What Is Hip Minimally Invasive Orthopaedic Surgery?

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

Mr Parminder J Singh learnt minimally invasive surgery in 2008 on his fellowship with Professor John O’Donnell in Melbourne and Professor Richard Field in London. Mr Parminder J Singh has been performing minimally invasive surgery Melbourne regularly ever since and will tailor his approach to best suit your needs.

Minimally invasive orthopaedic surgery can be used to perform a total hip replacement. True minimally invasive orthopaedic surgery is characterized by the preservation of muscles and tendons encountered during the surgery to the hip joint and offers a reduced skin incision.

Both the anterior and minimally invasive posterior approach allows for rapid recovery, and a faster return to function. Recent prospective randomized control trials including my own minimally invasive surgery Melbourne results comparing the Anterior vs the Posterior Approach at 5-year have shown similar function at 6 weeks, 12 months and 5 years following surgery.

A particular advantage with respect to the minimally invasive orthopaedic surgery to the muscles, is that the anterior minimally invasive surgery (AMIS) technique does not require the surgeon to cut any muscles.

The AMIS technique and minimally invasive posterior approach are both good techniques to allow the hip joint to be replaced in individuals suffering from arthritis in their hip. Mr Parminder J Singh uses minimally invasive orthopaedic surgery regularly to help improve the quality of your life.

For further information regarding minimally invasive surgery Melbourne, please see the guides below on the Anterior Minimally Invasive Approach.

Patient Guide to Minimally Invasive Hip Replacement Surgery

Prosthesis Guide for Minimally Invasive Hip Replacement Surgery

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.

Invasive hip surgery, PJS Orthopaedics Melbourne

What Is The Process Moving Forward?

Consulting Locations

21 Erin Street,
Richmond VIC 3121

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85 Wilson Street,
Brighton VIC 3186

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116-118 Thames St,
Boxhill VIC 3128

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Waverly Private Hospital,
343-357 Blackburn Rd,
Mt. Waverley VIC 3149

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201 Canterbury Road,
Blackburn VIC 3130

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16 Brantome Street,
Gisborne VIC 3437

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The Bays Hospital,
262 Main St,
Mornington VIC 3931

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Mulgrave Private Hospital,
Blanton Dr,
Mulgrave VIC 3170

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Albert Park,
108 Bridport Street,
Albert Park VIC 3206

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St. Vincent’s Hospital,
240 Hoppers Lane,
Werribee VIC 3030

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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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