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.
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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

The first 150 words of the full text of this article appear below.


    Introduction
 
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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D. E. Padgett, D. G. Lewallen, B. L. Penenberg, A. D. Hanssen, K. L. Garvin, O. M. Mahoney, and T. L. Kinsey
Surgical Technique for Revision Total Hip Replacement
J. Bone Joint Surg. Am., August 1, 2009; 91(Supplement_5): 23 - 28.
[Abstract] [Full Text] [PDF]