Ameliyat sonrası ağrıda azalma
The AMIS approach can reduce your ameliyat sonrası pain, as muscles are not cut 1.
Hip replacement surgery
İhtiyacınıza uygun prosedürü keşfedin
Hip Pain
Kalça protezi ameliyatı
Total kalça protezi
Total kalça protezi surgery substitutes the damaged kemik ve kıkırdak of the joint with metallic, polyethylene (a plastic material) or ceramic components.
A kalça protezi is an artificial articulation composed of a femoral stem with a head (sphere), a socket cup and an acetabular liner.
- The femoral stem is made of metal (usually a titanium or stainless-steel alloy).
- The head is made of ceramic or metal.
- The cup is usually made of metal (a titanium alloy or stainless steel).
- The liner is made of Highcross polyethylene.
Surgical approaches
AMIS
Mevcut yaklaşımlar ve AMIS
The surgeon can access the hip joint by different paths called “surgical approaches”. Numerous surgical approaches are advertised as minimal invaziv, including the posterior, lateral, or double incision approach. However, these are only reduced cilt kesisi techniques and still cause the same muscle and nerve injury as “conventional” approaches.
AMIS: gerçek minimal invaziv cerrahi
AMIS, Anterior Minimally Invasive Surgery, protects the muscles and nerves around the hip joint and often utilizes a smaller cilt kesisi 5. This approach follows an inter-muscular and inter-nervous path to reduce the risk of injury to your muscles, tendons, vessels, and nerves. It also offers a less significant muscular release than other approaches 8.
Yakınınızdaki kalça protezi cerrahlarını mı arıyorsunuz?
Minimally invasive surgery
Hip replacement technique
Neden AMIS total kalça protezi?
The AMIS technique results in less surgical trauma than other techniques because no muscles are cut, allowing you an improved yaşam kalitesi and the opportunity for a quicker iyileşme following your total kalça protezi. In addition, AMIS may potentially offer:
Belirgin şekilde kısalmış rehabilitasyon
Rehabilitasyon can usually start the ameliyat günü or the day after, subject to doktorunuz’s approval, based on your ameliyat sonrası condition 3.
Daha kısa hospitalizasyon
The AMIS tekniği may significantly reduce your hastane yatışı 4.
Daha küçük cilt izi
With AMIS, the cilt kesisi is often shorter than with “conventional” surgery 5.
Topallama riskinde azalma
Minimizing your muscle and sinir hasarı reduces your
risk of limping 7.
Kan kaybında azalma
Preserving your muscles and vessels potentially reduces your blood loss 4.
Çıkık riskinde azalma
Since the anterior approach is performed at the front of your body, you have a lower risk of dislocation, as dislocation is mainly related to posterior hip structure damage 2,4,6.
Günlük aktivitelere daha hızlı dönüş
The AMIS tekniği allows you to return to günlük aktiviteler
more quickly 6.
Uzmanlar ne diyor
Tyler D. Goldberg, MD
“The AMIS procedure completely revolutionized my surgical care for my arthritic hip patient population. Prolonged hastane yatışıs, weight-bearing and position restrictions, and intense narcotic usage are historical remnants of archaic surgical care.
Instead, I offer patients the opportunity to ameliyat günü eve dönün, with no restrictions and no opioid pain medications. I changed my technique, and my patients and I benefited. It’s a powerful win-win!”
Tyler D. Goldberg, MD
Minimally invasive surgery
AMIS Bikini tekniği: AMIS tekniğinin doğal evrimi
The AMIS Bikini is a true minimal invaziv surgical technique that follows the natural direction of your muscles.8
The AMIS Bikini approach retains all the benefits of the AMIS tekniği but utilizes an incision performed within the skin fold of the “bikini line,” or frontal groin crease. This approach allows for:
- Better aesthetic appearance9,10,11,12 of the kalça protezi scar
- Enhanced wound healing environment and lower rate of wound complications.9,10,11,12 This procedure is also indicated for patients with a higher than average BMI.12
Yakınınızdaki kalça protezi cerrahlarını mı arıyorsunuz?
