New Minimally Invasive total Hip Arthroplasty

The purpose of Total Hip Replacement Surgery is to remove and replace the two damaged and worn parts of the hip joint. These joints are the hip socket (acetabulum), and the ball, (femoral head). They are replaced with smooth, artificial implants called prostheses, which will help make the hip strong, stable and flexible again.

The minimally invasive joint replacement surgery of the hip, is a modern concept for the treatment of osteoarthritis of the joint. This method enables the orthopedic surgeon to complete the surgery without cut muscle groups that surround the joint, but to distinguish between them and will reach the bones which will replace the hip.

There are no absolute age or weight restrictions for total hip replacements.

With the new minimally invasive arthroplasty the skin incision is small and is not extended at the vastus lateralis muscle and its vessels. Branches of the deep femoral artery are not injured likewise thcircumflex artery, neither the upper gluteal vessels and nerves. In most cases, no hip muscle is incised.

In addition to that, hip external rotation muscles are not incised i.e. the piriformis muscle.  Using the latest and most improved biomaterials with special peripheral threads this technique offers direct functional rehabilitation even in greatly destroyed hips such in cases of osteoarthritis secondary to congenital hip dislocation or dysplasia.

Direct intraoperative strong fixation and stability of these titanium special implants allows full wait bearing and gait from even the first day – since there are no other co-existing diseases or problems in other joints – while ascending and descending the stairs within first of second postoperative day, with or without assistance.

Direct intraoperative strong fixation and stability of these special implants allows full wait bearing and gait from even the first day – since there are no other co-existing diseases or problems in other joints – while ascending and descending the stairs within first of second postoperative day, with or without assistance.

These new biocompatible implants provoke also strong and permanent periprosthetic osteointegration without any further problem at the implants and bone intersurface for the rest of the patient’s life.

In conclusion Minimally Invasive Total Hip Arthroplasty achieves:

• Longevity of the new joint – i.e. it is well known that patients are concerned about how many years will total arthroplasty last.
• Minimized bleeding – i.e. patients usually do not need homologous blood transfusion unless they suffer from anemia or are prone to hemorrhage.
• Minimized muscular, vascular and neural injuries around the hip incision.
• Less surgical time and anaesthesia.
• Small incision.
• Rapid patient rehabilitation – i.e. most patients may climb stairs almost immediately after operation while exit hospital within 1-3 days.
• Less postoperative pain
• Minimize the total postoperative day the patient needs the use of walking aids (walker, crutches)
• Faster return to daily activities and professional

The surgical method applied in recent years to major hip surgery centers worldwide are increasingly replacing the hitherto conventional methods.

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