Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Editorial
. 2021 Sep;16(3):394-399.
doi: 10.26574/maedica.2021.16.3.394.

Anterolateral Minimally Invasive Total Hip Arthroplasty: Pitfalls During the Learning Curve and Clinical Outcomes

Christos Koutserimpas  1 , Konstantinos Raptis  1 , Despina Tsakalou  1 , Ilias Karaiskos  1 , Konstantinos Kourelis  1
Affiliations
Editorial

Anterolateral Minimally Invasive Total Hip Arthroplasty: Pitfalls During the Learning Curve and Clinical Outcomes

Christos Koutserimpas et al. Maedica (Bucur). 2021 Sep.

Abstract

Introduction:To report outcomes and complications from a modified anterolateral minimal invasive surgery (ALMIS) approach for total hip arthroplasty (THA). Patients and methods: All patients undergoing THA through ALMIS approach during a seven-year period were retrospectively evaluated. Results:One hundred fifty-four patients with a mean follow-up of 4.6 years were studied. The mean Harris hip score was found to be 91.1. A number of complications were recorded, including two cases (1.3%) of greater avulsion trochanter, one case (0.6%) of femur fractures, 12 (7.8%) cases of Trendelenburg sign and 12 cases of heterotopic ossification. Conclusions: This approach offers good visualization during acetabulum and femur preparation and excellent clinical results during mid-term follow-up.

PubMed Disclaimer

Figures

TABLE 1.
TABLE 1.
Characteristics of patients by age categories
TABLE 2.
TABLE 2.
Characteristics of patients by gender
See this image and copyright information in PMC

References

    1. Petis S, Howard JL, Lanting BL, Vasarhelyi EM. Surgical approach in primary total hip arthroplasty: anatomy, technique and clinical outcomes. Can J Surg. 2015;58:128–139. - PMC - PubMed
    1. Migliorini F, Biagini M, Rath B, et al. Total hip arthroplasty: minimally invasive surgery or not? Meta-analysis of clinical trials. Int Orthop. 2019;43:1573–1582. - PubMed
    1. Christodoulou N. ALMIS Anterolateral Hip Approach Using a Different Table and Legs Position during Femoral Exposure; New Surgical Technique. MOJ Orthop Rheumatol. 2017;7:00282.
    1. Bertin KC, Röttinger H. Antero-lateral mini-incision hipreplacement surgery. A modified Watson-Jones approach. Clin Orthop Rel Res. 2004;429:248–255. - PubMed
    1. Hansen BJ, Hallows RK, Kelley SS. The Rottinger approach for total hip arthroplasty: technique and review of the literature. Curr Rev Musculoskelet Med. 2011;4:132–138. - PMC - PubMed

Publication types

LinkOut - more resources