24 October, 2026
MINIMAL MUSCLE INJURY APPROACH
Surgical technique combining low risk, high visibility with minimal gluteus muscle retarction
The gluteus medius muscle is the critical muscle for pelvic stability which is key for walking. It is considered the pelvic anchor. It's function is critical for normal walking.
The muscle commonly requires retraction to expose the hip joint during hip replacement surgery (THR). With the posterior approach, it is commonly retracted to the front and with a anterior approach, it is retracted to the back. Either way, both these approaches cause bruising to the muscle. This affects recovery.
Mr. Zayontz developed a miinimally invasive approach that minimises retraction of the muscle, thereby allowing a more rapid and less painful approach.
During the surgery, the exposure to the hip is performed under the muscle in most cases. It is only retracted in cases where its overhang over the hip joint prevents safe visualisation of the hip joint socket (acetabulum). Having performed thousands of hip replacements, Mr Zayontz developed a technique so that the majority of the surgery is performed without retracting the gluteus medius or minimus muscles.
Prior to surgery, the better condition the gluteus medius is in, the better recovery.
