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 E. Noxon, DPM, FACFAS, FAPWCA
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 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
Jing Liang, 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
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
Scott Jacobsen, DPM
Sean A. Sutphen, DO
Serafin DeLeon, MD
Shivani Batra, DO
Stanford Tack, MD
Steven C. Chudik, 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

Anterior total hip replacement surgery is a commonly performed surgical procedure used to treat arthritis of the hip. The types of arthritis that a total hip replacement can treat include arthritis from wear and tear (osteoarthritis), traumatically induced arthritis, and inflammatory arthritis (rheumatoid arthritis).

Current techniques involve replacing the ball and placing a cup into the hip’s socket. 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.

Read on to learn more about anterior total hip replacement surgery and its differences from traditional techniques.

A Brief History of Anterior Total Hip Replacement

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

The Differences Between Traditional and 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 of anterior total hip replacement passes between muscles and tendons from the front of the hip.

By accessing the hip joint through an inter-nervous/inter-muscular plane, the hip 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 to anterior total hip replacement surgery are purely due to the procedure being performed with the patient lying flat instead of on their side as 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 to 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.

Another advantage of anterior total hip replacement is that 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 risk reduction usually eliminates the need for “post-operative total hip precautions” mandated by traditional surgical approaches.

The other frequently noted advantage of anterior total hip replacement is a massive decrease in the amount of time needed for rehabilitation. Many, if not most, anterior hip replacement patients can walk with a cane for three weeks, and sometimes even sooner.

Three months after post-surgery, both the anterior and traditional approaches are essentially identical in function. The earlier return of function, the nearly zero percent rate of dislocation, and the absence of post-operative restrictions make the “anterior” surgical technique so attractive to patients and surgeons.

Two Minor Risks of Anterior Total Hip Replacement

In some respects, anterior total hip replacement surgery outcomes are the same as, or slightly worse than, traditional surgery. The hip surgery 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 total hip replacements tend to be less risky in general and offer quicker recovery than traditional surgery.

Get Relief From Your Hip Pain Today

Hip Care and Treatment at IBJI

Whether you are just starting your hip care journey or need a second opinion on your hip pain, IBJI’s hip surgeons are here to help provide you with the necessary care for your ailment. Get the relief you are seeking with the help of IBJI.

Request an appointment with an IBJI hip surgeon to discuss treatment options like anterior total hip replacement surgery and create an individualized approach to your care.

Check out IBJI’s additional online hip-care resources to learn more about conditions and read patient testimonials.

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Last updated in March 2022.

*This blog post is for general information and educational purposes only regarding musculoskeletal conditions. The information provided doesn’t constitute the practice of medicine or other healthcare professional services, including giving 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 isn’t intended to replace your treating healthcare professional’s diagnosis, treatment, or medical advice.

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