In the modern era of hip arthroplasty, surgical techniques have evolved to prioritise both functional and aesthetic outcomes. One such innovation is the Bikini Incision Direct Anterior Approach (DAA) for hip replacements, which promises a blend of reduced invasiveness, quicker recovery, and superior aesthetic results. This article delves into the specifics of the Bikini Incision DAA, highlighting its advantages.

The Bikini Incision DAA Technique:

The Bikini Incision DAA employs a front-facing, or anterior, approach to access the hip joint, making a precise incision along the bikini line, which is parallel to the skin creases. This is a departure from traditional longitudinal incisions and is designed to cause less disruption to the surrounding musculature, blood vessels, and nerves.

Why Choose The Bikini Hip Replacement Technique? A Surgeon’s Perspective.

In the realm of orthopaedic innovations, the Bikini Hip Replacement technique shines brightly, offering a blend of functional efficacy and aesthetic discretion. I am constantly on the lookout for surgical advancements that can significantly enhance the patient experience and outcomes. The Bikini Hip Replacement technique is one such remarkable innovation that aligns with this pursuit. Here’s a closer look at why the Bikini Hip Replacement is a worthy consideration for those in need of hip arthroplasty:

### 1. **Minimally Invasive Approach**:

The Bikini Hip Replacement employs a direct anterior approach, which is notably less invasive compared to traditional techniques. This minimally invasive nature translates to less tissue disruption, which is a significant benefit in promoting faster healing and recovery.

### 2. **Aesthetic Consideration**:

The unique incision made along the bikini line is a standout feature of this technique. It’s not just about a smaller scar; it’s about a scar that blends seamlessly with the body’s natural contours, offering a more discreet post-operative appearance. This is particularly appealing to individuals who are concerned about the aesthetic aspect of surgery.

### 3. **Preservation of Musculature**:

By preserving the vital muscles and tendons surrounding the hip joint, the Bikini Hip Replacement technique minimises post-operative pain and facilitates a quicker return to mobility. This muscle-sparing approach is central to delivering better functional outcomes.

### 4. **Reduced Recovery Time**:

The lesser degree of tissue disruption often leads to a quicker initial recovery. Many patients find themselves able to stand and walk with support sooner than they would with traditional hip replacement surgeries. The aim is to get you back to your active life as swiftly as possible.

### 5. **Lowered Risk of Complications**:

The minimally invasive approach, coupled with the preservation of surrounding musculature and vessels, tends to lower the risk of surgical and post-operative complications. It’s about not just enhancing the positives but also mitigating the negatives associated with hip replacement surgery.

### 6. **Modern Surgical Excellence**:

Employing modern implants and state-of-the-art surgical instruments, the Bikini Hip Replacement technique represents a stride towards embracing contemporary surgical excellence. It’s about aligning with advancements that have the potential to deliver superior patient outcomes.

In my practice, I hold a strong belief in delivering tailored surgical solutions that resonate with the individual needs and concerns of each patient. The Bikini Hip Replacement technique is a reflection of this philosophy, offering a modern, effective, and aesthetically considerate option for hip arthroplasty.

Conclusion:

The Bikini Incision Direct Anterior Approach is a prime example of how surgical techniques in hip arthroplasty have progressed, with a keen eye on enhancing both the functional and aesthetic outcomes for patients. If you are considering hip replacement surgery, understanding the benefits of this innovative technique is crucial. Reach out to us to explore if the Bikini Incision DAA is the right choice for your hip replacement journey.

Learn more about Bikini with MSK Doctors

The United Orthopedic UK team frequently assist orthopaedic surgeons within surgery with a variety of our hip and knee implants. One of the surgeons that we work closely with is @Dr. Karuppiah Mahalingam, a Consultant Orthopedic Surgeon based at the @Mater Private Network hospital in Cork, Ireland.

Using the United Orthopedic Conformity stem and U-Motion II, Dr. Mahalingam is a champion of performing total hip arthroplasty (THA) using the bikini incision direct anterior approach (DAA) surgical technique.

After undergoing Bikini DAA, many patients leave hospital just one day after surgery and return to better quality of life at a quicker rate compared to standard hip replacement surgery.

What is Bikini Incision Direct Anterior Approach (DAA)?

The primary goal of minimal access hip replacement is to preserve muscles, blood vessels, and nerves surrounding the joint with minimal harm. The Bikini DAA approach is a new type of minimally invasive anterior approach in total hip replacement. It significantly reduces the potential risks associated with surgery such as blood loss. In addition, this type of procedure compared to conventional hip replacements speeds up post-operative recovery and rehabilitation times.

What are the benefits of the Bikini DAA?

