Anterior-Supine Minimally Invasive Total Hip Arthroplasty: Defining the Learning Curve

被引:109
作者
Seng, Brian E. [1 ]
Berend, Keith R. [1 ,2 ,3 ]
Ajluni, Andrew F. [1 ]
Lombardi, Adolph V., Jr. [1 ,2 ,3 ,4 ]
机构
[1] Joint Implant Surg Inc, New Albany, OH 43054 USA
[2] Mt Carmel Hlth Syst, New Albany, OH 43054 USA
[3] Ohio State Univ, Dept Orthopaed, Columbus, OH 43210 USA
[4] Ohio State Univ, Dept Biomed Engn, Columbus, OH 43210 USA
关键词
Anterior-supine; Total hip arthroplasty; Minimally invasive; Surgical approach; Muscle-sparing; Short stems; Smith-Petersen interval; Specialized microplasty instrumentation; Fluoroscopic guidance; INCISION; COMPLICATIONS; DISLOCATION;
D O I
10.1016/j.ocl.2009.01.002
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The anterior-supine intermuscular approach is a truly muscle-sparing approach to total hip arthroplasty with a low complication rate. The advantages include improved early recovery and return to everyday activities. The authors found the learning curve to be around 40 cases and 6 months in a high-volume joint surgeon's practice. This article provides a detailed description of the surgical approach, including the use of a standard operating room table and fluoroscopy. Cadaver dissections and one-on-one mentoring are recommended when implementing this approach in one's practice.
引用
收藏
页码:343 / +
页数:9
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