Blood loss in the minimally invasive posterior approach to total hip arthroplasty: a comparative study
Autor(a) principal: | |
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Data de Publicação: | 2008 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/17805 |
Resumo: | AIMS: Our primary aimwas to evaluate whether there is really less bleeding in patients for whom the minimally invasive posterior approach is used in comparison with the direct lateral approachfor primary total hip arthroplasty. Our secondary aim was to evaluate the clinical functional results after six months as well as the postoperative radiographic result. METHODS: In a comparative non-random prospective study, 76 adult patients underwent elective total hip arthroplasty using one of two approaches. The minimally invasive posterior approach (34 cases; mini-incision group) was compared with the standard direct lateral approach (42 cases; control group). RESULTS: Lower total estimated bleeding (means of 1083.5 ml versus 1682.3 ml; p < 0.001) and lower intraoperative bleeding (means of 745.6 ml versus 1282.8 ml; p < 0.001) were found in the mini-incision group. There was, however, no difference in the volume of blood drained after the operation (means of 340 ml and 399 ml; p = 0.77). There was also a difference between the two groups regarding the need for allogenic transfusion (8.8% in the mini-incision group versus 28.6%, p = 0.02). We observed a better clinical result in the mini-incision group (p = 0.002) despite the lack of difference between the two groups in relation to the radiographic result. DISCUSSION: Our results draw attention to the possibility that other authors may have underestimated blood losses when using minimally invasive approaches. CONCLUSION: The minimally invasive approach gave rise to a positive final impression with regard to lower blood loss. |
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Clinics |
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Blood loss in the minimally invasive posterior approach to total hip arthroplasty: a comparative study HipArthroplastyMinimallyInvasiveBlood AIMS: Our primary aimwas to evaluate whether there is really less bleeding in patients for whom the minimally invasive posterior approach is used in comparison with the direct lateral approachfor primary total hip arthroplasty. Our secondary aim was to evaluate the clinical functional results after six months as well as the postoperative radiographic result. METHODS: In a comparative non-random prospective study, 76 adult patients underwent elective total hip arthroplasty using one of two approaches. The minimally invasive posterior approach (34 cases; mini-incision group) was compared with the standard direct lateral approach (42 cases; control group). RESULTS: Lower total estimated bleeding (means of 1083.5 ml versus 1682.3 ml; p < 0.001) and lower intraoperative bleeding (means of 745.6 ml versus 1282.8 ml; p < 0.001) were found in the mini-incision group. There was, however, no difference in the volume of blood drained after the operation (means of 340 ml and 399 ml; p = 0.77). There was also a difference between the two groups regarding the need for allogenic transfusion (8.8% in the mini-incision group versus 28.6%, p = 0.02). We observed a better clinical result in the mini-incision group (p = 0.002) despite the lack of difference between the two groups in relation to the radiographic result. DISCUSSION: Our results draw attention to the possibility that other authors may have underestimated blood losses when using minimally invasive approaches. CONCLUSION: The minimally invasive approach gave rise to a positive final impression with regard to lower blood loss. Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2008-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/1780510.1590/S1807-59322008000300011Clinics; Vol. 63 No. 3 (2008); 351-356 Clinics; v. 63 n. 3 (2008); 351-356 Clinics; Vol. 63 Núm. 3 (2008); 351-356 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/17805/19870Vicente, Jose Ricardo NegreirosCroci, Alberto TesconiCamargo, Olavo Pires deinfo:eu-repo/semantics/openAccess2012-05-22T18:34:47Zoai:revistas.usp.br:article/17805Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-05-22T18:34:47Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Blood loss in the minimally invasive posterior approach to total hip arthroplasty: a comparative study |
title |
Blood loss in the minimally invasive posterior approach to total hip arthroplasty: a comparative study |
spellingShingle |
Blood loss in the minimally invasive posterior approach to total hip arthroplasty: a comparative study Vicente, Jose Ricardo Negreiros Hip Arthroplasty Minimally Invasive Blood |
title_short |
Blood loss in the minimally invasive posterior approach to total hip arthroplasty: a comparative study |
title_full |
Blood loss in the minimally invasive posterior approach to total hip arthroplasty: a comparative study |
title_fullStr |
Blood loss in the minimally invasive posterior approach to total hip arthroplasty: a comparative study |
title_full_unstemmed |
Blood loss in the minimally invasive posterior approach to total hip arthroplasty: a comparative study |
title_sort |
Blood loss in the minimally invasive posterior approach to total hip arthroplasty: a comparative study |
author |
Vicente, Jose Ricardo Negreiros |
author_facet |
Vicente, Jose Ricardo Negreiros Croci, Alberto Tesconi Camargo, Olavo Pires de |
author_role |
author |
author2 |
Croci, Alberto Tesconi Camargo, Olavo Pires de |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Vicente, Jose Ricardo Negreiros Croci, Alberto Tesconi Camargo, Olavo Pires de |
dc.subject.por.fl_str_mv |
Hip Arthroplasty Minimally Invasive Blood |
topic |
Hip Arthroplasty Minimally Invasive Blood |
description |
AIMS: Our primary aimwas to evaluate whether there is really less bleeding in patients for whom the minimally invasive posterior approach is used in comparison with the direct lateral approachfor primary total hip arthroplasty. Our secondary aim was to evaluate the clinical functional results after six months as well as the postoperative radiographic result. METHODS: In a comparative non-random prospective study, 76 adult patients underwent elective total hip arthroplasty using one of two approaches. The minimally invasive posterior approach (34 cases; mini-incision group) was compared with the standard direct lateral approach (42 cases; control group). RESULTS: Lower total estimated bleeding (means of 1083.5 ml versus 1682.3 ml; p < 0.001) and lower intraoperative bleeding (means of 745.6 ml versus 1282.8 ml; p < 0.001) were found in the mini-incision group. There was, however, no difference in the volume of blood drained after the operation (means of 340 ml and 399 ml; p = 0.77). There was also a difference between the two groups regarding the need for allogenic transfusion (8.8% in the mini-incision group versus 28.6%, p = 0.02). We observed a better clinical result in the mini-incision group (p = 0.002) despite the lack of difference between the two groups in relation to the radiographic result. DISCUSSION: Our results draw attention to the possibility that other authors may have underestimated blood losses when using minimally invasive approaches. CONCLUSION: The minimally invasive approach gave rise to a positive final impression with regard to lower blood loss. |
publishDate |
2008 |
dc.date.none.fl_str_mv |
2008-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/17805 10.1590/S1807-59322008000300011 |
url |
https://www.revistas.usp.br/clinics/article/view/17805 |
identifier_str_mv |
10.1590/S1807-59322008000300011 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/17805/19870 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 63 No. 3 (2008); 351-356 Clinics; v. 63 n. 3 (2008); 351-356 Clinics; Vol. 63 Núm. 3 (2008); 351-356 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222753900462080 |