minimally invasive hip surgery

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Minimally Minimally Invasive Hip Invasive Hip Surgery Surgery

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Minimally Invasive Hip Surgery. What is Minimally Invasive Hip Surgery?. A new surgical technique Uses traditional hip implants. Two different techniques, including mini-incision and two-incision. Traditional Hip Replacement Surgery - PowerPoint PPT Presentation

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Page 1: Minimally Invasive Hip Surgery

Minimally Minimally Invasive Hip Invasive Hip

SurgerySurgery

Page 2: Minimally Invasive Hip Surgery

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.

Page 3: Minimally Invasive Hip Surgery

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

Page 4: Minimally Invasive Hip Surgery

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

Page 5: Minimally Invasive Hip Surgery

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

Page 6: Minimally Invasive Hip Surgery

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

Page 7: Minimally Invasive Hip Surgery

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

Page 8: Minimally Invasive Hip Surgery

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

Page 9: Minimally Invasive Hip Surgery

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..

Page 10: Minimally Invasive Hip Surgery

Techniques: Two Incision Techniques: Two Incision vs Mini Incisionvs Mini Incision

Two-IncisionTwo-Incision Mini-IncisionMini-Incision

Page 11: Minimally Invasive Hip Surgery

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.

Page 12: Minimally Invasive Hip Surgery

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

Page 13: Minimally Invasive Hip Surgery

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.

Page 14: Minimally Invasive Hip Surgery

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

Page 15: Minimally Invasive Hip Surgery

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

Page 16: Minimally Invasive Hip Surgery

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

Page 17: Minimally Invasive Hip Surgery

Questions?Questions?

Page 18: Minimally Invasive Hip Surgery

Thank You!Thank You!