Why It Happens \u2013 Causes (Etiology and Pathophysiology)<\/h4>\n
The most common reason for hip replacement surgery is osteoarthritis, a condition where the cartilage of the hip joint wears away, leading to pain, stiffness, and reduced mobility. Other conditions such as rheumatoid arthritis, trauma, or hip dysplasia can also lead to the need for hip replacement.<\/p>\n
![\"X-ray](\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2021\/08\/Minimally-Invasive-Total-Hip.jpg\" "\\"X-ray")
X-ray showing a lateral view of a total hip replacement.<\/p><\/div>\n
How the Body Part Normally Works? (Relevant Anatomy)<\/h4>\n
The hip joint is a ball-and-socket joint, with the femoral head (ball) fitting into the acetabulum (socket) of the pelvis. The smooth cartilage that covers the ball and socket allows for frictionless movement, enabling a wide range of motion necessary for walking, running, and sitting.<\/p>\n
What You Might Feel \u2013 Symptoms (Clinical Presentation)<\/h4>\n\n- \n
Pain<\/strong>: Persistent pain in the hip, particularly when walking, bending, or standing.<\/p>\n<\/li>\n- \n
Stiffness<\/strong>: Limited range of motion, difficulty moving the hip in all directions.<\/p>\n<\/li>\n- \n
Difficulty Walking<\/strong>: Limping or inability to bear weight due to joint pain.<\/p>\n<\/li>\n<\/ul>\nHow Doctors Find the Problem? (Diagnosis and Imaging)<\/h4>\n\n- \n
X-rays<\/strong>: To examine the joint space, bone deformities, and arthritis.<\/p>\n<\/li>\n- \n
MRI or CT scans<\/strong>: To visualize soft tissues and detailed bone structures.<\/p>\n<\/li>\n- \n
Physical Exam<\/strong>: To assess the range of motion and identify pain points.<\/p>\n<\/li>\n<\/ul>\nProcedure Types or Techniques (Classification)<\/h4>\n\n- \n
Traditional THR<\/strong>: Larger incision, more muscle disruption.<\/p>\n<\/li>\n- \n
Minimally Invasive THR<\/strong>: Smaller incision, reduced muscle disruption, quicker recovery.<\/p>\n<\/li>\n<\/ul>\nOther Problems That Can Feel Similar (Differential Diagnosis)<\/h4>\n\n- \n
Trochanteric bursitis<\/strong>: Inflammation of the bursa near the hip joint.<\/p>\n<\/li>\n- \n
Sciatica<\/strong>: Pain that radiates down the leg due to nerve compression.<\/p>\n<\/li>\n- \n
Labral tears<\/strong>: Damage to the cartilage in the hip joint, causing similar symptoms.<\/p>\n<\/li>\n<\/ul>\nTreatment Options<\/h4>\n
Non-surgical<\/strong>: Pain medications (NSAIDs, acetaminophen), physical therapy, corticosteroid injections, and assistive devices like canes.<\/p>\nSurgical<\/strong>: Minimally invasive THR, traditional THR, or hip resurfacing.<\/p>\nRecovery and What to Expect After Surgery<\/h4>\n\n- \n
Immediate Post-Surgery<\/strong>: Patients can bear weight on the leg soon after surgery, typically with the aid of crutches.<\/p>\n<\/li>\n- \n
Physical Therapy<\/strong>: Begins early to restore motion and strength.<\/p>\n<\/li>\n- \n
Full Recovery<\/strong>: Most patients regain full functionality within 3-6 months, with some returning to activities like walking, swimming, or biking.<\/p>\n<\/li>\n<\/ul>\nPossible Risks or Side Effects (Complications)<\/h4>\n\n- \n
Infection<\/strong>: A risk with any surgical procedure.<\/p>\n<\/li>\n- \n
Blood Clots<\/strong>: Can form in the legs, with potential for a pulmonary embolism.<\/p>\n<\/li>\n- \n
Dislocation<\/strong>: Rare but possible during the initial recovery period.<\/p>\n<\/li>\n- \n
Leg Length Discrepancy<\/strong>: Slight difference in leg length after surgery.<\/p>\n<\/li>\n<\/ul>\n![\"Intraoperative](\"https:\/\/2025divi.cortho.org\/wp-content\/uploads\/2021\/08\/Minimally-Invasive-Total-Hip-2.jpg\" "\\"Intraoperative")
Intraoperative image showing the removed head of the femur and the neck of the femur.<\/p><\/div>\n
Long-Term Outlook (Prognosis)<\/h4>\n\n- \n
Pain Relief<\/strong>: Most patients experience significant pain relief and improved joint function.<\/p>\n<\/li>\n- \n
Implant Longevity<\/strong>: Implants typically last 15-20 years, depending on activity level and patient factors.<\/p>\n<\/li>\n- \n
