Authors' objectives:

This study aims to assess the current evidence on minimally invasive two-incision surgery for total hip replacement.

Authors' recommendations: 1.1 Current evidence on the safety and efficacy of minimally invasive two-incision surgery for total hip replacement does not appear adequate for this procedure to be used without special arrangements for consent and for audit or research. More evidence is required on the long-term safety and efficacy of this procedure and clinicians should submit data to the National Joint Registry (www.njrcentre.org.uk). 1.2 Clinicians wishing to undertake minimally invasive two-incision surgery for total hip replacement should take the following actions. - Inform the clinical governance leads in their Trusts. - Ensure that patients understand the uncertainty about the procedures safety and efficacy and provide them with clear written information. Use of the Institute's Information for the public is recommended. 1.3 Clinicians should have adequate training before performing this procedure. The British Hip Society has agreed to produce standards for training. 1.4 Further research will be useful. Clinicians are encouraged to enter patients into well-designed randomised controlled trials and to collect longer-term follow-up data. The Institute may review the procedure upon publication of further evidence.

Authors' methods: Overview

Project Status: Completed

URL for project: http://www.nice.org.uk/ipcat.aspx?c=212186

Year Published: 2005

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: England, United Kingdom

Organisation Name: National Institute for Clinical Excellence

Contact Address: MidCity Place, 71 High Holborn, London WC1V 6NA, UK. Tel: +44 020 7067 5800; Fax: +44 020 7067 5801

Contact Name: nice@nice.nhs.uk

Contact Email: nice@nice.nhs.uk

Copyright: National Institute for Clinical Excellence (NICE)