MIS in knee and hip

Minimally Invasive Surgery (MIS) is a pioneering approach to hip and knee surgery, focusing on performing operations with smaller incisions and less injury to the surrounding tissues. This approach reduces the duration of recovery, postoperative pain and the risk of complications, improving patients’ quality of life. In MIS techniques,  several innovative surgical methods are included, which have found application in total hip and knee arthroplasty, with excellent results.

The AMIS method (Anterior Minimal Invasive Surgery) is one of the most popular minimally invasive techniques for total hip arthroplasty. It uses an anterior access, which means that the incision is made on the front side of the hip, without the need to cut or detach the muscles. This significantly reduces the risk of injury to muscle tissue, nerves and blood vessels.

This technique, in addition to the minimal incision, has the advantage that the operation is performed through a natural space of the muscles, avoiding the need to cut them. Thus, it helps maintain the stability of soft tissues, reducing postoperative pain and allowing the patient to recover faster.

The ASI (Anterior Supine Intramuscular) method is a variant of AMIS and is based on anterior supra-tibial access. It is particularly effective for patients with limited mobility or specific anatomical variations. This technique allows the surgeon to perform the operation with a smaller incision and greater and more precise guidance. Like AMIS, ASI reduces the need for muscle detachment,  resulting in minimization of complications and improved recovery.

The SuperPATH method  is a revolutionary technique in the field of total hip arthroplasty. One of the main advantages of this method is that the hip is not dislocated at any stage of the surgical procedure, which prevents the risk of further damage to the ligaments and joints. The hip joint capsule remains intact, ensuring greater stability after surgery and reducing the duration of rehabilitation.

The SuperPATH method offers an excellent result with less trauma and less bleeding, ensuring a more normal feeling and functionality of the joint after rehabilitation.

Robotic surgery with the Makoplasty method  is used in total or partial hip and knee arthroplasty. The MAKO robotic system allows the surgical execution with absolute precision, using advanced digital tools and models. The robotic system works with the surgeon, providing accurate measurements and adjustments to the technique of the operation for the optimal result. This reduces the risk of injuries to the surrounding tissues and allows greater precision in implant placement.

The NaviSwiss system  is an innovative digital navigation solution used for hip arthroplasty. This system is portable and easy to use in the operating room. It differs from traditional robotic systems because it provides surgeons with the necessary information without the need for complex settings, while remaining compatible with all surgical accesses and materials.

The ROSA© robotic system is the state-of-the-art system for total knee arthroplasty. Using the ROSA system, the surgeon can achieve precise placement of the prostheses, reducing the duration of the operation and enhancing the rehabilitation. The system’s collaboration with the surgeon allows for human intervention while ensuring minimal damage to soft tissues and optimizing joint functionality.

The augmented reality (A.R.) technique in total knee arthroplasty combines 3D imaging with special glasses and cameras. This allows the surgeon to have a complete and accurate picture of the anatomy of the joint during the operation. The system offers continuous updates and the ability to integrate new data in real time, making it extremely reliable and effective in performing arthroplasty.

MIS techniques, such as AMIS, ASI, SuperPATH and robotic systems, offer many advantages compared to traditional methods:

• Smaller incision and less injury to tissues and vessels.
• Minimization of postoperative pain and bleeding.
• Faster recovery and mobilization of the patient immediately after surgery.
• Minimizing the risk of complications, such as infection or rusting.
• Anatomically adapted procedures, adapted to the individualized anatomy of the patient.
• Upgraded functionality and quality of life after restoration.

Minimally invasive surgery is the future of orthopedic surgery and ensures a safe and accurate result for patients with hip and knee arthritis.