Hip keyhole surgery

Every patient and every operation is unique.

If you have any questions regarding Minimal Invasive surgery, book a one-on-one consultation with Dr Parminder J Singh today.

What is Hip Minimally Invasive Surgery?

The surgeon can access the hip joint by different paths, following a "conventional" surgical approach or a Minimally Invasive Surgical approach (MIS).

 

True Minimally Invasive Surgery is characterised by the preservation of muscles and tendons encountered during the surgery to the hip joint capsule and offers a reduced skin incision.

 

Both the anterior and minimally invasive posterior approach allows for early mobilisation and return to function. Recent prospective randomised control trials including my own have reported similar function at 6 weeks and 12 months following surgery with either approach.

 

A particular advantage of the AMIS technique is that it does not require the surgeon to cut any muscles.

 

The AMIS technique and minimally invasive posterior approach will both potentially improve the quality of your life and hasten your recovery after a Total Hip Replacement.

Approach Considerations

Minimally invasive THA (MIS-THA) actually is not a single approach but a collective term that encompasses multiple distinct minimally invasive surgical (MIS) approaches. For example, the surgeon may use a single mini-incision, which is usually shorter than 10 cm. (see the image below).

Basic approaches currently employed for MIS-THA include the following:

  • Anterior approach - Performed in the supine position and uses the internervous plane between the femoral and superior gluteal nerves
  • Piriformis-sparing posterior approach - Performed in the lateral position and divides the gluteus maximus, iliotibial band and the short external rotators of the hip (eg, superior gemellus, obturator internus, inferior gemellus, and part of the quadratus femoris) except the piriformis
  • Direct superior approach – Performed in the lateral position and divides the gluteus maximus and the short external rotators of the hip (e.g., piriformis, superior gemellus, obturator internus, and inferior gemellus) while leaving the iliotibial band and quadratus femoris intact

 

The choice of operative approach will be determined on a case by case basis by Dr Parminder J Singh based on your indication for surgery to achieve the best possible outcome.

bOOK A CONSULTATION.

Committed to improving the quality of patient advice, treatment and care in the field of orthopaedics, book a one-on-one consultation with Dr Parminder J Singh today.

 

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