Streamed live on Feb 13, 2015
Dr. Dan Albright, an orthopedic surgeon in Raleigh, North Carolina, explains the difference between anterior, posterior and lateral approaches to hip replacement surgery and why he prefers the anterior approach over the others.
Transcription of video:
Why is the anterior approach for total hip replacement surgery better than other approaches?
Hello. My name is Dr. Dan Albright. I’m an orthopedic surgeon in Raleigh, North Carolina and I specialize in hip replacement operations.
I started to practice in 1994 and trained a lot specifically in anterior approach in my training and then in my fellowship that year in Raleigh.
I have a model to try to explain that. Other approaches work. The posterior approach is very common in this country and it means putting an incision on the back side of your hip. There’s also the lateral approach which I will do sometimes in particularly
challenging cases. Then much more commonly I do the anterior approach and I admit to being biased because there is some good literature supporting it, but more importantly watching patients recover from anterior approach is impressive.
The advantage is you split muscle. You divide the muscle. This is the only approach, the only major approach where you don’t cut muscle and tendon off of bone and then stitch it back. Where the posterior approach and lateral approach you literally have to cut muscle off the bone and that weakens the hip and you can dislocate more and then you have to stitch those muscles and tendons back. So I’m very prone to this anterior approach where – this is a model obviously – but you just basically divide, you separate the muscle. You don’t cut it. You never stitch it back because you don’t cut the muscle and then the hip is very superficial when you come from the front. Very superficial. In fact people have a lot less fat from the front. If you have extra weight it is usually on the side of the hips or the back of your hips. Going for the front is a much quicker approach to get to the hip. Dislocations are much less also.
I literally have no restrictions with this hip replacement surgery. From day one when you get your hip replaced – you can squat, you can tie your shoes, you can bend, no precautions. That’s a huge advantage to the anterior approach compared to other approaches and that’s the main thing. There is also less pain and quicker recovery. People are off a cane sometimes within days to a week or two.
So, those are the main advantages of an anterior approach and its challenging unless you are trained with the proper mentors and equipment and all, but once you get it down it goes real well and patients do well.
If you are interested in more about the anterior approach to the hip, I’m happy to see you at any time.
My website is danalbrightmd.com, you can get my contact information there.
For appointments the phone number is 919-863-6808.