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Research Article| Volume 27, ISSUE 8, P1569-1574.e1, September 2012

Two-Incision Minimally Invasive vs Standard Total Hip Arthroplasty: Comparison of Component Position and Hospital Costs

      Abstract

      Forty-nine patients undergoing 2-incision total hip arthroplasty were matched by age, gender, body mass index, and comorbidity to patients undergoing a standard lateral Hardinge approach. Hospital costs and charges were compared along with length of stay, component position, and complication rates. Component position and complication rates were identical for the 2 groups. However, hospital costs and charges were significantly lower for the 2-incision group, as was length of stay.

      Keywords

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      References

        • McCarron J.
        • Baumbusch C.
        • Michelson J.D.
        • et al.
        Economic evaluation of perioperative admissions for direct lateral versus 2-incision minimally invasive total hip arthroplasty.
        Seminars in Arthroplasty. 2009; 19: 180
        • Rosenberg A.G.
        The ugly underbelly of the MIS movement: in opposition.
        J Arthroplasty. 2007; 22: 102
        • Cuckler J.M.
        The ugly underbelly of the MIS movement: in the affirmative.
        J Arthroplasty. 2007; 22: 99
        • Dorr L.D.
        • Maheshwari A.V.
        • Long W.T.
        • et al.
        Early pain relief and function after posterior minimally invasive and conventional total hip arthroplasty. A prospective, randomized, blinded study.
        J Bone Joint Surg Am. 2007; 89: 1153
        • Chimento G.F.
        • Pavone V.
        • Sharrock N.
        • et al.
        Minimally invasive total hip arthroplasty: a prospective randomized study.
        J Arthroplasty. 2005; 20: 139
        • Pagnano M.W.
        • Trousdale R.T.
        • Meneghini R.M.
        • et al.
        Slower recovery after two-incision than mini-posterior-incision total hip arthroplasty. A randomized clinical trial.
        J Bone Joint Surg Am. 2008; 90: 1000
        • Pagano M.W.
        • Leone J.
        • Lewallen D.G.
        • et al.
        Two-incision THA had modest outcomes and some substantial complications.
        Clin Orthop Rel Res. 2005; 441: 86
        • Bal B.S.
        • Haltom D.
        • Aleto T.
        • et al.
        Early complications of primary total hip replacement performed with a two-incision minimally invasive technique.
        J Bone Joint Surg Am. 2005; 87: 2432
        • Woolson S.T.
        • Mow C.S.
        • Syquia J.F.
        • et al.
        Comparison of primary total hip replacements performed with a standard incision or a mini-incision.
        J Bone Joint Surg Am. 2004; 86: 1353
        • Wall S.J.
        • Mears S.C.
        Analysis of published evidence on minimally invasive total hip arthroplasty.
        J Arthroplasty. 2008; 23: 55
        • Kim Y.H.
        Comparison of primary total hip arthroplasties performed with a minimally invasive technique or a standard technique: a prospective and randomized study.
        J Arthroplasty. 2006; 21: 1092
        • Duwelius P.J.
        • Brenner J.S.
        • Reyner D.P.
        • et al.
        Cost effectiveness of minimally invasive total hip arthroplasty.
        Sem Arthroplasty. 2008; 19: 186
        • Berry D.J.
        “Minimally invasive” total hip arthroplasty.
        J Bone Joint Surg Am. 2005; 87: 699
        • Bozic K.J.
        • Beringer D.
        Economic considerations in minimally invasive total joint arthroplasty.
        Clin Orthop Relat Res. 2007; 463: 20
        • Bozic K.J.
        • Rubash H.E.
        • Sculco T.P.
        • et al.
        An analysis of Medicare payment policy for total joint arthroplasty.
        J Arthroplasty. 2008; 23: 133
      1. de Verteuil R, Imamura M, Zhu S, et al. A systematic review of the clinical effectiveness and cost-effectiveness and economic modelling of minimal incision total hip replacement approaches in the management of arthritic disease of the hip. Health Technol Assess. 2008 Jun;12(26):iii-iv, ix-223.