Functional Improvement<\/strong>: Most patients regain substantial mobility and independence.<\/p>\n<\/li>\n<\/ul>\nOut-of-Pocket Cost<\/h4>\n
Medicare<\/strong><\/p>\nCPT Code 27130 \u2013 Minimally Invasive Total Hip Replacement (Total Hip Arthroplasty with a Smaller Incision): $303.45<\/p>\n
Medicare Part B typically covers 80% of the approved cost for this procedure once your annual deductible has been met, leaving you responsible for the remaining 20%. Supplemental Insurance plans such as Medigap, AARP, or Blue Cross Blue Shield generally cover that remaining 20%, minimizing or eliminating out-of-pocket expenses for Medicare-approved surgeries. These plans work alongside Medicare to fill the coverage gap and reduce patient financial responsibility.<\/p>\n
If you have Secondary Insurance, such as TRICARE, an Employer-Based Plan, or Veterans Health Administration coverage, it acts as a secondary payer. These plans generally cover any remaining balance, including coinsurance or small deductibles, which typically range between $100 and $300, depending on your plan and provider network.<\/p>\n
Workers\u2019 Compensation<\/strong><\/p>\nIf your minimally invasive total hip replacement is required due to a work-related injury or degenerative hip disease caused by your job, Workers\u2019 Compensation will cover all associated medical expenses, including surgery, rehabilitation, and follow-up care. You will not have any out-of-pocket expenses, as the employer\u2019s insurance carrier directly covers all approved treatments.<\/p>\n
No-Fault Insurance<\/strong><\/p>\nIf your hip replacement surgery is needed due to an automobile accident, No-Fault Insurance will typically cover the full cost of treatment, including surgery and postoperative care. The only potential out-of-pocket cost may be a small deductible or co-payment depending on your insurance policy.<\/p>\n
Example<\/p>\n
Sarah Lee required minimally invasive total hip replacement (CPT 27130) to treat advanced osteoarthritis in her hip. Her estimated Medicare out-of-pocket cost was $303.45. Since Sarah had supplemental insurance through Blue Cross Blue Shield, her remaining balance was fully covered, leaving her with no out-of-pocket expenses for the procedure.<\/p>\n
Frequently Asked Questions (FAQ)<\/h4>\n
Q. How long is the hospital stay?<\/strong><\/p>\nA. Typically, patients go home the same day or the next after surgery.<\/p>\n
Q. When can I return to work?<\/strong><\/p>\nA. For sedentary jobs, patients can return in 2-4 weeks; for more physically demanding work, it may take 6-8 weeks.<\/p>\n
Q. What activities can I do after surgery?<\/strong><\/p>\nA. Low-impact activities like swimming, walking, and cycling are encouraged; high-impact sports should be avoided for the long term.<\/p>\n
Summary and Takeaway<\/h4>\n
Minimally invasive total hip replacement is an effective option for patients with hip arthritis who want to restore function and reduce pain. This technique offers benefits like faster recovery, less tissue damage, and smaller scars compared to traditional hip replacement. However, it may not be suitable for all patients, and a thorough consultation with an orthopedic surgeon is essential to determine the best approach.<\/p>\n
Clinical Insight & Recent Findings<\/h4>\n
A recent study evaluated the early clinical and radiological outcomes of minimally invasive total hip replacement (MI THR) using the posterolateral approach.<\/p>\n
The study found that the procedure, performed on 73 hips, yielded significant improvements in the Harris Hip Scores (HHS) and demonstrated favorable acetabular component positioning in the majority of cases. While blood loss was lower than expected, there were some complications, including a nondisplaced femoral fracture and early dislocation due to malpositioned components.<\/p>\n
Overall, the minimally invasive technique provided satisfactory results with a lower complication rate compared to traditional approaches. (\u201cStudy on minimally invasive total hip replacement \u2013 see PubMed<\/em><\/a>\u201d).<\/p>\nWho Performs This Surgery? (Specialists and Team Involved)<\/h4>\n
