JUST Lateral Decubitus DAA Minimally Invasive Total Hip Replacement Surgery

JUST Lateral Decubitus DAA Minimally Invasive Total Hip Replacement Surgery

Recently, Dr. Zhang Chao and his team from the Orthopedics Department of Yunnan Provincial First People's Hospital performed a lateral decubitus DAA (Direct Anterior Approach) minimally invasive total hip replacement on a woman in her sixties suffering from rheumatoid hip arthritis. Despite receiving standard anti-rheumatic treatment, her condition had worsened, causing severe hip pain and difficulty walking, even with assistance.

Condition Overview and Treatment Outcome

After admission, under the guidance of Professor Meng Zengdong, Dr. Zhang Chao's team considered the patient's age and health, recommending the lateral decubitus DAA minimally invasive total hip replacement to avoid prolonged bed rest. They explained that this approach offers minimal soft tissue separation, reduced muscle damage, and faster recovery. After discussing it with her family, the patient agreed to the procedure.

With careful preparation and coordination with the anesthesia and nursing teams, the surgery was successfully performed under general anesthesia. No urinary catheter, drainage tube, or blood transfusion was needed. Six hours post-surgery, the patient's vital signs were stable, and she experienced no pain at the incision site. Under guidance, she began walking exercises, much to the surprise of her and her family.

Preoperative

Preoperative X-rays showed severe right-sided rheumatoid hip arthritis with femoral head necrosis and joint surface collapse.

Postoperative

Postoperative X-rays showed that the prosthesis was well-positioned.

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