Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Minimally Invasive Surgery - Hip
Abstract number: 26152
TOTAL HIP ARTHROPLASTY USING TWO-INCISION TECHNIQUE
Young-Yool CHUNG, Sung-Chan KI
Kwangju Christian Hospital, Gwangju (KOREA)
Purpose: To evaluate the effectiveness of the minimal invasive surgery (MIS) total hip
Arthroplasty (THA) using the two-incision technique as described by mears compared
to posterolateral one-incision MIS-THA. Materials and methods: January 2003 to
December 2006, sixty patients underwent total hip arthroplasty using two-incision
and one-incision MIS by one surgeon. Group I 34 patients were used one-incision
technique and Group II 26 patients were used two-incision thechnique. There was no
difference in age, gender and cuauses of THA between two groups. The mean
follow-up duration was longer in one-incision group than two-incision group. We
evaluated operation time, bleeding amount, incision length, ambulation, hospital stay
and complications between two groups. Results: There was no difference in bleeding
amount between two groups. Operation time was longer in two-incision group than
one-incision group. Operation time of the two-incision technique could be reduced
after 15 cases. Patients started ambulation early after operation and hospital stay
was shorter in two-incision group than one-incision group. There was no difference in
clinical results between two groups. There was no difference in components position
of the acetabular cup and femoral stem between two groups. Intraoperative
periprosthetic fracture occurred in 4 cases (15%) in two-incision technique. There
was no dislocation in two groups. Conclusion: Two-incision THA has the advantage
of rapid recovery and shorter hospital stay. However, longer operation time and high
complication rate compared to one-incision are problems to solve in this technique.
We don’t use two-incision technique anymore in our hospital.
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