Minimally Invasive Total Hip Replacement- Setting New Benchmark

Bhubaneswar: Minimally Invasive Surgery (MIS) has become a trend in all aspects of Orthopaedic Surgery and total hip replacement is not an exception.
Apollo Hospitals, Bhubaneswar is at the forefront in conducting MIS total hip surgery in Odisha and has set a new benchmark. Recently a new yardstick in MIS Total Hip Replacement Surgery was set here at Apollo Hospitals, Bhubaneswar in a 53 year old patient suffering from Ankylosing Spondylitis with fused hips. He was operated successfully using only 3.5 inches incision. The patient has shown quick recovery in his rehabilitation and is now totally pain free and ready to be discharged, said Dr. Sanjeev Patnaik, Sr. Consultant Orthopaedics & Joint Replacement Department.
With over 15 years experience in Joint Replacement surgery Dr. Patnaik along with his team of experienced surgeons have pioneered in this field of MIS hip surgery having successfully done more than 60 cases till now. MIS total hip replacement is a new advanced surgical technique which uses smaller incisions with a goal to decrease soft tissue dissection and tissue injury. The overall benefits of the patient are immense in the form of less post operative pain due to less tissue trauma, less blood loss, faster rehabilitation and recovery, shorter hospital stay thereby decreasing hospital expenses along with good cosmetic appeal.
The technique is usually indicated for less complicated hip cases, thin built young patients who are motivated for quick recovery, however, it may not be offered to complex hip scenarios, revision hip cases or obese individuals, said Dr. Patnaik.
Minimally invasive hip replacement surgery allows the surgeon to perform the hip replacement through one or two smaller incisions. Candidates for minimal incision procedures are typically thinner, younger, healthier, and more motivated to have a quick recovery compared with patients who undergo the traditional surgery.
The surgical procedure is similar, but there is less soft-tissue dissection. A single minimally invasive hip incision may measure only 3 to 6 inches. It depends on the size of the patient and the difficulty of the procedure. The incision is usually placed over the outside of the hip. The muscles and tendons are split or detached, but to a lesser extent than in the traditional hip replacement operation. They are routinely repaired after the surgeon places the implants. This encourages healing and helps prevent dislocation of the hip.
Shri Sudhir M. Diggikar, Regional Chief Executive Officer of Apollo Hospitals, Odisha & Chhattisgarh congratulated Dr. Patnaik & his team for setting up this new benchmark. Shri Diggikar informed that Apollo Hospitals, Bhubaneswar offers advanced treatment for various hip disorders, including arthritis. “This MIS procedure has a success rate of 99% and has proved extremely beneficial for relatively young patients suffering from secondary arthritis. Improved instrumentation and technical skills have advanced our ability to accurately diagnose and treat various conditions. The role of this procedure continues to evolve with new indications that might change the outcome of degenerative joint disease of the hip joint”, added Shri Diggikar. Dr. Debabrata Padhy & Dr Akshay Sahoo, consultants of Orthopaedic Department were present on the occasion.

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