Abstract
The choice of surgical technique for total hip arthroplasty (THA) can affect time and postoperative rehabilitation procedures. The aim of this prospective blinded cohort study is to determine significant differences in gait parameters in the short term between those patients who have experienced THA using a limited incision anterolateral intermuscular (MIS) approach compared with those who have experienced traditional lateral transmuscular (LTM) approach.
Thirty patients were enrolled in this study, 15 of who received the MIS technique and 15 the LTM approach. A single surgeon performed all the operations using short hip stem implants with 36mm femoral head size and all patients received a standard postoperative rehabilitation protocol. Patients, physiotherapists, and assessors were blinded to the incision used. Gait analysis was performed 30 day after surgery, when patients were able to ambulate without crutches.
Minimal differences in temporostatial parameters were shown between the MIS and LTM groups, whereas significant differences (p< 0.05) in kinematics (hip range of motion in sagittal, frontal and transverse planes), kinetics (hip flexion/extension and abduction/adduction moments) and electromiography parameters (gluteus medius activation pattern and degree of activity) between two groups.
This study demonstrates functional benefits of the minimally invasive incision over the standard lateral transmuscular approach in terms of walking ability 30 days postoperatively.
Correspondence should be addressed to Diane Przepiorski at ISTA, PO Box 6564, Auburn, CA 95604, USA. Phone: +1 916-454-9884; Fax: +1 916-454-9882; E-mail: ista@pacbell.net
