Two-Incision Total Hip Arthroplasties had Modest Outcomes and some Substantial Complications

Proponents of two-incision total hip arthroplasty suggest this technique is minimally invasive and promotes rapid rehabilitation with a low prevalence of complications. To our knowledge, however, the limited data that are available involve a selected subgroup of patients who are younger and have fewer medical problems than the typical total hip patient. To sort out the confounding variables of surgical technique, patient age, and patient comorbidities, we performed 80 consecutive two-incision hips in unselected patients and compared those with the prior 160 unselected, consecutive traditional open total hips.