What is the Anterior Approach?

Anterior hip replacement is a minimally invasive approach to hip surgery and is being done through smaller incisions with more specialized instrumentation to help make this surgery less traumatic to the patient.

The anterior approach hip replacement is a muscle-splitting approach, meaning that the surgeon gets to the hip between two muscles, rather than by removing and then reattaching a muscle. The advantage is thought to be that rehabilitation can proceed more quickly by not having to allow the reattached muscle to heal. .

The Special Table That Aids The Surgeon And Benefits The Patient

University Hospital & Medical Center recently obtained the HANA™ Hip Arthroplasty Table - the only surgical table designed exclusively for Hip Arthroplasty. Mizuho OSI, the leading manufacturer of specialty surgical tables for spinal, orthopedic trauma, and image-guided surgery, is the manufacturer of the HANA™ table. The Anterior Approach 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.

With its unique capability to position the leg, the HANA™ enables University Hospital & Medical Center surgeons to replace the hip through a single incision, without detachment of muscle from the pelvis or femur. The table allows hyperextension, adduction and external rotation of the hip for femoral component placement - a positioning option not possible with conventional tables.

The surgeon can simply 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 require a healing process.

"The HANA table provides orthopedic surgeons the ability to use an anterior approach when performing total hip replacement and in the treatment of certain types of hip fractures. The table, along with specialized instrumentation has the potential benefits of reducing the time patients spend in the hospital, allows for quicker rehabilitation, smaller incision, reduced muscle disruption, and reduced post-operative pain."- Dr. Manuel Porth, Orthopedic Surgeon on staff at University Hospital and Medical Center