Anterior Total Hip Replacement Surgery
The hip is a ball-and-socket joint. Hip replacement surgery involves removing both the diseased ball and socket of the hip and replacing both with a ceramic ball and plastic lined titanium socket. These 2 components work together to form the ball and socket, which recreates the rotational movement of your natural hip.
There are several different ways to “approach” the hip joint during replacement surgery. A direct anterior approach uses an incision over the front of the hip and utilizes a muscle spreading technique. Since no muscles get cut, there is often less bleeding and damage to the soft tissues. Studies show that patients recover faster with less pain compared to other approaches.
Traditional Hip Replacement vs. Direct Anterior Approach
Traditional Hip Replacement
- Incision is on the side of the thigh and buttocks.
- Many of the muscles surrounding the posterior portion of the joint are cut.
- 10-12 inch incision
Direct Anterior Approach
- We perform the entire procedure from the front.
- Less of the muscles surrounding the posterior portion of the joint are cut.
- 4-6 inch incision
Who is a Candidate for Anterior Hip Replacement?
Patients who suffer from debilitating hip pain that does not respond to conservative treatments such as physical therapy, oral medications, activity modification, and weight loss can be candidates for anterior total hip replacement. Replacements are intended to fix the damaged parts of the joint that cause pain. Forms of degenerative joint disease include osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, dysplasia, and avascular necrosis.
The average recovery time for hip replacement using Mako SmartRobotics™ can be as little as two weeks. Traditional surgical techniques may require six to eight weeks or even longer to recover. Robotic-assisted surgery can help you get back to the activities you enjoy with less pain and down time.
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Frequently Asked Hip Surgery Questions.
We’re here to address your concerns and provide clarity about all aspects of hip surgery. Contact us if you have additional questions you would like answered.
Can I swim?
You can swim 2 weeks after surgery.
When can I drive?
Each patient is different and it depends on which leg was operated on but generally when:
- You are not taking narcotics during the day
- You can comfortably get in on the drivers side
- You feel you are strong enough to get from the gas to the brake quickly enough to avoid an accident
When can I golf?
Typically 6 weeks after surgery.
When can I fly?
You can fly 2 weeks after surgery, but with precautions. You are at risk for a blood clot for 3 months after surgery. If you fly during this time you should be on aspirin 81 mg twice a day or a stronger blood thinner for air travel.
Will I set off metal detectors?
Your hip may set off the metal detectors. Always budget extra time when visiting a location with metal detectors. If you do set off the detector, notify the TSA agent that you have a joint replacement. Airports no longer accept implant cards as proof and will still require you to undergo screening.
What activities will I be allowed to do after I am healed?
Most patients can return to all activities 3 months after surgery although full healing can take up to 1 year. However, high impact activities such as running can lead to early wear of the joint and should be avoided.
What are the extra pin holes for?
The pin sites are where Dr. Martin attaches the robotic trackers. No hardware is retained at the site.
What does the Robot do and why do I need a CT scan?
The robot provides accuracy and precision in order to improve on the results of traditional joint replacement. Dr. Martin is present at all times during the surgery and is working in conjunction with the robot. The CT scan allows Dr. Martin to create a digital 3D model of your joint to template your surgery and ensure accurate bone prep and implant position.
Returning to work after surgery?
Time off varies depending on how physically demanding your work is
- For physically demanding jobs 6 weeks
- For desk or seated jobs 2 weeks
Why are there fees for work forms?
Work forms require a significant amount of staff resources and are not reimbursed by insurance.
How many procedures has Dr. Martin performed?
Dr. Martin has successfully performed over 5000 robotic joint replacements since 2009.
Why can’t I have a handicapped placard after surgery?
Dr. Martin encourages walking as part of your recovery. You should take every opportunity to use your new joint.
What are the implants made of?
Ceramic, titanium, and polyethylene plastic. Some hip replacements have additional cobalt chrome or bone cement which is methyl methacrylate. Dr. Martin does not use metal on metal implants. If you have a nickel allergy and were provided a specialized implant it is typically made with ceramic or oxinium, titanium, and polyethylene plastic.
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