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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2019, Number 1

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Acta Ortop Mex 2019; 33 (1)

Claudication, functional outcomes and quality of life in primary total hip arthroplasty with minimally invasive anterolateral approach

Verdugo-Meza RA, González-Castillo CJ, Gaona-Valle S, Salgado-Carbajal E, Rubí-Flores R
Full text How to cite this article

Language: Spanish
References: 8
Page: 8-12
PDF size: 289.46 Kb.


Key words:

Total hip replacement, minimally invasive approach, coxarthrosis.

ABSTRACT

Introduction: The coxarthrosis has incidence of 88 cases per 100,000 people/year and symptomatic prevalence of 16% men and 6% women aged 65-74 years and increases with age. It is a growing public health disease. Total hip arthroplasty (THA) has become the most successful procedure to increase the quality of life of patients with coxarthrosis. Our objective was to determine the claudication, quality of life and functional results of THA through minimal invasive approach in patients with primary coxarthrosis. Material and methods: Prospective longitudinal study in patients with unilateral primary coxarthrosis postop of THA with minimally invasive approach from March 2015-February 2016, each patient was analyzed with quality of Life instrument (WOMAC), Functional test for coxarthrosis (HHS) and functional test in patients with hip surgery (OHS) with follow-up of one year. Results: We included 21 patients, 17 female and 4 males corresponding to 80.95% and 19.05% respectively, average age of 59.95 years (ED = 9.64), with excellent functional results to one year according to HHS and OHS, quality of life high in 100% of cases according to WOMAC, with claudication rate of 4.76%. Discussion: The minimal invasive approach is a reproducible surgical technique, with excellent functional results, low claudication rate and high quality of life in postoperative patients of primary ATC at only one year of follow-up.


REFERENCES

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  2. Müller M, Tohtz S, Dewey M, Springer I, Perka C. Age-related appearance of muscle trauma in primary total hip arthroplasty and the benefit of a minimally invasive approach for patients older than 70 years. Int Orthop. 2011; 35(2): 165-171.

  3. Tan J, Chen H, Chen C, Liang X, Huang W. The strength and function of hip abductors following anterolateral minimally invasive total hip arthroplasty. Chin J Traumatol. 2014; 17(2): 73-78.

  4. Tumin M, Park KS, Abbas AA, Yoon TR. Comparison of the outcome in bilateral staged total hip arthroplasty: modified two-incision minimally invasive technique versus the convetional posterolateral approach. Chonnam Med J. 2014; 50(1): 15-20.

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  6. Müeller M, Tohtz S, Dewey M, Springer I, Perka C. Evidence of reduced muscle trauma through a minimally invasive anterolateral approach by means of MRI. Clin Orthop Relat Res. 2010; 468(12): 3192-3200.

  7. Spaans JA, Van den Hout JA, Bloder SB. High complication rate in the early experience of minimally invasive total hip arthroplasty by the direct anterior approach. Acta Orthop. 2012; 83(4): 342-346.

  8. Vasilakis I, Solomou E, Vitsas V, Fennema P, Korovessis P, Siamblis D. Correlative Analysis of MRI-evident abductor hip muscle degeneration and power after minimally invasive versus conventional unilateral cementless THA. Orthopedics. 2012; 35(12): e1684-1691.




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Acta Ortop Mex. 2019 Ene-Feb;33