What is Direct Anterior Approach Total Hip Replacement?

Total hip replacement is a surgical procedure where the damaged hip joint is replaced with an artificial joint. There are 3 common ways your surgeon can gain access to the damaged hip joint:-

  1. Anterior approach (from the front)
  2. Lateral approach (from the side)
  3. Posterior approach (from the back)

Direct anterior approach total hip replacement is a minimally invasive surgical technique that allows the surgeon to reach the hip joint from the front  by going between the muscles instead of cutting through them, which can result in a quicker recovery and less postoperative pain.

waist xray

What are the benefits?

  • Faster recovery time
  • Less pain after surgery
  • Less muscle damage compared to other approaches
  • Smaller incision and less scarring
  • Improved hip stability
  • Facilitate the use of fluoroscopy and computer navigation for accurate components positioning and matching of leg length

Frequently Asked Questions

The risks are similar to that of conventional total hip replacement. 

  • Bleeding or blood clots
  • Infection
  • Fracture
  • Hip dislocation
  • Nerve or blood vessel damage
  • Implant failure or loosening

No. Only conventional prosthesis or parts for total hip replacement are required

  • Inform your doctor about any medications you are taking, including over-the-counter drugs and supplements.
  • Follow the pre-operative instructions provided by your doctor.
  • Arrange for someone to drive you home after surgery and help you with daily activities for a few days
  • The procedure typically takes 2 hours.
  • You will receive general anaesthesia, so you will be asleep during the surgery.
  • The surgeon will make a small incision in front of your hip joint and replace the damaged joint with an artificial one.
  • You will spend a few days in the hospital before being discharged.
  • You may experience some pain and swelling in the hip area, which can be managed with pain medications.
  • You will need to use a walker or crutches for a few weeks after surgery.
  • You will need to attend physical therapy to regain strength and mobility in the hip joint.
  • You should avoid high-impact activities for at least 6-12 weeks after surgery.
  • You can resume normal daily activities, such as walking, and light household chores, as soon as you feel comfortable.
  • Always follow your doctor's instructions regarding when you can resume specific activities.

In conclusion, Direct Anterior Approach Total Hip Replacement is a minimally invasive surgical technique that can result in a faster recovery and less postoperative pain. However, as with any surgery, it does carry risks. It is important to discuss the benefits and risks of this approach with your doctor to determine if it is the best option for you.

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