J Bone Joint Surg Am. 2017 Oct 18;99(20):e109. doi: 10.2106/JBJS.17.00674.

Total hip arthroplasty (THA) is a well-documented and highly successful surgical procedure. Minimally invasive (MIS) THA was developed to improve early functional outcomes of THA by minimizing soft-tissue damage during surgery. What was known about MIS THA before the current study? First, the MIS approach may lead to very modest early functional advantages that typically last for only a few weeks after surgery1. Second, an increased risk of early postoperative complications has been reported after MIS THA2. Third, the impact of the MIS approach on the long-term outcome and implant survivorship after THA is not known. The aim of this study was to address these unanswered questions.

Eskelinen A.

Total hip arthroplasty (THA) is a well-documented and highly successful surgical procedure. Minimally invasive (MIS) THA was developed to improve early functional outcomes of THA by minimizing soft-tissue damage during surgery. What was known about MIS THA before the current study? First, the MIS approach may lead to very modest early functional advantages that typically last for only a few weeks after surgery1. Second, an increased risk of early postoperative complications has been reported after MIS THA2. Third, the impact of the MIS approach on the long-term outcome and implant survivorship after THA is not known. The aim of this study was to address these unanswered questions.


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