Your hip is the largest weight-bearing joint in your body. It is categorized as a ball-and-socket joint, and it helps you walk and move.

Specifically, your hip connects your thighbone to the pelvis and is surrounded by muscles, ligaments, and cartilage. Over time, your joint can become damaged and develop arthritis. Arthritis can cause severe pain and hinder everyday activities. When non-operative treatments no longer work, hip replacement surgery may be the best solution.

 

Posterior

 

The posterior approach has been the gold standard for more than 40 years and cuts through the buttock muscles to reach the hip joint.1  The surgeon will place the diseased portions of your bones with artificial components made of high-quality medical plastic and metal. Specifically, the diseased hip ball is removed and replaced with an artificial ball on a stem that goes down into the hollow part of the thighbone. The stem is then either pressed or cemented into place. A metallic shell and cup-shaped liner are placed in the hip socket and then the ball and socket are joined together.

 

dr hardy singh, raleigh north carolina best orthopedic surgeon for hip replacement surgeryMinimally Invasive Direct Anterior Approach

The surgical process for the minimally invasive direct anterior approach is very similar to traditional hip replacement, but instead of reaching the hip joint through the buttock muscles, the surgeon makes a small incision in the front of the joint. A specialized table and equipment are also used that avoid detaching or cutting the hip. This preserves important muscles, which provide power for walking and joint stability

Patients undergoing hip replacement with the minimally invasive direct anterior approach usually experience a shorter recovery time, less pain and fewer post-operative restrictions. 234  

Other benefits of this procedure include:

  • Shorter hospital stay
  • Quicker recovery time
  • Reduced pain
  • A smaller incision
  • Greater accuracy in leg lengths and implant positioning 567   

Learn more about surgical preparation and recovery time by reading this brochure.


Recovery

Surgery typically lasts between one and two hours, and more time may be added for additional care before and after surgery. Learn more about surgical preparation and recovery time by reading this brochure.

 

 

 

1 Robinson, R., Robinson, H., Salvati, E. A. Comparison of the transtrochanteric and posterior surgical approaches for total hip replacement. Clin. Orthop. 147:143– 147, 1980. http://www.ncbi.nlm.nih.gov/pubmed/7371281

2 Matta JM, Ferguso TA. The anterior approach for hip replacement. Orthopedics. 2005 Sep;28(9): 927-8.

3 Restrepo, C I, Parvizi J, Pour AE, Wozak WJ. Prospective randomized study of two surgical approaches for total hip arthroplasty. J Arthroplasty. 2010 Aug; 25 (5): 671-9.ei.doi : 10.1016 / j.arth. 2010.02.002. Epub 2010 Apr8.

4 Munro, CA. The perioperative nurse’s role in table-enhanced anterior total hip arthroplasty. AORN Journal. 2009 July.

5 Matta JM, Ferguso TA. The anterior approach for hip replacement. Orthopedics. 2005 Sep;28(9): 927-8.

6 Restrepo, C I, Parvizi J, Pour AE, Wozak WJ. Prospective randomized study of two surgical approaches for total hip arthroplasty. J Arthroplasty. 2010 Aug; 25 (5): 671-9.ei.doi : 10.1016 / j.arth. 2010.02.002. Epub 2010 Apr8.

7 Munro, CA. The perioperative nurse’s role in table-enhanced anterior total hip arthroplasty. AORN Journal. 2009 July.