Traditional hip replacement surgery is performed through an incision that is usually about 10 to 12 inches long. Below the incision, the muscles are separated and the hip joint is exposed. Surgeons then remove the arthritic hip and replace it with metal and plastic implants. Surgeons perform this procedure by looking directly at the arthritic hip joint and placing an artificial hip implant in place.
minimally invasive surgery
Minimally invasive total hip arthroplasty, developed in the 1990s, uses two small incisions and causes less damage to tendons and muscles than traditional methods. Surgeons use X-ray guidance to locate the artificial hip joint in the operating room. The goal is for patients to have shorter hospital stays, faster recovery and better outcomes.However, there are still doubts about whether this really exists better one than traditional programs.
Hip replacement surgery generally has high patient satisfaction. Even so, surgeons continue to try to improve hip replacements. The goal of minimally invasive hip replacement is to provide a procedure with less pain, less blood loss, and faster recovery, with results that are as good or better than traditional hip replacements. However, there is still disagreement as to whether the overall outcome is better, or even as good, than traditional hip replacement surgery.
Proponents of the two-incision hip replacement technique argue that the procedure can be performed with the same technical precision and less postoperative morbidity. Because the surgery is less extensive, recovery may be faster, pain may be less, and some complications, such as blood loss and hip dislocation, may occur less frequently. Patients may also be discharged early.
However, studies over the years have not shown that minimally invasive total hip replacement is superior to traditional surgery in the long run. Some studies have found that people who undergo minimally invasive surgery have higher rates of long-term complications.
Patients may be attracted to the idea of smaller scars and early discharge, but these are not the most important goals of hip replacement surgery. Furthermore, not all patients are suitable for this double incision technique. Be sure to discuss the pros and cons with your healthcare team.