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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 results in 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.

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Related Testimonials
  • Total Hip Replacement "I was treated with respect, compassion and transparency. Everyone on the team was extremely professional, and still very warm. I was thoroughly briefed on every aspect of my surgery, including being supplied with my surgical notes. Cara is very professio ..." Provider: James T Caillouette MD
  • Total Hip Replacement "Dr. Nassif is professional from the start. Great bedside manner, always made sure my questions were answered, showed me exactly what was going to be done, and performed the surgery perfectly." Provider: Nader A Nassif MD
  • Total Hip Replacement "Everything! From the minute I met Dr. Nassif to the first few days of recovery after he assisted my doctor in the revision of my hip, he treated me as if I was his patient and went above and beyond for me." Provider: Nader A Nassif MD
  • Total Hip Replacement "My experience was great and I had great feedback from my PT." Provider: James T Caillouette MD
  • Total Hip Replacement "Any questions I had were immediately addressed & answered. Could not have been more pleased with the results of my surgery. Am recommending Dr. Caillouette to any and all with whom I come in contact. He explains everything in great detail" Provider: James T Caillouette MD
  • Total Hip Replacement "Dr. Caillouette has good coordination, care, and skill." Provider: James T Caillouette MD
  • Total Hip Replacement "They know what they are doing, I had every confidence in the Doctor & team to take care of me!" Provider: James T Caillouette MD
  • Total Hip Replacement "It appeared there was a high degree of consciousness for all the details and i really appreciated the communication level" Provider: James T Caillouette MD
  • 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 "I think Dr.Nassif cares about each patient personally. It makes a big difference when you know that your doctor and his staff treat you with care." Provider: Nader A Nassif 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 "Although he is extremely busy, he was approachable and took the time to listen to me and my fears. Cara is very knowledgeable and professional also. His office staff is efficient." Provider: James T Caillouette MD
Patient Reviews are anonymous and provided through GetWell, a HIPAA compliant patient engagement tool.
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Related Locations
  • Newport Orthopedic Institute - Huntington Beach Orthopedics
    19582 Beach Boulevard, Suite 306
    Huntington Beach, CA 92648
    (949) 722-7038
  • Newport Orthopedic Institute - Irvine Orthopedics
    16300 Sand Canyon Ave, Suite 400
    Irvine, CA 92618
    (949) 722-7038
  • Newport Orthopedic Institute - Newport Beach Orthopedics
    22 Corporate Plaza Drive
    Newport Beach, CA 92660
    (949) 722-7038
  • South Orange County Orthopaedics, Inc. - Mission Viejo Orthopedics
    26730 Crown Valley Parkway, Suite 200
    Mission Viejo, CA 92691
    (949) 364-2154
  • Hoag Orthopedic Institute
    16250 Sand Canyon Ave.
    Irvine, CA 92618
    (855) 999-4641
  • Hoag Orthopedic Institute Surgery Center - Newport Beach
    22 Corporate Plaza, Suite 150
    Newport Beach, CA 92660
    (949) 515-0708