Miniincisión en prótesis de cadera¿hay evidencia de que mejore los resultados respecto a la incisión estándar?
- Sáez de Ugarte-Sobrón, Oskar
- Moreta-Suárez, Jesús Manuel
- García Sánchez, Isidoro
- Jáuregui-Cortina, Iñaki
- Gorostiola-Vidaurrázaga, Lide
- Martínez de los Mozos, Jose Luis
ISSN: 0304-4858, 2173-2302
Année de publication: 2012
Volumen: 109
Número: 2
Pages: 74-78
Type: Article
D'autres publications dans: Gaceta médica de Bilbao: Revista oficial de la Academia de Ciencias Médicas de Bilbao. Información para profesionales sanitarios
Résumé
ObjectiveTo assess whether there is scientific evidence that minimally invasive total hip arthroplasty provides better results than the standard approach.Material and methodsA review of the literature was performed. Well-designed, prospective studies with a high level of evidence that compared the 2 techniques in terms of aggressiveness, correct component placement, bleeding, early outcomes, midterm results and complications rates were chosen.ResultsSeventy-four articles explicitly analyzed minimally-invasive hip arthroplasty but only 10 were comparative studies providing a high level of evidence.DiscussionThere are few well-designed studies that compare the results of minimally invasive total hip arthroplasty with those of standard techniques. Most of these articles found no significant differences in any of the factors evaluated to indicate the superiority of one or other technique.