Anterior Approach Minimally Invasive Hip Replacement Surgery by Dr. DeCook Updated 11/7/2012
Northeast Georgia Health System, Inc.
743 Spring Street
Gainesville, GA 30501
Phone: (770) 219-9000Visit Website http://www.nghs.com/anterior-approach-hip-replacementCharlie DeCook, MD, an orthopaedic surgeon with Orthopaedics & Sports Medicine at The Longstreet Clinic, is one of only three orthpaedic surgeons in metro Atlanta offering this innovative surgery.Northeast Georgia Medical Center offers the anterior approach option for patients considering hip replacement surgery. The anterior approach is an advanced surgical technique in which an incision is made in the front of the hip rather than to the side or back of the hip. This method uses muscle sparing strategies that reduce muscle trauma and get patients back to normal activity faster.
Benefits of Anterior Approach
Unlike traditional hip replacement surgery, anterior approach hip replacement allows the physician to replace the joint without distressing or detaching muscle from the pelvis or femur during surgery. With an anterior approach hip replacement, patients may be able to immediately bend their hips freely and bear full weight when comfortable, enabling a quicker return to normal function. Other benefits include decreased risk of dislocation, a smaller incision, more precise and accurate leg length and fewer days in the hospital. In fact, most patients are up walking the same day of surgery and leave the hospital within one to two days after surgery.Anterior approach hip replacement is performed on a customized operating table called a HANA arthoplasty table. The HANA table has the capability to minimize trauma to muscles and tissues by allowing for precise placement of the leg in such a way that muscles do not have to be cut. Northeast Georgia Medical Center is one of only six hospitals in Georgia with a HANA arthoplasty table.“Going from the front is less invasive and less damaging to the surrounding muscle and hip joint,” DeCook said. “As a result, patients are in less pain, recover quicker and leave the hospital sooner.”
Some potential advantages of this technique include:• Decreased hospital stay
• Reduced pain
• Smaller incision
• Less invasive
• Less muscle trauma
• Faster recovery
• Decreased risk of dislocation
• More accurate restoration of natural anatomy
• More accurate leg length
According to Dr. DeCook, one of the most exciting advantages of anterior approach total hip replacement surgery is the decreased risk of hip dislocations. Because the surgeon is not cutting through muscle and the hip joint in the back, the hip is more stable and has less of a risk of hip dislocation when compared to the traditional hip replacement surgery. Another advantage is the surgeon is able to more easily use X-ray to help him or her during the surgery. This allows the surgeon to more accurately restore their natural hip anatomy and more accurately place the parts of the hip replacement.