SURGICAL TECHNIQUE
The anterior approach is a minimally invasive surgical technique, following both an intermuscular and internervous path, thus potentially reducing the risk of damage to periarticular structures, including muscles, tendons, vessels and nerves.
Its use in Total Hip Replacement goes back many years[1] and advantages have been extensively reported in the literature[2]
The AMIS technique is an evolution of the anterior approach: simpler, more reproducible and less invasive[3].
The M.O.R.E. Institute offers effective and continuous education to surgeons, with the aim to improve patient outcomes and surgical proficiency.
Medacta, in collaboration with an international group of expert surgeons, has created the unique AMIS Education Program, to provide surgeons with a tailored and comprehensive training program and proctorship to become proficient in the technique, encouraging the sharing of knowledge and experiences, and reducing potential challenges in the early phase of the learning curve[4,5].
TOOLS AND SERVICES
Medacta is committed to finding innovative solutions that can contribute to improving and enhancing patient care and experience, in addition to delivering economic value to the healthcare system. Medacta has developed several additional solutions/services to support the AMIS surgeons in adding value to their practice such as the MyPractice Development Plan and the MySolutions Personalized Ecosystem, including the Patient Optimized Pathway (POP), MyHip Planner and MyHip Verifier.
The AMIS technique potentially delivers several benefits to patients, surgeons and care facilities, including:
- Shorter rehabilitation and faster return to daily activities[3,6]
- Decreased post-operative pain[7]
- Reduced risk of dislocation[3,7,8]
- Less blood loss[8]
- Shorter hospital stay[8]
- Medium- to long-term benefits[9,10,11]
- Economic benefits[12,13]
Discover more about the benefits delivered by the AMIS, reading the latest version of the AMIS Publication Review.
Get M.O.R.E. from the Anterior Approach
Discover our continuous education opportunities designed to master the AMIS approach from the simplest primary hip arthroplasties to the most complex cases. No capsular release, bikini incision and Revision THA are just some examples of the techniques featured at our events, where you can share your experience and learn from other experts.
AMIS: FROM LESS TO NO RELEASE
How to maximize the Anterior Approach for hip replacement - The AMIS revolution
The development of a standardized and simplified surgical technique for the anterior approach, with specific instrumentation and a personalized education program – the AMIS approach – strives to further respect the periarticular structures, in particular the capsule, usually released to efficiently expose the femur. In fact, a reduced capsular release potentially results in less bleeding and better hip functionality.
If the AMIS technique is no longer a secret to you, then challenge yourself with the ultimate next step: the AMIS Bikini.
AMIS Bikini represents the natural evolution of the AMIS approach, following the same intermuscular pathway but utilizing an inguinal skin incision. Dedicated instruments and a tailored education path, are available to facilitate the surgical procedure and streamline the learning path.
REVISION THA
Find out with our world-renowned experts how to successfully manage revision cases through the Anterior Approach and Medacta solutions.
AMIS in three words
AMIS Education
AMIS impact on patients
AMIS impact on surgeon practice
AMIS Evolution
“The AMIS procedure completely revolutionized my surgical care for my arthritic hip patient population. Prolonged hospital stays, weight-bearing and position restrictions, and intense narcotic usage are historical remnants of antiquated surgical care. Instead, I offer patients the opportunity to go home on the same day of surgery, with no restrictions and no opioid pain medications. I have changed my technique, and my patients and I have benefited from it. It’s a powerful win-win!”
Tyler Goldberg, MD
United States
“Not only simple surgeries, but also complex primary cases and revisions could be performed with AMIS. In the last 10 years the instrument set has become more and more efficient, and the AMIS offering has further evolved with the introduction of the Bikini platform and the no capsular release technique”
Dr. Frederic Laude
France
“What I really love about the AMIS is the true muscle-sparing nature of the approach, and the way soft tissue structures can be preserved. This leads to a lower dislocation risk for my patients, which is crucial for both their satisfaction and implant performance. Thanks to AMIS, my patients recover quickly and potentially can return home earlier. They are in less pain, and there is less tissue trauma around the hip.”
Prof. Dr. med. Patrick Zingg
Switzerland
“After I participated in a Learning Center in France in 2007, I immediately decided to continue with AMIS. The comprehensive AMIS Education program is an essential pillar and makes it possible for surgeons to take full advantage of the benefits offered by the AMIS approach. The program reduces the learning curve, provides ongoing support, and helps to prevent potential intraoperative complications, particularly during the first cases.”
Prof. John O’Donnell
Australia