Minimally Invasive Total Hip Replacement

At Nevada Orthopedics, we utilize a minimally invasive approach for total hip arthroplasty. This technique has been implemented for more than 20 years and has consistently demonstrated excellent outcomes with a very low complication rate. Our approach is a refined variant of the traditional posterior approach.

With this minimally invasive technique, muscle fibers are carefully separated rather than detached to allow access to the hip joint. The posterior capsule and short external rotators are opened to provide safe exposure of the hip while minimizing disruption to surrounding tissues. This approach helps reduce the risk of nerve injury and limits bleeding during the procedure.

An additional advantage of this approach is improved visualization of the hip joint during surgery. Enhanced visualization allows optimization of the prosthetic positioning and fit, which contributes to improved long-term outcomes. Accurate implant placement reduces the risk of complications such as prosthesis mismatch, implant settling, or periprosthetic fracture. The smaller incision associated with the minimally invasive technique may also help decrease the risk of postoperative infection.

This surgical approach was instrumental in introducing outpatient total hip arthroplasty to the region more than two decades ago. Patients typically experience rapid rehabilitation and functional recovery, with a gradual return to cardiovascular and exercise activities beginning as early as six weeks after surgery. Allowing this initial six-week healing period helps reduce complications while supporting enhanced recovery.