Between 2003 and 2005, a total of 425 consecutive cases with a modified two-incision minimally invasive total hip arthroplasty (THA) were performed at our hospital. We analysed 225 cases with greater than 12 months follow-up clinically and radiographically. The mean operative time was 70 minutes. Patients could walk on crutches at 1.5 days and discontinued crutch use at an average of 3 weeks. Patients were able to walk upstairs without support at 4 weeks. Radiographic analysis showed the mean lateral opening angle and anteversion of the acetabular components were 43.0° and 17.3°, and 97% of the femoral stems were in neutral alignment. There was no radiographic evidence of component migration or subsidence at the most recent follow-up. Therefore, from these early results, a modified two-incision THA was found to be an excellent surgical modality, which allows early rehabilitation and does not increase complications when compared to other MIS two-incision THA techniques.
ArchibeckM.J., WhiteR.E.Learning curve for the two-incision total hip replacement.Clin Orthop Relat Res2004; 429: 232–8.
2.
BergerR.A.Total hip arthroplasty using the minimally invasive two-incision approach.Clin Orthop Relat Res2003; 417: 232–41.
3.
BergerR.A., JacobsJ.J., MeneghiniR.M., ValleC.D., PaproskyW., RosenbergA.G.Rapid rehabilitation and recovery with minimally invasive total hip arthroplasty.Clin Orthop Relat Res2004; 429: 239–47.
4.
DuweliusP.J., BergerR.A.Minimally invasive total hip arthroplasty: the two-incision approach.Curr Opin Orthop2005; 16: 5–9.
5.
KeggiK.J., KeggiJ.M., KennonR.E.Minimal incision total hip arthroplasty via the anterior approach.Curr Opin Orthop2005; 16: 10–3.
6.
BerryD.J., BergerR.A., CallaghanJ.J.. Minimally invasive total hip arthroplasty. Development, early results, and a critical analysis.J Bone Joint Surg Am2003; 85: 2235–46.
7.
HungerfordD.S.Minimally invasive total hip arthroplasty in opposition.J Arthroplasty2004; 19(suppl): S81–2.
8.
SculcoT.P.Minimally invasive total hip arthroplasty: in the affirmative.J Arthroplasty2004; 19(suppl): S78–80.
9.
GoldsteinW.M., BransonJ.J., BerlandK.A., GordonA.C.Minimal-incision total hip arthroplasty.J Bone Joint Surg Am2003; 85(suppl 4): S33–8.
10.
WenzJ.F., GurkanI., JibodhS.R.Mini-incision total hip arthroplasty: a comparative assessment of perioperative outcomes.Orthopedics2002; 25: 1031–43.
11.
WoolsonS.T., MowC.S., SyquiaJ.F., LanninJ.V., SchurmanD.J.Comparison of primary total hip replacements performed with a standard incison or a mini-incision.J Bone Joint Surg Am2004; 86: 1353–8.
12.
BerryR.A., DuweliusP.J.The two-incision minimally invasive total hip arthroplasty: technique and results.Orthop Clin North Am2004; 35: 163–72.
13.
MardonesR., PagnanoM.W., NemanichJ.P., TrousdaleR.T.Muscle damage after total hip arthroplasty done with the two-incision and mini-inicision techniques.Clin Orthop Relat Res2005; 441: 63–7.
14.
BalB.S., HaltomD., AletoT., BarrettM.Early complications of primary total hip replacement performed with a two-incision minimally invasive technique.J Bone Joint Surg Am2005; 87: 2432–8.
15.
PagnanoM.W., LeoneJ., LewallenD.G., HanssenA.D.Two-incision THA had modest outcomes and some substantial complications.Clin Orthop Relat Res2005; 441: 86–90.
16.
HarrisW.H.Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty: an end-result study using a new method of result evaluation.J Bone Joint Surg Am1969; 51: 737–55.
17.
BergerR.A.Mini-incisions: two for the price of one!Orthopedics2002; 25: 472.
18.
HartzbandM.A.A minimal incision approach for total hip arthroplasty.J Bone Joint Surg Br2002; 84(suppl I): S73.
19.
HuoM.H., CookS.M.Minimally invasive techniques for total hip arthroplasty.J Bone Joint Surg Am2002; 84: 1481–2.
20.
SherryE., EganM., HendersonA., WarnkeP.H.Minimally invasive techniques for total hip arthroplasty.J Bone Joint Surg Am2002; 84: 1481.
21.
BertinK.C., RöttingerH.Anterolateral mini-incision hip replacement surgery. A modified Watson-Jones approach.Clin Orthop Relat Res2004; 429: 248–55.
22.
MattaJ.M., ShahrdarC., FergusonT.Single-incision anterior approach for total hip arthroplasty on an orthopaedic table.Clin Orthop Relat Res2005; 441: 115–24.
23.
O'BrienD.A.L., RorabeckC.H.The mini-incision direct lateral approach in primary total hip arthroplasty.Clin Orthop Relat Res2005; 441: 99–103.
24.
TanzerM.Two-incision total hip arthroplasty. Techniques and pitfalls.Clin Orthop Relat Res2005; 441: 71–9.
25.
KimY.G., KimS.Y., KimS.J., ParkB.C., KimP.T., IhnJ.C.The use of cementless expansion acetabular component and an alumina-polyethylene bearing in total hip arthroplasty for osteonecrosis.J Bone Joint Surg Br2005; 87: 776–80.
26.
KimY.H., KimJ.S., OhS.H., KimJ.M.Comparison of porous-coated titanium femoral stems with and without hydroxyapatite coating.J Bone Joint Surg Am2003; 85: 1682–8.
27.
PhilipsC.B., BarrettJ.A., LosinaE.. Incidence rates of dislocation, pulmonary embolism, and deep infection during the first six months after elective total hip replacement.J Bone Joint Surg Am2003; 85: 20–6.
28.
SmithT.M., BerendK.R., LombardiAVJr., EmersonR.H., MalloryT.H.Metal-on-metal total hip arthroplasty with large heads may prevent early dislocation.Clin Orthop Relat Res2005; 441: 137–42.
29.
EvartsC.M., FeilE.F.Prevention of thromboembolic disease after elective surgery of the hip.J Bone Joint Surg Am1971; 53: 71–80.
30.
KimY.H., OhS.H., KimJ.S.Incidence and natural history of deep-vein thrombosis after total hip arthroplasty. A prospective and randomised clinical study.J Bone Joint Surg Br2003; 85: 661–5.
31.
KimY.H., SuhJ.S.Low incidence of deep vein thrombosis after cementless total hip replacement.J Bone Joint Surg Am1988; 70: 878–82.
