital. At a mean follow-up of six months, postoperative pain scores were low, cosmetic results excellent and patient satisfaction scores high. . Patients returned to normal activities early. There were no complications.

The abstracts were prepared by Professor M.B.E. Sweet. Correspondence should be addressed to him at PO Box 47363, Parklands, Johannesburg 2121, South Africa.