Prevea Health

Hip replacement - anterior approach


The anterior approach to total hip replacement surgery allows the surgeon to reach the hip joint from the front of the hip as opposed to the lateral (side) or the posterior (back) approach. This allows the hip to be replaced without detachment of muscle from the pelvis or femur during surgery. The surgeon can then work through the natural interval between the muscles. The most important muscles for hip function, the gluteal muscles that attach to the pelvis and femur, are left undisturbed and therefore do not need to heal with the anterior approach.
Conventional lateral or posterior surgery typically requires strict precautions for the patient. Most patients must limit hip motion for six to eight weeks after surgery. They must limit flexing of the hip which complicates normal activities like sitting in a chair or a toilet seat, putting on shoes or getting into a car. The anterior approach allows patients to immediately bend their hip freely and bear full weight when comfortable, resulting in a more rapid return to normal function.

Our providers perform the total hip replacement surgery using the anterior approach.

Benefits of the anterior approach

  • Smaller incision
  • Faster recovery time
  • Less disruptive to your lifestyle
  • Patients can immediately bend their hip freely and bear full weight when comfortable
  • In supervised therapy, patients often go up and down stairs before they leave the hospital

small incision in upper thighAccess to hip joint between muscle natural interval - no cutting required

A special surgical table aids the surgeon
A technologically advanced HANA® Hip and Knee Arthroplasty Table is sometimes used for the anterior approach. It works with the surgeon to minimize trauma under the skin by precise patient positioning not possible with conventional tables. For example, the patient’s leg is extended downward to allow frontal access to the hip while minimizing tissue damage.
Prevea offers the only surgeons in the greater Green Bay area using the HANA table for total hip replacement surgery.

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