Department of Orthopedics, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China
For about half a century now, hip-joint prosthesis implantation was successfully implemented by orthopedists. Because of such procedures and the evolution of surgical techniques, the postoperative recovery period has been reduced. Still, the success of treatment is only assessable by a quick recovery of limb function, management and minimizing the post-operative pain and also the reproducibility of the procedure including its safety. Total hip arthroplasty (THA) is performed by making the shortest possible skin incision as compared to the so called original technique which is conducted by a standard length of 15 cm incision. However, the recent techniques are being discussed in depth and their effectiveness over the conventional methods is the current field of study amongst the researchers. The objective of this review was to understand different approaches of minimal invasive techniques of THA and to study the advantages and disadvantages of each technique as per the available literature, and to summarize the effectiveness of minimal invasive technique as an emerging approach for THA procedures. The anterior approach seems to be the most promising out of the available techniques given that intramuscular incision is avoided which reduces the rehabilitation time considerably. However, surgical skills and expertise are needed to perform the same as avoiding injury to lateral femoral cutaneous nerve is critical.