Minimally Invasive Surgery (MIS)
Our emphasis in the 21 st century is to provide surgical treatments that are proven yet minimize the surgical trauma and pain that patients must suffer. In the past, long incision and extensive exposure disrupted muscles, ligaments, and tendons that were important in patient recovery. Recently, innovations in surgical technique, tools, and equipment make it possible for surgeons to operate through smaller incisions and minimize injury to muscles, ligaments, and tendons. Consequently, patients experience less pain, quicker recovery, and easier rehabilitation. Many patients return to work sooner.
MIS is prevalent in many facets of orthopedic surgery. Most recognized is in the field of Sports Medicine where arthroscopic surgery has revolutionized the treatment of knee and shoulder injuries. Ligament reconstruction, meniscal repair, cartilage resurfacing, rotator cuff reattachment, and shoulder instability correction are just a few of the operations surgeons now perform through key hole incisions that are only 1/4". This is possible because of clever surgical techniques, fiber optic, and innovative instruments. Dr. Lawhorn, our Arthroscopic Specialist, performs these operations in the shoulder and knee.
Similar progress has occurred in joint replacements, trauma reconstruction, and spine surgery. In our practice, MIS hip replacement and knee replacement are frequently done. Dr. Aram is trained and certified in performing MIS total hip and total knee replacements. Among the joint replacement surgeries Dr. Aram performs frequently are the MIS 2-Incision and Mini-Incision total hip replacement; and for total knee replacement he uses the Quadriceps Sparring and Mini-Incision approaches. Dr. Tran also has specific training on MIS total hip replacement surgery. Hip and knee replacements are proven procedures that have been available for over 30 years. The operation dramatically improves the quality of life for many patients; however, the traditional surgical approaches are very invasive, painful, and prolonged recovery. MIS helps mitigate those unwanted side effects. Recent innovations and surgeon interest help revolutionize joint replacement surgery via the MIS approach.
In addition to the better surgical approaches, better implants and materials are now available for those patients who are more physically demanding. For example, ceramic bearing hip replacement for negligible wear, porous coated metallic implant for better bone in growth, and hydroxyappetite for faster bone in growth, and tantalum trabecular metal for better bone adaptability. All of these innovations have made joint replacement more durable and potentially life long lasting. At our Institute, we strive to apply our understanding of bone physiology in choosing and designing implants that are patient friendly. The combination of minimally invasive surgery and ingenious implant design enable quicker recovery and longer lasting joint replacements. These innovations are available for a host of people and not just Jack Nicolas (he has ceramic hip replacement). Please inquire our surgeons if you are interested in learning more about MIS and biomaterials.
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