Orthopedic surgeons specializing in joint replacement surgery perform the procedure, assisted by a surgical team and possibly robotic technology specialists.<\/p>\n
When to See a Specialist?<\/h4>\n
If you have persistent hip pain that limits your daily activities and have not found relief from conservative treatments, consult an orthopedic surgeon to discuss surgical options.<\/p>\n
When to Go to the Emergency Room?<\/h4>\n
Seek immediate medical attention if you experience severe pain, signs of infection (fever, redness, swelling), or if the joint dislocates.<\/p>\n
What Recovery Really Looks Like?<\/h4>\n
Recovery includes pain management, physical therapy, and gradual return to normal activities. Most patients regain significant function within 3-6 months, with minimal restrictions.<\/p>\n
What Happens If You Delay Surgery?<\/h4>\n
Delaying surgery can lead to worsening pain, further joint deterioration, and potentially more complex surgery.<\/p>\n
How to Prevent Recurrence or Failure?<\/h4>\n
Maintain a healthy weight, avoid high-impact activities, and follow post-surgery rehabilitation plans to ensure the longevity of your implant.<\/p>\n
Nutrition and Bone or Joint Health<\/h4>\n
Ensure adequate intake of calcium and vitamin D for bone health. Avoid smoking and limit alcohol consumption to support recovery and implant durability.<\/p>\n
Activity and Lifestyle Modifications<\/h4>\n
Post-surgery, engage in low-impact activities and avoid heavy lifting and high-impact sports to protect the implant and promote recovery.<\/p>\n
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Minimally Invasive Total Hip Replacement Minimally invasive total hip replacement (THR) is a modern surgical technique used to replace the hip joint, involving smaller incisions and less disruption to surrounding muscles compared to traditional methods. This approach has gained popularity due to its potential for quicker recovery, less postoperative pain, and smaller scars. While it […]<\/p>\n","protected":false},"author":37,"featured_media":13799,"parent":162,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"Minimally Invasive Total Hip Replacement | Complete Orthopedics","_seopress_titles_desc":"The minimally invasive technique also utilizes less cutting of the tissues besides a smaller skin incision.","_seopress_robots_index":"","_et_pb_use_builder":"on","_et_pb_old_content":"
Minimally invasive total hip replacement is a surgical technique used to perform a total hip replacement using smaller incisions as compared to the traditional approach. The minimally invasive technique also utilizes less cutting of the tissues besides a smaller skin incision.<\/p>
The technique is fairly recent as compared to the traditional hip replacement<\/a> technique. While minimally invasive hip replacement offers a lot of benefits compared to the traditional approach, the technique may not be best suited for all patients.<\/p>X-ray showing a lateral view of a total hip replacement.<\/p>
Hip replacement surgery is most often performed for the management of end-stage arthritis<\/a> of the hip joint. The surgery involves the removal of the diseased ends of the bones that form the hip joint. Prosthetic metal and plastic parts<\/a> are then capped over the bony ends to recreate the function of the natural joint.<\/p>Minimally invasive surgery<\/h4>
The prosthetic implants used in a minimally invasive hip replacement surgery are the same as the ones used in a traditional approach. The instruments used in the minimally invasive technique are however different from the ones used in the traditional approach.<\/p>
Special instruments may be utilized to help the surgeon perform the surgery through a smaller incision. The special instruments are useful while preparing the bony socket and the femoral canal for the implants.<\/p>
Generally, minimally invasive surgery is only advised in patients who require a primary uncemented hip replacement, are physiologically younger, have a thin physique with relatively normal hip anatomy.<\/p>
