Mini-incision technique for total hip arthroplasty with navigation

This prospective study compares a mini-incision technique and traditional posterior approach for total hip arthroplasty (THA). Thirty-three patients who had undergone a mini-incision THA were matched by diagnosis, gender, average age, and preoperative Harris Hip Score (HHS) to 33 patients who had undergone THA using the traditional posterior approach. The average length of the incision for group 1 was 11.7 cm (range, 7.3-13.0) and for group 2 was 20.2 cm (range, 14.8-26.0). At the 3-month follow-up, patients in the mini-incision group had significant improvement in limp (P<.05) and ability to climb stairs (P<.01) compared with the traditional group. At the 6 month follow-up, the mini-incision group was significantly better in terms of limp (P<.05), distance walked (P<.001), and stairs (P<0.001). There was no significant difference between groups for pain, function, or range of motion at the 1-year follow-up examination.