DOKTORUNUZU BULUN
Buradaki bilgiler yalnızca referans amaçlıdır ve tıbbi tavsiye veya öneri niteliği taşımaz. Her hasta bir hekim tarafından bireysel olarak muayene edilmeli ve bilgilendirilmelidir; bu bilgiler söz konusu muayene ve/veya tavsiyenin yerini kısmen veya tamamen almaz. Sonuçlar tüm hastalar için tipik, gösterge niteliğinde veya temsil edici olmayabilir. Sonuçlar sağlık durumu, kilo, aktivite ve diğer değişkenlere göre farklılık gösterebilir. Tüm hastalar bu ürün ve/veya prosedür için aday değildir. Uygun ameliyat sonrası aktiviteler ve ağrı yönetimi hastadan hastaya değişir. Durumunuz ve sunulan prosedürün sizin için uygun olup olmadığı konusunda, ilgili riskleri göz önünde bulundurarak doktorunuzla konuşun. Tüm içerik Medacta’nın telif hakkı, ticari marka ve/veya diğer fikri mülkiyet haklarıyla korunur ve Medacta’nın yazılı izni olmadan kullanılamaz.
Kaynaklar
1- Musculoskeletal Health in Europe Report v5.0 – p18. http://www.eumusc.net accessed on 10/04/2018
2- Vasina PG, Rossi R, Giudice GM, Palumbi P. Hip arthroposthesis through the anterior minimal invaziv approach. Sphera 2010;6(12) – Speciale Ortopedia.
3- Dora C. Minimalinvasive Zugänge an der Hüfte. Orthopäedie Mitteilungen 6/07, 574-576.
4- Jayankura M, Roty M, Potaznik A, Rooze M, Cermak K, Remy P, Gillard B, Biltiau N, Schuind F. Isokinetic and isometric muscle strength iyileşme after total hip arthroplasty implanted by direct anterior approach. Podium presentation at the 10th Annual Congress of the EFORT, Vienna, Austria, June 3-6, 2009.
5- F Rachbauer, Minimally Invasive total hip arthroplasty: anterior approach, Orthopäde, 2006 Jul, 35(7):723-4, 726-9
6- Laude F. Total hip arthroplasty through an anterior Hueter minimal invaziv approach. Interact Surg (2006) 1: 5-11.
7- Bremer AK, Kalberer F, Pfirrmann CWA, Dora C. Soft-tissue changes in hip abductor muscles and tendons after total kalça protezi: Comparison between the direct anterior approach and the transgluteal approaches approaches. J Bone Joint Surg (Br) 2011–July; 93-B:886-9.
8- Single-Incision Direct Anterior Approach for Total Hip Arthroplasty Using a Standard Operating Table; TP Lowell; The Journal of Arthroplasty Vol. 23 No. 7 Suppl. 1 2008
9- Menzies-Wilson, Richard & Mahalingham, Karuppiah & I, Tamimi & Field, Richard. (2019) “Retrospective cohort study comparing the functional outcomes of direct anterior approach hip arthroplasty. Oblique “bikini” vs longitudinal cilt kesisi.”
10- Menzies-Wilson, Richard & Mahalingham, Karuppiah & I, Tamimi & Field, Richard (2019).”Functional Outcomes of direct anterior approach hip arthroplasty: Oblique ‘bikini’ versus longitudinal cilt kesisi.” 10.1177/2210491719890883.
11- Leunig, Hutmacher, Ricchiardi, Impellizzeri, Rüdiger, Naal (2018). “Skin crease ‘bikini’ incision for the direct anterior approach in total hip arthroplasty: a two- to four-year comparative study in 964 patients.” Bone Joint J.
12- Manrique, MD, Paskey, BS a, Tarabichi, MD, Restrepo, MD, Foltz, PhD Hozack, MD. (2019) “Total Hip Arthroplasty Through the Direct Anterior Approach Using a Bikini Incision Can Be Safely Performed in Obese Patients.” J Arthroplasty