Minimally invasive surgery is not recommended in patients undergoing revision surgery or complex primary hip replacement surgery. Patients that require revision hip replacement or complex primary hip replacement need a significantly larger exposure of the hip joint to perform the surgery.<\/p>
The technique is also not advised in patients who may have undergone any kind of prior hip\/thigh surgery such as osteotomy, fracture fixation with screws\/nails\/plates, etc. Obese, highly muscular, and patients with multiple medical co-morbidities are also not good candidates for minimally invasive surgery.<\/p>
Patients with a bone tumor, metabolic bone disease such as osteoporosis, inflammatory arthritis such as rheumatoid arthritis who may need a hip replacement are also not good for a minimally invasive technique. Similarly, patients with severe hip deformities such as contractures or bony fusion of the hip may require an extensive approach used in traditional surgery.<\/p>
Technique differences<\/h4>
During a traditional hip replacement surgery, the surgeon gives an incision that may be approximately 10-12 inches long. The incision in the common posterior approach<\/a> is given at the back of the hip joint. The incision in anterior hip replacement<\/a> is given in the groin area and given at the side of the hip joint in the direct lateral approach.<\/p>The neck of the femur is cut to free the head which is subsequently extracted out. The acetabulum socket is then prepared through serial reaming which is usually followed by the preparation of the femoral canal.<\/p>
An acetabular shell is usually press-fitted in the bony socket or may be fixed with bone cement. A femoral prosthetic stem is press-fitted in the femoral canal and is capped with a prosthetic head of the femur. The prosthetic head is then relocated in the prosthetic cup.<\/p>
In the case of minimally invasive surgery, the skin incision is usually half the size of the incision used in the traditional approach. The surgeon may utilize minimally invasive techniques through either of the approaches used in the traditional hip replacement.<\/p>
Surgeons may also use a double incision, with an incision in front of the hip and the back. The incision in the groin is used for the preparation of the bony acetabulum and prosthetic cup placement. Similarly, the incision in the back is used for femoral canal preparation and the placement of the femoral component.<\/p>
Advantages<\/h4>
The smaller skin incision used in minimally invasive surgery leads to a smaller surgical scar. During minimally invasive technique fewer tissues are cut\/separated which leads to less intraoperative blood loss. Additionally, the patients may have a shortened postoperative recovery. The technique preserves the abductor muscles at the side of the hip joint that is important for normal walking.<\/p>
Intraoperative image showing the removed head of the femur and the neck of the femur.<\/p>
Limitations<\/h4>
The exposure to the joint is greatly reduced in a minimally invasive technique. The limited exposure may potentially lead to mal-aligned implants. Proper positioning of the implants is necessary to prevent prosthetic hip dislocation and ensure a stable range of motion.<\/p>
The minimally invasive technique utilizes special instruments to perform the surgery through a narrow field. The instruments may put stress on the tissues and the skin that may be double the stresses in the traditional approach. The additional stress on the skin and the tissue may lead to problems of wound healing and tissue damage.<\/p>
The narrow field of surgery in a minimally invasive technique may increase the chances of damage to the lateral femoral cutaneous nerve, femoral nerve, or the sciatic nerve depending upon the approach used in surgery. The technique may also increase the chances of an intraoperative prosthetic joint fracture.<\/p>
Conclusion<\/h4>
Hip replacement surgery is one of the most successful surgeries in the history of medicine. The traditional approach has been proved to be highly effective in numerous long-term studies. The minimally invasive technique requires a significant amount of training by the surgeon to master the technique.
