Innovative bikini access method for hip endoprosthetics

Pain and stiffness in the hip joint affects movement, sleep, work and quality of life in general. In cases where conservative treatment of coxarthrosis does not give results, the only effective solution remains replacement of the affected jointon an artificial implant.

‍

Modern medicine offers various surgical approaches to this operation. Among them, the bikini approach is a relatively new, minimally invasive method that is distinguished by its delicacy, less trauma and expressive aesthetics. The team of experienced orthopedic surgeons at Mashtaler Ortho&Trauma has implemented this innovative approach, combining technical expertise with the latest technologies.

What is bikini access

During the operation with endoprosthetics of the hip jointwith bikini access, a surgical incision is made along the natural inguinal fold. The name of the method comes from its anatomical location - the incision line repeats the contour of the bikini type underwear, which makes it possible to make the scar almost invisible even in open clothes.

This is a muscle-saving method, because during the operation, the surgeon does not dissect, but delicately displaces the muscles. Due to this, postoperative pain, blood loss and the risk of complications are significantly reduced, and the patient returns to an active lifestyle faster.

If, with traditional methods, the incision is located on the hip or buttocks, then the bikini access is less noticeable, less traumatic and is increasingly recognized as the “gold standard” of modern surgery. In Mashtaler Ortho&Trauma Medical Center, this method is used taking into account the anatomical features of each patient.

Benefits of Bikini Access

The bikini access method for hip endoprosthetics has a number of significant advantages that make it one of the most comfortable and safe for the patient:

• minimal tissue trauma — muscles move in the natural direction, so their structure is preserved, postoperative pain is reduced and the risk of damage is reduced;
• faster recovery — patients can usually get out of bed in the first hours after surgery, and a full return to activity comes faster;
• aesthetic result — the incision is located within the inguinal fold, thanks to which the scar after healing is almost invisible;
• reducing the risk of dislocation — the method ensures better stability of the joint after implant installation;
• fewer restrictions after surgery — patients are allowed to sit, stand faster, and subsequently engage in light physical activity.

Who is suitable for this method

Bikini access for hip endoprosthetics is not suitable for everyone. But it is for those patients for whom it can be applied, it opens a much more comfortable path to recovery.

‍

Optimal candidates for bikini access surgery:

• patients with primary coxarthrosis or other degenerative joint lesions without complex anatomical changes;
• people of middle and young age who lead an active lifestyle;
• patients without excess weight, since excess soft tissue in the access area can complicate the operation;
• persons for whom the cosmetic result is important.

‍

However, there are a number of cases where the method may not be suitable. The most common reasons that require classic access to operations:

• significant deformities of the hip joint, congenital high degree dysplasia or rheumatic lesions that make it difficult to access the joint capsule;
• the presence of excess adipose tissue in the incision area;
• previously undergone operations on the front surface of the thigh or pelvis, which could change the anatomy;
• pelvic instability or associated lesions requiring complex access modeling.

‍

In each case, the decision is made individually after examination, tests, X-ray evaluation and CT/MRI. At Mashtaler Ortho&Trauma, the patient receives not just a recommendation, but a well-founded treatment strategy, taking into account anatomy, lifestyle and expectations.

How the operation takes place

Hip endoprosthetics by bikini access method at Mashtaler Ortho&Trauma Clinic combines precision, technicality and care for patient comfort. Everything is thought out to detail to reduce stress, pain and recovery time.

‍

In preparation for the operation, the patient undergoes a comprehensive diagnosis: tests, examination of the heart, vessels of the lower extremities, the condition of other organs and systems, X-ray and CT or MRI of the joint. The doctor selects the type of implant and determines the optimal access trajectory.

‍

For surgical intervention, spinal anesthesia is most often used - it provides anesthesia of the lower part of the body without the need to completely immerse the patient in anesthesia. Additionally, sedation drugs can be administered so that the patient is in a comfortable state.

‍

The operation involves the following algorithm:

• incision along the inguinal fold (5—8 cm);
• muscle sprain;
• resection of damaged joint elements and implant installation;
• application of cosmetic seams.

‍

The typical duration of surgery is 60-90 minutes, depending on the complexity of the anatomy and the type of implant. Thanks to a clear rehabilitation protocol, the patient can get out of bed within 4-6 hours after the intervention.

Rehabilitation after endoprosthetics with bikini access

One of the most noticeable advantages of bikini access is a quick and comfortable recovery. The patient not only gets back on his feet faster, but also has fewer restrictions in everyday life.

