جراحة تغيير مفصل الفخذ (الورك) 

Hip replacement is named “the operation of the century” owing to its great success and the high patient satisfaction.

Over the last 50 years, this operation has demonstrated a high level of development and innovation. The surgical technique is a major part guided by the surgeon's skills, and the prosthesis materials and technology are the other central wing guided by the industry.

Surgical technique

Classically, this operation was performed through either a posterior or lateral approach, guided by the surgeon’s preference. In all of the orthopaedic meetings and conferences, a debate on which is the best. The posterior approach is less muscle-cutting; however, it is associated with less postoperative stability and higher dislocation rates. On the contrary, the lateral approach is more stable, with lower postoperative dislocation rates; however, it involves more muscle cutting, resulting in a longer postoperative recovery period.

Accordingly, we decided to enhance our technical expertise to perform most of our primary replacements using the new direct anterior approach. This approach allows direct access to the hip joint without any single muscle cut and provides a very stable joint condition postoperatively.

We are proud to be one of the few and early centres in Egypt, the Middle East, and Africa to provide this new, helpful service for the sake of our patient welfare and early, fast recovery.

Direct Anterior approach

It has many advantages that result in smooth and rapid patient recovery.

1. Done in the supine position, which is very comfortable for the patients and the anaesthetists during the operation time

2. Done in the supine position, allowing easy comparison of both lower limb lengths and perfect limb length adjustment while doing the operation. This issue is of significant concern for both the posterior and lateral approaches done in the lateral position.

3. It is a muscle-splitting approach, allowing for easy and smooth access to the joint without harming the surrounding muscles. This allows fast and smooth patient recovery.

4. Achieved by using anterior dislocation with muscle preservation, this approach maximises the stability of the implanted joint. This allows patients to move freely immediately after the operation, with no restrictions on movement or position, unlike other approaches.

5. This approach requires specific instrumentation that is all available and is used regularly.