| The anterior approach is a revolutionary improvement | | | | to normal function. |
| in hip replacement surgery, according to leading | | | | Patients and doctors alike are encouraging this |
| orthopedic surgeons in the United States. It makes | | | | method because it reduces pain, blood loss, scarring, |
| patients heal much faster, but it is still not offered as | | | | muscle trauma and the risk of dislocation. |
| an option in most U.S. hospitals. | | | | Reason Three:Less Restrictive. After conventional hip |
| Reason One: Faster Recovery. While it may take | | | | replacement surgery, patients must limit flexing of |
| patients four to six months to fully recover following | | | | the hip to no more than 60 to 90 degrees, which |
| conventional hip replacement surgery, the anterior | | | | complicates normal activities like sitting in a chair, on a |
| approach enables patients to recover in only four | | | | toilet seat, putting on shoes or getting into a car. |
| weeks. An orthopedic surgeon and founder of the | | | | Simply climbing stairs may also be more difficult during |
| Hip and Pelvis Institute at St. John's Health Center in | | | | recovery when following the conventional |
| Santa Monica, California, was the first to bring this | | | | replacement surgery. |
| method from Europe and develop it in the United | | | | The anterior approach to hip replacement surgery |
| States. | | | | allows the surgeon to reach the hip joint from the |
| Despite its positive outcome for patients, the anterior | | | | front of the hip as opposed to the lateral (side) or |
| approach to hip replacement surgery is not offered in | | | | the posterior (back) approach. This way, the hip can |
| most hospitals. Popular in Europe, it's been used in | | | | be replaced without detachment of muscle from the |
| Paris, France some 25 years ago. | | | | pelvis or femur during surgery as is performed in |
| Since learning from the small group of European | | | | traditional surgery. The surgeon can simply work |
| surgeons who practiced this method, a US doctor | | | | through the natural interval between the muscles. |
| has been instrumental in bringing awareness of the | | | | The most important muscles for hip function, the |
| anterior approach as a hip replacement surgery | | | | gluteal muscles that attach to the pelvis and femur, |
| method to the United States and worldwide. He has | | | | are left undisturbed and, therefore, do not require a |
| performed over 1600 anterior approach hip | | | | healing process to recover from surgical trauma. |
| replacement surgeries and continues to give | | | | The technique is advanced even further by designing |
| instructional seminars for surgeons around the United | | | | a special, state-of-the-art surgical table to replace the |
| States to introduce them to this method. The | | | | original French orthopedic Judet table. The table has |
| popularity of the anterior approach as a total hip | | | | unique capabilities to facilitate this smaller and less |
| replacement procedure has been growing rapidly. | | | | invasive approach. The table has carbon fiber spars |
| Over 400 surgeons will receive training this year | | | | that support the legs that move appropriately to |
| alone. | | | | manipulate the operated leg during surgery. |
| Reason Two: Minimally Invasive. The anterior | | | | Additionally, the table has a sterile motorized robotic |
| approach to hip replacement is the most minimally | | | | attachment that reaches inside the wound and lifts |
| invasive choice for people suffering from arthritis, hip | | | | the femur to an accessible position. Numerous other |
| pain, stiffness and limited hip movement. Following | | | | surgical innovations and protocols for replacement |
| the anterior approach surgical procedure, patients are | | | | reach beyond the original French technique. |
| instructed to use their hip normally without | | | | As people increasingly learn more about the anterior |
| cumbersome restrictions and are sent home from | | | | approach to hip replacement, they will likely turn to |
| the hospital often in less than three days. Patients | | | | this method. Total replacement offers benefits that |
| can immediately bend their hip freely and bear full | | | | the traditional route to hip replacement just cannot |
| weight when comfortable, resulting in a rapid return | | | | offer. |