How MIS Technique For Knee Replacement & Hip Replacement Works?

Dec 5, 2023, Treatments

In the early 1990s, the art of Repicci came with the idea of minimally invasive techniques in orthopedics, which is an evolving and rapidly-gaining method amongst the surgeons to treat patients with hip and knee disorders. This technique has been introduced for unicompartmental knee replacement, an alternative method for total knee replacement for patients whose disease is limited to just one area of the knee. It is a less invasive procedure that results in reduced post-operative morbidity and faster rehabilitation. In this article, we will learn about the MIS technique for knee replacement & hip replacement.

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What Is MIS Technique?

The MIS (Minimally Invasive Surgery) technique is a part of new-age medical technology (medtech) that involves approaches like arthroscopy and laparoscopic devices. Here, the replacement of the defective site of the hip and knee is done with the help of specialized instruments, leading to minimal scarring.

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How Does The MIS Technique Work?

1. Knee Replacement

This procedure is used to replace damaged or worn surfaces of the knee. Typically, the damaged part of the knee is replaced with an implant or “prosthesis.” It is an alternative approach to knee replacement in which a surgeon uses shorter or tiny incisions and a less-invasive technique that exposes the joint to reduce postoperative pain and speed recovery.

This procedure is intended to help relieve pain and increase mobility, allowing you to return to normal activities.

Unlike traditional total knee replacement, the minimally invasive technique is not appropriate for all patients. Your orthopedic surgeon will go over the various surgical options with you.

2. Hip Replacement

Total or partial hip replacement with the help of the MIS technique is one of the most common orthopedic procedures, which involves the replacement of the hip joint with an artificial implant or prosthesis intended to restore mobility and reduce pain. In this way, this procedure enables one to return to physically demanding activities in everyday life.

Unlike the traditional surgical approach of total hip replacement, this procedure helps to restore the defects with the help of some minimal incisions.

The primary goal is to restore the functioning of the hip by using shorter incisions. Here, the surgeon changes the location of the incision to reduce pain and speed recovery. However, not all patients are suitable for this procedure. Consult with your surgeon to get the best option for you.

What Are The Benefits Of MIS Techniques?

MIS technique for hip and knee replacement is not suitable for everyone. Nevertheless, this procedure explicitly shows a variety of benefits that reflect the effectiveness of this procedure. This procedure is rapidly gaining popularity due to its high success rate. Minimally invasive knee and hip replacement surgical techniques lessen tissue trauma and improve patient outcomes.

Benefits of MIS technique:

Less blood loss: This procedure helps restore the hip and knee joints without damaging the surrounding tissues, which causes less blood flow during the surgery.

Smaller incisions: Unlike other traditional surgeries, MIS techniques replace the need for multiple incisions of 10 – 12 inches, which may raise the need for various adverse conditions after surgery. The specialized miniature instruments and tools enable the repair of injured tissue through a narrow incision while causing minimal damage to surrounding structures.

Reduced postoperative pain: As this procedure carries fewer chances of complications during surgery, the patient experiences less pain after the surgical period.

Faster recovery: The MIS technique is known for its promising results and fast recovery. Furthermore, you may be able to perform various activities without any support on the same day after the surgery. This procedure doesn’t require an extended hospital stay, and you may also be discharged the very next day.

What Are The Complications Of MIS Technique?

While the MIS technique is certainly evolving for hip and knee replacement, it has explicitly shown promising results. However, there are some complications associated with MIS techniques, such as:

Nerve and artery Injuries
Wound healing problems
Infection
Fracture of the femur
Malposition of the implants
Dislocation and loosening of your hip
Loosening of the components of the knee
Limited motion of the knee
Deep-vein thrombosis
Leg length discrepancy

Which Are The Orthopaedic Assessments Done Before Hip and Knee Replacement?

Consultation with your doctor before going for any surgery is essential. Sometimes, doctors may ask several questions regarding your general health, such as your knee and hip pain, physical ability, and location of pain. This conversation may signify the verge of your problem; according to that, the doctor plans the surgery. Your surgeon may also recommend some orthopedic assessments, such as:

Physical Examination: This procedure includes a physical examination in which your doctor may thoroughly check the condition of your hip and knee for range of motion and ligament quality.

