Hip arthroplasty in the management of arthritic disease of the hip

What is the clinical and cost effectiveness of minimally invasive hip arthroplasty in the management of arthritic disease of the hip?

Investigators

Glazener, C., Wyness, L., Fraser, C., Grant, A. (HSRU, University of Aberdeen), and Hutchison, J. (Department of Surgery, Aberdeen Royal Infirmary)

Summary

A total hip replacement (arthroplasty) is commonly indicated when a patient has degenerative arthritis (osteoarthritis) of the hip joint. Standard open surgery involves a large incision (20-30cm). Minimally invasive techniques have been developed, some of which use specially designed instruments, in order to insert standard prostheses through either one or two smaller incisions. This study investigated whether minimally invasive techniques might be an effective and cost-effective alternative to standard total hip replacement.

Contact

G Scotland

Status

Complete

Publications

de Verteuil, R.,Imamura, M., Zhu, S., Glazener, C., Fraser, C., Munro, N., Hutchison, J., Grant, A., Coyle, D., Coyle, K. and Vale, L. Systematic review of the clinical effectiveness and cost-effectiveness and economic modelling of minimal incision total hip replacement approaches in the management of arthritic disease of the hip. Health Technology Assessment. 2008; 12(26): 1-244.

Coyle, D., Coyle, K., Vale, L., de Verteuil, R., Imamura, M., Glazener, C. and Zhu, S. Cost effectiveness of minimally invasive hip arthroplasty in the management of arthritic disease of the hip. Report to Canadian Agency for Drug and Health Technology Assessment (CADH). September 2007.

de Verteuil, R., Imamura, M., Zhu, S., Glazener, C., Fraser, C., Munro, N., Hutchison, J., Grant, A., Coyle, D., Coyle, K. and Vale, L. Systematic review of the clinical effectiveness and cost-effectiveness and economic modelling of minimal incision total hip replacement approaches in the management of arthritic disease of the hip. Report to the NHS HTA Programme. May 2007.

Presentations

de Verteuil, R., Imamura, M., Hernández, R., Coyle, D., Coyle, K. and Vale, L. Cost-utility of mini-incision THR in the management of arthritic disease of the hip: comparison of a short and long term analysis. HTAi. Montreal, July 2008.