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Anterior Approach to Total Hip Replacement

Board-Certified Orthopedic Hip Surgeons in Orange County

About Hip Arthritis

The hip is a ball and socket joint. The ball (femoral head) is covered with a layer of smooth cartilage. The socket (acetabulum) is also covered with a layer of smooth cartilage. In addition, there is a piece of cartilage that surrounds the periphery of the socket (labrum) and acts to help maintain a seal on the hip joint. The end result is smooth cartilage for a normal and healthy joint function.

Arthritis is the destruction of the normal cartilage.

The most common form known as Osteoarthritis, where the cartilage gradually thins and eventually the joint becomes bone-on-bone. There are many other reasons for destruction of cartilage such as inflammatory disease (e.g. rheumatoid arthritis), previous fracture or dislocation (post traumatic arthritis) or loss of blood supply (osteonecrosis) to name a few.

The end result for all of these conditions is the same: destruction of the joint surfaces leading to pain, inflammation and difficulty with performing normal activities, including walking, sitting and sleeping.

About Anterior Total Hip Replacement

Anterior total hip replacement, also known as hip arthroplasty, is a technique where an incision is made on the front of the hip and surgery is done between the muscles. In contrast, the traditional posterior approach for hip replacement, required an incision along the side of the hip and the surgery is done through the buttock muscle (gluteus maximus), which can be a longer recovery for the patient and require more physical therapy to regain previous range of motion and movement.

Studies have demonstrated an advantage in pain relief and improved function, specifically in the first 2 weeks following surgery.

Anterior hip replacement surgery utilizes special instrumentation and operating room table to facilitate the procedure.

Recovery Following Anterior Hip Arthroplasty

Depending on the patient's age and preoperative activity level will determine how long a patient will stay in the hospital which can be one or two nights following surgery. For healthy and motivated patients, the Enhanced Recovery Program allows patients to go home the same day of their procedure.

Is the Anterior Approach right for me?

Multiple factors determine whether you are eligible to safely undergo Anterior hip replacement procedure, including your overall health, age, weight (Body Mass Index), the severity of arthritis, and previous operations on the hip. You and your surgeon will discuss these factors to determine eligibility.

Schedule a consultation with a Newport Orthopedic Institute orthopedic hip surgeon in Orange County to treat your hip arthritis. Call (949) 722-7038.

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  • Total Hip Replacement "I am overjoyed with the results. I appreciated the prompt responses from phone and email resources. I was happy with the efficiency of the office, and I loved being at Hoag Orthopedic Institute where I knew the chances of superbug infection were quite lo ..." Provider: James T Caillouette MD
  • Total Hip Replacement "Dr. Nassif and his team make you feel comfortable and relaxed about having your procedure, during the procedure itself, and after during recovery." Provider: Nader A Nassif MD
  • Total Hip Replacement "From my first appointment to the post surgery appointment I was very impressed with Dr. Caillouette and his staff's professionalism. I was completely comfortable and confident going into surgery. I couldn't have been in better care and greatly appreciate ..." Provider: James T Caillouette MD
  • Total Hip Replacement "Very competent, professional, caring and responsive to questions and needs." Provider: Nader A Nassif MD
  • Total Hip Replacement "I was looking for a premier surgeon in the procedure I needed. Dr. Caillouette seems genuinely passionate about his field, about the experience his patients have, about ensuring his patients receive the best implants, about driving advances in orthopedic ..." Provider: James T Caillouette MD
  • Total Hip Replacement "The care and attention was first class, from Dr. Nassif to every member of the nursing and home care teams." Provider: Nader A Nassif MD
  • Total Hip Replacement "It was positive from the start." Provider: Nader A Nassif MD
  • Total Hip Replacement "The level of communication was high and thorough" Provider: James T Caillouette MD
  • Total Hip Replacement "Dr. Caillouette is an excellent surgeon. Both of my surgeries were successful - and life changing (for the better). I am deeply grateful." Provider: James T Caillouette MD
  • Total Hip Replacement "Dr. Nassif has excellent credentials and phenomenal reviews from his patients. He took his time to explain the procedure, showing us a replacement, and made sure he answered all my questions. He genuinely cares about his patients. I was nervous about sur ..." Provider: Nader A Nassif MD
  • Hip Procedure "Dr. Dunphy explains why I have a left hip problem and how to make it better. He takes CT scans and x-rays of my hip and shows me the pictures. He fully explains my issue and what I can do to improve it." Provider: Taylor R Dunphy MD
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