These studies did not show a satisfactory overall survival rate
Background and purpose The aim of short-stem total hip arthroplasty is to preserve proximal bone stock for future revisions , to improve biomechanical reconstruction , and to make minimally invasive approaches easier .
It is therefore being increasingly considered to be a sound alternative to conventional total hip arthroplasty , especially for young and active patients .
However , it is still unknown whether survival rates of short-stem  hips match current st and ards .
We made a systematic summary of reported overall survival after short-stem total hip arthroplasty .
[Advantages of minimal invasive total hip replacement in the early phase of rehabilitation].
UNLABELLED In arthroplasty the term " minimal invasive " not only refers to the length of the skin incision but more so to its soft tissue and thereby muscle-protecting features . STUDY AIM The aim of this study is to compare the early postoperative mobilisation and rehabilitation of the different surgical approaches in cementless total hip arthroplasty . METHODS 27 patients underwent a total hip replacement ( Trilogy cup , MAYO stem ) via a ventral minimal invasive approach ( one incision technique ) ( MIS group ) . 23 patients underwent a total hip replacement with the same implant via a anterolateral transgluteal approach ( st and ard group ) . We evaluated the Harris Hip Score ( HHS ) , the visual analogue scale ( VAS ) for pain and patient satisfaction preoperatively as well as 3 days , 10 days , 6 weeks and 3 months postoperatively . RESULTS After 3 and 10 days the MIS group showed better scores for pain , gait and mobilisation as well as for the overall HHS compared to the st and ard group . These differences could not be shown 6 weeks postoperatively . The MIS group had a significantly higher rate of complications with 22 % transient impairment of the lateral cutaneous nerve . CONCLUSION The patients of the MIS group showed a better mobilisation and rehabilitation during the early postoperative period . This can be attributed to the lessened intraoperative damage of to soft tissue and especially muscle damage . Due to the increased rate of nerve irritations , we modified our surgical approach . The minimal invasive approach to modern hip joint arthroplasty remains a non-st and ard technique . Compared to the st and ard approach it carries additional risks ( like nerve damage and malpositioning of the implants and thus should remain in the h and s of the experienced orthopaedic surgeon in specialised orthopaedic centres
These studies did not show a satisfactory overall survival rate
Background and purpose The aim of short-stem total hip arthroplasty is to preserve proximal bone stock for future revisions , to improve biomechanical reconstruction , and to make minimally invasive approaches easier .
It is therefore being increasingly considered to be a sound alternative to conventional total hip arthroplasty , especially for young and active patients .
However , it is still unknown whether survival rates of short-stem  hips match current st and ards .
We made a systematic summary of reported overall survival after short-stem total hip arthroplasty .