minimally invasive hip surgery. what is minimally invasive hip surgery? a new surgical technique a...
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Minimally Minimally Invasive Hip Invasive Hip
SurgerySurgery
What is Minimally Invasive What is Minimally Invasive
Hip Surgery?Hip Surgery?
A new surgical techniqueA new surgical technique Uses traditional hip implants.Uses traditional hip implants. Two different techniques, including Two different techniques, including
mini-incision and two-incision.mini-incision and two-incision.
Traditional VS Minimally Invasive Hip Traditional VS Minimally Invasive Hip Replacement SurgeryReplacement Surgery
Traditional Hip Traditional Hip Replacement SurgeryReplacement Surgery Proven in clinical studies Proven in clinical studies
and successfully and successfully performed for decadesperformed for decades
Allows surgeon full Allows surgeon full visualization of operative visualization of operative areaarea
Larger incision (8-10 Larger incision (8-10 inches)inches)
More disruption of muscles More disruption of muscles and tissuesand tissues
Minimally Invasive Minimally Invasive Hip Replacement Hip Replacement SurgerySurgery Long-term effects and Long-term effects and
success are not success are not established.established.
Restricted visualization of Restricted visualization of operation area. operation area.
Smaller incisions (2-4 Smaller incisions (2-4 inches)inches)
Potentially less disruption Potentially less disruption of muscles and tissuesof muscles and tissues
May lead to less blood loss May lead to less blood loss and postoperative pain and postoperative pain
Traditional VS Minimally Invasive Hip Traditional VS Minimally Invasive Hip Replacement Surgery Replacement Surgery
Traditional Hip Traditional Hip Replacement Replacement SurgerySurgery Average hospital Average hospital
stay is five daysstay is five days Average recovery Average recovery
time of approx. 3 time of approx. 3 months (individuals months (individuals will vary)will vary)
Minimally Invasive Minimally Invasive Hip Replacement Hip Replacement SurgerySurgery May lead to a May lead to a
shortened hospital shortened hospital stay, less than 5 days.stay, less than 5 days.
May reduce recovery May reduce recovery timetime
Traditional VS Minimally Invasive Hip Traditional VS Minimally Invasive Hip Replacement SurgeryReplacement Surgery
Traditional Hip Traditional Hip Replacement Replacement SurgerySurgery
Minimally Invasive Minimally Invasive Hip Replacement Hip Replacement SurgerySurgery
Benefits of Benefits of Minimally Invasive Hip Minimally Invasive Hip
SurgerySurgery
Less trauma to the body.Less trauma to the body. Healing and rehabilitation Healing and rehabilitation
potentially quicker.potentially quicker. Shorter hospital stays Shorter hospital stays Allows for immediate stability of Allows for immediate stability of
the hipthe hip Lower risk of dislocation.Lower risk of dislocation. Potentially less postoperative pain.Potentially less postoperative pain. Cosmetically appealingCosmetically appealing
Ideal CandidateIdeal Candidate Suffering from hip arthritis Suffering from hip arthritis Failed response to:Failed response to:
MedicinesMedicines ExerciseExercise Weight-managementWeight-management
Deciding factors include:Deciding factors include: Medical historyMedical history WeightWeight General healthGeneral health Body structure, including bone structureBody structure, including bone structure Extent and pattern of arthritisExtent and pattern of arthritis
Inappropriate CandidatesInappropriate Candidates
Severely obese (BMI of 40 or Severely obese (BMI of 40 or greater)greater)
Very muscular Very muscular Undergoing complex revision Undergoing complex revision
surgeriessurgeries
Minimally Invasive Hip Minimally Invasive Hip TechniquesTechniques
Two-IncisionTwo-Incision 2 incisions2 incisions Approximately 2 Approximately 2
inches in lengthinches in length On both front and On both front and
rear of thighrear of thigh Fluoroscopy may Fluoroscopy may
be used.be used.
Mini-IncisionMini-Incision 1 incision1 incision Approximately 3 Approximately 3
to 4 inches in to 4 inches in lengthlength
Either front or Either front or rear of thighrear of thigh
Fluoroscopy is not Fluoroscopy is not usedused..
Techniques: Two Incision Techniques: Two Incision vs Mini Incisionvs Mini Incision
Two-IncisionTwo-Incision Mini-IncisionMini-Incision
FluoroscopyFluoroscopy
Real-time x-ray images to Real-time x-ray images to define instruments positions define instruments positions during surgery.during surgery.
Guides position of implantsGuides position of implants Sometimes used with smaller Sometimes used with smaller
incisions.incisions.
Fluoroscopy: Benefits and Fluoroscopy: Benefits and RisksRisks
Benefits:Benefits: Increases surgical accuracyIncreases surgical accuracy Safer and shorter procedure.Safer and shorter procedure.
Risks:Risks: Increased radiation exposureIncreased radiation exposure Minimal long term effectsMinimal long term effects
Recovery After SurgeryRecovery After Surgery
MIH benefits shown in the first 3 MIH benefits shown in the first 3 months of recoverymonths of recovery
Patient must follow hip Patient must follow hip precautions:precautions: Not crossing their legsNot crossing their legs Take care when bendingTake care when bending
Avoid high-impact and contact Avoid high-impact and contact sports.sports.
Risk FactorsRisk Factors
Factors that may affect the rate of Factors that may affect the rate of complications includingcomplications including Surgeon skillSurgeon skill Weight, age and overall health of the Weight, age and overall health of the
patientpatient Current lifestyle and activities of the Current lifestyle and activities of the
patientpatient Presence of osteoporosis or other Presence of osteoporosis or other
conditions that weaken bonesconditions that weaken bones Patient compliance with physician Patient compliance with physician
instructionsinstructions
Potential Complications Potential Complications and Risksand Risks
HematomaHematoma Occurs when blood enters the wound Occurs when blood enters the wound
after surgery. after surgery. If excessive, will be drained.If excessive, will be drained.
Hip FractureHip Fracture Occurs during or after surgeryOccurs during or after surgery Caused by:Caused by:
Weak bonesWeak bones FallingFalling Failure to follow hip precautionsFailure to follow hip precautions
Potential Complications Potential Complications and Risksand Risks
InfectionInfection About 1% change of infection after About 1% change of infection after
surgerysurgery DislocationDislocation
Occurs when the ball of the hip Occurs when the ball of the hip comes out of the socket.comes out of the socket.
Caused by:Caused by: sizesize
Blood clots Blood clots
Questions?Questions?
Thank You!Thank You!
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