Why Minimally Invasive Surgery in Hip （为什么臀部微创手术）.pdfVIP

4 Why Minimally Invasive Surgery in Hip Arthroplasty? Antonio Silvestre, Fernando Almeida, Pablo Renovell, Raúl López, Laura Pino and Luis Puertes School of Medicine Valencia/Hospital Clínico Valencia Spain 1. Introduction Hip replacement surgery is a successful procedure since its commencement. Special attention to minimally invasive access in hip reconstruction has been paid by orthopedic community, implant manufactures, mass media and patients for the last ten years. Nowadays though there is controversy about clinical effectiveness and cost-effectiveness of minimally invasive surgery (MIS) approaches (De Verteuil et al., 2008), many surgeons are using MIS for hip replacement. MIS means tissue sparing, gentle maneuvers, concern about muscles, sheaths, insertions, bone and of course the skin, in a word “preserve tissues”. These techniques have supposed an effort for the surgeons to place hip prosthesis with the accuracy of standard reproducible approaches and with a similar rate of complications. We went through the boom of minimally invasive prosthetic surgery in our Institution seven years ago. Encouraging results obtained by other authors drove us to cadaveric and laboratory training before using this technique in patients. In the beginning we started with the mini-posterior approach as posterior access to the hip was the most commonly used in our Hospital. We thought benefits for the patients could be obta