MODIFIED MINIMALLY INVASIVE DIRECT ANTERIOR APPROACH THROUGH A BIKINI INCISION FOR TOTAL HIP ARTHROPLASTY: TECHNIQUE AND RESULTS IN YOUNG FEMALE PATIENTS

C. FALDINI; A. MAZZOTTI; F. PERNA; N. STEFANINI; A. PANCIERA; F. PILLA; A. RUFFILLI; E.M. NEONAKIS; F. TRAINA

doi:10.54517/jbrha6546

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MODIFIED MINIMALLY INVASIVE DIRECT ANTERIOR APPROACH THROUGH A BIKINI INCISION FOR TOTAL HIP ARTHROPLASTY: TECHNIQUE AND RESULTS IN YOUNG FEMALE PATIENTS

C. FALDINI, A. MAZZOTTI, F. PERNA, N. STEFANINI, A. PANCIERA, F. PILLA, A. RUFFILLI, E.M. NEONAKIS, F. TRAINA

Article ID: 6546
Vol 31, Issue 4S1, 2017

DOI: https://doi.org/10.54517/jbrha6546

Received: 8 January 2018; Accepted: 8 January 2018; Available online: 8 January 2018; Issue release: 8 January 2018

Abstract

Direct anterior approach for THA has gained popularity over the last years. However, concerns havebeen raised regarding the cosmetic, related to the incision that does not respect the Langer’s skin tensionline and may produce hypertrophic scars. The aim of this study was to analyze the preliminary results in22 young female patients undergoing THA through a minimally invasive direct anterior approach usinga modified oblique bikini incision. Clinical evaluations showed an improvement of WOMAC, UCLA andHarris Hip Score at 5-month follow-up. The technique ensured proper implant positioning and showedadvantages in terms of complications, transfusion rates, hospital length of stay and functional recovery.From the aesthetic point of view, the expected cosmetic results were obtained. Minimally invasive directanterior approach using a modified oblique bikini incision represent a viable option for THA, combiningboth the advantages of a minimal invasive procedure with a better aesthetic appearance.

Keywords

Total hip arthroplasty;anterior approach;minimally invasive surgery;bikini incision;young female patients

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Medical Genetics, University of Torino Medical School, Italy

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Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy

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