Dr. Ashutosh Chaudhari M.B.B.S., M.S. Ortho (Mumbai), Fellowship in Joint Replacement


Minimally invasive surgery



What is minimally invasive surgery?

Surgery performed with smaller incision (cut on the skin)

What are the advantages of minimally invasive surgery?

Patient experience lesser pain

Patients experience lesser bleeding hence reduces the requirement of blood being given during and after surgery

Rehabilitation is faster as pain is significantly lesser

Patient needs to spend lesser time in the hospital

In which cases can this technique be used?

Minimally invasive surgery can be done for kneereplacements,hip replacements,and certain fractures

Let us see a couple of examples

Knee replacement




                                                                                                                                                   4.5 inch incision


Hip fractures(intertrochanteric fractures)





                             before surgery                                                 after Surgery



This a photo of a 80 year old patient who devloped a fracture of her hip ,the clinical photo shows the small size of the inciscions patient was able to walk on the leg the next day


Hip fracture(transcervival)



This was a 78 year old patient who sustained a fracture of the rt hip




                          X-ray before surgery                                                 X-ray after Surgery                                                 3.5 inch incision



This is a photo of the surgical inciscion just after the operation as you can see the surgical cut was only 3.5 inches patient was walking the next day after surgery


Tibia fractures(tibia fracture)



This was a patient who was involved in a vehicular accident as is visible there were 4 different pieces




                                                                          X-ray before surgery                                      X-ray after Surgery




                                       Upper incision 2 inch incision                                                                                  Lower incision 1 cm


Thigh bone fracture in a child(femur)



This is a case of a 9 year old boy who sustained a nasty fracture of his thigh bone





                                          Before surgery                                                 After Surgery



                                The patient was able to walk the next day with the help of crutches ,no plaster or brace was required


Hand fracture(metacarpal)



This was a 27 year old man with a displaced fracture of the hand bones




                            Before surgery                                                 After Surgery


The patient was operated with a 1 cm cut he was in a plaster for 15 days till his stiches were removed no plaster was required after that he has full range of motion