Anterior Hip Replacement

What Is Anterior Hip Replacement?

Anterior hip replacement is a minimally invasive surgical technique used to treat hip pain caused by arthritis, injury, or degenerative joint disease. Unlike traditional methods that access the hip from the side or back, this approach reaches the hip joint from the front (anterior) of the body. This means less disruption to muscles and soft tissue, which can lead to a faster, smoother recovery.

Benefits of the Anterior Approach

Patients often choose anterior hip replacement for its unique advantages:

• Reduced Muscle Damage: No need to detach major muscles during surgery

• Faster Recovery: Many patients walk the same day as surgery

• Less Postoperative Pain: Decreased trauma to surrounding tissues

• Shorter Hospital Stay: Often performed as outpatient or same-day discharge

• More Accurate Implant Positioning: Real-time X-ray (fluoroscopy) guidance during surgery

Who Is a Candidate?

Anterior hip replacement is ideal for:

• Individuals with hip osteoarthritis, rheumatoid arthritis, or avascular necrosis

• Patients who haven’t responded to conservative treatments like physical therapy or injections

• Those who are generally healthy and seeking a quicker return to normal activity

Not all patients are candidates. Your orthopaedic surgeon will assess your body type, bone structure, and medical history to determine the best approach.

What to Expect: Before, During, and After Surgery

Before Surgery

• Medical evaluation and imaging (X-rays, MRI)

• Prehab exercises and weight management guidance

• Discussion of anesthesia and surgical risks

During Surgery

• Typically performed under general or spinal anesthesia

• A small incision at the front of the hip

• Muscles are spread rather than cut

• Damaged bone is removed and a prosthetic implant is placed

After Surgery

• Patients often begin walking with assistance within hours

• Outpatient physical therapy begins quickly

• Most return to normal activities in 4–6 weeks

FAQs

Is anterior hip replacement better than posterior?
Each approach has benefits. Anterior may allow faster recovery, but some surgeons prefer posterior based on anatomy and surgical access. Your surgeon will recommend what’s safest for you.

Will I need physical therapy?
Yes, rehabilitation is essential to restore mobility and strength, regardless of the surgical approach.

Is it covered by insurance?
Most major health insurance plans, including Medicare, cover hip replacement when deemed medically necessary. Learn more here.

Why Choose Orthopaedic Associates of Wisconsin?

At OAW, our fellowship-trained hip surgeons specialize in minimally invasive anterior hip replacements, using state-of-the-art surgical technology to ensure the best possible outcomes. We guide patients through every step—from diagnosis to recovery—offering a comprehensive, compassionate care experience.