UAE Introduces Innovative Robot-Assisted Bikini Hip Replacement Technique For Enhanced Recovery
Dr. Ali Al Baloushi, President of the Emirates Orthopedic Society and Head of Orthocure Medical Center, has introduced a pioneering surgical technique in the UAE. The Direct Anterior "Bikini" incision total hip replacement, using robotic technology, is now available for the first time in the Middle East. This method is suitable for most patients needing hip replacements.
Dr. Ikram Nizam, an Australian consultant orthopedic hip surgeon and the inventor of the Bikini hip replacement approach, highlighted its approval by official authorities and publication in international journals. He mentioned that specialised centres in Europe have achieved excellent results with this anterior hip replacement technique.

The Bikini incision hip replacement offers several advantages. Patients experience less post-operative pain and swelling due to no muscle or tendon cutting. The procedure results in a more aesthetically pleasing scar hidden in the groin area. Additionally, there is relatively less blood loss and reduced muscle weakness.
This innovative approach allows early mobilisation within 3-4 hours after surgery and faster recovery overall. Patients can return to driving within weeks and resume daily activities and work sooner than with traditional methods. The risk of dislocation is also lower with this technique.
Dr. Ikram Nizam explained that anterior hip surgery is primarily indicated for major degenerative arthritis, whether primary or secondary, as well as inflammatory conditions like rheumatoid arthritis. These conditions often result in pain, reduced mobility, and loss of function.
The procedure can also be performed for post-traumatic hip osteoarthritis. However, it may be technically challenging for patients who are severely obese or highly muscular or those requiring complex revision surgeries.
Challenges and Alternatives
In cases where severe obesity or high muscle mass presents challenges, traditional hip replacement with a conventional incision might be preferable. Nonetheless, robotic assistance can still enhance recovery speed and patient satisfaction even in these situations.
Dr. Ali noted that while this advanced technique is generally suitable for most patients needing hip replacement, exceptions include those with severe congenital hip dislocation. For such cases, a modified robot-assisted approach can still offer improved outcomes.
This new development marks a significant advancement in orthopedic surgery within the region, offering patients enhanced recovery experiences through cutting-edge technology.
With inputs from WAM