Osteosynthesis and Trauma Care 2006; 14(4): 239-241
DOI: 10.1055/s-2006-955224
Original Article

© Georg Thieme Verlag Stuttgart · New York

Minimally Invasive Approach Using a Bipolar Hip Replacement in Femoral Neck Fractures in Elderly Patients

G. Mineo1 , W. Pascale2 , R. Accetta3 , V. Pascale1
  • 1Orthopaedic Clinic, University of Milan, IRCCS Orthopaedic Institute R. Galeazzi, Milan, Italy
  • 2Knee Surgery and Arthroscopy Unit 5, IRCCS Orthopaedic Institute R. Galeazzi, Milan, Italy
  • 3Trauma Unit, IRCCS Orthopaedic Institute R. Galeazzi, Milan, Italy
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
30. Januar 2007 (online)

Abstract

The aim of this study was to evaluate a minimally invasive approach in hip arthroplasty, used to treat elder patients with a femoral neck fracture, Garden type III. We divided our patients in two groups. We used a minimally invasive approach in group A, while a standard approach was performed in group B. Exclusion criteria were a BMI over 28, previous surgery on the affected limb, and contralateral comorbidities. We evaluated surgery time, total blood loss, postoperative pain, mean hospital stay and return to the activities, prior to the trauma.

References

  • 1 Beck M, Leunig M, Ellis T. et al . Advancement of the vastus lateralis muscle for the treatment of hip abductor discontinuity.  J Arthroplasty. 2004;  19 476-480
  • 2 Berry D J, Berger R A, Callaghan J J. et al . Minimally invasive total hip arthroplasty.  J Bone Joint Surg [Am]. 2003;  85 2235-2246
  • 3 DiGioia 3rd  A M, Blendea S, Jaramaz B. et al . Less invasive total hip arthroplasty using navigational tools.  Instr Course Lect. 2004;  53 157-164
  • 4 Dorr L D. Single-incision minimally invasive total hip arthroplasty.  J Bone Joint Surg [Am]. 2003;  85 2236-2238
  • 5 Goldstein W M, Branson J J. Posterior-lateral approach to minimal incision total hip arthroplasty.  Orthop Clin North Am. 2004;  35 131
  • 6 Hungerford D S. Minimally invasive total hip arthroplasty - In opposition.  J Arthroplasty. 2004;  19 81-82
  • 7 Mancuso C A, Sculco T P, Salvati E A. Patients with poor preoperative functional status have high expectations of total hip arthroplasty.  J Arthroplasty. 2003;  18 872-878
  • 8 Sculco T P. Minimally invasive total hip arthroplasty - In the affirmative.  J Arthroplasty. 2004;  19 78-80
  • 9 Sculco T P, Jordan L C, Walter W L. Minimally invasive total hip arthroplasty: the Hospital for Special Surgery experience.  Orthop Clin North Am. 2004;  35 137
  • 10 Waldman B J. Advancements in minimally invasive total hip arthroplasty.  Orthopedics. 2003;  26 (8 suppl) s833-s836
  • 11 Warwick D. New concepts in orthopaedic thromboprophylaxis.  J Bone Joint Surg [Br]. 2004;  86 788-792

Prof. Giuseppe Mineo

IRCCS Orthopaedic Institute R. Galeazzi

Via R. Galeazzi, 4

20161 Milan

Italy

Telefon: +39/0 25/0 31 99 63

eMail: giuseppe.mineo@unimi.it