The minimally invasive technique offers advantages over the traditional approach; there is not enough data to conclusively state that it is more beneficial than the traditional approach. Speak with your operating surgeon regarding the type of surgery that may be best suited in your case.<\/p>","_et_gb_content_width":"","footnotes":""},"class_list":["post-13791","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages\/13791","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/users\/37"}],"replies":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13791"}],"version-history":[{"count":4,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages\/13791\/revisions"}],"predecessor-version":[{"id":58593,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages\/13791\/revisions\/58593"}],"up":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages\/162"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/media\/13799"}],"wp:attachment":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13791"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Pain<\/strong>: Persistent pain in the hip, particularly when walking, bending, or standing.<\/p>\n<\/li>\n Stiffness<\/strong>: Limited range of motion, difficulty moving the hip in all directions.<\/p>\n<\/li>\n Difficulty Walking<\/strong>: Limping or inability to bear weight due to joint pain.<\/p>\n<\/li>\n<\/ul>\n X-rays<\/strong>: To examine the joint space, bone deformities, and arthritis.<\/p>\n<\/li>\n MRI or CT scans<\/strong>: To visualize soft tissues and detailed bone structures.<\/p>\n<\/li>\n Physical Exam<\/strong>: To assess the range of motion and identify pain points.<\/p>\n<\/li>\n<\/ul>\n Traditional THR<\/strong>: Larger incision, more muscle disruption.<\/p>\n<\/li>\n Minimally Invasive THR<\/strong>: Smaller incision, reduced muscle disruption, quicker recovery.<\/p>\n<\/li>\n<\/ul>\n Trochanteric bursitis<\/strong>: Inflammation of the bursa near the hip joint.<\/p>\n<\/li>\n Sciatica<\/strong>: Pain that radiates down the leg due to nerve compression.<\/p>\n<\/li>\n Labral tears<\/strong>: Damage to the cartilage in the hip joint, causing similar symptoms.<\/p>\n<\/li>\n<\/ul>\n Non-surgical<\/strong>: Pain medications (NSAIDs, acetaminophen), physical therapy, corticosteroid injections, and assistive devices like canes.<\/p>\n Surgical<\/strong>: Minimally invasive THR, traditional THR, or hip resurfacing.<\/p>\n Immediate Post-Surgery<\/strong>: Patients can bear weight on the leg soon after surgery, typically with the aid of crutches.<\/p>\n<\/li>\n Physical Therapy<\/strong>: Begins early to restore motion and strength.<\/p>\n<\/li>\n Full Recovery<\/strong>: Most patients regain full functionality within 3-6 months, with some returning to activities like walking, swimming, or biking.<\/p>\n<\/li>\n<\/ul>\n Infection<\/strong>: A risk with any surgical procedure.<\/p>\n<\/li>\n Blood Clots<\/strong>: Can form in the legs, with potential for a pulmonary embolism.<\/p>\n<\/li>\n Dislocation<\/strong>: Rare but possible during the initial recovery period.<\/p>\n<\/li>\n Leg Length Discrepancy<\/strong>: Slight difference in leg length after surgery.<\/p>\n<\/li>\n<\/ul>\n Intraoperative image showing the removed head of the femur and the neck of the femur.<\/p><\/div>\n Pain Relief<\/strong>: Most patients experience significant pain relief and improved joint function.<\/p>\n<\/li>\n Implant Longevity<\/strong>: Implants typically last 15-20 years, depending on activity level and patient factors.<\/p>\n<\/li>\n Functional Improvement<\/strong>: Most patients regain substantial mobility and independence.<\/p>\n<\/li>\n<\/ul>\n Medicare<\/strong><\/p>\n CPT Code 27130 \u2013 Minimally Invasive Total Hip Replacement (Total Hip Arthroplasty with a Smaller Incision): $303.45<\/p>\n Medicare Part B typically covers 80% of the approved cost for this procedure once your annual deductible has been met, leaving you responsible for the remaining 20%. Supplemental Insurance plans such as Medigap, AARP, or Blue Cross Blue Shield generally cover that remaining 20%, minimizing or eliminating out-of-pocket expenses for Medicare-approved surgeries. These plans work alongside Medicare to fill the coverage gap and reduce patient financial responsibility.<\/p>\n If you have Secondary Insurance, such as TRICARE, an Employer-Based Plan, or Veterans Health Administration coverage, it acts as a secondary payer. These plans generally cover any remaining balance, including coinsurance or small deductibles, which typically range between $100 and $300, depending on your plan and provider network.