Medacta MIS Platform
in Hip Replacement
As part of its MIS Platform in Hip Replacement, Medacta offers Direct Anterior Solutions for off-table procedures using the direct anterior approach, complementing the well-established and successful AMIS (Anterior Minimally Invasive Surgery) Experience – both optimized for compatibility with the Bikini incision.
Medacta’s Direct Anterior 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 direct anterior approach, supporting the entire continuum of care.
The direct anterior approach is a minimally invasive, intermuscular and internervous path between the Tensor fascia lata and the Rectus Femoris muscles, enabling the preservation of muscles, tendons, vessels, and nerves.
This type of approach has been shown to decrease postoperative pain, reduce the risk of dislocation, and allow for a quick recovery and an early return to daily activities. [1, 2]
This approach can be performed using either a longitudinal or a horizontal (bikini) incision, with the latter offering additional patient benefits, such as better cosmetic appearance and higher rates of wound healing. [3, 4]
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 four 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 anterior approach, combining minimal invasiveness with a personalized medicine vision to meet the diverse needs of today’s patients.
Medacta’s Direct Anterior 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 preoperative engagement and education to 3D planning with advanced analytics, intraoperative non-invasive guidance and verification, and postoperative communication, data collection and analysis.
Medacta’s Direct Anterior 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 Direct Anterior Solutions.
1. Rivera F, Comba LC, Bardelli A. Direct anterior approach hip arthroplasty: How to reduce complications - A 10-years single center experience and literature review. World J Orthop. 2022 Apr 18;13(4):388-399. doi: 10.5312/wjo.v13.i4.388. PMID: 35582154; PMCID: PMC9048494
2. Driesman, A., Yang, C.C. Clinical outcomes of DAA and related techniques in hip arthroplasty. Arthroplasty 5, 42 (2023). https://doi.org/10.1186/s42836-023-00198-z.
3. Leunig , Hutmacher, Ricciardi , Impellizzeri, Rüdiger, Naal Skin crease ‘bikini’ incision for the direct anterior approach in total hip arthroplasty: a two- to four-year comparative study in 964 patients. Bone Joint J. 2018 Jul.
4. Jorge Manrique, MD a, b, *, Taylor Paskey, BS a, Majd Tarabichi, MD a,Camilo Restrepo, MD a, Carol Foltz, PhD a, William J. Hozack, MD Total Hip Arthroplasty Through the Direct Anterior Approach Using a Bikini Incision Can Be Safety Performed in Obese Patients.
