Frequently Asked Questions

Q. What is the difference between MIS 2-Incision hip replacement and traditional surgery?
A. The MIS 2-Incision procedure is one of the least invasive surgical options available for hip replacement today. When performing the procedure, surgeons make two incisions as small as 1½ to 2 inches each, and generally separate the muscles and tendons to access the hip joint. Traditional surgery typically involves a 10- to 12-inch incision and the cutting of those key tissues.

Q. How does the surgeon put in a new hip through such small incisions?
A. Specialized instruments and training in minimally invasive surgical techniques allow orthopedic surgeons to access the hip joint and perform the surgery through a much smaller incision than is used for traditional hip replacement.

Q. How would I benefit from the MIS 2-Incision procedure?
A. It’s mainly the healing of cut muscles and tendons that can make recovery from traditional hip replacement surgery so long and painful. Because those tissues generally aren’t cut in the MIS 2-Incision procedure, potential patient benefits include:

  • Less tissue trauma
  • Faster and less painful rehabilitation
  • Smaller scars
  • Shorter hospital stay – 1 to 2 days
  • Reduced blood loss and less of a need for pre-surgery donation and quicker return to work and daily activities

Q. What are the risks of the procedure?
A. Long-term study is ongoing. However, in more than 500 patients who have received the procedure, complications have been no different than those associated with traditional hip replacement.

Q. Is there a difference between the replacement hip used in the MIS 2-Incision procedure and the one used in traditional hip replacement surgery?
A. No. The replacement hip – comprised of a stem, ball and socket – is the same high quality, clinically proven prosthesis that is used in traditional surgery.

Q. Will a hip replaced with the 2-Incision procedure last as long as one replaced through traditional surgery?
A. There is no reason to believe that the longevity of a hip replaced with the 2-Incision technique will be different than one replaced with traditional surgery. Of course, as with any surgery, individual results will vary. How long a hip replacement lasts – no matter how the procedure is performed – varies depending on a number of factors, including bone quality, weight, activity level, and other health factors.

Q. Can anyone who would benefit from hip replacement have the MIS 2-Incision procedure?
A. Although most people who are eligible for traditional hip replacement surgery are candidates for the MIS 2-Incision hip procedure, there are exceptions. You may not be a candidate if you are extremely overweight, very muscular, have recently had a blood clot or are taking an unstable medication that places you at higher risk for complications, or if you have already had hip replacement surgery on the same hip. Call 1-888-ACH-4HIP to learn more.

Q. Can all orthopedic surgeons perform this procedure?
A. No. Surgeons must receive training through The Zimmer Institute to perform the MIS 2-Incision hip replacement procedure. Dr. Roger Palutsis is trained in the procedure and has done more MIS 2-Incision Hip Surgeries than any other doctor in the state of Ohio.

Q. Is the procedure covered by insurance?
A. Check with your insurance plan in advance to be sure. Medicare is no longer accepted. Private pay will be accepted.

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