Minimally Invasive Surgical Technique for Total Hip Arthroplasty

Taek Rim Yoon; Kyung Soon Park; Jae Young Moon

doi:10.5371/jkhs.2011.23.3.184

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Yoon, Park, and Moon: Minimally Invasive Surgical Technique for Total Hip Arthroplasty

Original Article

The Journal of the Korean Hip Society

The Journal of the Korean Hip Society 2011; 23(3): 184-191.

Published online: 30 September 2011

DOI: https://doi.org/10.5371/jkhs.2011.23.3.184

Minimally Invasive Surgical Technique for Total Hip Arthroplasty

Taek Rim Yoon, MD, Kyung Soon Park, MD, Jae Young Moon, MD

Department of Orthopaedic Surgery, Chonnam National University Hwasun Hospital, Chonnam National University Medical School, Jeonnam, Korea.

Address reprint request to: Taek Rim Yoon, MD. Center for Joint Disease, Chonnam National University Hwasun Hospital, 160 Ilsim-ri, Hwasun-eup, Hwasun-gun, Jeonnam 519-809, Korea. TEL: +82-61-379-7676, FAX: +82-61-379-7681, tryoon@chonnam.ac.kr

Received 4 May 2011 Revised 17 August 2011 Accepted 19 August 2011

Abstract

Minimally invasive surgery is commonly used in a range of orthopedic fields with many surgeons employing minimally invasive techniques for total hip arthroplasty. Some surgeons, however, have recently suggested that the term 'mini-incision' is more correct than 'minimally invasive'. Many studies have reported the increased malposition of implants and complications, such as dislocations and nerve injury, in minimally invasive surgery due to the compromised visualization of the surgical field. Patient selection with the proper indications is of utmost importance for the success of minimally invasive total hip arthroplasty. In addition, selection of the correct surgical technique is essential. Furthermore, the procedure should be performed by an experienced surgeon with the appropriate surgical instruments.

Keywords: Hip, Joint replacement, Minimally invasive, Operation technique, Complication

Figures and Tables

Fig. 1

The incision line of one incision MIS-THA with anterior approach.

Fig. 2

Judet table for one incision MIS-THA with anterior approach. This table can make the hip hyper extension, external rotational and adduction for femur reaming.

Fig. 3

The incision line of one incision MIS-THA with anterolateral approach.

Fig. 4

The incision line of one incision MIS-THA with posterolateral approach.

Fig. 5

Suction device combined with light source.

Fig. 6

The skin incision line of modified two incision MIS-THA.

Fig. 7

Piriformis muscle is used as a landmark to approach the posterior joint capsule.

Fig. 8

Photo graph of skin after wound closure.

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