Round Table Discussion of Mini-incision Total Hip Arthroplasty



Richard Berger: Many different minimally invasive total hip arthroplasty (THA) techniques have become popular in the last few years. Let’s start by defining what is a minimally invasive total hip arthroplasty? Is it a skin incision length, a soft tissue procedure, or a systematic approach to THA?

Andrew Freiberg: As you know, most of us believe that there really is no single approach for a minimally invasive total hip replacement. Moreover, what started as only a surgical approach now has matured to encompass an entire philosophy for patient care that concentrates on rapid recovery. To me, minimally invasive surgery (MIS) can be summarized as a combination of preoperative teaching, anesthesia, pain management and prevention, discharge education and planning, and finally the actual surgical procedure. To answer your question, I think the skin incision length is the least important part of the actual surgical procedure; however, it’s the most visibly definable aspect. Patients’ and their family all key in on incision length, and it really affects how many people feel about the job we performed. I believe that how the hip joint is exposed, minimizing the trauma to the deep tissues by gentle handling, has the greatest impact on early pain and return to function.


Minimally Invasive Surgery Surface Replacement Soft Tissue Procedure Posterior Incision Minimally Invasive Surgery Approach 
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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Insall Scott Kelly Institute for Orthopaedics and Sports Medicine Attending Orthopedic Surgeon North Shore-LIJ Health System Assistant Clinical Professor of Orthopedic SurgeryAlbert Einstein College of MedicineNew YorkUSA
  2. 2.Institute for Advanced Orthopaedic Study The Orthopaedic Center of New Jersey Clinical Professor Department of Orthopedic SurgeryRobert Wood Johnson Medical SchoolPiscatawayUSA

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