        • Duwelius P.J.
        • Moller H.S.
        • Burkhart R.L.
        • et al.
        The economic impact of Minimally invasive total hip arthroplasty.
        J Arthroplasty. 2010; ([Epub ahead of print])
        • Berger R.A.
        • Jacobs J.J.
        • Meneghini R.M.
        • et al.
        Rapid rehabilitation and recovery with minimally invasive total hip arthroplasty.
        Clin Orthop Relat Res. 2004; 429: 239
        • Berger R.A.
        Total hip arthroplasty using the minimally invasive two-incision approach.
        Clin Orthop Relat Res. 2003; 417: 232
        • Hardinge K.
        The direct lateral approach to the hip.
        J Bone Joint Surg Br. 1982; 64: 17
        • Mulliken B.D.
        • Rorabeck C.H.
        • Bourne R.B.
        • et al.
        A modified direct lateral approach in total hip arthroplasty: a comprehensive review.
        J Arthroplasty. 1998; 13: 737
        • Biedermann R.
        • Krismer M Stöckl B.
        • Mayrhofer P.
        • et al.
        Accuracy of EBRA-FCA in the measurement of migration of femoral components of total hip replacement.
        J Bone Joint Surg Br. 1999; 81: 266
        • Engh C.A.
        • Massin P.
        • Suthers K.F.
        Roentgenographic assessment of the biologic fixation of porous-surfaced femoral components.
        Clin Orthop Rel Res. 1990; 257: 107
        • McLaren R.H.
        Prosthetic hip angulation.
        Radiology. 1973; 107: 705
        • Widmer K.N.
        A simplified method to determine acetabular cup anteversion form plain radiographs.
        J Arthroplasty. 2004; 19: 387
        • Rosner B.
        Fundamentals of biostatistics.
        7th ed. Brooks/Cole Publishing Company, St Paul, MN2011
        • Lewinnek G.E.
        • Lewis J.L.
        • Tarr R.
        • et al.
        Dislocations after total hip-replacement arthroplasties.
        J Bone Joint Surg Am. 1978; 60: 217
        • Wang M.Y.
        • Cummock M.D.
        • Yu Y.
        • et al.
        An analysis of the differences in the acute hospitalization charges following minimally invasive versus open posterior lumbar interbody fusion.
        J Neurosurg Spine. 2010; 12: 694
        • Vanounou T.
        • Steel J.L.
        • Nguyen K.T.
        • et al.
        Comparing the clinical and economic impact of laparoscopic versus open liver resection.
        Ann Surg Oncol. 2010; 17: 998
        • Warren L.
        • Ladapo J.A.
        • Borah B.J.
        • et al.
        Open abdominal versus laparoscopic and vaginal hysterectomy: analysis of a large United States payer measuring quality and cost of care.
        Minim Invasive Gynecol. 2009; 16: 581
        • Mouraviev V.
        • Nosnik I.
        • Sun L.
        • et al.
        Financial comparative analysis of minimally invasive surgery to open surgery for localized prostate cancer: a single-institution experience.
        Urology. 2007; 69: 311
        • Williams S.L.
        • Bachison C.
        • Michelson J.D.
        • et al.
        Component position in 2-incision minimally invasive total hip arthroplasty compared to standard total hip arthroplasty.
        J Arthroplasty. 2008; 23: 197
        • Archibeck M.J.
        • White Jr, R.E.
        Learning curve for the two-incision total hip replacement.
        Clin Orthop Relat Res. 2004; : 232
        • Nunley R.M.
        • Zhu J.
        • Brooks P.J.
        • et al.
        The learning curve for adopting hip resurfacing among hip specialists.
        Clin Orthop Relat Res. 2010; 468: 382