Patients have been asking us about an article recently published in Forbes Magazine about hip replacement surgery using the anterior approach.
Chronic hip pain—often caused by a condition such as arthritis or a physiological irregularity—used to mean limited mobility and perhaps the use of a cane, walker or wheelchair later in life. The first modern surgical intervention technique to treat hip joint pain occurred in the early 1960’s, when Sir John Charnley of the Manchester Royal Infirmary, designed a low friction arthroplasty that became the blueprint for modern hip replacement surgery. Charnley’s design allowed surgeons to replace a poorly-functioning human hip joint with a manmade femoral stem, acetabular component and acrylic bone cement. The result is an artificial extension of the patient’s femoral bone that attaches to the hip socket.
Several different surgical techniques have been developed to replace the hip joint with prosthesis. One popular technique, known as the posterior approach, involves making an 8-10 inch incision next to the hip, splitting the gluteus muscle, and cutting muscles connected to the top of the femur. Many surgeons have relied upon this technique as it provides an excellent view of the patient’s hip joint.
A newer technique, the anterior approach, involves making a much smaller incision (generally one to two cuts ranging from 2-5 inches long). Proponents of the anterior approach favor it over other techniques: smaller incisions reduce blood loss, result in less pain, shorter hospital stays and faster healing times as well as NO dislocation precautions. No muscle cutting is required with the anterior approach.
“I started performing anterior hip replacements in 2006,” said Dr. Michael Bollinger, an orthopaedic surgeon at Sebastopol Orthopaedics. “At that time, I wasn’t aware of any other surgeons in Northern California […]