The anterior approach total hip replacement is a truly minimally invasive total hip replacement. The technique is a major advance in joint replacement. It reduces the morbidity and pain of standard or mini-incision total hip replacement because it does not cut away or cut through any muscles. This also improves the safety of the procedure by making the hip more stable. Consequently, patients may return to a more functional lifestyle as early as possible.

Through an inter-muscular and inter-nervous surgical interval, the surgeon reaches the hip without the need to cut through muscle or to detach tendon insertions. Additionally, it is proven that a hip done this way is inherently more stable against dislocation. One major advantage has been our ability to eliminate postoperative precautions. In contrast to other operations, our patients undergoing the anterior approach no longer require elevated toilet seats or other specialized instrumentations to put on their shoes and socks. They may drive as soon as they are comfortable, and can sleep in any position they prefer.

Recent major technological advances have now made all parts of the procedure extremely reproducible and predictable. Not only has the instrumentation been modified, but also a special table is now used that allows the surgery to be done on nearly any patient of any size or any age.

The technique also incorporates the most accurate form of continuous image navigation. All steps of the procedure are done under clear direct visualization augmented with the safety of image navigation. This way the surgeon can determine exact sizing and placement of the components at all times. Postoperative complications related to implant malpositioning and leg length inequality can be minimized significantly.

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