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Anterior Hip Replacement

Anterior approach hip replacement at UC San Diego Health System

Running, Horseback Riding after Anterior Hip Replacement

Nancy Kehoe

Nancy Kehoe experienced chronic pain from two arthitic hips before having anterior hip replacement surgery at UC San Diego Health System. Read more

Anterior hip replacement is a specialized joint replacement surgery available at UC San Diego Health System for people with osteoarthritis and other forms of degenerative joint disease.

Approximately 15 percent of top joint centers in the nation have the expertise and technological capability to perform this advanced, muscle-sparing procedure.

With the anterior approach, the incision is made in the front (anterior) of the hip as opposed to the side (lateral) or back (posterior). The anterior approach allows the surgeon to work in between a natural muscle plane without detaching muscles or tendons from the hip (pelvis) or thigh bone (femur), avoiding undue trauma to the surrounding tissue. This technique is performed on a specialized surgical table to facilitate the preparation of the hip and thigh bone and allows the surgeon to capture images during surgery to confirm that the hip replacement implants are precisely placed.

Benefits of anterior hip replacement

From the patient experience perspective

Muscle sparing – No cutting through the gluteal and adductor muscle groups. In traditional hip replacement approaches, large incisions are made in these muscles. By going in between the muscles, the anterior approach results in less pain.

Fast recovery Research has shown patients are released from the hospital sooner and recover faster after anterior hip replacement.

Increased stability In an anterior hip replacement, there is little disruption of the hip capsule or muscles. This means that after surgery, you have full movement and flexibility.

Reduced risk of dislocation Anterior hip replacement has been shown to have a lower risk of hip dislocation after surgery compared to traditional hip replacement approaches.

From the surgeon's perspective

Anterior hip replacement allows for unmatched visibility through intraoperative fluoroscopy and computerized navigation. Imaging during surgery provides live feedback to ensure hyper-accuracy in the placement of joint components. Computerized navigation transmits precision mapping of the surgical field. All of this means a better joint fit for the patient, fast recovery and fewer reoperations.

Why choose UC San Diego for anterior hip replacement?

UC San Diego Health System performs approximately 150 anterior hip replacements a year – more than any other medical center in the region. This procedure is performed by Francis Gonzales, MD, who is fellowship-trained in anterior hip replacement. UC San Diego Health System is fully equipped at both the Medical Center in Hillcrest and at Thornton Hospital in La Jolla with leading-edge specialized equipment, including Hana tables, computerized navigation, robotic systems and intraoperative imaging capability

Talk to the hip experts today. Call 858-657-8200.