X-rays are highly beneficial in identifying hip fractures, malignancies, and infections.

Magnetic Resonance Imaging(MRI): The surgeon may perform MRI to diagnose chronic and acute hip and knee pain. It helps in accessing the soft tissues in the hip and knee.

Blood Samples: Hemoglobin level, platelet count, WBC, RBC, and other components can all be measured with a complete blood count or blood sample. In addition, it assesses the patient’s health and looks for conditions like anemia, infections, etc.

Urine Sample: A critical test for determining the composition and color of urine is urine sampling. This process aids in detecting conditions such as kidney illnesses, diabetes, and UTIs.

Who Is An Ideal Candidate For Hip And Knee Replacement With MIS Technique?

MIS is one of the fastest-growing techniques for hip and knee replacement, and many people opt for this procedure due to its high success rate. Although MIS for hip and knee replacement is not suitable for everyone, some specific medical conditions and health criteria should be met to undergo the procedure. Some parameters that can justify an ideal candidate for hip and knee replacement are:

AGE: People with age less than 65 years are considered to be the best candidate for minimally invasive knee and hip replacement

BODY TYPE: Excessive muscle or fat requires multiple incisions, which may impede the procedure of hip and knee replacement through MIS techniques. Due to this, obese or extra-muscular candidates are not suitable to undergo the procedure.

BONE DEFORMITY: If a person has joint and bone deformities such as a bent knee, bow legs, osteoporosis, and so on, minimally invasive knee and hip replacement surgery is not an option.

What Is The Procedure Of MIS Technique For Knee And Hip Replacement?

The MIS technique in total hip and knee replacement involves a surgical procedure with minimal scarring. Here, the placement of artificial implants is the same as traditional knee replacement. Still, the whole procedure is done under the supervision of highly specialized surgical instruments that help prepare the femur and tibia to place the implants properly. The whole procedure is performed within a range of 4 to 6 inches of incisions, resulting in less tissue damage during the surgical period.

It typically takes just over an hour to perform a minimally invasive hip and knee replacement. Moreover, the hospital stay is slightly shorter than traditional hip and knee replacement. Generally, this procedure shows promising results, which range from outpatient (same-day) surgery to a hospital stay of 1 to 4 days.

Physical rehabilitation is one of the significant components that help speed the recovery. Various exercises are recommended to increase the range of motion and restore physical strength.

Which Are The Best Hospital For Knee And Hip Surgery With MIS Technique In India?

Hip and knee replacement surgery with the MIS technique is relatively safe and successful. India is a leading country in offering high-end surgery at affordable prices. People worldwide frequently visit India for hip and knee replacements with this new-age MIS technique. GoMedii has compiled a list of top hospitals that offer hip and knee replacements with the MIS technique at an affordable price:

Hospital:

FAQs Related To MIS Technique For Knee Replacement & Hip Replacement

Q: Which should be replaced first, knee or hip?

A: Due to differences in surgical complexity and various clinician recommendations, hip replacement is usually performed first, followed by knee replacement.

Q: What is the latest technology in knee replacement surgery in India?

A: Robotic knee replacement is considered the latest form of technology for knee replacement in India. This procedure involves using advanced CT scans that generate a customized 3D plan for the patient, improving the replacement procedure and reducing the error margin.

Q: What is the age limit for hip replacement?

A: Typically, hip replacements are performed for patients ages 60 to 80 years. Nevertheless, many youngsters and teenagers may experience hip replacement due to some trauma or any physical damage.

Q: How do I avoid knee replacement?

A: Many experts recommend low-impact exercise for strength and mobility, which can significantly reduce the risk of knee damage and help avoid knee replacement in the long term.

Q: Who Cannot have knee replacement surgery?

A: One who doesn’t face much difficulty walking on level ground or only feels pain while going up and down stairs. Furthermore, it is not recommended for a person with a systemic infection or who is prone to infection because it is considered the most post-surgical severe risk.

Choose GoMedii For The Best MIS Knee Replacement And Hip Replacement In India

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