1. Decreased recovery time and rehabilitation time

Compared to standard hip replacement surgery, the Bikini DAA surgical technique dramatically reduces the post-operative recovery time as no muscles are cut during the procedure. Typically, patients can stand up and practice walking with crutches almost immediately after surgery and can return to driving within one month of surgery. As a large part of recovery is due to the healing of internal soft tissues and surgical wounds, this minimally invasive technique greatly reduces the amount of time it takes to rehabilitate after surgery.

2. Shorter hospital stay

In many cases, patient’s length of stay at the hospital is dramatically reduced. As many patients can start walking with crutches soon after the procedure, patients are allowed to return home much sooner, generally the day after surgery. Although post-operative check-ups will be required, patients often find their recovery more pleasant and enjoyable in the comfort of their own home.

3. Small skin scar

Many patients will cosmetically benefit from a much smaller scar after their hip surgery. The incision is much shorter and smaller reducing the amount of scar tissue post-surgery. Because the wound is largely hidden in females by a bikini, it is also often referred to as a bikini incision hip replacement.

4. Faster return to daily activities

Patients who undergo minimally invasive hip replacement surgery recover much quicker than patients undergoing conventional hip replacement surgery, enabling them to return to their daily activities much quicker.

5. Less blood loss

As a minimal access hip replacement technique, it preserves both muscles and vessels meaning blood loss is significantly reduced. With blood transfusions seldomly needed, the risk of blood clots in the patient’s legs is also significantly reduced.

6. Reduced risk of dislocation

Dislocation is mainly related to posterior hip structure damage. However, as Bikini DAA is performed from the front of the body this technique significantly reduces the likelihood of hip dislocation. Also due to the preservation of muscles that work to improve the stability of the hip, movement post-surgery is not as limited in comparison to standard hip replacement.

7. Prevention of limping

Characterised by the surgical procedure that preserves muscles, blood vessels, and nerves during the exposure of the hip joint, minimal access hip replacement significantly reduces the chances of post-operative limping. With excellent control of their legs and no requirement for pain management medication as part of their rehabilitation, patients are able to drive very soon after surgery.

If you are an orthopaedic surgeon and wish to find out more about the technique detailed above using our range of implants, please contact Malcolm Pearson, UK Commercial Director for United Orthopedic UK via email: malcolm.pearson@unitedorthopedic.com

#surgery #orthopaedics #bikiniincision #THA #DDA

Taiwanese based leading international designer, manufacturer, and distributor of versatile orthopedic solutions for joint replacement implants have announced that they will be partnering with Pixee Medical to pioneer a new venture.

The Pixee Medical company was founded in October 2017 with the goal of creating high-performance, computer-assisted surgical solutions using existing advanced computer vision and artificial intelligence technologies, while remaining affordable amid the challenging health system environment. They have created the first computer-assisted orthopaedic surgery solution using augmented reality and will be collaborating with United Orthopaedic to introduce their innovations to surgeons throughout Europe.

Malcolm Pearson, Commercial Director for UK & Ireland said – “I am thrilled to be collaborating with Pixee Medical, particularly on their Augmented Reality Navigation for Total Knee Arthroplasty which will offer orthopaedic surgeons intraoperative assistance for the implant positioning with the help of augmented reality glasses. I can see this being of real benefit to surgeons performing operations using our U2 knee system – a comprehensive system designed to allow surgeons to address straightforward primary to complex revision knee arthroplasty”.

United Orthopedic will be starting conversations with surgeons in the UK in partnership with Pixee Medical from June 2021 and urge those interested to get in touch via the United website or via email. Details of which can be found below.

Download more information here

We’re delighted to announce that we have been awarded CE marking on a number of new hip and knee products that have been introduced into our range.

CE marking is now in place for:

– USTAR II-Hip & Knee – the USTAR II system is designed for extensive reconstruction of the hip and knee joint.
– Conformity Stem – provides a comprehensive stem solution to hip arthroplasty surgery.
– XPE insert – the Full XPE Cup is designed for cemented fixation in primary or revision hip arthroplasty.
– UDM Cup – the UDM (United Dual Mobility) acetabular system is designed to help prevent dislocation by providing increased jump distance and range of motion.

For more details about these products, please contact – malcolm.pearson@unitedorthopedic.com

United Orthopedics’ desire is to protect and improve the health of people around the world.  Never has this purpose been more important in a time when the world faces an unprecedented threat from COVID-19.

As a healthcare company, our top priority is the safety of the patient as well as our customers and employees, and we will continue to closely observe the COVID-19 pandemic and its changing implications.

Over the last few months, we have all witnessed NHS employees being under tremendous pressure and we are inspired by the heroic efforts of all healthcare professionals treating COVID-19 patients.

Thank you from all of us at United Orthopedics.