Hip Replacement - Direct Anterior Approach
Direct Anterior Hip Replacement is a muscle sparing, minimally invasive technique in which hip replacement surgery is performed through an incision in the front of the hip. Conventional hip replacement surgery uses traditional back or side of the hip approaches, which requires muscles or tendons to be cut in order to access the hip joint and perform the surgery.
There is a muscle space in the front of the hip joint, which allows direct access to the joint without cutting any muscles or tendons. In order to perform this more challenging procedure safely and accurately, special instruments and a custom operating room table are used to assist in performing the surgery.
In the early recovery period, patients who have undergone a hip replacement via the direct anterior approach typically experience markedly less post-operative pain and discomfort than traditional approaches. Further, their recovery is faster. Over 90% of patients discharge from the hospital in 1-2 days and present to their two week follow up visit without a cane or a walker. Lastly, there are fewer restrictions on mobility after the direct anterior replacement due to the stability of the surgical approach.
The Direct Anterior Approach is not applicable to all patients. If you have had a hip replacement before and need a revision or if you have substantial deformity in the hip joint from prior trauma or hip deformities from childhood, you may benefit from a more conventional approach.