The New Surgical Technique to the Positioning of Hip Prosthetic Implants: the Medial-inguinal Approach

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The New Surgical Technique to the Positioning of Hip Prosthetic Implants: the Medial-inguinal Approach

By Luca Lucente 3 Videos

249 views

January 17, 2021

Introduction/Aim:True to the concept of Tissue Sparing Surgery, we developed this new surgical technique to ...
read more ↘ reach the coxofemoral joint by starting at the inguinal-medial region. The purpose of this work is to introduce a new surgical access for the implant of a hip prosthesis that allows a fast track surgery.
Materials and Methods: We performed total hip arthroplasty on 150 patients suffering from hip arthritis.
Results: In our study, operation time and blood loss were lower, there were no complications, and recovery time was shorter.
Discussion: We have developed a surgical process that allows for safe, easy and fast replacement of the hip that spares the hip stabilizer muscles completely. Throughout the operation, the surgeon can view the acetabulum from the front, which is a view that is preferable to the one available with other known techniques. There is no need for special equipment or special operating tables, and surgeons do not face a steep learning curve when first introduced to the procedure. Since risks of dislocation are non-existent, the patient is allowed to lie in bed in any position. The procedure is preferable aesthetically since any scarring is hidden from view in the inguinal folds of skin. Patients can resume walking immediately, using two Canadian crutches for only a few days.
Conclusion: The authors believe, thanks to its low cost and ease of performance and replication, this technique offers nothing but advantages for the patient. Easier rehabilitation and short recovery is another positive aspect. The procedure can be considered a valid alternative to other common surgical approaches and gives surgeons an extra chance to implant a hip prosthesis.
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