ArticleInternational orthopaedics2013
The mini postero-postero-lateral mini incision in total hip arthroplasty.
Article in International orthopaedics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 10 citations in OpenAlex.
- Effect of Posterolateral Mini-incision Hip Hemiarthroplasty on Pain Scores and Hip Function in Elderly Patients With Hip Fractures.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Trial
- A comparison of the minimally invasive and traditional lateral approaches for hemiarthroplasty following a femoral neck fracture shows reduced postoperative pain and fewer blood transfusions.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025Article
- How do patients sleep after orthopaedic surgery? Changes in objective sleep parameters and pain in hospitalized patients undergoing hip and knee arthroplasty.International orthopaedics · 2023Observational
- Postero-posterolateral approach in total hip arthroplasty.International orthopaedics · 2020Article
- Clinical Outcomes of Total Hip Arthroplasty for Displaced Femoral Neck Fractures in Patients 80 Years of Age and Older Selected by Clinical Frailty Score.Hip & pelvis · 2020Article
- Safety of total hip arthroplasty for femoral neck fractures using the direct anterior approach: a retrospective observational study in 86 elderly patients.Patient safety in surgery · 2016Article
- Fluoroscopy assessment during anterior minimally invasive hip replacement is more accurate than with the posterior approach.International orthopaedics · 2016Article
- Comparative retrospective study of the direct anterior and transgluteal approaches for primary total hip arthroplasty.International orthopaedics · 2015Article
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeMini invasive incisions in THA and femoral hip prostheses tend to minimise healing and recovery time. We have used a very posterior approach with technical modifications and precise skin landmarks to decrease surgical complexity, and we describe this experience here.
methodsFrom 2010 to 2012, 140 patients aged 79 years (range 53-93 years) were operated upon by the same surgeon in a continuous series using the same minimally invasive skin incision and six different types of implants. The incision was very posterior in the hip allowing direct visualisation of the acetabulum in the hip flexion position and visualisation of the femoral shaft extremity in a leg flexion position.
resultsThe mean operating time was 100 minutes (range 75-110 min). Estimated blood loss was 385 cc (20-585 cc). Twenty-six patients had blood transfusion. The mean hospital stay was 6.8 days (5-20 days) including the time waiting for a rehabilitation centre. No operative complications related to the technique were recorded. On the postoperative radiograph, the femoral stem was aligned with the femoral axis within 3° in all patients. The mean acetabular angle to the ground plane was 40° (35-48°). No patient had a leg length discrepancy of more than four millimetres. The mean skin incision length was seven centimetres (six to eight centimetres). All patients were seen at the clinic after six weeks and the data were unchanged at this time point.
conclusionThe method and skin landmarks we describe appear to be a safe way to perform minimally invasive total hip replacement.
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