Total Hip Replacement, Anterior Approach
This surgery replaces diseased and damaged portions of the hip with implants designed to restore function to the hip joint. The surgeon uses an incision on the anterolateral part of the hip, instead of a more traditional incision on the side or back of the joint.
Traditionally, hip arthroplasty, commonly known as hip replacement, has been performed by accessing the joint through the rear of the leg. Recent advances in technique, however, have made an anterior approach, during which the surgeon accesses the hip joint through the front of the leg, a more desirable option for most patients.
An anterior approach offers several advantages. Whereas during traditional hip replacement surgery, muscles had to be cut and subsequently reattached, using the anterior approach, these muscles need only be moved aside. Moreover, an anterior hip replacement provides the surgeon with the opportunity to clearly visualize the entire hip socket and to implant a variety of necessary devices.
The minimally invasive anterior approach also lowers the risk of dislocation common in other hip replacement procedures. By maintaining the integrity of the muscles and the hip capsule, this procedure also provides the stability to keep leg lengths equal and so avoids the need for leg lengthening.
Since less muscle damage takes place, anterior hip replacement often enables the patient to be hospitalized for a shorter period and to recover more quickly. In many cases, patients are walking without assistive devices 2 to 3 weeks after the operation. Low impact forms of exercise are recommended immediately after anterior hip replacement, and high-impact activities are typically only prohibited for 3 months.
The anterior hip arthroplasty is not equally well-suited to all patients. Patients who are not suitable candidates for anterior hip replacement include:
- Those with previously implanted devices
- Extremely muscular individuals
- Obese patients
Whether an anterior approach to hip replacement is a viable option is determined after careful evaluation of the individual patient.