Medacta MIS Platform
in Hip Replacement
As part of its MIS Platform in Hip Replacement, Medacta offers Anterolateral Solutions, supporting tissue-sparing hip arthroplasty procedures performed through an anterolateral with the patient in the lateral decubitus position.
This anterior-based, muscle-sparing approach combines some of the advantages of both the posterior approach – allowing for potential incision extension and easy access to the femur – and the direct anterior approach, which utilizes an intermuscular path. The lateral decubitus position also offers intraoperative flexibility, enabling an easy conversion to a posterior approach, if necessary.
Medacta’s Anterolateral Solutions is a comprehensive package that integrates multiple elements to empower surgeons with best-in-class tools and structured expertise for procedures using the minimally invasive anterolateral approach, supporting the entire continuum of care.
The AnteroLateral approach is an anterolateral-based, muscle-sparing technique that utilizes the intermuscular interval between the Tensor Fasciae Latae and the Gluteus Medius. This allows for the preservation of muscles, tendons, and blood vessels. This approach spares both the Iliotibial Band and the Gluteus Medius, allowing for an atraumatic surgery and faster recovery.[1, 2, 3]
The Medacta Patient Positioner allows for a stable and reproducible positioning of the patient through the entire surgery and for an easy and reliable leg length assessment. The Medacta Patient Positioner is composed by two fully adjustable supports (length, height, rotation); the posterior one is in contact with the sacrum and the anterior one is in contact with the pubis.
A complete instrument set featuring optimized design and ergonomics enabling a reliable and reproducible technique. The system minimizes impingement with the surrounding structures, ensuring clear visualization and access to both the acetabulum and femur – supporting optimal performance across a wide range of patient anatomies.
An optimized set of only three retractors designed for logical, sequential use to streamline the surgical workflow. Clearly numbered for ease of use – for the entire procedure.
Consistently smooth and gently shaped retractors combined with offset instruments (broach handle, reamer handle, cup impactor) specifically designed to help avoid soft tissue damage.
Medacta’s comprehensive and proven hip implant portfolio, built on decades of successful clinical heritage, offers a wide range of solutions optimized for the anterolateral approach, combining minimal invasiveness with a personalized medicine vision to meet the diverse needs of today’s patients.
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Medacta’s Anterolateral Solutions is fully supported by the MySolution Personalized Ecosystem, a suite of tailor-made, intuitive, reliable digital tools to elevate the continuum of patient care. From pre-operative engagement and education to 3D planning, to post-operative communication, data collection and analysis.
Medacta’s Anterolateral Solutions is supported by the M.O.R.E. Institute, Medacta’s unique and global education platform. Through surgeon-to-surgeon educational opportunities and the most effective training programs, the M.O.R.E. Institute offers continuous support and a valuable environment to exchange experience and insights, facilitating a smooth and confident transition to adopting Medacta’s Anterolateral Solutions.
1. Bertin KC, Röttinger H. Anterolateral mini-incision hip replacement surgery: a modified Watson-Jones approach. Clin Orthop Relat Res. 2004 Dec;(429):248-55. PMID: 15577495.
2. J. Aebi, M. Giraud. Non invasive modified anterolateral approach in total hip arthroplasty, Orthopaedics & Traumatology: Surgery & Research. Volume 97, Issue 6,2011,Pages 675-680,ISSN 1877-0568.
3. Zhang XL, Shen H, Qin XL, Wang Q. Anterolateral muscle sparing approach total hip arthroplasty: an anatomic and clinical study. Chin Med J (Engl). 2008 Aug 5;121(15):1358-63. PMID: 18959109.
