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HIP | SURGICAL PROCEDURES

Anterior Minimally Invasive Hip Replacement Surgery (AMIS)

What is an Anterior Minimally Invasive Hip Replacement Surgery (AMIS)?

Anterior Minimally Invasive Hip Replacement Surgery (AMIS) is a specialized hip replacement technique that involves creating a small incision at the front of the hip to replace the damaged joint. Dr van Niekerk, a pioneer in the field, routinely uses the bikini incision technique in South Africa, demonstrating his exceptional surgical skill. His expertise ensures that the surgical approach is notable for its cosmetic benefits, limited muscle disturbance, faster recovery times, and reduced postoperative pain.

How do you perform an Anterior Minimally Invasive Hip Replacement Surgery (AMIS)?

With this less invasive anterior hip approach, Dr van Niekerk creates an incision over the front of the hip and removes damaged bone and cartilage. He can accurately place the hip implant through this small incision without disrupting nearby muscles and tendons.

The direct anterior surgical approach is known for its 'muscle-sparing' technique, which minimizes disturbance to surrounding tissue. This approach allows Dr van Niekerk to avoid cutting into sensitive muscle and soft tissue regions, thereby reducing pain and improving mobility post-surgery.

What are the benefits of AMIS Bikini Incision Hip Replacement?

  • The incision along the skin folds promotes faster healing and a less noticeable scar, contributing to a more cosmetically appealing outcome.
  • The appearance of a bikini scar is considered more cosmetically appealing than one from a vertical incision.
  • Thanks to the less invasive nature of the procedure, patients can look forward to a quick return to their daily activities after the surgery.
  • After the surgery, patients can expect minimal postoperative restrictions, allowing them to resume their normal activities sooner.
  • Lower risk of surgical complications such as excessive bleeding, infection and hip dislocation.
  • While most patients are eligible for bikini-incision anterior hip replacement, a few with hip abnormalities may not qualify. After assessing the patient, Dr van Niekerk will determine the best surgical approach.

FAQ

How soon can I return to daily activities after the procedure?

Walking is resumed as soon as the afternoon of the surgery. Crutch use is determined by the implant fixation technique used and ranges between 4-6 weeks.

What should I avoid doing after a hip replacement?
  • Don't twist at the hip or cross your legs.
  • Don’t engage in intense exercise for the first several weeks after the procedure.

Dr van Niekerk will advise further on postoperative care.

What is AMIS?

The direct anterior approach, a key component of AMIS, involves placing the prosthesis through the front of the joint without harming nearby muscles or nerves. This technique is known for its 'muscle-sparing' nature, which minimizes disturbance to surrounding tissue, reduces pain, and improves mobility post-surgery.