Practice Policy Update regarding COVID-19

Surgical Treatment

Anterior Muscle Sparing Hip Replacement

In my opinion anterior hip replacement is the treatment of choice when total hip replacement is considered because:

  1. Muscle is not cut during this procedure. This results in quicker and better recovery with less scar tissue in the muscle.
  2. Implants are placed using x-ray control.  This improves implant positioning.  Long-term survival of these implants depends on in their precise positioning.  Precise positioning also decreases the chance of having a dislocation.
  3. Smaller more aesthetically acceptable skin incision.
  4. Earlier return to normal activities.  Many patient can return to work within 2 weeks. Patient may drive at 2 weeks.
  5. Anterior hip replacement may be performed on almost all patients requiring a primary hip replacement.
  6. Potential decrease in complications such as infection, dislocation, and leg length inequality.
  7. There is better evaluation of leg length during the operation. It is more likely that the patients legs will be of equal length after the surgery.
  8. Less limitations for the patient regarding hip precautions.
  9. Anterior hip replacement is superior to other "minimally invasive hip surgeries because the hip muscles have to be cut with those other procedures. Hip muscles are not cut during anterior hip replacement.
  10. Patient lies in a more natural position during surgery, on the back, which is better for patients with lung or heart conditions. It also makes the job of the anesthesiologist easier as he has better access to the airway.
  11. Few surgeons are doing this procedure because of lack of training, but it is gaining popularity as the technique is being taught and surgeons appreciate it’s advantages.
  12. The implants used for this technique have an excellent track record. They are especially suited for this operation. They have been developed years ago and have been well tested. The survivorship of these implants is very good.
  13. We use only the most modern bearing surfaces. They include ceramics, plastics and metals. They also have a very good track record. My preferred bearing is a ceramic ball. It has a very low coefficient of friction and produces very little wear when used with a plastic Liner.

HANA Table Xray imaging during the procedure Xrays taken to verify leg length and placement of the componenets