Running, Horseback Riding after Anterior Hip Replacement
Nancy Kehoe experienced chronic pain from two arthritic hips before having anterior hip replacement surgery at UC San Diego Health.
Anterior hip replacement is a specialized joint replacement surgery available at UC San Diego Health 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.
New York Times
Francis Gonzales, MD
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 Health for Anterior Hip Replacement?
UC San Diego Health performs approximately 150 anterior hip replacements a year – more than any other medical center in the region. Our doctors are fellowship-trained in anterior hip replacement. UC San Diego Health is fully equipped with leading-edge specialized equipment, including Hana tables, computerized navigation, robotic systems and intraoperative imaging capability.