Adam C. Young, MD
Alan C. League, MD
Albert Knuth, MD
Alejandra Rodriguez-Paez, MD
Alexander E. Michalow, MD
Alexander Gordon, MD
Alexander M. Crespo, MD
Alfonso Bello, MD
Ami Kothari, MD
Amy Jo Ptaszek, MD
Anand Vora, MD
Andrea S. Kramer, MD
Andrew J. Riff, MD
Angela R. Crowley, MD
Angelo Savino, MD
Anthony Savino, MD
Anuj S. Puppala, MD
Ari Kaz, MD
Ashraf H. Darwish, MD
Ashraf Hasan, MD
Bradley Dworsky, MD
Brian Clay, MD
Brian J. Burgess, DPM
Brian R. McCall, MD
Brian Schwartz, MD
Brian Weatherford, MD
Brooke Vanderby, MD
Bruce Summerville, MD
Bryan Waxman, MD
Bryant S. Ho, MD
Carey E. Ellis, MD
Carla Gamez, DPM
Cary R. Templin, MD
Charles L. Lettvin, MD
Charles M. Lieder, DO
Chinyoung Park, MD
Christ Pavlatos, MD
Christian Skjong, MD
Christopher C. Mahr, MD
Christopher J. Bergin, MD
Craig Cummins, MD
Craig Phillips, MD
Craig S. Williams, MD
Craig Westin, MD
Daniel M. Dean, MD
David Beigler, MD
David Guelich, MD
David H. Garelick, MD
David Hamming, MD
David Hoffman, MD
David M. Anderson, MD
David Norbeck, MD
David Raab, MD
David Schneider, DO
Djuro Petkovic, MD
Douglas Diekevers, DPM
Douglas Solway, DPM
E. Quinn Regan, MD
Eddie Jones Jr., MD
Edward J. Logue, MD
Ellis K. Nam, MD
Eric Chehab, MD
Eric L. Lee, MD
Evan A. Dougherty, MD
Garo Emerzian, DPM
Gary Shapiro, MD
Giridhar Burra, MD
Gregory Brebach, MD
Gregory J. Fahrenbach, MD
Gregory Portland, MD
Harpreet S. Basran, MD
Holly L. Brockman, MD
Inbar Kirson, MD, FACOG, Diplomate ABOM
Jacob M. Babu, MD, MHA
Jalaal Shah, DO
James M. Hill, MD
James R. Bresch, MD
Jason G. Hurbanek, MD
Jason Ghodasra, MD
Jason J. Shrouder-Henry, MD
Jeffrey Ackerman, MD
Jeffrey Goldstein, MD
Jeffrey Staron, MD
Jeffrey Visotsky, MD
Jeremy Oryhon, MD
John H. Lyon, MD
Jonathan Erulkar, MD
Jordan L. Goldstein, MD
Josephine H. Mo, MD
Juan Santiago-Palma, MD
Justin Gent, MD
Justin M. LaReau, MD
Kellie Gates, MD
Kermit Muhammad, MD
Kevin Chen, MD
Kris Alden MD, PhD
Leah R. Urbanosky, MD
Leigh-Anne Tu, MD
Leon Benson, MD
Lori Siegel, MD
Lynn Gettleman Chehab, MD, MPH, Diplomate ABOM
Marc Angerame, MD
Marc Breslow, MD
Marc R. Fajardo, MD
Marie Kirincic, MD
Mark Gonzalez, MD
Mark Gross, MD
Mark Hamming, MD
Mark Mikhael, MD
Matthew L. Jimenez, MD
Mehul H. Garala, MD
Michael C. Durkin, MD
Michael Chiu, MD, FAAOS
Michael J. Corcoran, MD
Michael O'Rourke, MD
Nathan G. Wetters, MD
Nikhil K. Chokshi, MD
Paul L. Goodman, DPM, FACFAS, FAPWCA
Peter Hoepfner, MD
Peter Thadani, MD
Phillip Ludkowski, MD
Priyesh Patel, MD
Rajeev D. Puri, MD
Rhutav Parikh, MD
Richard J. Hayek, MD
Richard Noren, MD
Richard Sherman, MD
Ritesh Shah, MD
Robert J. Thorsness, MD
Roger Chams, MD
Ronak M. Patel, MD
Ryan J. Jacobs, MD
Scott Jacobsen, DPM
Sean A. Sutphen, DO
Serafin DeLeon, MD
Shivani Batra, DO
Stanford Tack, MD
Steven C. Chudik, MD
Steven G. Bardfield, MD
Steven Gross, MD
Steven J. Fineberg, MD
Steven Jasonowicz, DPM
Steven M. Mardjetko, MD
Steven S. Louis, MD
Steven W. Miller, DPM
Surbhi Panchal, MD
T. Andrew Ehmke, DO
Taizoon Baxamusa, MD
Teresa Sosenko, MD
Theodore Fisher, MD
Thomas Gleason, MD
Timothy J. Friedrich, DPM
Todd R. Rimington, MD
Todd Simmons, MD
Tom Antkowiak, MD, MS
Tomas Nemickas, MD
Van Stamos, MD
Wayne M. Goldstein, MD
Wesley E. Choy, MD
William P. Mosenthal, MD
William Vitello, MD

