The Journal of Bone and Joint Surgery (American). 2009;91:107-120.
doi:10.2106/JBJS.I.00525
© 2009 The Journal of Bone and Joint Surgery, Inc.
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Enhanced Early Outcomes with the Anterior Supine Intermuscular Approach in Primary Total Hip Arthroplasty

Keith R. Berend, MD1, Adolph V. Lombardi, Jr., MD1, Brian E. Seng, DO1 and Joanne B. Adams, BFA1

1 Joint Implant Surgeons, Inc., 7277 Smith's Mill Road, Suite 200, New Albany, OH 43054. E-mail address for K.R. Berend: BerendKR@joint-surgeons.com

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


   Introduction
 
The advantages of minimally invasive surgical approaches for total hip arthroplasty are reported to include reduced blood loss, less pain, and shorter hospital stays, which combine to afford a faster recovery1-4. However, other studies have failed to show any significant advantage over the use of standard surgical approaches (Fig. 1)5-8. Reported disadvantages of minimally invasive techniques are the substantial learning curve required and an increased risk of early complications3,9-12. In addition, the long-term outcomes of minimally invasive procedures in terms of implant fixation and longevity remain unproven.


Figure Removed (Available Only in the Full Text)
 Fig. 1 The standard direct lateral approach to the hip previously described by Frndak et al.21 is performed with the patient in the lateral decubitus position. (Printed with permission of Joint Implant Surgeons, Inc.)

 
There are three basic categories of so-called minimally invasive total hip arthroplasty approaches: an abbreviated incision (small incision), modifications of standard approaches with smaller incisions and . . . [Full Text of this Article]


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