ReviewOperative Orthopadie und Traumatologie2017
One-stage bilateral implantation of a calcar-guided short-stem in total hip arthroplasty : Minimally invasive modified anterolateral approach in supine position.
Review in Operative Orthopadie und Traumatologie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 28 citations in OpenAlex.
- Calcar-guided short-stem total hip arthroplasty in fractures of the femoral neck: a prospective observational study of 68 hips.Archives of orthopaedic and trauma surgery · 2024Observational
- Learning Curve for Short-Stem Total HIP Arthroplasty through an Anterolateral Approach.Medicina (Kaunas, Lithuania) · 2023Article
- Conversion of failed internal fixation in proximal femur fractures using calcar-guided short-stem total hip arthroplasty.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2022Article
- Downsizing in total hip arthroplasty. A short stem as a revision implant.Der Orthopade · 2022Article
- Anterolateral Minimally Invasive Total Hip Arthroplasty: Pitfalls During the Learning Curve and Clinical Outcomes.Maedica · 2021Article
- Calcar-guided short-stem total hip arthroplasty: Will it be the future standard? Review and perspectives.World journal of orthopedics · 2021Review
- Mid-term results of a new-generation calcar-guided short stem in THA: clinical and radiological 5-year follow-up of 216 cases.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2019Article
- Return to Sports and Recreational Activity After Single-Stage Bilateral Short-Stem Total Hip Arthroplasty: 5-Year Results of a Prospective Observational Study.Orthopaedic journal of sports medicine · 2019Article
- Cementless short-stem total hip arthroplasty in the elderly patient - is it a safe option?: a prospective multicentre observational study.BMC geriatrics · 2019Observational
- Needs of Chinese patients undergoing home-based rehabilitation after hip replacement: A qualitative study.PloS one · 2019Article
- Simultaneous bilateral minimally invasive total hip arthroplasty: A comprehensive review of the literature.Orthopedic reviews · 2018Article
- Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty.Journal of visualized experiments : JoVE · 2018Article
- The learning curve in short-stem THA: influence of the surgeon's experience on intraoperative adjustments due to intraoperative radiography.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Observational
- One-stage bilateral versus unilateral short-stem total hip arthroplasty: A matched-pair analysis of 216 hips.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveOne-stage bilateral, muscle-preserving, calcar-guided implantation technique through the modified minimally invasive anterolateral approach in supine position. INDICATIONS: Bilateral primary/secondary osteoarthritis of the hip; bilateral femoral head necrosis; ASA I-III. CONTRAINDICATIONS: ASA IV; severe osteoporosis, other factors jeopardizing stable anchorage of cementless, calcar-guided short-stem; infection. SURGICAL TECHNIQUE: Supine position. Skin incision. Opening of fascia; blunt dissection, pushing gluteal muscles dorsally with the index finger. Capsulectomy. Individual osteotomy according to preoperative plan to determine short-stem position. Remove femoral head. Prepare acetabulum. Position cup. Femoral preparation with the curved opening awl. Spare greater trochanter and gluteal muscles. Insert trial rasps in ascending sizes with "round-the-corner" technique. Select offset version, then trial reposition with intraoperative radiograph and implantation of the definitive implant. Wound closure. Consultation with the anesthesiologist to confirm a stable patient. Same procedure on contralateral hip. POSTOPERATIVE MANAGEMENT: Mobilization on day 1 with immediate full weight bearing. Remove wound drains and urinary catheter (only female patients) on day 2. Intensive protocol of physiotherapy and rehabilitation. Thrombosis prophylaxis. Rehabilitation from day 7.
resultsAlmost 500 patients have undergone surgery since 2010. First consecutive 54 patients (108 hips) prospectively evaluated. After 2 years, Harris Hip Score was 98.8; satisfaction on visual analogue scale was 9.9. Low peri- and postoperative complication rates; no implant revisions.
conclusionThe muscle-sparing approach and the special "round-the-corner" technique in one-stage bilateral procedure leads to rapid mobilization and rehabilitation with excellent early clinical results and high satisfaction rates.
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