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Journal of Orthopaedics and Traumatology

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Open Access 01-03-2009 | Tissue-Sparing Surgery Section

Learning curve in tissue sparing total hip replacement: comparison between different approaches

Authors: Carmelo D’Arrigo, Attilio Speranza, Edoardo Monaco, Alessandro Carcangiu, Andrea Ferretti

Published in: Journal of Orthopaedics and Traumatology | Issue 1/2009

Abstract

Background

The tissue sparing surgery (TSS) concept means not only smaller incisions but also less tissue disruption, allowing decreased blood loss and improved function. However, TSS techniques can result in more complications related to the learning curve. The aim of this study was to compare the learning curve of an experienced surgeon with different TSS approaches for total hip replacement (THR) from a clinical and surgical point of view, focussing especially on complications related to the use of different geometric stems.

Materials and methods

Sixty patients scheduled to be operated for a primary THR were enrolled in the study and were randomly assigned to surgery by one of three different TSS approaches: lateral with mini incision (group A), minimally invasive anterior (group B) and minimally invasive antero-lateral (group C). Results from the three TSS groups were compared with a control group of 149 patients (group D).

Results

Our results reveal significantly reduced blood loss in the TSS groups compared with the control group, with no differences between the TSS groups. We found better early functional scores in the two minimally invasive groups (anterior and anterolateral), and a lower rate of complications with the antero-lateral TSS approach.

Conclusion

The antero-lateral TSS approach seems to be safer and less demanding than standard THR surgery, and is suitable for use with different stems.

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Title: Learning curve in tissue sparing total hip replacement: comparison between different approaches
Authors: Carmelo D’Arrigo
Attilio Speranza
Edoardo Monaco
Alessandro Carcangiu
Andrea Ferretti
Publication date: 01-03-2009
Publisher: Springer International Publishing
Published in: Journal of Orthopaedics and Traumatology / Issue 1/2009
Print ISSN: 1590-9921
Electronic ISSN: 1590-9999
DOI: https://doi.org/10.1007/s10195-008-0043-1

At a glance: The STEP trials

Springer Medicine

Learning curve in tissue sparing total hip replacement: comparison between different approaches

Abstract

Background

Materials and methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusion

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