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Minimally Invasive Hip Surgery Introduction


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Minimally Invasive Hip Surgery Introduction

  1. 1. Minimally Invasive Hip Surgery
  2. 2. Introduction <ul><li>Many people suffering from arthritis alter their lives to deal with pain. </li></ul><ul><li>If you haven’t found relief in medicines, exercises, and weight-management, hip replacement surgery may be a solution. </li></ul>
  3. 3. Background on Minimally Invasive Surgery <ul><li>A significant advancement in total hip replacement </li></ul><ul><li>MIS is not new </li></ul><ul><ul><li>Performed on knees </li></ul></ul><ul><ul><li>Cardiac patients </li></ul></ul>
  4. 4. What is Minimally Invasive Hip Surgery? <ul><li>New surgical technique. </li></ul><ul><li>Uses traditional hip implant components. </li></ul><ul><li>Different techniques, including mini-incision and two-incision. </li></ul>
  5. 5. Difference Between Traditional and Minimally Invasive Hip Replacement Surgery <ul><li>Traditional Hip Replacement Surgery </li></ul><ul><ul><li>Proven in clinical studies and successfully performed for decades </li></ul></ul><ul><ul><li>Allows surgeon full visualization of operative area </li></ul></ul><ul><ul><li>Larger incision (12-18 inches) </li></ul></ul><ul><ul><li>More disruption of muscles and tissues </li></ul></ul><ul><li>Minimally Invasive Hip Replacement Surgery </li></ul><ul><ul><li>Long-term effects and success are being studied </li></ul></ul><ul><ul><li>Smaller incisions (2-4 inches) </li></ul></ul><ul><ul><li>Potentially less disruption of muscles and tissues </li></ul></ul><ul><ul><li>May lead to less blood loss </li></ul></ul><ul><ul><li>Potential for less postoperative pain </li></ul></ul>
  6. 6. Difference Between Traditional and Minimally Invasive Hip Replacement Surgery <ul><li>Traditional Hip Replacement Surgery </li></ul><ul><ul><li>Average hospital stay is five days </li></ul></ul><ul><ul><li>Average recovery time of approxmiately 3 months (individuals will vary) </li></ul></ul><ul><ul><li>Leaves a larger scar on patient’s thigh </li></ul></ul><ul><li>Minimally Invasive Hip Replacement Surgery </li></ul><ul><ul><li>May lead to a shortened hospital stay </li></ul></ul><ul><ul><li>May reduce recovery time </li></ul></ul><ul><ul><li>Scars will be smaller and less noticeable </li></ul></ul>
  7. 7. Minimally Invasive Hip Surgery <ul><li>Same implants as traditional hip replacement surgery. </li></ul><ul><li>Components </li></ul><ul><ul><li>Cup </li></ul></ul><ul><ul><li>Ball </li></ul></ul><ul><ul><li>Stem </li></ul></ul>Cup Ball Stem
  8. 8. Ideal Candidate for Minimally Invasive Hip Surgery <ul><li>Suffering from hip arthritis and failed to respond: </li></ul><ul><ul><li>Medicines </li></ul></ul><ul><ul><li>Exercise </li></ul></ul><ul><ul><li>Weight-management programs </li></ul></ul><ul><li>Deciding factors include: </li></ul><ul><ul><li>Medical history </li></ul></ul><ul><ul><li>Weight </li></ul></ul><ul><ul><li>General health </li></ul></ul><ul><ul><li>Body structure, including bone structure </li></ul></ul><ul><ul><li>Extent and pattern of arthritis </li></ul></ul>
  9. 9. Inappropriate Candidates for Minimally Invasive Hip Surgery <ul><li>Severely obese </li></ul><ul><li>Very muscular </li></ul><ul><li>Undergoing complex revision surgeries </li></ul>
  10. 10. Different Techniques Used for Minimally Invasive Hip Surgery <ul><li>Two-Incision </li></ul><ul><li>2 incisions </li></ul><ul><li>Approximately 2 inches in length </li></ul><ul><li>On both front and rear of thigh </li></ul><ul><li>Mini-Incision </li></ul><ul><li>1 incision </li></ul><ul><li>Approximately 3 to 4 inches in length </li></ul><ul><li>Either front or rear of thigh </li></ul>
  11. 11. Different Techniques Used for Minimally Invasive Hip Surgery <ul><li>Two-Incision </li></ul><ul><li>Estimated 80 mins. To 2 hours </li></ul><ul><li>Fluoroscopy may be used. </li></ul><ul><li>Mini-Incision </li></ul><ul><li>Patients lay on their side. </li></ul><ul><li>Fluoroscopy is not used . </li></ul>
  12. 12. Surgical Procedure <ul><li>Incision is made. </li></ul><ul><li>Socket re-shaped to fit new cup implant; replaces the diseased socket. </li></ul><ul><li>New cup placed in socket. </li></ul>Source: , 2003
