The Journal of Bone and Joint Surgery (American). 2008;90:209-220.
doi:10.2106/JBJS.H.00673
© 2008 The Journal of Bone and Joint Surgery, Inc.
Percutaneously Assisted Total Hip Arthroplasty (PATH): A Preliminary Report
Brad L. Penenberg, MD1,
W. Seth Bolling, MD1 and
Michelle Riley, PAC1
1 Arthritis and Joint Replacement Institute of Southern California, 120 South
Spalding Drive, Suite 400, Beverly Hills, CA 90210. E-mail address for B.L.
Penenberg:
BPenenberg@aol.com.
E-mail address for W.S. Bolling:
orthomd55@yahoo.com
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Introduction
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During the last decade, a number of so-called minimally invasive techniques
have been proposed for total hip arthroplasty. The initial reports suggested
the possibility of better early functionality, less blood loss (and hence
decreased transfusion rates), and a shorter hospital
stay1. Subsequent
reports have shown no appreciable difference in these parameters when
comparing traditional and so-called minimally invasive
techniques2-5.
Early techniques, however, were associated with a relatively high complication
rate. These complications most commonly included component malposition,
increased blood loss, nerve injury, and
fracture6-9.
The purpose of this study was to present a new soft-tissue-sparing approach
to total hip arthroplasty. The technique and associated innovations in
instrumentation will be described. We will report the results of our first 250
hips with a minimum two-year follow-up. The goal in developing this new
technique was twofold: first, to preserve the soft tissues, enabling earlier
return to function; and second, . . . [Full Text of this Article]

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