Abstract
Background:Total Hip Arthroplasty (THA) is the final treatment of end-stage hip osteoarthritis. Nowadays, THA has become very common, cost- effective and one of the most successful orthopaedic procedures. Recently, surgeons have shifted their interest to approaches according to Minimally Invasive Surgery (MIS). These approaches are either modifications of conventional approaches or they are designed from the beginning as MIS approaches. Muscle damage and soft tissue damage are issues that concern researchers who perform studies on THA.Objective:The aim of this study is to review the literature concerning studies by comparing different approaches using serum and inflammatory markers for muscle and soft tissue damage.Methods:We searched the PubMed database in the English language systematically for clinical studies or reviews, comparing muscle damage according to serum markers between two or more approaches in primary total arthroplasty.Results:In total, twenty-one studies were included in this review. Although the results are controversial, it seems that MIS approaches in most of the studies were related to lower levels of inflammation markers contrasting with conventional approaches. Nevertheless, this difference in muscle damage is not correlated with a difference in functional scores or other perioperative data and clinical outcomes in all studies.Conclusion:The existing literature does not lead to a safe consensus about the superiority of any approach. Therefore, there is still a need for further research with well-designed studies.
Highlights
Total Hip Arthroplasty (THA) is the final treatment of the end-stage hip osteoarthritis [1]
The results are controversial, it seems that Minimally Invasive Surgery (MIS) approaches in most of the studies were related to lower levels of inflammation markers contrasting with conventional approaches
The results indicated the superiority of minimally invasive direct anterior (MIS-DA), because lower levels of all inflammatory markers were estimated compared with minimally invasive posterior (MIS-PO)
Summary
Total Hip Arthroplasty (THA) is the final treatment of the end-stage hip osteoarthritis [1]. In the last two decades, surgeons have shifted their interest in approaches to Minimally Invasive Surgery (MIS). These approaches are either modifications of conventional approaches or they are designed from the beginning as MIS approaches [12 - 14]. Procedures with MIS approaches have the objective of minimizing soft tissue damage, reducing postoperative pain and blood loss and improving functional outcome [15]. Surgeons have shifted their interest to approaches according to Minimally Invasive Surgery (MIS). These approaches are either modifications of conventional approaches or they are designed from the beginning as MIS approaches. Muscle damage and soft tissue damage are issues that concern researchers who perform studies on THA
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