<\/p>\n Workers\u2019 Compensation<\/strong><\/p>\n If your minimally invasive total hip replacement is required due to a work-related injury or degenerative hip disease caused by your job, Workers\u2019 Compensation will cover all associated medical expenses, including surgery, rehabilitation, and follow-up care. You will not have any out-of-pocket expenses, as the employer\u2019s insurance carrier directly covers all approved treatments.<\/p>\n No-Fault Insurance<\/strong><\/p>\n If your hip replacement surgery is needed due to an automobile accident, No-Fault Insurance will typically cover the full cost of treatment, including surgery and postoperative care. The only potential out-of-pocket cost may be a small deductible or co-payment depending on your insurance policy.<\/p>\n Example<\/p>\n Sarah Lee required minimally invasive total hip replacement (CPT 27130) to treat advanced osteoarthritis in her hip. Her estimated Medicare out-of-pocket cost was $303.45. Since Sarah had supplemental insurance through Blue Cross Blue Shield, her remaining balance was fully covered, leaving her with no out-of-pocket expenses for the procedure.<\/p>\n Q. How long is the hospital stay?<\/strong><\/p>\n A. Typically, patients go home the same day or the next after surgery.<\/p>\n Q. When can I return to work?<\/strong><\/p>\n A. For sedentary jobs, patients can return in 2-4 weeks; for more physically demanding work, it may take 6-8 weeks.<\/p>\n Q. What activities can I do after surgery?<\/strong><\/p>\n A. Low-impact activities like swimming, walking, and cycling are encouraged; high-impact sports should be avoided for the long term.<\/p>\n Minimally invasive total hip replacement is an effective option for patients with hip arthritis who want to restore function and reduce pain. This technique offers benefits like faster recovery, less tissue damage, and smaller scars compared to traditional hip replacement. However, it may not be suitable for all patients, and a thorough consultation with an orthopedic surgeon is essential to determine the best approach.<\/p>\n A recent study evaluated the early clinical and radiological outcomes of minimally invasive total hip replacement (MI THR) using the posterolateral approach.<\/p>\n The study found that the procedure, performed on 73 hips, yielded significant improvements in the Harris Hip Scores (HHS) and demonstrated favorable acetabular component positioning in the majority of cases. While blood loss was lower than expected, there were some complications, including a nondisplaced femoral fracture and early dislocation due to malpositioned components.<\/p>\n Overall, the minimally invasive technique provided satisfactory results with a lower complication rate compared to traditional approaches. (\u201cStudy on minimally invasive total hip replacement \u2013 see PubMed<\/em><\/a>\u201d).<\/p>\n Orthopedic surgeons specializing in joint replacement surgery perform the procedure, assisted by a surgical team and possibly robotic technology specialists.<\/p>\n If you have persistent hip pain that limits your daily activities and have not found relief from conservative treatments, consult an orthopedic surgeon to discuss surgical options.<\/p>\n Seek immediate medical attention if you experience severe pain, signs of infection (fever, redness, swelling), or if the joint dislocates.<\/p>\n Recovery includes pain management, physical therapy, and gradual return to normal activities. Most patients regain significant function within 3-6 months, with minimal restrictions.<\/p>\n Delaying surgery can lead to worsening pain, further joint deterioration, and potentially more complex surgery.<\/p>\n Maintain a healthy weight, avoid high-impact activities, and follow post-surgery rehabilitation plans to ensure the longevity of your implant.<\/p>\n Ensure adequate intake of calcium and vitamin D for bone health. Avoid smoking and limit alcohol consumption to support recovery and implant durability.<\/p>\n Post-surgery, engage in low-impact activities and avoid heavy lifting and high-impact sports to protect the implant and promote recovery.