Is Direct Anterior Approach Surgery Right for Your Hip Replacement?

Hip replacement surgery is a common procedure used to treat conditions that cause damage to the hip joint, such as osteoarthritis, rheumatoid arthritis, and hip fractures. Traditionally, hip replacement surgery has been performed using a posterior or lateral approach, where the surgeon makes an incision at the back or side of the hip joint. However, in recent years, the direct anterior approach has become an increasingly popular alternative. In this blog, we will discuss the long-term outcomes of direct anterior approach hip replacement surgery and why it has become a preferred method for many patients.

Direct anterior approach hip replacement surgery is a minimally invasive technique that involves making an incision at the front of the hip joint. This allows the surgeon to access the hip joint by separating muscles, rather than cutting through them, which can result in less tissue damage, reduced pain, and faster recovery times. Additionally, the use of fluoroscopy during surgery ensures more precise implant placement, leading to better overall outcomes.

One of the main benefits of direct anterior approach hip replacement surgery is its rapid recovery time. Patients who undergo this procedure typically experience less post-operative pain and can often walk with the aid of crutches or a walker on the same day as surgery. In fact, many people go home the same day of the surgery, we call the PO 0 (post op day 0). Many patients are able to return to their normal activities within a few weeks, compared to several months with traditional approaches.

Several studies have examined the long-term outcomes of direct anterior approach hip replacement surgery. A 2019 study published in The Journal of Arthroplasty found that patients who underwent the procedure experienced significant improvements in hip function, mobility, and quality of life up to ten years after surgery. The study also reported a low incidence of complications, including dislocation, infection, and implant failure.

Another study, published in The Journal of Bone and Joint Surgery in 2020, compared the outcomes of direct anterior and posterior approaches in 800 patients who underwent hip replacement surgery. The study found that patients who underwent the direct anterior approach had lower complication rates, shorter hospital stays, and faster recovery times than those who underwent the posterior approach. Additionally, patients who underwent the direct anterior approach reported higher satisfaction rates and fewer post-operative limitations.

Despite the many benefits of direct anterior approach hip replacement surgery, there are some potential drawbacks to consider. One of the main concerns is the risk of nerve damage, particularly to the lateral femoral cutaneous nerve, which can cause numbness or tingling in the thigh. However, studies have shown that the risk of nerve damage is relatively low, with one study reporting a rate of less than 1%. Additionally, with proper training and experience, surgeons can minimize this risk.

Another concern with the direct anterior approach is the potential for fracture during surgery. However, this risk can be minimized by using fluoroscopy to guide implant placement and by carefully selecting patients who are suitable candidates for the procedure.

How physiotherapy can help you recover from direct anterior approach hip replacement surgery

Physiotherapy plays a crucial role in the recovery process for patients who undergo direct anterior approach hip replacement surgery. This specialized form of physiotherapy focuses on restoring range of motion, strength, and function to the hip joint following surgery. In this blog, we will discuss how physiotherapy can help patients recover from direct anterior approach hip replacement surgery and the specific techniques used to achieve optimal outcomes.

Physiotherapy is an essential component of the post-operative recovery process for patients who undergo direct anterior approach hip replacement surgery. The goals of physiotherapy following surgery are to reduce pain, restore mobility and function to the hip joint, and prevent complications such as blood clots, infections, and implant dislocation. Additionally, physiotherapy can help patients regain confidence in their ability to perform daily activities and improve their overall quality of life.

One of the primary techniques used in physiotherapy following direct anterior approach hip replacement surgery is range of motion exercises. These exercises focus on gradually increasing the patient’s ability to move their hip joint through a full range of motion. Patients may begin with simple exercises such as ankle pumps and knee bends and gradually progress to more advanced exercises such as hip flexion and extension.

Another important aspect of physiotherapy following direct anterior approach hip replacement surgery is strength training. Strengthening exercises focus on rebuilding the muscles around the hip joint that may have become weakened or atrophied as a result of the surgery. Strengthening exercises may include leg presses, squats, and lunges, as well as exercises that target the hip abductor and adductor muscles.

