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European Journal of Orthopaedic Surgery & Traumatology

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01-07-2018 | Expert's Opinion • HIP - ARTHROPLASTY

Enhanced recovery after posterior minimally invasive total hip arthroplasty with continuous intraarticular anaesthesia

Author: Claude Schwartz

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 5/2018

Abstract

Background

The aim of this study was to evaluate the possible complications specific to the continuous intraarticular anaesthesia (CIA) in a minimally invasive posterior approach in total hip arthroplasty and its possible effects on the recovery, especially on pain and the length of hospitalisation.

Materials and methods

The surgical procedure is first precisely described step by step with numerous per-operating photographs. Particular technical points are detailed. The errors to be avoided are specified. A prospective series of 70 first-line total hip arthroplasties (one half with and one half without CIA) are analysed for the well-known results of total hip arthroplasty but specifically assessing: (a) specific possible complications to the minimally invasive posterior technique with the prolonged local anaesthesia and (b) effects on pain, duration of hospitalisation and satisfaction in patients (questionnaire).

Results

(a) Very low level of immediate post-operative pain was observed in almost all of the patients. (b) Patient satisfaction was high in our series. (c) A repeated education was provided multiple times to avoid specific complications following the absence of pain and consequent inattention.

Discussion and conclusion

The minimally invasive posterior approach with continuous intraarticular anaesthesia is an entirely reliable hip arthroplasty procedure. The patients exhibited a significantly less pain and a fast rate of recovery, but preparatory education must be even more significant.

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Title: Enhanced recovery after posterior minimally invasive total hip arthroplasty with continuous intraarticular anaesthesia
Author: Claude Schwartz
Publication date: 01-07-2018
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 5/2018
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-018-2169-z

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Enhanced recovery after posterior minimally invasive total hip arthroplasty with continuous intraarticular anaesthesia

Abstract

Background

Materials and methods

Results

Discussion and conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Materials and methods

Results

Discussion and conclusion

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