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MINIMAL INVASIVE HIP

RESURFACING

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MINIMAL INVASIVE HIP RESURFACING SURGERY INDIA –
AFFORDABLE COST
Minimally Invasive Hip Resurfacing

conventional hip resurfacing is carried out through an extensive


posterior approach by many surgeons whilst others use an anterolateral or anterior
approach. The conventional posterior approach involves quite extensive release of
the gluteus maximus insertion to the femur.

Minimally invasive hip resurfacing MIHR involves a small, cosmetically


pleasing incision which is typically 5.5-9 cm in length compared to the incision for
the conventional posterior approach which is typically 25-30cm in length.

The advantages of hip resurfacing replacement include reduced


dislocation, restores leg lengths, restores “normal anatomy” and the hip appears to
be more durable allowing one to perform higher impact activity.
Minimally invasive hip resurfacing replacement surgery and navigation

Instruments have been designed that allow for smaller incision


surgery. This is reflected in less tissue damage and slightly quicker recovery rates.
The wounds are also a little smaller. It must be pointed out, however, that six
months following the surgery there is no difference in the outcome between a
standard incision hip and a mini incision hip.

Navigation is the latest technology that allows more accurate


placement of the components to re-establish the normal hip biomechanics. This new
technology is still evolving.

Risks of hip resurfacing replacement are similar to total hip


replacement. In addition to those standard risks a hip resurfacing replacement may
fail due to a femoral neck fracture or softening of the bone (avascular necrosis).
Hip Resurfacing

Hip resurfacing has evolved in the last eight years. The original hip
resurfacing replacements were done 30 to 40 years ago and failed because of poor
design and materials.

Nowadays the design has significantly improved. Hip resurfacing is


still a total hip replacement, however, it is more bone conserving leaving the femoral
neck and head attached. If the hip fails then a revision standard total hip
replacement can be performed without much difficulty.

Resurfacing a hip is similar to a total hip replacement from a surgical


perspective. Instead of resecting the arthritic femoral head, the head is reshaped
and resurfaced with a metal mushroom-like cap. This is cemented in place. The
socket is prepared in a similar fashion to a total hip replacement. The socket is
press-fitted into the acetabular bone and bone grows into the socket.
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