MIS Total Hip Replacement with a Single Posterior Approach

The posterior single incision MIS total hip replacement is a safe and effective operation when performed by surgeons who have the skill to do it and have taken the time to learn how to perform it correctly. The operation is important to patients and improves their confidence in their operation as shown by our psychological survey. The focus of MIS surgery is to provide earlier functional improvement for patients. The posterior single-incision MIS operation does provide less pain and better function in the first 3 months as compared with a long incision. The posterior incision is equal, if not superior, to the anterior intermuscular incision, by gait studies, in the first 6 weeks postoperatively. For these reasons, surgeons who perform a long posterior incision, and want to do a hip replacement with a small incision, should do so with the single-incision posterior approach, which provides for them an anatomical familiarity.