<\/p>\n [\/et_pb_text][et_pb_text admin_label=”FAQ Headline” _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”]<\/p>\n [\/et_pb_text][et_pb_df_faq admin_label=”FAQ Module – Change the FAQ Category Here” filter_by_category_on=”on” include_categories=”5296″ accordion_bg_color_closed=”#1f7714″ accordion_bg_color_open=”#1f7714″ accordion_icon_color=”#FFFFFF” accordion_icon_color_open=”#FFFFFF” _builder_version=”4.24.3″ _module_preset=”default” question_text_color=”#FFFFFF” answer_text_color=”#FFFFFF” global_colors_info=”{}”]<\/p>\n [\/et_pb_df_faq][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_sidebar area=”sidebar-1″ _builder_version=”4.16″ global_colors_info=”{}”]<\/p>\n [\/et_pb_sidebar][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Minimally Invasive Total Hip Replacement Minimally invasive total hip replacement (THR) is a modern surgical technique used to replace the hip joint, involving smaller incisions and less disruption to surrounding muscles compared to traditional methods. This approach has gained popularity due to its potential for quicker recovery, less postoperative pain, and smaller scars. While it […]<\/p>\n","protected":false},"author":37,"featured_media":13799,"parent":162,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"Minimally Invasive Total Hip Replacement | Complete Orthopedics","_seopress_titles_desc":"The minimally invasive technique also utilizes less cutting of the tissues besides a smaller skin incision.","_seopress_robots_index":"","_et_pb_use_builder":"on","_et_pb_old_content":" Minimally invasive total hip replacement is a surgical technique used to perform a total hip replacement using smaller incisions as compared to the traditional approach. The minimally invasive technique also utilizes less cutting of the tissues besides a smaller skin incision.<\/p> The technique is fairly recent as compared to the traditional hip replacement<\/a> technique. While minimally invasive hip replacement offers a lot of benefits compared to the traditional approach, the technique may not be best suited for all patients.<\/p> X-ray showing a lateral view of a total hip replacement.<\/p> Hip replacement surgery is most often performed for the management of end-stage arthritis<\/a> of the hip joint. The surgery involves the removal of the diseased ends of the bones that form the hip joint. Prosthetic metal and plastic parts<\/a> are then capped over the bony ends to recreate the function of the natural joint.<\/p> The prosthetic implants used in a minimally invasive hip replacement surgery are the same as the ones used in a traditional approach. The instruments used in the minimally invasive technique are however different from the ones used in the traditional approach.<\/p> Special instruments may be utilized to help the surgeon perform the surgery through a smaller incision. The special instruments are useful while preparing the bony socket and the femoral canal for the implants.<\/p> Generally, minimally invasive surgery is only advised in patients who require a primary uncemented hip replacement, are physiologically younger, have a thin physique with relatively normal hip anatomy.<\/p> Minimally invasive surgery is not recommended in patients undergoing revision surgery or complex primary hip replacement surgery. Patients that require revision hip replacement or complex primary hip replacement need a significantly larger exposure of the hip joint to perform the surgery.<\/p> The technique is also not advised in patients who may have undergone any kind of prior hip\/thigh surgery such as osteotomy, fracture fixation with screws\/nails\/plates, etc. Obese, highly muscular, and patients with multiple medical co-morbidities are also not good candidates for minimally invasive surgery.<\/p> Patients with a bone tumor, metabolic bone disease such as osteoporosis, inflammatory arthritis such as rheumatoid arthritis who may need a hip replacement are also not good for a minimally invasive technique. Similarly, patients with severe hip deformities such as contractures or bony fusion of the hip may require an extensive approach used in traditional surgery.<\/p> During a traditional hip replacement surgery, the surgeon gives an incision that may be approximately 10-12 inches long. The incision in the common posterior approach<\/a> is given at the back of the hip joint. The incision in anterior hip replacement<\/a> is given in the groin area and given at the side of the hip joint in the direct lateral approach.<\/p> The neck of the femur is cut to free the head which is subsequently extracted out. The acetabulum socket is then prepared through serial reaming which is usually followed by the preparation of the femoral canal.<\/p> An acetabular shell is usually press-fitted in the bony socket or may be fixed with bone cement. A femoral prosthetic stem is press-fitted in the femoral canal and is capped with a prosthetic head of the femur. The prosthetic head is then relocated in the prosthetic cup.