A Systematic Review and Meta-Analysis of the Standard Versus Mini-Incision Posterior Approach to Total Hip Arthroplasty

Abstract The mini-incision posterior approach may appeal to surgeons comfortable with the standard posterior approach to the hip. We present the first systematic review and meta-analysis of these two approaches. Twelve randomised controlled trials and four non-randomised trials comprising of 1498 to...

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Bibliographic Details
Published in:The Journal of arthroplasty 2014-10, Vol.29 (10), p.1970-1982
Main Authors: Berstock, James R., MBChB, MRCS, Blom, Ashley W., MD, PhD, FRCS (Tr&Orth), Beswick, Andrew D., BSc
Format: Article
Language:English
Subjects:
arthroplasty
Arthroplasty, Replacement, Hip - methods
hip
Humans
meta-analysis
Minimally Invasive Surgical Procedures
Orthopedics
Randomized Controlled Trials as Topic
replacement
review
Treatment Outcome
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Summary:Abstract The mini-incision posterior approach may appeal to surgeons comfortable with the standard posterior approach to the hip. We present the first systematic review and meta-analysis of these two approaches. Twelve randomised controlled trials and four non-randomised trials comprising of 1498 total hip arthroplasties were included. The mini-incision posterior approach was associated with an early improvement in Harris hip score of 1.8 points ( P < 0.001), reduced operating time (5 minutes, P < 0.001), length of hospital stay (14 hours, P < 0.001), intraoperative and total blood loss (63 ml, P < 0.001 and 119 ml, P < 0.001 respectively). There were no statistically significant differences in the incidence of dislocation, nerve injury, infection or venous thromboembolic events. The minimally invasive posterior approach appears to provide a safe and acceptable alternative to the standard incision posterior approach.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2014.05.021