นวัตกรรมการผ่าตัดเปลี่ยนข้อสะโพก Total Hip Arthroplasty – BIKINI Surgery

Total Hip Arthroplasty (THA) using the Bikini Incision Technique represents an advanced and minimally invasive approach to hip replacement surgery. This technique allows for effective hip joint replacement while minimizing soft tissue damage, resulting in quicker recovery, less pain, and improved postoperative outcomes—particularly in elderly patients.
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<li style="font-weight: 400;" aria-level="1">Hospital stay: only 2 nights 
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<li style="font-weight: 400;" aria-level="1">Walking within 24 hours after surgery 
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<li style="font-weight: 400;" aria-level="1">Resume daily activities in 3 days 
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<li style="font-weight: 400;" aria-level="1">Minimal postoperative pain and blood loss 
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<li style="font-weight: 400;" aria-level="1">Faster return to normal function 
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These improvements are possible due to significant advancements in both implant materials and surgical techniques. Unlike traditional open hip surgery, this technique avoids muscle cutting, resulting in reduced surgical trauma and quicker rehabilitation.
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<h2>A Safer and Smarter Approach to Hip Replacement</h2>
According to Professor Dr. Thanainit Chotanaphumi, Orthopaedic Surgeon specializing in hip and knee joint replacement, the primary causes of hip osteoarthritis in Asian patients differ from typical age-related degeneration. In many cases, the condition stems from avascular necrosis (loss of blood supply to the femoral head), trauma, or prolonged use of steroid-containing medications, including unregulated herbal or over-the-counter remedies—common in many regions of Thailand.
Patients often delay seeking medical advice due to fear of surgery or misconceptions about treatment. Unfortunately, relying solely on medication only postpones the inevitable. As the condition progresses, the pain becomes unbearable, walking becomes increasingly difficult, and surgery becomes the only viable option.
Patients considering hip replacement frequently worry about
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<li style="font-weight: 400;" aria-level="1">Postoperative pain 
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<li style="font-weight: 400;" aria-level="1">Length of hospitalization 
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<li style="font-weight: 400;" aria-level="1">Time needed to regain mobility 
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<li style="font-weight: 400;" aria-level="1">Long-term outcomes 
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Dr. Thanainit emphasizes that with the anterior approach using the Bikini Incision, these concerns are significantly reduced. This method allows surgeons to access the hip joint without cutting muscles, resulting in smaller incisions, less trauma, faster recovery, and improved outcomes. Patients typically walk within 24 hours, stay in hospital for just 2 to 3 nights, and resume normal activities within days—not weeks.
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<h2>Global Adoption and Surgeon Expertise</h2>
The anterior hip approach is not new. It has been practiced in Europe for over 30 years and is gaining increasing popularity in the United States. In Thailand, this method is being more widely adopted thanks to improved training and a growing number of experienced surgeons.
Dr. Thanainit notes that in the past six months, a considerable number of patients have already undergone this technique at our institution, reflecting rising awareness and trust in its effectiveness.
When hip degeneration reaches the stage where surgery is unavoidable, several factors influence the long-term success of the procedure:
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<li style="font-weight: 400;" aria-level="1">Surgeon experience: Choose a surgeon who performs hip replacements regularly. Surgical expertise significantly impacts the alignment and longevity of the prosthesis.</li>
<li style="font-weight: 400;" aria-level="1">Quality of implants: The durability of the prosthetic joint depends on the material and design used.</li>
<li style="font-weight: 400;" aria-level="1">Integrated care: A coordinated care team—including preoperative, intraoperative, and postoperative support—plays a crucial role in recovery and long-term patient outcomes.</li>
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Patients are encouraged to carefully research the hospital&#8217;s surgical capabilities, support services, and care model to ensure optimal results and a smooth recovery process.

Total Hip Arthroplasty (THA) using the Bikini Incision Technique represents an advanced and minimally invasive approach to hip replacement surgery.

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