Why I No Longer Use the Anterior Approach for Primary Total Hip Replacement Surgery

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As a surgeon with a specialty practice in hip and knee replacement surgery, patients rely on my expertise.  Recently, a patient asked me why I no longer use the anterior approach for total hip replacement.  I stopped performing this procedure because in my experience there are no advantages to the surgery, rather a number of potential disadvantages.  Simply, I couldn't continue to use a procedure that I could not trust to deliver every time.
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The Most Common Reason for Chronic, Debilitating Hip Pain

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Hip pain is a common problem with many potential causes.

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The Unhappy Total Knee Replacement Patient: Figuring out What Is Wrong

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Unfortunately, there are a significant number of people who have undergone total knee replacement (TKR) and are not happy with the result. Some studies estimate 20% or more fall into this category. Defining success or a “satisfactory result” can mean two very different things to an individual who had the total knee versus the surgeon who implanted it.

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Partial vs. Total Hip Replacement Surgery

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Some patients in need of a hip replacement will ask me if they are candidates for a partial rather than a total hip replacement because it sounds “less invasive.” Unlike the knee (which has three distinct compartments and when one wears out there’s a good chance that only that compartment needs to be replaced), the hip is a single ball (femoral head) and joint socket (acetabulum) and a partial hip replacement often isn’t the optimum choice.