Most arthritis and necrosis of the hip joint that rightly require an implant (see Hip replacement chapter) can benefit from this new technique.
A hip replacement performed conventionally requires more often than not a muscle section and leaves a scar of about 20 cm (about 8 inches).
An implant placed by minimally invasive anterior procedure requires no muscular section and the scar is about 7 or 8 cm (about 3 inches) long. This can explain why post-operative sequels are simpler and rehabilitation is often faster.
During surgery :
The procedure consists in placing the implant through a very tight space by gently finding a way between two muscles with specially designed retractors.
All the implant models for total hip replacement, even the newest, can be placed by using this technique.
The procedure duration is about 1h30 to 1h45
A radiography during the procedure may allow if needed, to monitor the good positioning of the implants into the femur and the hip bone.
Minimally invasive anterior hip replacement :
After surgery :
The absence of muscular sections allows to expect fewer post-operative sequels.
This technique allows to reduce :
– Blood loss and thus transfusions
– Pain and thus taking medicines
– Risks of prosthesis dislocation
– Risks of phlebitis after faster recovery of walking motion
The post-operative care duration at the clinic is often reduced; returning home is possible sometimes after 6 or 7 days, without compulsory stay in a rehabilitation centre.
Scar 3 months after surger
Centre de Chirurgie Ostéo-Articulaire (CCO) - Polyclinique Saint-Privat - Rue de la Margeride -34760 Boujan-sur-Libron