According to the World Health Organisation, some 3 million people across the world require artificial hips as primary joint replacement surgery. Demographic developments are expected to cause a sharp rise in these figures in the coming years. Increasingly, surgeons are using minimally-invasive procedures to implant artificial hips, with direct anterior access. It is an ideal extension to the conventional method as the deployment of these procedures for suitable patients, usually results in a significant shortening of the early rehabilitation phase. ‘With minimally-invasive methods with anterior access, we only need to make an incision of 8 to 10 centimetres compared to the 20 centimetres needed with a conventional approach. What is really important however is that less muscle tissue has to be displaced, which helps to preserve and protect muscle function. This means less discomfort for the patient and shorter recovery times,’ reports Professor Dr. Hartmuth Kiefer, Medical Director of the Lukas Hospital in B

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