Comparison of Skin Blood Flow Between Mini- and Standard-Incision Approaches During Total Hip Arthroplasty

Abstract Twenty patients who underwent total hip arthroplasty were randomly allocated to have surgery through a mini incision of ≤8 cm (mini-incision surgery [MIS] group, n = 10) or a standard incision of 14 cm (standard group, n = 10). A laser Doppler flowmeter was used to measure the intraoperativ...

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Veröffentlicht in:The Journal of arthroplasty 2008-10, Vol.23 (7), p.1045-1049
Hauptverfasser: Kiyama, Takahiko, MD, Naito, Masatoshi, MD, PhD, Shitama, Hiroshi, MD, Shinoda, Tsuyoshi,, MD, Maeyama, Akira, MD
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Sprache:eng
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Zusammenfassung:Abstract Twenty patients who underwent total hip arthroplasty were randomly allocated to have surgery through a mini incision of ≤8 cm (mini-incision surgery [MIS] group, n = 10) or a standard incision of 14 cm (standard group, n = 10). A laser Doppler flowmeter was used to measure the intraoperative blood flow of the skin. The measurements were performed at 2 regions, specifically, anterior and posterior regions across the middle points of skin incision. The measurements were taken before making the incision and after implantation. As a control, the skin blood flow over the anterior superior iliac spine was measured. After implantation, mean skin blood flows at both regions in the MIS group were significantly decreased by 32% and 33%. However, the corresponding flows in standard group and control regions were constant during operation.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2007.09.009