The Journal of Arthroplasty
Volume 24, Issue 7 , Pages 999-1005, October 2009

Primary Total Hip Arthroplasty Using an Anterior Approach and a Fracture Table:

Short-term Results From a Community Hospital

  • Steven T. Woolson, MD

      Affiliations

    • Department of Orthopedic Surgery, Stanford University Medical Center, Stanford, California
    • Corresponding Author InformationReprint requests: Steven T. Woolson, MD, Department of Orthopedic Surgery, Stanford University Medical Center, 300 Pasteur Drive, MC 5331, Stanford, CA 94305.
    • ,
  • Michael A. Pouliot, BA

      Affiliations

    • Stanford University School of Medicine, Stanford, California
    • ,
  • James I. Huddleston, MD

      Affiliations

    • Department of Orthopedic Surgery, Stanford University Medical Center, Stanford, California

Received 22 April 2008; accepted 3 April 2009. published online 03 June 2009.

Abstract 

There are no data regarding the efficacy and safety of minimally invasive hip arthroplasty technique performed by community practice orthopedists. The early clinical and radiographic results of primary total hip arthroplasty using a minimally invasive anterior approach to the hip performed on a fracture table were studied. Two hundred thirty-one consecutive patients (247 hips) of 5 community practice surgeons were studied. The average surgical time (164 minutes) and estimated blood loss (858 mL) were more than double, and the major complication rate (9%) was 6 times that reported by an innovator of the procedure. However, no postoperative dislocations occurred. Adequate training is critical to reduce the risk of complications during the learning experience of minimally invasive hip arthroplasty procedures by community practice surgeons.

Keywords: anterior approach, fracture table, orthopedists

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 No benefits or funds were received in support of the study.

PII: S0883-5403(09)00106-5

doi:10.1016/j.arth.2009.04.001

The Journal of Arthroplasty
Volume 24, Issue 7 , Pages 999-1005, October 2009

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