In addition to range of motion and strength training, physiotherapy may also include balance and coordination exercises. These exercises are particularly important for patients who may have experienced a loss of balance or coordination as a result of the surgery. Balance and coordination exercises may include standing on one leg, walking heel to toe, and performing various balance and stability exercises.

One of the benefits of direct anterior approach hip replacement surgery is its relatively short recovery time. Physiotherapy can help ensure that patients are able to recover as quickly and safely as possible. Patients typically begin physiotherapy shortly after surgery, and may continue for several weeks or months, depending on their individual needs and progress.

While physiotherapy is an important component of the recovery process following direct anterior approach hip replacement surgery, it is important for patients to follow their physiotherapist’s instructions carefully and to be patient with the recovery process. Patients may experience some discomfort and soreness during the early stages of physiotherapy, but these symptoms should gradually improve as the patient’s range of motion and strength improve.

In conclusion, physiotherapy is a critical component of the recovery process for patients who undergo direct anterior approach hip replacement surgery. The goal of physiotherapy is to restore range of motion, strength, and function to the hip joint, while also preventing complications and improving overall quality of life. Patients who undergo direct anterior approach hip replacement surgery should work closely with their physiotherapist to develop a personalized rehabilitation program that meets their individual needs and goals. With proper care and dedication to the recovery process, patients can expect to regain mobility and function in their hip joint, allowing them to return to their normal daily activities with improved confidence and quality of life.

Book Your BACK NECK SHOULDER KNEE ELBOW HIP WRIST FOOT Pain Consult

This appointment is your opportunity to tell us what hurts and discover whether physiotherapy or chiropractic care is a good fit for you! During this session, you will talk with a physiotherapist or chiropractor on a phone call (or online) and create the right care plan specifically for your pain. There is no obligation on this session is to find out whether physiotherapy or chiropractic care can help you getting back to doing the things you love in life.

Frequently Asked Questions

How long does it take to recover from a direct anterior hip replacement?

The average recovery time for a direct anterior hip replacement is 12 weeks. However, this can vary depending on the individual and the specific circumstances of the surgery. Your doctor will be able to provide you with more accurate information regarding your recovery.

What you cannot do after anterior hip replacement?

After an anterior hip replacement, it is important to let your body heal. Many people try to do more because they have very little pain after the anterior hip replacement. Please remember your muscles are not affeced but your femur, thigh bone, has been cut in half and a new hip joint has been drilled and pounded into place. That bone has to heal. Avoiding high-impact activities such as running and jumping, as well as activities that require bending or twisting of the hip, such as golfing or tennis. It is also important to avoid activities such as swimming or cycling until you have been cleared by your doctor. In the Kelowna area, the surgeons do not give the patients hip precautions after an anterior hip replacement.

How do you sleep after anterior hip surgery?

It is important to sleep in a comfortable position after anterior hip surgery. Generally, it is recommended that you sleep on your back with a pillow between your legs for support. You should also avoid sleeping on your stomach or side as this can put pressure on the hip. Additionally, it is important to avoid any positions that cause pain or discomfort.

About Rob Ewanuk

Rob graduated from the University of Alberta in 2003. He worked in Lacombe, Alberta for 5 years in private practice, working with people to heal their injuries. He then moved out east to Halifax, Nova Scotia, where he continued on in private practice and then worked with the Canadian Armed Forces at CFB Stadacona. Working with the men and women that serve our great nation brought him a lot of personal satisfaction and success. Thus, Rob comes with high recommendations. During his time with the Canadian Armed Forces, Rob became highly skilled with orthotic prescription.

Medical Disclaimer:

The information presented in this blog post is for educational purposes and should not be interpreted as medical advice. If you are seeking medical advice, treatment or a diagnosis, consult with a medical professional such as one suggested on this website. The Clinic Accelerator Inc. and the author of this page are not liable for the associated risks of using or acting upon the information contained in this article.

Is Direct Anterior Approach Surgery Right for Your Hip Replacement?