<\/p> In the case of minimally invasive surgery, the skin incision is usually half the size of the incision used in the traditional approach. The surgeon may utilize minimally invasive techniques through either of the approaches used in the traditional hip replacement.<\/p> Surgeons may also use a double incision, with an incision in front of the hip and the back. The incision in the groin is used for the preparation of the bony acetabulum and prosthetic cup placement. Similarly, the incision in the back is used for femoral canal preparation and the placement of the femoral component.<\/p> The smaller skin incision used in minimally invasive surgery leads to a smaller surgical scar. During minimally invasive technique fewer tissues are cut\/separated which leads to less intraoperative blood loss. Additionally, the patients may have a shortened postoperative recovery. The technique preserves the abductor muscles at the side of the hip joint that is important for normal walking.<\/p> Intraoperative image showing the removed head of the femur and the neck of the femur.<\/p> The exposure to the joint is greatly reduced in a minimally invasive technique. The limited exposure may potentially lead to mal-aligned implants. Proper positioning of the implants is necessary to prevent prosthetic hip dislocation and ensure a stable range of motion.<\/p> The minimally invasive technique utilizes special instruments to perform the surgery through a narrow field. The instruments may put stress on the tissues and the skin that may be double the stresses in the traditional approach. The additional stress on the skin and the tissue may lead to problems of wound healing and tissue damage.<\/p> The narrow field of surgery in a minimally invasive technique may increase the chances of damage to the lateral femoral cutaneous nerve, femoral nerve, or the sciatic nerve depending upon the approach used in surgery. The technique may also increase the chances of an intraoperative prosthetic joint fracture.<\/p> Hip replacement surgery is one of the most successful surgeries in the history of medicine. The traditional approach has been proved to be highly effective in numerous long-term studies. The minimally invasive technique requires a significant amount of training by the surgeon to master the technique.How Doctors Find the Problem? (Diagnosis and Imaging)<\/h4>\n
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Procedure Types or Techniques (Classification)<\/h4>\n
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Other Problems That Can Feel Similar (Differential Diagnosis)<\/h4>\n
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Treatment Options<\/h4>\n
Recovery and What to Expect After Surgery<\/h4>\n
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Possible Risks or Side Effects (Complications)<\/h4>\n
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Long-Term Outlook (Prognosis)<\/h4>\n
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Out-of-Pocket Cost<\/h4>\n
Frequently Asked Questions (FAQ)<\/h4>\n
Summary and Takeaway<\/h4>\n
Clinical Insight & Recent Findings<\/h4>\n
Who Performs This Surgery? (Specialists and Team Involved)<\/h4>\n
When to See a Specialist?<\/h4>\n
When to Go to the Emergency Room?<\/h4>\n
What Recovery Really Looks Like?<\/h4>\n
What Happens If You Delay Surgery?<\/h4>\n
How to Prevent Recurrence or Failure?<\/h4>\n
Nutrition and Bone or Joint Health<\/h4>\n
Activity and Lifestyle Modifications<\/h4>\n
Do you have more questions?\u00a0<\/h2>\n
Minimally invasive surgery<\/h4>
Technique differences<\/h4>
Advantages<\/h4>
Limitations<\/h4>
Conclusion<\/h4>
The minimally invasive technique offers advantages over the traditional approach; there is not enough data to conclusively state that it is more beneficial than the traditional approach. Speak with your operating surgeon regarding the type of surgery that may be best suited in your case.<\/p>","_et_gb_content_width":"","footnotes":""},"class_list":["post-13791","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages\/13791","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/users\/37"}],"replies":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13791"}],"version-history":[{"count":4,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages\/13791\/revisions"}],"predecessor-version":[{"id":58593,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages\/13791\/revisions\/58593"}],"up":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages\/162"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/media\/13799"}],"wp:attachment":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13791"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}