Direct Anterior Approach

The anterior or frontal approach to total hip replacement has gained in popularity among surgeons and patients who see it as less invasive, with a quicker recovery period compared to traditional hip replacement.

Southern Bone & Joint physicians, independent orthopedic surgeons, are performing this technique with the surgical team at SAMC.

Using the anterior approach allows for hip muscles to be moved out of the way instead of cut; the replacement of joint cartilage and bone is performed by going between the hip muscles that help hold the hip joint in place. Smaller incisions, which can be glued and not stitched or stapled, are possible, and the procedure spares muscle tissue and results in fewer complications such as dislocation of the new ball joint. Leaving the muscle intact provides greater joint stability.

The anterior approach reduces hospital stay and allows for quicker rehabilitation. Patients can bear weight soon after the surgery.

The procedure is appropriate for patients who are active and eager to return to work and their daily activities as quickly as possible. It is not recommended for obese patients or those with conditions that don't allow manipulating the hip without cutting muscles.
Hip replacement is a surgical procedure to replace a worn out or damaged hip with an artificial joint (prosthesis). This surgery may be considered following a hip fracture or for someone who has severe pain due to arthritis.

An average of 150 artificial hip replacement surgeries are performed yearly at SAMC. 

Hip replacement may become necessary if activities such as walking, sitting, or even resting become painful. The goal of hip replacement surgery is to replace the parts of the hip joint that have been damaged and to relieve hip pain that cannot be controlled by other treatments.

Kay McDurmont
New Brockton, Ala.

Diagnosis: Degenerative joint disease
Treatment: Anterior Hip Replacement

I wish everybody could have this type of surgery. I had no stitches or staples. The incision was glued. I know this procedure is different, but I feel like it was the Lord that got me through it all. 

I was able to get up and start going a week after surgery. I could do my own exercises and everything. I didn't have any pain. I have a pool, so I am looking forward to swimming and getting out walking.

Before the surgery, I was in pain. My children did my grocery and Christmas shopping because it hurt so bad for me to get up, sit down and walk. I gained weight because I couldn't get around. It hurt to sit, stand, get my leg in the car ... there were lots of tears and frustration.

Now I can go anywhere. I can go all over the store, get my groceries, go home and unload it and cook a meal. I haven't been able to do that in some time.

I am glad to have had the anterior hip replacement. My daughter, who is a nurse, wanted me to have this kind of surgery. She said I would not have pain and she was right.