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Minimally invasive hip resurfacing (MIS) is total or partial hip surgery that can be carried out through an incision of less than 10 cm without imparting great forces on the anatomy or compromising component positioning.
The modified posterior MIS approach to hip resurfacing and Total Hip Arthoplasty displays a host of advantages to the patient : -
Less post-operative pain
Less soft tissue damage and pressure on muscle fibres.
Shorter hospital stay
Lower blood loss
Smaller incision
Quicker return to work and functional activities.
This minimally invasive technique is achieved through a small posterior incision and has proven to be a positive alternative by surgeons, patients and hospital authorities alike.
The key point is that this is not a miniature version of the conventional open posterior approach, which can pose many long-term difficulties for the patient. The MIS approach, however has shown excellent early results, and provides many advantages to both patient and surgeon.
Minimally invasive hip resurfacing uses a smaller surgical incision and new techniques to expose the hip joint. Possible advantages include less damage to soft tissue, muscle and bone; smaller scars; less blood loss; and shorter hospital stays and rehabilitation. Possible disadvantages include damage to soft tissue, femur fracture, neurovascular damage, implant malposition and a longer operating time. The lack of published or unpublished trials or case reports makes it impossible to draw conclusions about the relative effectiveness of minimally invasive procedures for hip resurfacing.
Hip resurfacing has evolved in the last eight years. The original hip resurfacing replacements were done 30 to 40 years ago and failed because of poor design and materials. Nowadays the design has significantly improved. Hip resurfacing is still a total hip replacement, however, it is more bone conserving leaving the femoral neck and head attached. If the hip fails then a revision standard total hip replacement can be performed without much difficulty.
Minimally invasive hip resurfacing replacement surgery and navigation
Instruments have been designed that allow for smaller incision surgery. This is reflected in less tissue damage and slightly quicker recovery rates. The wounds are also a little smaller. It must be pointed out, however, that six months following the surgery there is no difference in the outcome between a standard incision hip and a mini incision hip.
Navigation is the latest technology that allows more accurate placement of the components to re-establish the normal hip biomechanics. This new technology is still evolving.
Hip Resurfacing or Surface Replacement Arthroplasty is a bone-conserving alternative to conventional Total Hip Replacement (THR). Unlike Total Hip Replacement, hip Resurfacing does not involve the removal of the femoral head and neck nor removal of bone from the femur. Rather, the head, neck and femur bone is preserved in an effort to facilitate future surgery should it be necessary and to enable the patient to take advantage of newer technology or treatments in the future.
Advantages of Hip Resurfacing : -
Allows the patient to squat and sit on the floor safely
Allows a normal range of movement and sporting activities after operation
Sacrifices only the diseased bone and preserves normal bone
Restores the normal structures of the hip
More natural feel after surgery
Early rehabilitation
Easy to revise if needed
Less risk of dislocation
No leg length alteration
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