Direct Anterior Approach Total Hip Replacement

At Boca Raton Orthopaedics and Sports Medicine, we are constantly trying to offer our patients the best and most up to date orthopaedic treatments and surgeries.   One example of this is Direct Antertior Approach Total Hip Arthroplasty.   Direct Anterior Approach Total Hip Arthroplasty is an improvement on traditional Posterior Approach Hip Replacement that reduces post operative recovery time, getting our patients back to the activities they enjoy sooner.

As you may know, total hip arthroplasty, is a very effective surgery that replaces painful hips damaged by arthritis or other disease processes with artificial implants that markedly reduce pain associated with movement and weight bearing.  In most cases, walking is improved and patients  resume more active lifestyles.  The pain relief patients experience can be life changing.

Traditionally, hip replacement surgery has been performed most frequently through a posterior approach. While this approach has a strong track record of success, it does have its drawbacks.  The surgical approach involves splitting the gluteus maximus, an important, large muscle that must heal postoperatively to allow the patient to return to normal ambulation, stair climbing and other activities. By contrast, the Direct Anterior Approach does not involve cutting or splitting any muscles.  This allows patients to progress through rehabilitation faster and with less pain than after the traditional posterior approach.  Another advantage of the Direct Anterior Approach is the ability to use live intraoperative X-ray during the procedure.  This improves the surgeon's ability to make sure the hip replacement prostheses are optimally positioned, potentially reducing the risk of leg length discrepancy, dislocation and prosthetic loosening.

Drs. Alan Saperstein and Melvin Young now perform the majority of their total hip replacement surgeries using the Direct Anterior Approach.  The procedure is facilitated by use of a specialized OR table available at Boca Raton Regional Hospital where the doctors perform these surgeries.  "I've been very impressed with how much more quickly postop these patients are able to stop using walkers and canes," noted Dr. Saperstein after a recent Direct Anterior Approach case.  "And  their hospital stays are shorter," added Dr. Young.