Hip Replacement – Anterior Approach
We realize, that whether you are just beginning to explore treatment options or have made the decision to have hip replacement surgery you need solid, clear information.
Joint replacement is a type of surgery that involves either partially or fully replacing a joint that typically due to arthritis or diseased of the bone. The replacement is a specialized implant designed to return your joint to the best possible function.
Hip replacement is a common joint replacement surgery. Hip Replacement can successfully completed from a number of approaches.
You should discuss the type of approach with your doctor. The approach that is taken primarily depends on what is best for the individual patient based on their anatomy, doctor training, disease state of the hip and the type of hip that is being used to replace the diseased hip.
Anterior Approach for Hip Replacement
History of the Anterior Approach
The Anterior Approach for hip replacement was originated in 1947 and has been used since that time. Recently, the anterior approach has gained increased prominence in news and journals.
Diagram of Anterior Approach Incisions
As can be seen from the diagrams below, the anterior approach is primarily from the front of the hip.
Benefits of the Anterior Approach for Hip Replacement
We offer the anterior approach option for patients considering hip replacement surgery.
The anterior approach is an advanced surgical technique in which an incision is made in the front of the hip. The overall health of the patient and the joint are factors that will impact outcome but typically the anterior approach results in less trauma to the hip muscles and faster recovery with decreased hospital stays.
Minimally Invasive Anterior Hip Replacement
Like all hip replacements the Anterior Approach can be done with a minimally invasive procedure. The minimally invasive approach typically results in a smaller incision, less damage to muscles and a faster recovery time.
Let’s take a more detailed look at the anterior approach to hip replacement:
- allows the hip joint to be replaced with less distress or detaching of muscle from the pelvis or femur
- faster restoration of normal movement
- faster return to normal activities
- decreased risk of dislocation
- a smaller incision
- more precise and accurate leg length
- fewer days in the hospital
Comparison of the Anterior Hip Approach and the Posterior Hip Approach
I recently gave a lecture on the latest developments in hip and knee replacement. Below is a summary comparing the Anterior Hip Replacement Approach and the Posterior Hip Replacement Approaches.
|Smith-Peterson 1947||Older approach|
|8-10 cm||8-10 cm|
|Muscle preservation||Split Tensor, Reflect Rectus muscle, cut Piriformis muscle||Split GluteusCut and repair Piriformis|
|Potential Nerve Impact||Lateral Femoral Cutaneous||Sciatic/Peroneal|
|Risk of Improper Implant Positioning||Higher Femur||Higher Acetabulum|
|Postoperative Precautions||None needed||None needed|
|Hospital Stay||No Difference||No Difference|
|Leg Length||More Accurate|
If you click on the image below it will open to a large, easy to read chart:
Discussing the approach of hip replacement surgery is an important step in considering surgery.
Dr. Davenport has completed 1000s of hip surgeries and replacements and is one of the few orthopedic surgeons who has completed a Fellowship in advanced surgical treatments of the hip. Dr. Davenport is available and happy to discuss any questions you may have about your hip health and any of the hip surgery approaches.
Should you need more information, we are available to discuss your hip health and decisions. Please give us a call at 580-353-8600 to schedule an appointment.