‍

Already on the day of the operation (after 4-6 hours), the patient under the supervision of a doctor begins to get out of bed. After a few hours, he takes the first steps with support. Pain is controlled according to modern analgesic protocols.

‍

In Mashtaler Ortho&Trauma Clinic, the patient spends 2-3 days under round-the-clock supervision. During this period, active restorative therapy begins, which includes exercises for mobility, balance and muscle strengthening.

‍

Already in 2-3 weeks, most patients return to normal walking without assistance. Recovery occurs faster than with classical approaches, because the muscular corset is preserved.

‍

Patients receive clear instructions:

• what movements should be temporarily limited;
• how to sit, lie down, get up;
• when you can return to driving a car and work.

‍

Depending on age, fitness and activity level, full functional recovery lasts from 1 to 3 months. Thanks to individual rehabilitation programs in the clinic, patients return to their usual loads faster and without risk complications.

Why choose Mashtaler Ortho&Trauma

Hip endoprosthetics is not just an operation. It is a decision that changes the quality of life. And it depends on the choice of clinic how safe, comfortable and effective the path to recovery will be.

‍

The concept of “high quality medical services” in Mashtaler Ortho&Trauma includes a number of components:

‍

• European experience of surgeons — operations are performed by specialists who have more than 20 years of practice, have bikini access techniques at the level of world standards and regularly undergo internships in leading orthopedic centers in Germany, France and Italy;
• safety and comfort — the team of anesthesiologists works according to ERAS (Enhanced Recovery After Surgery) protocols, which guarantees gentle awakening and early activation, patients are in wards with round-the-clock supervision;
• complex rehabilitation — a team of physical therapists works on the recovery of the patient, who select exercises according to the diagnosis, age and goals of the person.

‍

Hundreds of successfully performed endoprosthetics are behind the clinic's specialists, and patients' testimonials confirm that Mashtaler Ortho&Trauma restores freedom of movement.

FAQs

Patients preparing for hip endoprosthetics often have similar concerns and requests. Below are answers to the most common ones, taking into account the experience of specialists of Mashtaler Ortho&Trauma Clinic.

When can I sit down after surgery?

It is usually allowed to sit down after 4-6 hours after the intervention — on a chair with a back, with a flat landing and avoiding crossing the legs. The doctor and physical therapist will necessarily show you how to do it safely.

How severe is the pain after a joint replacement?

Thanks to bikini access, postoperative pain is much less than with traditional methods. In the first 2-3 days, patients may experience discomfort, but painkillers reduce discomfort. In most cases, the pain almost disappears by 3-4 days.

How does life change after endoprosthetics?

It is restored by a volume of movements without pain, confidence appears in every step. Most patients return to work, active leisure, travel. The main thing is to follow the recommendations and undergo high-quality rehabilitation.

How long does it take to sleep with a pillow between your legs?

It is recommended to keep a pillow between your legs while sleeping for the first 3-4 weeks after surgery. This helps maintain the correct position of the implant. The doctor may shorten or extend this period depending on the course of rehabilitation.

What movements are prohibited after surgery?

In the first weeks, it is important not to allow the following actions:

• crossing the legs;
• rotation of the foot inward;
• sharp flexion of the thigh by more than 90°;
• sitting on low surfaces.

These restrictions are gradually removed under the supervision of a doctor and physical therapist.

What is the risk of dislocation after endoprosthetics?

Thanks to bikini access, the risk of dislocation is minimized. However, it does not disappear completely, especially in the first 6—8 weeks, when adaptation to the implant occurs. That is why it is important to strictly follow the motor recommendations, in particular during sleep, when sitting in a car or playing sports.

Time to act: comfortable endoprosthetics at Mashtaler Ortho&Trauma

Thanks to the access of a bikini in hip endoprosthetics, you can overcome pain, regain freedom of movement and regain your quality of life without long rehabilitation and noticeable scars. Less trauma, faster recovery, stable outcome — all this has become possible thanks to the progress of medicine and the experience of specialists who implement it.

‍

In Mashtaler Ortho&Trauma Clinic, you will be provided with individual management, modern equipment, aesthetic and safe surgery, as well as support at every stage — from consultation to complete recovery.

‍

Do not postpone for later what can change your life now. Sign up for a consultation to find out if the bikini access method is right for you and take the first step towards a painless movement. Call us or leave a request on the site!

‍