title: Influence of surgical approach on component positioning in primary total hip arthroplasty
creator: Innmann, Moritz Maximilian
creator: Streit, Marcus R.
creator: Kolb, Jeanette
creator: Heiland, Jochen
creator: Parsch, Dominik
creator: Aldinger, Peter R.
creator: Königshausen, Matthias
creator: Gotterbarm, Tobias
creator: Merle, Christian
subject: ddc-610
subject: 610 Medical sciences Medicine
description: Background: Minimal invasive surgery (MIS) has gained growing popularity in total hip arthroplasty (THA) but concerns exist regarding component malpositioning. The aim of the present study was to evaluate femoral and acetabular component positioning in primary cementless THA comparing a lateral to a MIS anterolateral approach.   Methods: We evaluated 6 week postoperative radiographs of 52 hips with a minimal invasive anterolateral approach compared to 54 hips with a standard lateral approach. All hips had received the same type of implant for primary cementless unilateral THA and had a healthy hip contralaterally.   Results: Hip offset was equally restored comparing both approaches. No influence of the approach was observed with regard to reconstruction of acetabular offset, femoral offset, vertical placement of the center of rotation, stem alignment and leg length discrepancy. However, with the MIS approach, a significantly higher percentage of cups (38.5 %) was malpositioned compared to the standard approach (16.7 %) (p = 0.022).   Conclusions: The MIS anterolateral approach allows for comparable reconstruction of stem position, offset and center of rotation compared to the lateral approach. However, surgeons must be aware of a higher risk of cup malpositioning for inclination and anteversion using the MIS anterolateral approach.  
publisher: BioMed Central
date: 2015
type: Article
type: info:eu-repo/semantics/article
type: NonPeerReviewed
format: application/pdf
identifier: https://archiv.ub.uni-heidelberg.de/volltextserverhttps://archiv.ub.uni-heidelberg.de/volltextserver/19418/1/12891_2015_Article_623.pdf
identifier: DOI:
identifier: urn:nbn:de:bsz:16-heidok-194183
identifier:   Innmann, Moritz Maximilian ; Streit, Marcus R. ; Kolb, Jeanette ; Heiland, Jochen ; Parsch, Dominik ; Aldinger, Peter R. ; Königshausen, Matthias ; Gotterbarm, Tobias ; Merle, Christian  (2015) Influence of surgical approach on component positioning in primary total hip arthroplasty.  BMC Musculoskeletal Disorders, 16 (180).  pp. 1-7.  ISSN 1471-2474     
relation: https://archiv.ub.uni-heidelberg.de/volltextserver/19418/
rights: info:eu-repo/semantics/openAccess
rights: Please see front page of the work (Sorry, Dublin Core plugin does not recognise license id)
language: eng