Minimally Invasive Hip Replacement

One of the major concerns among patients who will be having joint replacement is the length of recovery after surgery. Complete recovery after a common hip replacement can take up to twelve months. There has been a general trend in all of orthopaedics to try to decrease this recovery time and keep patients active. The clearest way to facilitate a speedy recovery is to create less trauma to the hip and surrounding soft tissues during surgery. This is the basic principle behind minimally invasive surgery (MIS).

MIS for hip replacement can be performed using many different techniques. The Direct Anterior Approach (DAA) technique is the most unique and is the least commonly used MIS approach. Dr. Matthys started using this approach in 2002 and has been involved in more than 3000 hip replacements using this approach. Nearly every patient, including obese patients, who meets the criteria for a hip replacement is a candidate for this technique and this is the preferred approach used by Dr. Matthys. Dr. Matthys has also used this procedure for Revision Total Hip Replacement and Surface Replacement.

Though rarely used in the United States, the direct anterior approach for total hip replacement surgery provides advantages for the patient. The major benefit of the DAA over other MIS techniques is that no muscles are violated, split, or taken off the bone. Rehabilitation is generally easier and quicker. After surgery, there are no restrictions in the position of the hip and there is no need for specialized seats or equipment. Dislocation risk is reduced because no muscles are cut from the bone. Leg length is more accurately controlled and the incision is small. It can be used for almost all patients requiring primary hip replacement, including patients with arthritis in both of their hips. MIS is an exciting area in orthopaedics that has a promising future.

To read more material written by Dr. Matthys please visit the links Below:

Direct Anterior Approach Handout

Hip Replacement Guide