{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:59:30Z","timestamp":1763463570184,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We evaluated the clinical and radiographic results of total hip arthroplasties (THA) performed with the minimally invasive anterolateral (MIA) and standard anterolateral (SA) approaches.\\r\\nMethods: We retrospectively reviewed 25 patients (17 women, 8 men; mean age 57.7\u00b112.5 years) and 15 patients (11 women, 4 men; mean age 68.9\u00b15.5 years) who underwent THA with the SA and MIA approaches, respectively. The mean body mass index was 32.5\u00b15.8 kg\/m2 in the SA group and 28.7\u00b12.7 kg\/m2 in the MIA group. The two groups were compared with respect to blood loss, operation time, blood transfusions, and length of hospital stay. Pain was assessed with a visual analog scale (VAS), and functional results were assessed with the Harris hip score (HHS). The SF-36 questionnaire was administered pre- and postoperatively. Radiographic evaluations included femoral and acetabular components and signs of loosening. The mean follow-up was 25.2\u00b18.7 months in the SA group and 26.1\u00b17.2 months in the MIA group.\\r\\nResults: The amount of blood loss and blood transfusions were significantly reduced and length of hospital stay was significantly shorter in the MIA group (p&lt;0.001). The mean operation time did not differ between the two groups (p&gt;0.05). Improvements in the VAS and HHS scores were significantly better in the MIA group (p&lt;0.001). Similarly, improvements in all the SF-36 subscales other than general health, mental health, and role-physical subscales were significantly greater in the MIA group. Radiographically, no signs of loosening and osteolysis were seen. Superficial or deep wound infections did not occur. \\r\\nConclusion: Compared to the SA approach, the MIA approach in THA operations is associated with shorter hospital stay, reduced blood loss and blood transfusions, better postoperative pain control, and higher levels of improvements in HHS and SF-36 scores.\n\n\n\u00d6zet\n\nAma\u00e7: Minimal invaziv anterolateral (M\u0130A) ve standart anterolateral (SA) yakla\u015f\u0131mlarla yap\u0131lan total kal\u00e7a protezi (TKP) ameliyatlar\u0131n\u0131n klinik ve radyografik sonu\u00e7lar\u0131 de\u011ferlendirildi. \\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmada, TKP ameliyat\u0131 SA yakla\u015f\u0131mla yap\u0131lan 25 hasta (17 kad\u0131n, 8 erkek; ort. ya\u015f 57.7\u00b112.5) ve M\u0130A yakla\u015f\u0131mla yap\u0131lan 15 hasta (11 kad\u0131n, 4 erkek; ort. ya\u015f 68.9\u00b15.5) geriye d\u00f6n\u00fck olarak incelendi. \u0130ki grupta ortalama v\u00fccut k\u00fctle indeksi s\u0131ras\u0131yla 32.5\u00b15.8 kg\/m2 ve 28.7\u00b12.7 kg\/m2 idi. Hastalar kan kayb\u0131, ameliyat s\u00fcresi, kan transf\u00fczyon miktar\u0131 ve hastanede yat\u0131\u015f s\u00fcresi a\u00e7\u0131s\u0131ndan kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131. A\u011fr\u0131 g\u00f6rsel analog skala (GAS), fonksiyonel sonu\u00e7lar Harris kal\u00e7a skoru (HKS) ile de\u011ferlendirildi. Ayr\u0131ca, t\u00fcm hastalara ameliyat \u00f6ncesi ve sonras\u0131nda SF-36 uyguland\u0131. Radyografik olarak, son kontrollerde femoral ve asetabular bile\u015fenler ve gev\u015feme bulgular\u0131 de\u011ferlendirildi. Ortalama takip s\u00fcresi SA grubunda 25.2\u00b18.7 ay, M\u0130A grubunda 26.1\u00b17.2 ay idi. \\r\\nSonu\u00e7lar: Kanama ve kan transf\u00fczyon miktarlar\u0131 ve hastanede yat\u0131\u015f s\u00fcresi M\u0130A grubunda anlaml\u0131 derecede daha az idi (p&lt;0.001). Ameliyat s\u00fcreleri iki grup aras\u0131nda anlaml\u0131 fark g\u00f6stermedi (p&gt;0.05). \u0130ki grup aras\u0131nda ameliyat \u00f6ncesi GAS ve HKS skorlar\u0131 a\u00e7\u0131s\u0131ndan anlaml\u0131 fark yoktu. A\u011fr\u0131 ve HKS skorlar\u0131ndaki iyile\u015fme M\u0130A grubunda daha belirgin idi (p&lt;0.001). SF-36\u2019n\u0131n genel sa\u011fl\u0131k, mental sa\u011fl\u0131k ve fiziksel rol d\u0131\u015f\u0131ndaki altgruplar\u0131ndaki de\u011fi\u015fimler M\u0130A grubunda anlaml\u0131 derecede daha iyi idi. Radyografik olarak hi\u00e7bir hastada gev\u015feme, osteoliz bulgusuna rastlanmad\u0131, y\u00fczeyel veya derin enfeksiyon olu\u015fmad\u0131.\\r\\n\u00c7\u0131kar\u0131mlar: Standart yakla\u015f\u0131mla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, M\u0130A yakla\u015f\u0131m\u0131yla TKP uygulamas\u0131nda hastanede yat\u0131\u015f s\u00fcresi daha k\u0131sa, kan kayb\u0131 ve transf\u00fczyon ihtiyac\u0131 daha az, erken d\u00f6nemde a\u011fr\u0131 kontrol\u00fc daha iyi, HKS ve SF-36 skorlar\u0131ndaki iyile\u015fme daha fazlad\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2009.464","type":"journal-article","created":{"date-parts":[[2010,2,3]],"date-time":"2010-02-03T15:23:57Z","timestamp":1265210637000},"page":"464-471","source":"Crossref","is-referenced-by-count":3,"title":["Total hip arthroplasty using the anterolateral minimally invasive approach"],"prefix":"10.5152","volume":"43","author":[{"given":"Bora","family":"Bostan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cengiz","family":"Sen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taner","family":"Gunes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Erdem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kursat","family":"Aytekin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Unal","family":"Erkorkmaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2319\/2276","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:57:06Z","timestamp":1763463426000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2319"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2009,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.464","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}