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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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Related Testimonials
  • Total Hip Replacement "The whole experience was very good, and everyone was very thoughtful." Provider: Nader A Nassif MD
  • Total Hip Replacement "Everything was handled very well & I was kept informed throughout the Pre-Op Process. It’s been amazing how quickly I feel and how I am recovering. I am so happy Dr. Nassif decided to do both hips at the same time - he made me feel confident in his abili ..." Provider: Nader A Nassif MD
  • Total Hip Replacement "It was positive from the start." Provider: Nader A Nassif MD
  • Total Hip Replacement "Dr. Nassif is extremely knowledgeable and personable. He personally followed up with me twice over the phone after surgery. HealthLoop had been a great experience and Julie has been consistently upbeat and timely with follow up. My entire experience with" Provider: Nader A Nassif MD
  • Total Hip Replacement "Dr Nassif and team were very good at communicating what was going to happen and my preparation needed." Provider: Nader A Nassif MD
  • Total Hip Replacement "Excellent coordination of the entire team from Dr. Nassif to the website. So much so, I plan to do my other future surgery with the team again. I feel confident in receiving the same wonderful care." Provider: Nader A Nassif MD
  • Total Hip Replacement "The whole prep, surgery and post op were handled with good communication and efficiently." Provider: Nader A Nassif 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
  • Total Hip Replacement "I am confident Dr. Nassif did an excellent job on my surgery." 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 "They were very informative and always prepare me for the next step." Provider: Nader A Nassif MD
  • Total Hip Replacement "Caring staff and prompt to answer to questions. It was a great surgery and the staff is sensitive to pain and discomfort - good communication overall!" Provider: James T Caillouette MD
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