Hips For You - Guide to Total Hip Replacement

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Clusty

Anterior Approach to THR Surgery

Updated 7 3/09

WHO IS A CANDIDATE FOR ANTERIOR HIP REPLACEMENT?

Many people suffering with arthritis, hip pain, stiffness and limited hip movement can now choose minimally invasive surgery when hip replacement is the chosen treatment of the patient and their doctor.

One of the least invasive surgical options is Anterior Hip Replacement. The Anterior Approach is a proven technique that minimizes the pain and the time from surgery to recovery.

WHAT IS ANTERIOR HIP REPLACEMENT?

The Anterior Approach to hip replacement surgery allows the surgeon to reach the hip joint from the front of the hip as opposed to the lateral (side) or the posterior (back) approach. This way, the hip can be replaced without detachment of muscle from the pelvis or femur during surgery. The surgeon can simply work through the natural interval between the muscles. The most important muscles for hip function, the gluteal muscles that attach to the pelvis and femur, are left undisturbed and, therefore, do not require a healing process to recover from surgical trauma.

The Anterior Approach to hip replacement was first performed in Europe in 1947. Since that time, the technique has been continually refined with advancing medical technology. Today, literally thousands of hip replacement patients have benefited from this minimally invasive approach in Europe and America.

In 1996, Joel M. Matta, M.D., the John C. Wilson, Jr., Chair of Orthopedic Surgery at Good Samaritan Hospital in Los Angeles brought Anterior Hip Replacement to the United States. Dr. Matta has advanced the technique even further by co-designing a special, state-of-the-art surgical table with OSI and improving many surgical protocols for the hip replacement procedure. Having performed over 600 Anterior Hip Replacements himself since 1996, Dr. Matta has also been instrumental in the training of many orthopedic surgeons in this important minimally invasive approach. Dr. Matta's views on this technique can be found at: www.hipandpelvis.com.

HOW DOES ANTERIOR HIP REPLACEMENT IMPROVE PATIENT RECOVERY?

Conventional Hip Replacement
Conventional lateral or posterior surgery typically requires strict precautions for the patient. Most patients must limit hip motion for 6 to 8 weeks after surgery. They must limit flexing of the hip to no more than 60 to 90 degrees which complicates normal activities like sitting in a chair, on a toilet seat, putting on shoes or getting into a car. Simply climbing stairs may also be more difficult during recovery.

Anterior Hip Replacement
Anterior Hip Replacement allows patients to immediately bend their hip freely and bear full weight when comfortable, resulting in a more rapid return to normal function. After surgery, patients are instructed to use their hip normally without cumbersome restrictions. In supervised therapy, patients go up and down stairs before their hospital release.


 

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