The new method allows for the hip joint to be accessed without cutting or splitting a single muscle.
Dr Moo Ing How, a consultant at CGH’s department of orthopaedic surgery, performing a hip replacement surgery using the new method.
“I couldn’t really walk long distances, and found it difficult to climb stairs,” said Mr Tang, a grandfather of five who used to work in sales marketing. Called the anterior-based muscle sparing approach, patients who underwent it at CGH spent an average of one or two days in hospital. Sometime after 2016, CGH began using a technique called the direct anterior approach, in which doctors make a cut near the groin area to place the hip implant, thus sparing the muscles. However, as the incision is near a naturally moist area and sensory nerve of the thigh, a study published in 2019 in The Bone & Joint Journal found that 8.5 per cent of patients experienced wound complications.
In a study that was published in July 2022 in the Arthroplasty Today journal, the average blood loss during surgery was lower for patients who underwent the newer ABMS approach compared with those who underwent the direct anterior approach, and only 0.5 per cent of ABMS patients required a blood transfusion post-surgery.
An average of 1,900 patients undergo hip replacement surgery each year in Singapore, and with the ageing population, demand for hip replacements is expected to remain high.
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