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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2015

Open Access 01-12-2015 | Research article

Influence of surgical approach on component positioning in primary total hip arthroplasty

Authors: Moritz M. Innmann, Marcus R. Streit, Jeanette Kolb, Jochen Heiland, Dominik Parsch, Peter R. Aldinger, Matthias Königshausen, Tobias Gotterbarm, Christian Merle

Published in: BMC Musculoskeletal Disorders | Issue 1/2015

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Abstract

Background

Minimal invasive surgery (MIS) has gained growing popularity in total hip arthroplasty (THA) but concerns exist regarding component malpositioning. The aim of the present study was to evaluate femoral and acetabular component positioning in primary cementless THA comparing a lateral to a MIS anterolateral approach.

Methods

We evaluated 6 week postoperative radiographs of 52 hips with a minimal invasive anterolateral approach compared to 54 hips with a standard lateral approach. All hips had received the same type of implant for primary cementless unilateral THA and had a healthy hip contralaterally.

Results

Hip offset was equally restored comparing both approaches. No influence of the approach was observed with regard to reconstruction of acetabular offset, femoral offset, vertical placement of the center of rotation, stem alignment and leg length discrepancy. However, with the MIS approach, a significantly higher percentage of cups (38.5 %) was malpositioned compared to the standard approach (16.7 %) (p = 0.022).

Conclusions

The MIS anterolateral approach allows for comparable reconstruction of stem position, offset and center of rotation compared to the lateral approach. However, surgeons must be aware of a higher risk of cup malpositioning for inclination and anteversion using the MIS anterolateral approach.
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Metadata
Title
Influence of surgical approach on component positioning in primary total hip arthroplasty
Authors
Moritz M. Innmann
Marcus R. Streit
Jeanette Kolb
Jochen Heiland
Dominik Parsch
Peter R. Aldinger
Matthias Königshausen
Tobias Gotterbarm
Christian Merle
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2015
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-015-0623-1

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