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SRO Surgeon Nathan Ehmer Announces Less Invasive Anterior Approach to Hip Replacement Surgery to Help Speed Recovery Time
Date:7/24/2014

oach doesn’t cut your muscles, and it doesn’t violate the posterior hip capsule and structures, yielding a lower rate of hip dislocation—less than 2% for anterior approach compared to over 4% with posterior approaches.”

“The anterior approach is performed under direct visualization of the hip joint, and with aid from a few milliseconds of live x-ray during surgery surgeons can ‘see’ how all the parts fit into patients’ unique anatomies. This allows for near-perfect anatomic restoration of leg length and precise placement of the hip replacement components for the most stable hip replacement. In traditional hip surgery, surgeons rely on a ‘trial and error,’ where a stable hip is obtained via a trial of varying combinations of parts. The surgeon cannot see the final hip replacement construct until an x-ray is taken after surgery. Leg length is also a lesser priority in traditional approaches to hip replacement because of the difficulty of obtaining precise measurements during surgery, and the necessity of stability because the posterior muscle and joint capsule were cut.”

“Because the anterior total hip surgery is so stable, my patients enjoy freedom from the dreaded hip precautions that restrict patients after traditional hip replacements procedures (no crossing of the legs, no bending over at the waist, sleeping with a foam pillow between the legs, etc.).”

“While not all patients are candidates to have their hip replacements done using the anterior approach, advancements in surgical technology and patient outcomes research point to an increase in the efficacy of this approach.”

Every surgical approach has risks and benefits, and the overall success of a hip replacement is multi-faceted. Patient factors such as age, weight, level of activity, medical conditions, as well as the hip replacement components and their alignment are all important. Each patient is unique and should consult with their surgeon in order to determine what is bes
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