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Minimal invasive surgery for hip replacement: a new technique using the NILNAV hip system
Author(s) -
Sherry Eugene,
Egan Michael,
Warnke Patrick H.,
Henderson Antony,
Eslick Guy D.
Publication year - 2003
Publication title -
anz journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.426
H-Index - 70
eISSN - 1445-2197
pISSN - 1445-1433
DOI - 10.1046/j.1445-2197.2002.02597.x
Subject(s) - medicine , surgery , total hip replacement , fixation (population genetics) , hip pain , hip replacement , femoral neck , arthroplasty , population , environmental health , osteoporosis , endocrinology
Background: Minimal invasive surgical techniques are used for cruciate ligament reconstructions, unicondylar knee replacements and, more recently, for fixation of fractures. This is a report of the first instrumented technique for hip replacement using a 5‐cm incision without the need for a navigation system or X‐rays. Methods: It uses the C.F.P stem (LINK) but is universal. It includes jigs for the osteotomy of the neck, a right‐angled reamer and spacers (lollipops) to orientate the acetabular cup to the femoral stem. A case series of 14 patients using this new hip replacement technique (called NILNAV Hip System) is reported. Results: The procedure was successfully performed on all seven patients, with reduced postoperative pain and stiffness, and increased quality of life and functional status. All patients were discharged on postoperative Days 1 and 2 with minimal pain and blood loss. Conclusions: This new minimal access total hip replacement technique was successfully performed on seven patients. There are several advantages of using this system compared with the more traditional techniques. Such a technique should help reduce morbidity and mortality rates for those patients undergoing a total hip replacement.