The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on minimally invasive total hip replacement.

It replaces the previous guidance on minimally invasive two-incision surgery for total hip replacement (NICE interventional procedure guidance 112, February 2005) and single mini-incision surgery for total hip replacement (NICE interventional procedure guidance 152, January 2006).  

Description

Hip replacement surgery using a minimally invasive approach may be an option for people with worn or damaged hip joints. This condition is usually due to degeneration of the joint (osteoarthritis), which can make walking painful.

The procedure replaces the damaged hip joint (the top part of the upper leg bone and the socket in the hip bone that it fits into) with an artificial one. In order to undertake the surgery through small incisions without muscle damage, specially designed equipment is used to support the leg and pull back the surrounding tissues so the surgeon can see the joint. X-rays are sometimes used to check the position of the bones and the artificial joint.

Coding and clinical classification codes for this guidance

  • National Institute for Health and Care Excellence (NICE)