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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXVII | Pages 407 - 407
1 Sep 2012
Prietzel T Farag M Petermann M Pretzsch M Heyde C
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Aim

Our goals were to minimize the invasiveness of the revision hip arthroplasty approach in order to accelerate the patient's rehabilitation, shorten the length of hospitalization and reduce the postoperative complications, especially the rate of joint dislocation. Our study aimed to prove whether and under which conditions the less invasive approach is preferable in revision arthroplasty.

Material and Methods

The modified revision technique differs from the conventional approach in the following main aspects:

Oncologic: applying larger hip balls and inserts, after expanding the variety of the available articulating joint components in 4 mm steps (28–40 mm),

sparing and reconstructing the joint capsule, whereby the integrity of its acetabular origin is crucial.

That procedure was combined with tissue dissection strictly parallel to the direction of the muscle fibers. The transgluteal approach after Bauer was applied. The small skin incision was closed by running subcuticular technique. The inpatient postoperative phase after revision total hip arthroplasty was evaluated in the last 6.5 years. All patients completed a questionnaire.