What is the Mako Bikini Incision Hip Replacement?
Bikini Incision Hip Replacement is a minimally invasive surgical technique used to replace the hip joint. It involves making a small, horizontal incision near the groin crease, which results in a more discreet scar. Dr. Avino performs this procedure using the Mako Robotic system, which ensures precise alignment of the prosthesis. The technique is a variation of the Direct Anterior Approach (DAA), an approach known for muscle preservation. By accessing the hip joint with a robotic arm via a bikini incision, the surrounding tissues are minimally disrupted while improving both functional outcomes and the aesthetic appearance of the incision.
Indications for the Mako Bikini Incision Hip Replacement
This approach is recommended for patients at high risk of wound healing issues, particularly when a traditional approach may complicate recovery. Additionally, the Direct Anterior Approach improves mobility and recovery making it ideal for patients seeking faster post-operative rehabilitation.
Preparation for the Mako Bikini Incision Hip Replacement
Before surgery, you will undergo a thorough evaluation to ensure you are a good candidate for the procedure. You will be advised to maintain a healthy diet, stay active, and quit smoking to promote better surgical outcomes. A CT scan of your hip is obtained to develop a 3D virtual model of your hip joint. This model, created using the Mako system, provides a personalized view of your anatomy, allowing Dr. Avino to carefully plan the precise size, positioning, and alignment of the hip implant, which is essential to the success of the Direct Anterior Approach hip replacement procedure.
How is the Mako Bikini Incision Hip Replacement Performed?
General or spinal anesthesia will be administered. The procedure uses the Direct Anterior Approach, which allows the surgeon to access the joint from the front of the hip with minimal disruption to the surrounding muscles and tissues. A small, horizontal incision is made in the groin crease, through which Dr. Avino guides Mako’s robotic arm to remove arthritic bone and cartilage from the hip. The robotic arm creates a virtual boundary, providing tactile resistance to help the surgeon stay within the predefined surgical plan, ensuring accuracy. Throughout the procedure, Mako provides real-time data, allowing for proper assessment of the movement and tension of your joint and adjustments if necessary. As Dr. Avino prepares to place the implant, the robotic arm guides it at the desired angle, ensuring optimal placement and alignment.
Recovery after Bikini Incision Hip Replacement
Patients often experience a faster recovery with the Direct Anterior Approach due to reduced tissue disruption. This approach allows many patients to walk within a few hours after surgery and return to daily activities within a few weeks with hardly any restrictions. Physical therapy can help ensure proper mobility and strength as part of the recovery process, speeding up rehabilitation. By using a horizontal incision, the scar heals faster and with less complications.
Risks associated with Bikini Incision Hip Replacement
While this technique reduces the risk of wound complications, there are still risks, including infection, blood clots, or implant issues. These complications are minimized through careful planning and the precision of the Mako Robotic system. The Direct Anterior Approach further mitigates risks related to muscle damage or prolonged recovery times.
Benefits of the Mako Bikini Incision Hip Replacement
The combination of the Bikini Incision with the Direct Anterior Approach offers several key benefits: improved wound healing, minimal scarring, faster recovery times, and reduced postoperative pain. The cosmetic advantage of a discreet scar near the groin crease makes this procedure especially appealing for many patients. The Mako system's precision ensures that the implant is optimally placed, enhancing the functional outcomes of the surgery.
