Minimally invasive posterior approach. Technical evaluation and results

Abstract:

Posterior approach of the hip is frequently used in English-speaking countries. Although it provides an excellent exposure of the joint, this technique is often criticized for its high related rate of prosthetic dislocation. The technical optimisation designated by “minimally invasive access” preserves its advantages without compromising the clinical and radiological results. The prospective clinical series presented in this article gives evidence to the benefits of posterior minimally invasive access, with a significant improvement of the outcomes in terms of pain and functional recovery and a reliable and reproducible prosthetic implantation. Continuous visual control of each gesture reduces the rate of peroperative complications, incompatible with routine use, and minimal tissular aggression allows to obtain the results expected from a minimally invasive technique.