The UAE has made a significant advancement in orthopedic surgery by introducing the Direct Anterior “Bikini” incision total hip replacement using robotic technology. Dr. Ali Al Baloushi, President of the Emirates Orthopedic Society and Head of Orthocure Medical Center, announced this groundbreaking procedure as the first of its kind in the Middle East. This technique is designed for most patients needing hip replacements, although it may not be suitable for those who are very obese, highly muscular, or have severe congenital hip dislocation.

Dr. Al Baloushi noted that while the Bikini incision approach is applicable to many patients, those with certain physical conditions may face challenges. In these cases, a modified robot-assisted technique can still offer improved outcomes compared to traditional methods. The innovative procedure is backed by Dr. Ikram Nizam, an Australian consultant orthopedic hip surgeon and inventor of the Bikini hip replacement approach, which has been recognized by official authorities and is supported by publications in international journals.

The Bikini incision technique has several advantages, including a more aesthetically pleasing scar and reduced post-operative pain and swelling. Additionally, it avoids cutting through muscles or tendons, leading to less blood loss, decreased muscle weakness, and early mobilization within 3-4 hours after surgery. Patients can expect a faster recovery time, a concealed scar in the groin, a lower risk of dislocation, and a quicker return to driving within weeks, allowing them to resume daily activities and work sooner.

Dr. Nizam explained that the primary indications for this anterior hip surgery include major degenerative arthritis and inflammatory conditions like rheumatoid arthritis, which can severely impact mobility and function. The procedure is also suitable for patients with post-traumatic hip osteoarthritis. While the Bikini method is beneficial for most patients, traditional hip replacement may still be necessary for those with severe obesity, high muscle mass, or complex revision surgeries, although robotic assistance can enhance recovery and improve patient satisfaction.