Dr. Waldman has one of the largest experiences with minimally invasive total hip replacement in the country. He was involved with the development of the single incision, posterior approach during his fellowship at the Hospital for Special Surgery in New York.
Dr. Waldman subsequently developed, along with Biomet, an anterior one-incision approach with accompanying instruments known as the Microplasty technique.
Minimally invasive total hip replacement is intended to minimize tissue trauma, blood loss and postoperative pain. By minimizing tissue damage, patients are able to make faster recoveries.
While this technique has allowed us to reduce hospital stays, we do not perform it as an outpatient procedure. We feel that sending the patient home prematurely places an undue burden on the family, that is now forced to assume the role that our specialized nurses are better trained for. Most patients are candidates for this technique, even if they are significantly overweight. Dr. Waldman uses this procedure in combination with larger femoral heads and platelet grafting to provide the best possible outcome for your new hip.
Why not the two incision approach?
In experienced hands, the two incision approach can be very successful. However, published research has shown a higher rate of bone fracture, nerve palsy and malalignment of the components with the two-incision approach. Many doctors are abandoning it due to the high complication rate. In our experience, the one incision approach provides a much safer operation and similar benefits to the two incision approach.