Dr. Narayan Hulse is the first surgeon in India to perform Robotic Total Hip Replacement using Direct Anterior Approach (DAA)
DIRECT ANTERIOR APPROACH IN ROBOTIC TOTAL HIP REPLACEMENT SURGERY
Robotic Total hip replacement is a surgical procedure that involves replacing the damaged or diseased parts of the hip joint with an artificial implant. Advances in technology have led to the development of robotic-assisted surgery, which is now widely used in orthopedic surgery, including hip replacement surgery. Over the years, there have been different approaches to performing this surgery, but the direct anterior approach has gained popularity due to its many advantages.
WHAT IS THE DIRECT ANTERIOR APPROACH?
The direct anterior approach is a minimally invasive surgical technique that involves accessing the hip joint from the front of the body, rather than from the side or the back. The approach involves making a small incision in the front of the hip and working through the natural interval between the muscles, without detaching any muscles or tendons. The surgeon then removes the damaged hip joint and replaces it with an artificial joint.
The direct anterior approach (DAA) is a surgical technique that has gained popularity in recent years due to its reduced recovery time and improved patient outcomes.
THE BENEFITS OF THE DIRECT ANTERIOR APPROACH:
The direct anterior approach has several advantages over traditional hip replacement surgery. These include:
Reduced muscle damage: The direct anterior approach involves accessing the hip joint through the natural interval between the muscles, without detaching any muscles or tendons. This reduces muscle damage and minimizes the risk of muscle weakness and instability after surgery.
Faster recovery time: Since the direct anterior approach involves less muscle damage, patients may experience a faster recovery time. Patients who undergo this approach typically experience less pain, require fewer pain medications, and are able to walk and resume normal activities sooner than patients who undergo traditional hip replacement surgery. In fact, many patients are able to walk with assistance the same day as their surgery.
Improved hip stability: The direct anterior approach provides better access to the hip joint and allows for better placement of the artificial joint, which may result in improved hip stability. And as the patient is lying supine on their back, it also helps the surgeon to ensure there are no leg length discrepancies on the OT table itself.
Reduced risk of dislocation: The direct anterior approach allows for better placement of the artificial joint, which may reduce the risk of dislocation after surgery. Since the surgeon has a direct view of the hip joint, they are able to precisely position the implant, which can lead to better long-term outcomes for the patient.
Smaller incision: The direct anterior approach involves making a smaller incision in the front of the hip, which results in less scarring and a more aesthetically pleasing result.
MAKO ROBOTIC SURGERY IN TOTAL HIP REPLACEMENT:
Mako robotic surgery has gained popularity in orthopedic surgery, including hip replacement surgery. The robotic system used in surgery helps surgeon to view the 3D model of the patient’s anatomy and hence ensure accuracy and precision throughout the surgery. The system also includes a computer program that allows the surgeon to plan the surgery before it is performed.
The Mako robotic system is used in conjunction with the direct anterior approach in total hip replacement surgery. The system helps the surgeon to perform the surgery with greater accuracy and precision, resulting in a better outcome for the patient.
BENEFITS OF ROBOTIC-ASSISTED SURGERY IN TOTAL HIP REPLACEMENT:
Greater accuracy and precision: The Mako robotic system provides the surgeon with a 3D view of the surgical site, which allows for greater accuracy and precision during the surgery. This results in a better outcome for the patient, with fewer complications and a reduced risk of revision surgery.
Customized surgery: The Mako robotic system allows the surgeon to plan the surgery before it is performed, which allows for a customized surgical plan that is tailored to the patient’s specific needs. This results in a better outcome for the patient, with a reduced risk of complications and a shorter recovery time.
Reduced risk of human error: The Mako robotic system reduces the risk of human error during surgery, as it provides the surgeon with real-time feedback and ensures there are no deviations from the plan.
DR. NARAYAN HULSE – THE FIRST SURGEON IN INDIA TO PERFORM ROBOTIC TOTAL HIP REPLACEMENT USING DIRECT ANTERIOR APPROACH (DAA)
It is significant to note that the direct anterior approach requires specialized training and equipment, and not all surgeons are trained in this technique.
Dr. Narayan Hulse has undergone a preliminary training under Dr. Akhil Sastry MD, from Portsmouth, US. Dr. Sastry is a pioneer of the direct anterior approach for total hip replacements. He was the first surgeon in the Seacoast to introduce this minimally invasive, muscle-sparing approach back in 2010 and has performed over 1,500 hip replacements!
Frequently Asked Questions (FAQs): Direct Anterior Approach In Robotic Total Hip Replacement Surgery
1.What is the direct anterior approach in robotic hip replacement?
The direct anterior approach in robotic hip replacement is a minimally invasive surgical technique that involves accessing the hip joint through a small incision at the front of the hip. The procedure is performed using a robotic system that assists the surgeon in positioning the implant with high precision.
2. What are the benefits of the direct anterior approach in robotic hip replacement?
The benefits of the direct anterior approach in robotic hip replacement include reduced pain, shorter hospital stays, quicker recovery times, and a lower risk of complications compared to traditional hip replacement techniques.
3. How does the robotic system assist in the direct anterior approach?
The robotic system used in direct anterior approach hip replacement provides the surgeon with real- time feedback on the position and orientation of the implant, allowing for greater precision and accuracy during surgery.
4. Is the direct anterior approach suitable for all patients?
The direct anterior approach may not be suitable for all patients, as it may be more challenging for patients who are obese or have significant muscle mass in the front of the hip. Dr. Narayan Hulse will determine if this approach is right for you after a thorough evaluation.
5. How long does the procedure take?
The direct anterior approach in robotic hip replacement typically takes between one and two hours to complete.
6. What is the recovery time for direct anterior approach hip replacement?
Patients who undergo direct anterior approach hip replacement typically experience a faster recovery time than those who undergo traditional hip replacement surgery, with most patients returning to normal activities within a few weeks.
7. How long do the results of direct anterior approach hip replacement last?
The results of direct anterior approach hip replacement typically last for many years, and some patients may never require a revision surgery.
8. What should I expect during my recovery from direct anterior approach hip replacement?
During your recovery from direct anterior approach hip replacement, you can expect to work with a physical therapist to regain strength and mobility in your hip joint. You may also need to use a walker for a period of time, and your surgeon will provide specific instructions on how to care for your incision and manage pain.
9. Why is Dr. Narayan Hulse the best surgeon in India for direct anterior approach (DAA) in robotic total hip replacement?
Direct anterior approach (DAA) is a specialized procedure that requires training and experience to execute perfectly. Dr. Narayan Hulse has undergone preliminary training from Dr. Akhil Sastry, Portsmouth, US and then an advanced training from Dr. Sean D. Toomey, Seattle, US. Both surgeons are highly renowned surgeons and considered pioneers with great experience in direct anterior approach (DAA). Dr. Narayan Hulse is the first surgeon in India to perform robotic total hip replacement using direct anterior approach (DAA).
10. How can I connect with Dr. Narayan Hulse?
If you are contemplating direct anterior approach for your hip replacement, you can book an appointment with Dr. Narayan Hulse at:
Fortis Hospital (080-66214444)
Hulse Clinic (+919480260001)
