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Minerva Ortopedica e Traumatologica 2017 September;68(3):131-8

DOI: 10.23736/S0394-3410.17.03832-2

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Anterior minimally invasive surgery for hip replacement in obese patients

Alberto RICCIARDI, Alessandro GERACI

San Giacomo Apostolo Hospital, Castelfranco Veneto, Treviso, Italy


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BACKGROUND: Obesity is a severe clinical condition considered by many surgeons as a contraindication to the prosthetic hip. Many believe that the overweight and abundant fatty limit the surgeon during surgical maneuvers.
METHODS: In our study, we evaluate the clinical results of 11 obese patients operated with anterior minimal invasive surgery (AMIS) on an orthopedic extension table methodical and controlled with a follow-up of 1 year. The VAS, WOMAC and HHS have been assessed for 1 month, 3 months and one year after surgery.
RESULTS: The results of the WOMAC, HHS and VAS assessment highlight the statistical significance of results obtained at the 1- (P<0.0001) and 3-month (P<0.0001) follow-up points.
CONCLUSIONS: The AMIS method is a model surgery technique in the obese patients, who need a hip joint replacement that permits them walk again, and to improve the physical activity needed for weight loss.


KEY WORDS: Hip prosthesis - Obesity - Hip replacement arthroplasty - Minimally invasive surgical procedures

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