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Anterior Hip Replacement Surgery
Anterior hip replacement is a total hip replacement performed through the front of the hip. The surgeon works between the muscles rather than cutting through them, using a 3-4 inch incision on the upper front thigh. The damaged bone and cartilage are removed and an artificial socket and femur stem are placed using real-time X-ray guidance. Most patients walk with physical therapy the same day and go home the same day.
The modern, muscle-sparing approach that gets you back to living your life faster, with less pain and fewer restrictions.
What is the Anterior Approach?
The Anterior Approach is a minimally invasive technique for total hip replacement. Unlike traditional surgeries that access the hip from the side (lateral) or back (posterior), the anterior approach allows the surgeon to work from the front of the hip.
Why does this matter? The front of the hip allows access between muscles rather than cutting through them. This "intermuscular" interval creates a natural separation, meaning the important muscles for walking and hip stability are left intact.
Comparison: Traditional vs. Anterior
Why Choose Anterior?
The benefits of sparing muscle tissue extend far beyond the operating room.
Muscle Sparing
Unlike traditional approaches, no muscles are cut during surgery, preserving your natural anatomy.
Faster Recovery
Most patients walk within hours of surgery and return to normal activities in weeks, not months.
No Precautions
Because muscles aren't detached, there are typically no movement restrictions after surgery.
Less Pain
Reduced tissue trauma means significantly less post-operative pain and less reliance on medication.
The Procedure Explained
Preparation
You are positioned on a special surgical table (Hana® table) that allows the surgeon to access the hip joint from the front without cutting muscle.
The Approach
A small incision (3-4 inches) is made on the front of the upper thigh. The surgeon works between the muscles, gently pushing them aside.
Implant Placement
The damaged bone and cartilage are removed. The artificial socket and femur stem are precisely placed using real-time X-ray guidance.
Closure
Once the new joint is tested for stability and leg length, the incision is closed with absorbable sutures beneath the skin.
Your Road to Recovery
Surgery & Walking
Surgery in the morning, walking with physical therapy by afternoon. Most patients go home the same day.
Initial Healing
Walking without assistance indoors. Weaning off pain medication. Driving often resumes.
Active Recovery
Return to work (desk jobs). Walking long distances. Low-impact exercise like cycling.
Full Return
Return to most sports and physical activities. Golf, doubles tennis, and hiking are encouraged.
Frequently Asked Questions
Related reading
Explore these in-depth articles on anterior hip replacement:
- Anterior vs Posterior Hip Replacement: Which Is Better?
A side-by-side comparison of the anterior and posterior approaches — benefits, risks, and recovery.
- Anterior Hip Replacement: The Minimally Invasive Approach That Gets You Moving Faster
Why the anterior approach offers faster recovery, less pain, and lower dislocation risk for active adults.
- Hip Replacement Surgeon Richmond VA | Anterior Hip Replacement
What to look for when choosing an anterior hip replacement surgeon in Richmond, VA.
Ready to Get Back to Your Active Lifestyle?
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Location
8200 Meadowbridge Rd #200, Mechanicsville, VA 23116
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