Minimally Invasive Total Hip Replacement
Hip replacement surgery is performed when the hip joint has reached a point when painful symptoms can no longer be controlled with non-operative treatments. In a hip replacement procedure, your surgeon removes the damaged joint surface and replaces it with an artificial implant. The traditional, or posterior hip replacement approach requires surgeons to cut muscles and other soft tissue at the back of the hip to access the hip joint.
Anterior-Approach Total Hip Replacement (AA-THR) surgery is an example of how the medical field is continually evolving and trying to improve outcomes for patients. Proponents of anterior hip replacement surgery believe it offers several advantages, including:
Less damage to major muscles. The AA-THR avoids cutting major muscles. There are fewer muscles at the front of the hip, and the surgeon works between them, rather than cutting through muscle fibers or detaching muscles from bones.
Faster recovery. After surgery, a patient can bend at the hip and bear weight as soon as it is comfortable. Most anterior hip replacement patients can use crutches or a walker sooner than patients who have had a traditional surgery.
Less post-operative pain. Because the surgery does not require cutting major muscles, patients typically experience less pain after surgery and require less pain medication, and coupled with the use of Exparel and/or Iovera treatments, low- or no-Opiod post-surgical pain control is possible.
Decreased risk of hip dislocation. Anterior hip replacement surgery does not disturb the muscles and soft tissue structures that naturally prevent the hip from dislocating, therefore anterior surgical patients are less likely to suffer a hip dislocation.
Better range of movement. Patients may bend over or sit with their legs crossed without risking hip dislocations. Most traditional hip replacement patients are told to avoid sitting with legs crossed for at least 6 to 8 weeks following surgery
Go Home Sooner. A patient who undergoes anterior hip replacement can typically expect a shorter stay than with a traditional approach.