The Advantages of Anterior Total Hip Replacement

This article is part of the Ultimate Guide to Hip Pain Relief.

A total hip replacement surgery is a commonly performed surgical procedure used to treat arthritis of the hip. The types of arthritis that can be treated by a total hip replacement include arthritis from wear and tear (Osteoarthritis), traumatically induced arthritis, and inflammatory arthritis (Rheumatoid arthritis). Current techniques involve replacing the ball and then placing a cup into the socket of the hip. There are different joint surface materials available to choose from, with new choices being developed and updates to the existing materials occurring all the time.

A Brief History of Anterior Hip Replacement

In Europe, and more recently in the U.S., a different surgical approach for replacing hips has gained interest among both surgeons and patients. In the U.S., the principal advocate has been Dr. Joel Matta in California. He learned about the anterior technique to total hip replacement while in France.  In order to make the procedure easier to perform, and less difficult on the patient, he created a customized designed surgical table.

The Differences Between Traditional & Anterior Techniques

The differences between the “traditional” surgical techniques and the “anterior” approach boil down to the amount of unavoidable muscle, nerve, and tendon damage the patient experiences during the surgery. Traditional approaches to the hip invariably cut through muscle, nerves, and possibly tendons, before entering the hip joint to perform the replacement. The “anterior” approach passes between muscles and tendons from the front of the hip. By accessing the hip joint through an inter-nervous/inter-muscular plane, the surgeon can avoid injury to the same muscles and tendons that once would have been cut.

The Amazing Advantages of Anterior Arthroscopy

A couple of additional advantages are purely due to the procedure being performed with the patient lying flat, instead of on their side with other approaches. The primary benefit is that x-rays can be taken much easier and much earlier than the traditional technique, which requires the surgery be completed before imaging can be accomplished. A secondary benefit is that patients usually experience less discomfort due to lying on their side for an extended period of time.

Another advantage to the “anterior” technique is that by approaching the hip from the front leaves the ligaments, tendons, and muscles in the back completely intact. This dramatically decreases the risk of dislocation of the hip following the replacement surgery. This reduction of risk usually eliminates the need of “post-operative total hip precautions” mandated by traditional surgical approaches.

The other frequently noted advantage is a massive decrease in the amount of time needed for rehabilitation.  Many, if not most, anterior hip replacement patients are able to walk with a cane by three weeks, and sometimes even sooner. By three-months post-surgery both the anterior and traditional approaches are essentially identical in function. It is the earlier return of function, the nearly zero percent rate of dislocation, and the absence of post-operative restrictions that make the “anterior” surgical technique so attractive to patients and surgeons.

Two Minor Risks of Anterior Hip Replacement

In some respects the outcomes of the anterior approach are the same as, or slightly worse than, than the traditional surgery. The risks of infection, blood clot formation, bleeding, and other systemic problems have a similar level of risk. The risks of fracture of the hip are slightly higher when performed anteriorly.  Despite this, in many cases, anterior hip replacements tend to be less risky in general and offer quicker recovery than the traditional surgery.

Find Incredible Care

The Illinois Bone and Joint Institute is happy to be able to offer this cutting edge technique to its patients. As the premier orthopedic institute in the Midwest, IBJI is the best choice for all orthopedic surgeries, including hip replacement. IBJI’s physicians are some of the most highly trained and experienced orthopedic specialists available. Make an appointment today with a joint replacement specialist and start recovering the mobility you lost.

*The blog is for general information and educational purposes only regarding musculoskeletal conditions. The information provided does not constitute the practice of medicine or other healthcare professional services, including the giving of medical advice, and no doctor-patient relationship is formed. Readers with musculoskeletal conditions should seek the advice of their healthcare professionals without delay for any condition they have. The use of the information is at the reader’s own risk. The content is not intended to replace diagnosis, treatment or medical advice from your treating healthcare professional.

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