Compared with st and ard total hip replacement , mini-incision procedures may have small perioperative advantages in terms of less blood loss , shorter operative time , and shorter inpatient stay , but the differences were not clinical ly important .
Few complications were reported , and the complication rate did not differ significantly between groups .
There was insufficient evidence to suggest any major difference in the short-term revision rate , and confidence intervals for surrogate measures for long-term outcome were broad enough to include clinical ly important differences in favor of either approach .
Although there were marginal short-term advantages and disadvantages for each of the surgical techniques , there was no strong evidence either for or against mini-incision compared with st and ard-incision total hip replacement .
Importantly , evidence on longer-term performance , especially the risk of revision arthroplasty , for mini-incision hip arthroplasty is very limited
BACKGROUND Mini-incision total hip replacement continues the current trend in orthopaedics and other specialties toward smaller-incision surgery .
The purpose of this systematic review was to assess the effectiveness and safety of single mini-incision compared with st and ard-incision total hip replacement for treatment of arthritis of the hip .
Minimally invasive hip arthroplasty: what role does patient preconditioning play?
BACKGROUND The benefits of minimally invasive total hip arthroplasty continue to be debated . The objective of this study was to investigate the role of patient education , accelerated rehabilitation , and improved pain control on the outcome of  total hip arthroplasty  performed through a small incision . METHODS One hundred patients undergoing total hip arthroplasty at our institution were r and omized into one of four groups on the basis of the size of the incision , preoperative counseling , the type of preoperative and postoperative rehabilitation , and the analgesia protocol . The operative parameters , complications , time to discharge to home , functional improvement , and patient satisfaction were assessed . RESULTS The demographic distribution among the four groups was similar . The extent of functional improvement at the time of discharge to home , patient satisfaction , and walking ability at the time of discharge were better in patients who had received an accelerated preoperative and postoperative rehabilitation regimen regardless of the size of the incision . There was no difference in estimated blood loss , mean operative time , transfusion needs , or complications among the groups . CONCLUSIONS This study highlights the importance of factors such as family education , patient preconditioning , preemptive analgesia , and accelerated preoperative and postoperative rehabilitation in influencing the outcome of total hip arthroplasty . The aforementioned factors , and not the surgical technique per se , may play a major role in imparting the better outcome after minimally invasive total hip arthroplasty that has been reported by various investigators
Compared with st and ard total hip replacement , mini-incision procedures may have small perioperative advantages in terms of less blood loss , shorter operative time , and shorter inpatient stay , but the differences were not clinical ly important .
Few complications were reported , and the complication rate did not differ significantly between groups .
There was insufficient evidence to suggest any major difference in the short-term revision rate , and confidence intervals for surrogate measures for long-term outcome were broad enough to include clinical ly important differences in favor of either approach .
Although there were marginal short-term advantages and disadvantages for each of the surgical techniques , there was no strong evidence either for or against mini-incision compared with st and ard-incision total hip replacement .
Importantly , evidence on longer-term performance , especially the risk of revision arthroplasty , for mini-incision hip arthroplasty is very limited
BACKGROUND Mini-incision total hip replacement continues the current trend in orthopaedics and other specialties toward smaller-incision surgery .
The purpose of this systematic review was to assess the effectiveness and safety of single mini-incision compared with st and ard-incision total hip replacement for treatment of arthritis of the hip .