  13. 13. Surgical Procedure, continued <ul><li>Femur prepared for the stem. </li></ul><ul><li>Hip stem implanted. </li></ul><ul><li>Ball put in place on top of stem. </li></ul><ul><li>Incision is closed. </li></ul>Source: , 2003
  14. 14. Benefits of Minimally Invasive Hip Surgery <ul><li>Less trauma to the body. </li></ul><ul><li>Healing and rehabilitation potentially quicker. </li></ul><ul><li>Hospital stays can be shorter. </li></ul><ul><li>Allows for immediate stability of the hip. </li></ul><ul><li>Lower risk of dislocation. </li></ul><ul><li>Potentially less postoperative pain. </li></ul><ul><li>Cosmetically appealing. </li></ul>
  15. 15. Preparing for Minimally Invasive Hip Surgery <ul><li>Strength conditioning enhances recovery. </li></ul><ul><li>Strengthen upper body and opposite leg in preparation for using crutches. </li></ul><ul><li>Visit a physical therapist to: </li></ul><ul><ul><li>Know what to expect in the hospital </li></ul></ul><ul><ul><li>Learn how to protect the hip after surgery </li></ul></ul><ul><ul><li>Get answers to questions about rehabilitation </li></ul></ul><ul><li>Get additional information from in the physical therapy section. </li></ul>
  16. 16. Before Surgery <ul><li>Medical evaluation will be completed. </li></ul><ul><li>Alleviate anxiety </li></ul><ul><ul><li>Learning more about what to expect </li></ul></ul><ul><ul><li>Sources: </li></ul></ul><ul><ul><ul><li>Patient brochures and videos (distributed by doctor) </li></ul></ul></ul><ul><ul><ul><li>Internet education ( ) </li></ul></ul></ul><ul><ul><ul><li>Discussion with doctor </li></ul></ul></ul>
  17. 17. Physical Therapist Role <ul><li>The physical therapist will visit the day or day after surgery. </li></ul><ul><li>Physical therapist will assess: </li></ul><ul><ul><li>Range of motion. </li></ul></ul><ul><ul><li>Ability to move in bed. </li></ul></ul><ul><ul><li>Breathing. </li></ul></ul><ul><ul><li>Ability to bear weight. </li></ul></ul><ul><li>Will help with everyday activity evaluation/instruction. </li></ul><ul><ul><li>Using the toilet. </li></ul></ul><ul><ul><li>Bathing. </li></ul></ul><ul><ul><li>Getting in and out of a chair. </li></ul></ul>
  18. 18. Hospital Discharge General Guidelines <ul><li>Accomplish the following activities before leaving the hospital: </li></ul><ul><ul><li>Walking 100 feet with assistive device. </li></ul></ul><ul><ul><li>Learn to climb stairs safely. </li></ul></ul><ul><ul><li>Exercising independently. </li></ul></ul><ul><ul><li>Equipped with assistive devices such as a sock tool, wedge pillow and a raised toilet seat. </li></ul></ul>
  19. 19. Recovery After Surgery <ul><li>The healing hip has a limited range of safe motion. </li></ul><ul><li>Follow safety rules, such as: </li></ul><ul><ul><li>Not crossing your legs. </li></ul></ul><ul><ul><li>Take care when bending. </li></ul></ul><ul><li>Avoid high-impact and contact sports. </li></ul><ul><li>Follow doctor’s instructions for a complete recovery. </li></ul>
  20. 20. Potential Complications and Risks <ul><li>Factors that may affect the rate of complications including. </li></ul><ul><ul><li>The skill of the surgeon. </li></ul></ul><ul><ul><li>Weight, age and overall health of the patient. </li></ul></ul><ul><ul><li>The lifestyle and activities of the patient. </li></ul></ul><ul><ul><li>Presence of osteoporosis or other conditions that weaken bones. </li></ul></ul><ul><ul><li>Patient compliance with instructions. </li></ul></ul>
  21. 21. Potential Complications and Risks, continued <ul><li>Hematoma </li></ul><ul><ul><li>Occurs when blood enters the wound after surgery. </li></ul></ul><ul><ul><li>If excessive, will be drained. </li></ul></ul><ul><li>Fracture </li></ul><ul><ul><li>From weak bones. </li></ul></ul><ul><ul><li>Patient falls. </li></ul></ul><ul><ul><li>Not following precautions. </li></ul></ul>
  22. 22. Potential Complications and Risks <ul><li>Infection </li></ul><ul><li>Dislocation </li></ul><ul><li>Blood clots </li></ul>
  23. 23. The Future of Minimally Invasive Hip Surgery <ul><li>Evolving </li></ul><ul><li>Clinical evidence is being collected </li></ul>
  24. 24. Questions?
  25. 25. Thank You!