Single Incision or 2-Incision Mini-Incision Total Hip Replacement
There has been much debate about the efficacy and safety of the 2-incision MIS total hip technique compared to the single-incision technique advocated by Dr. Swanson. The 2-incision technique was originally claimed by its proponents to be superior because it "cuts no muscle," and because patients were able to go home the day of surgery. However, there is now good evidence that not only is the 2-incision technique no better than the single-incision technique, but that it has significant risks and disadvantages for both patient and surgeon.
See videos of single-incision patients walking the day of surgery
Disclaimer:The
information provided here is intended to educate the reader about certain
medical conditions and certain possible treatment. It is not a substitute
for examination, diagnosis, and medical care provided by a licensed
and qualified health professional. If you believe you, your child,
or someone you know, suffer from the conditions described herein, please
see your health care provider immediately. Do not attempt to treat
yourself, your child or anyone else without proper medical supervision.
©2006 Todd Swanson, M.D.
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The minimally invasive total
hip replacement was developed by Dr. Swanson after being introduced
to the concept in early
1997. Dr. Swanson began using the technique in May of 1997 and has continued
to make improvements that now allow reliable surgery and reproducibly
good results in most patients. Standardization of the technique has allowed
teaching to other surgeons. Numerous physicians and orthopedic companies
have shown interest in promoting “minimally invasive surgery” for
total hip replacements.
The minimally invasive technique utilizes a 3-4
inch incision, much smaller than the 8-10 inch approach historically
used for hip replacement. Patients require less anesthesia and pain medication,
and mobilize more quickly. This results in both quicker recovery for
the patient and a lower incidence of complications.
Patients typically recover from minimally
invasive surgery in about half the time it takes to recover from standard
incision surgery (6 weeks vs. 12 weeks).
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