A 2017 TOP DOC Dr. David Maine, Director of The Center for Interventional Pain Medicine, helps patients with chronic pain, lower back pain and cancer pain.
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A minimally invasive, direct anterior total hip replacement (THR) of the right hip is usually done when severe damage from arthritis or injury has made it difficult to perform daily activities without severe pain or restricted range of motion.
At Orthopedics and Joint Replacement at Mercy, Joseph Ciotola, M.D., Marc W. Hungerford, M.D., Kamala Littleton, M.D., and Philip Neubauer, R.Ph., M.D., are among a very exclusive group of orthopedic surgeons nationwide offering anterior approach hip replacement surgery. Mercy's orthopedic surgeons are leaders in performing anterior hip surgeries in Maryland.
The anterior approach to hip replacement is an innovative, minimally-invasive approach to hip replacement that typically provides a faster recovery, less restrictions and less pain compared to traditional hip replacement surgery.
Anterior approach hip replacement surgery is an advanced surgical technique in which an incision is made in the front of the hip rather than the side or back of the hip, as is done with traditional hip surgery. The anterior approach involves only a 4-5 inch incision, which allows for less disruption to muscles and tissues of the leg, while traditional hip replacement surgery involves a 10-12 inch incision.
The anterior approach enables the surgeon to work through the natural interval between muscles without the need to cut the muscle tissue, which typically results in a smoother, faster recovery.
Anterior hip replacement surgery is performed on a custom designed operating table called a hana® arthroplasty table. Designed exclusively for hip and knee patients, the hana® table has the capability to minimize trauma to muscles and tissue by allowing for precise placement of the leg not available with conventional tables. One leg is extended downward to allow access to the surgical site in such a way that muscles do not have to be cut.
Additionally, the table allows for X-ray imaging during the surgery for precise placement of the hip implant.
The rehabilitation period following the anterior approach hip replacement is reduced compared to a traditional hip replacement. For many patients, anterior approach hip recovery will range between two and eight weeks as opposed to traditional hip surgery which requires a two to four month recovery period.
The reason anterior approach hip replacement requires less of a need for intense therapy is because muscles and tissues are undisturbed. Patients typically are able to walk stairs and no longer need to use a walker or cane prior to being discharged from the hospital.
At Mercy, patients who receive a hip replacement participate in The Joint Journey, a program dedicated to joint replacement education and rehabilitation.
Following anterior hip replacement, patients typically can:
Patients often enjoy the benefits of anterior approach hip replacement, which include:
Anterior hip replacements are an alternative option for most patients in need of a primary hip replacement. Our orthopedic surgeons at Mercy work with each patient to determine if the anterior approach to hip replacement is the best treatment option.
An avid golfer seeks out Mercy doctors twice to get a hip replacement and now he is healthy and back on the greens.
A woman returns to her active lifestyle after an anterior approach hip replacement at Mercy Medical Center.
John-Paul Rue, M.D., is a Board Certified orthopedic sports medicine surgeon specializing in the prevention and treatment of injuries related to sports and exercise, including complex knee and shoulder reconstructions.