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Is Anterior Approach Surgery Recommended For Total Hip Replacement?

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Posted on Wed, 22 Jul 2015
Question: FOR HIP REPLACEMENT, I HEARD THAT THE ANTERIOR METHOD IS PREFERABLE, SINCE IT CUTS LESS MUSCLE. DO YOU AGREE? WHAT ARE THE PROS AND CONS COMPARED WITH OTHER METHODS PLEASE?
doctor
Answered by Dr. Vaibhav Gandhi (1 hour later)
Brief Answer:
yes anterior approach is better.

Detailed Answer:
Hello
I have read your query.
yes anterior approach for total hip replacement is better than posterior.
Anterior approach has less chance of dislocation and less morbidity. But it needs expert surgeon who is well trained for anterior approach. There is chance of vessel injury in anterior approach.

posterior approach is easy for surgery and less complicated. but there is chance of dislocation.
I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vaibhav Gandhi (2 hours later)
Thank you for the first reply. You said "Anterior approach has has ess chance of dislocation and less morbidity". Do you mean dislocation AFTER surgery and healing? What does less morbidity mean please?

How would a hip be dislocated? By falling down? I would like to continue hiking and dancing and playing pickleball (miniature tennis) after a hip replacement. Does this imply I should get anterior to lessen change of dislocation while doing these things?
doctor
Answered by Dr. Vaibhav Gandhi (25 hours later)
Brief Answer:
Yes this implies you should go for anterior approach.

Detailed Answer:
Hello

After any joint replacement surgery there is chance of joint dislocation. This chance of dislocation of joint is less when surgery is done with anterior approach.

Less morbidity means your wound will heal early and you can start rehabilitation early.

Hip can dislocate in hip adduction and flexion, so you will have to avoid these position in future. For example sitting cross leg.

Yes this implies you should go for anterior approach.

Take care.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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Is Anterior Approach Surgery Recommended For Total Hip Replacement?

Brief Answer: yes anterior approach is better. Detailed Answer: Hello I have read your query. yes anterior approach for total hip replacement is better than posterior. Anterior approach has less chance of dislocation and less morbidity. But it needs expert surgeon who is well trained for anterior approach. There is chance of vessel injury in anterior approach. posterior approach is easy for surgery and less complicated. but there is chance of dislocation. I hope I have answered your questions. If you have further questions please feel free to contact us. I will be happy to answer. Take care.