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Direct Anterior Hip Replacement Dr. Rupal Patel, Orthopedic Surgeon at CMH Orthopedic Service talks about an innovation in hip replacement surgery, direct anterior hip replacement. Direct anterior hip replacement is a minimally invasive muscle sparing hip replacement surgery. This new innovation in hip replacement surgery is unlike traditional posterior (back) and lateral (side) approaches which require cutting of muscles to reach the hip joint. Anterior (front) hip approach is a muscle sparing approach. What are the benefits of anterior approach hip replacement? Hip replacement done through this approach does not require cutting any muscle, it potentially provides quicker recovery, less pain and early discharge from the hospital. This procedure is done under x-ray control which allows the surgeon to restore the leg length more accurately and also allows for accurate placement of implants which potentially provide longevity to the implants. This approach also has a lower dislocation rate compared to the posterior approach. How does anterior hip replacement improve patient recovery? 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 ORTHOPEDIC SERVICE, LLC into a car. Simply climbing stairs may also be more difficult during recovery. The 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. Who is a candidate for Anterior Hip Replacement? Many people suffering with arthritis, hip pain, stiffness and limited hip movement can now choose this minimally invasive surgery when hip replacement is the chosen treatment of the patient and their doctor. Although the direct anterior approach may make sense for some patients, only your surgeon can help you decide what is best for you. To learn more about direct anterior approach hip replacement surgery & its advantages over standard surgical procedures call our office or schedule an appointment with Dr. Patel. Dr. Patel is a member of the Medical College of Virginia Physicians (MCVP, the faculty practice group for the Virginia Commonwealth University Medical Center). 420 Bracey Lane South Hill, VA (434) 447-7375 www.cmhorthopedicservice.org A service of Community Memorial Healthcenter