This minimally invasive approach has been widely embraced by the orthopaedic community, and it has been chosen by surgeons to be used with more than 500,000 patients worldwide.
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 and advantages have been extensively reported in the literature
The AMIS technique is an evolution of the anterior approach: simpler, more reproducible and less invasive.
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
- Reduced risk of dislocation[3,7,8]
- Less blood loss
- Shorter hospital stay
- 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.
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 impact on patients
AMIS impact on surgeon practice
“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
“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
“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
“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
With a full package of personalized products and services around the patient and a procedure, including the pre op tools, intra-op solutions and post-op ones, Medacta hip platform brings value at every step throughout the entire patient journey.
A synergy of minimally invasive surgical approaches with innovative instruments, comprehensive platform of clinically proven implants and cutting edge technologies.
 Judet J, Judet H. Voie d’abord antérieure dans l’arthroplastie totale de la hanche. Presse Méd 1985; 14: 1031-3.
 AMIS Publication Review. M.O.R.E. Journal Supplement, April 2016.
 Laude F. Total hip arthroplasty through an anterior Hueter minimally invasive approach. Interact Surg (2006) 1: 5-11.
 Müller DA, Zingg PO, Dora C. Anterior minimally invasive approach for total hip replacement: five-year survivorship and learning curve. Hip Int 2014.
 Zingg P. AMIS using Versafitcup and Quadra to overcome tissue response: 5-year results. Podium presentation at the 7th M.O.R.E. International Symposium, Lugano, Switzerland, April 11-12, 2014.
 Dora C. Minimalinvasive Zugänge an der Hüfte. Orthopäedie Mitteilungen 6/07, 574-576.
 Vasina PG, Rossi R, Giudice GM, Palumbi P. Hip arthroposthesis through the anterior minimally invasive approach. Sphera 2010;6(12) – Speciale Ortopedia.
 Jayankura M, Roty M, Potaznik A, Rooze M, Cermak K, Remy P, Gillard B, Biltiau N, Schuind F. Isokinetic and isometric muscle strength recovery after total hip arthroplasty implanted by direct anterior approach. Podium presentation at the 10th Annual Congress of the EFORT, Vienna, Austria, June 3-6, 2009.
 Bremer AK, Kalberer F, Pfirrmann CWA, Dora C. Soft-tissue changes in hip abductor muscles and tendons after total hip replacement: Comparison between the direct anterior approach and the transgluteal approaches approaches. J Bone Joint Surg (Br) 2011–July; 93-B:886-9.
 Mast NH, Laude F. Revision total hip arthroplasty performed through the Hueter interval. J Bone Joint Surf Am. 2011; 93:143-148.
 Laude F. Les revisions de prothèse totale de hanche par voie antérieure. Maitrise Orthopédique, Novembre 2014 (238):20-25.
 Greenhow R. Economical impact of AMIS & other new technologies in THR. Podium Presentation at the 7th M.O.R.E. International Symposium, Lugano, Switzerland, April 11-12, 2014
 Christofilopoulos P, Roussos C, Lädermann A, Lübbeke A, Hoffmeyer P. Socioeconomic aspects of total hip arthroplasty. A comparison between anterior minimally invasive surgery and standard lateral approach. Poster at the 12th EFORT Congress, Copenhagen, Denmark: 1-4 June 2011.