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Minimally Invasive Therapy

In recent years the awareness of muscle-considering and joint conserving procedures in orthopedics increased. One key reasons is the younger patient collective and their higher degree of activity. After a surgery both, the re-entry into the professional enviroment and a fresh start into leisure activities should be as quickly as possible. Through a fast postoperative mobilisation and activity increase muscle considering procedures offer the opportunity to restore the patients quality of life.

In order to gain access to the hip joint without damaging the muscles a matched skin incision is used during the surgical treatment (Figure 1).

This can be achieved during a hip arthoscopy with the help of 2-4 small incisions which enables the treatment of several joint pathologies (More information on the topic Arthroscopy). With this technique impingement, synovitis and labral tear treatments, as much as the removal of free joint bodies and cartilage transplantations are possible.


Figure 1: Hip joint accessibility during a hip arthroscopy

Extended pathologies require a short skin incision to allow an adequate treatment. This can be done mostly arthroscopally to prevent soft-tissue trauma. In the same circumstances, local cartilage damages can be overcrowned with the so called HemiCap. This part crowning only overlaids the damaged part which is why a full prosthesis is not necessary. Due to this minimally invasive techniques a timely mobilization and a fast recovery follows (Figure 2 and 3).


Figure 2: HemiCAP Implantation. The muscles remain untouched (black arrow: conserved muscles; white arrow: treatened femoral head)


Figure 3: Supply of a defect with a bone conserving HemiCap prosthesis