Minimally Invasive Total Hip Arthroplasty Using the Two-Incision Approach



Minimally invasive hip replacement has the potential for minimizing surgical trauma, pain, and recovery in total hip replacement. These minimally invasive approaches for total hip surgery include single-incision and two-incision techniques. These approaches minimize sacrificing muscle and tendon yet still allow direct or indirect visualization for prepa­ration and component placement.

Specifically, searching for an approach to avoid transecting any muscle or tendon, thereby minimizing morbidity and recovery, a new approach was developed; the minimally invasive two-incision total hip procedure. This technique uses an anterior incision for preparation and insertion of the acetabular component and a posterior incision for preparation and insertion of the femoral component. This novel, minimally invasive, fluoroscopy-assisted, two-incision total hip arthroplasty uses a number of new instruments that have been developed to facilitate exposure and component placement. Standard implants with well-established designs are used to maintain the present expectation for implant durability. The following text describes the technique of the minimally invasive two-incision technique; combining an anterior, Smith-Peterson approach and a posterior incision that is like an intra medually (IM) femoral nail.


Femoral Neck Femoral Head Femoral Component Acetabular Component Femoral Canal 

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of Orthopedic SurgeryRush–Presbyterian–St. Luke’s Medical CenterChicagoUSA

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