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Early Discharge and Recovery with Three Minimally Invasive Total Hip Arthroplasty Approaches: A Preliminary Study

  • Symposium: Advanced Techniques for Rehabilitation after Total Hip and Knee Arthroplasty
  • Published:
Clinical Orthopaedics and Related Research®

Abstract

Purported advantages of THA performed with minimally invasive surgical approaches include less muscle damage and faster recovery. The purpose of this preliminary investigation was to determine if differences existed between minimally invasive approaches in hospital discharge and early functional recovery in THA patients with a rapid rehabilitation protocol. Twenty-four consecutive patients were randomized to one of three minimally invasive surgical approaches (two-incision, mini-posterior, and mini-anterolateral) and enrolled in an aggressive postoperative rehabilitation program. Hospital discharge, early functional milestone recovery, and validated outcome measures (SF-36, WOMAC, Harris hip score, lower extremity activity scale) were collected. All patients met hospital discharge criteria no later than the first postoperative day. There was no difference in hospital discharge, functional milestone recovery, or validated outcome measures during the first year after surgery with the numbers available. There were no complications directly related to early hospital discharge or the aggressive rehabilitation protocol. While the data suggest earlier hospital discharge and rapid rehabilitation protocols may be implemented successfully we found no difference between the three minimally invasive approaches in early hospital discharge or early functional recovery utilizing a rapid rehabilitation protocol.

Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Acknowledgments

We sincerely thank our patients who were willing to enroll in this prospective, randomized trial and have remained thorough in their followup. We could not have completed this study without their commitment and dedication in the pursuit of clinical knowledge through the scientific process. We also thank the physicians and staff at St Vincent Hospital in Indianapolis, IN, for their support and cooperation in this study.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, New England Musculoskeletal Institute, University of Connecticut Health Center, Medical Arts and Research Building, 4th Floor, #4016, 263 Farmington Avenue, Farmington, CT, 06034-4037, USA

    R. Michael Meneghini MD & Shelly A. Smits RN

Authors
  1. R. Michael Meneghini MD
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  2. Shelly A. Smits RN
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Corresponding author

Correspondence to R. Michael Meneghini MD.

Additional information

One or more of the authors (RMM) has received funding from an Orthopaedic Research and Education Foundation (OREF) career development grant. One author (RMM) is a paid consultant for and received research support from Stryker Orthopaedics, Mahway, NJ.

Each author certifies that his or her institution has approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

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Meneghini, R.M., Smits, S.A. Early Discharge and Recovery with Three Minimally Invasive Total Hip Arthroplasty Approaches: A Preliminary Study. Clin Orthop Relat Res 467, 1431–1437 (2009). https://doi.org/10.1007/s11999-009-0729-6

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  • DOI: https://doi.org/10.1007/s11999-009-0729-6

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