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Anterior Approach to Total Hip Replacement

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 (osteoncronosis) 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 prepoperative 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 "All aspects. The friendliness and genuine caring for my healing and getting along in a better life than what I had prior to surgery." Provider: James T Caillouette 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
  • 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 "Communication and excess ability were tops. All people I interacted with were very patient. Everyone was very polite and helpful" Provider: James T Caillouette MD
  • Total Hip Replacement "Dr Caillouette and his team are very informative and caring. They answered all my questions and I felt I was well prepared for my surgery. Dr Caillouette is an excellent surgeon and I felt that I was given very good care by him and his team." Provider: James T Caillouette MD
  • Total Hip Replacement "Everyone on staff was very caring and professional." Provider: James T Caillouette MD
  • Total Hip Replacement "Everyone was very helpful and caring, asking if there was anything at all that I needed to make me more comfortable. Truly a great team overall!" Provider: James T Caillouette MD
  • Total Hip Replacement "Everything is basically very positive with Dr Caillouette & his team. I appreciate the information papers I recieved after surgery, my do's & don'ts." Provider: James T Caillouette MD
  • Total Hip Replacement "Excellent surgery and pre & post op communication and care!" Provider: James T Caillouette MD
  • Total Hip Replacement "Good attention to details" Provider: James T Caillouette MD
  • Total Hip Replacement "His obvious surgical expertise. I have had an incredible recovery and I'm sure that it is due to the amazing job he did on the surgery." Provider: James T Caillouette MD
  • Total Hip Replacement "His team is wonderful. I appreciated that Cara followed up my last appointment with a phone call." Provider: James T Caillouette MD
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