Study of the Anterolateral Mini-invasive Approach Versus Standard Posterior Approach for Primary Total Hip Replacement Early Results
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Abstract
Back ground: The interest in minimally invasive approach for total hip replacement (THR) ; we carried out a comparative study of the anterolateral mini-invasive in comparison with standard posterior approach. The early clinical results are excellent and rapid ambulation
Objective: To compare clinical result between anterolateral minimal invasive and standard posterior approach
Research design: Retrospective observational study
Setting: Department of Orthopaedic, Surin Hospital
Material and Method: Between January 2006-January 2008 in Surin Hospital. A prospective of THR 10 patients by ALMI approach was compared retrospectively with THR 15 patients underwent standard posterior approach. Inclusion criteria was primary THR with a principle diagnosis of osteoarthritis or avascular necrosis biological, radiological and clinical data were collected and analyzed by Mann-Whitney UTest.
Result: There was significantly difference in duration of operation time, length the wound, and length of hospitalization (days) in the ALMI groups compared with the standard posterior group (p<0.05), There was no statistical difference in age, Hct preoperative and postoperative, blood loss, modified harris hip score and abduction angle of acetabulum
Discussion: Minimally invasive approach of total hip replacement by anterolateral mini¬mal invasive approach had good clinical result
Key words: Anterolateral minimal invasive approach, Standard posterior approach modified harris hip score
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References
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