ANTERIOR APPROACH HIP REPLACEMENT
We understand that replacing a hip can feel a bit daunting. While this surgery is a longer surgery with a couple of weeks of healing time and rehab, Dr. Nelson has made it easier for his patients by offering the anterior approach to hip replacement.
What Is the Anterior Approach to Hip Replacement?
The anterior approach for hip replacement is a minimally invasive technique that can make the early recovery after surgery better. This is because the anterior approach is a “muscle-sparing” approach to the hip that does not require cutting any muscles. During an anterior approach, Dr. Nelson makes a small incision near the front of the hip and works between muscles to access the joint.
In contrast, traditional approaches to hip replacement like the posterior approach, require splitting apart the gluteus maximus—the largest muscle in your body. This can damage the gluteus maximus permanently and lengthens the healing time.
Hip arthritis can make everyday activities difficult to perform. Things like walking, getting shoes and socks on, and any activity that needs rotation of the hip can become difficult. It can even become difficult to get a restful night’s sleep. If non-surgical treatments aren’t effective, surgery may be your best option to relieve hip pain and stiffness.
Surgery is most effective when completed with the help of technology. The precision of our robotic arm and computer navigation gives you a better surgery experience and enables Dr. Nelson to more easily help your hip.
Hip replacement is a predictable and reliable operation to relieve the symptoms of hip arthritis and hip avascular necrosis. It is one of the most successful surgical procedures in medicine and was called a miracle of modern medicine by a leading medical journal 50 years after its introduction.
Hip replacement is offered to those who have suffered damage and deterioration of the hip joint or the cartilage surrounding it. Dr. Nelson offers a chance at a life free of pain by offering hip replacement surgery in Gilbert, Arizona, and the Southwest area of the US.
Why the Anterior Approach for Hip Replacement?
- It is a minimally invasive, muscle-sparing approach to hip replacement.
- It is an excellent option to reduce pain and enable a quicker recovery.
- It has a lower dislocation rate than other approaches.
- Not all hip surgeons perform the anterior approach because it was adopted for hip replacement more recently and it is perceived to be more technically demanding.
- In the hands of an experienced surgeon, the anterior approach is a versatile and safe approach to the hip joint.
Anterior approach hip replacement is performed on a specialized orthopedic table that facilitates stable positioning of the patient during surgery and allows for the use of X-rays as needed during the procedure to ensure the ideal position of the implants and recreate anatomic leg lengths.
Dr. Nelson utilizes hip navigation during anterior approach hip replacement to further improve the process of bone preparation to place the implants in the ideal position for each patient.
What Is Computer-Navigated Hip Replacement?
During hip replacement, the damaged bone and cartilage of the hip are removed and replaced with metal, plastic, and ceramic implants. These components reconstruct the ball and socket of the hip joint. To make space for the implants, the bones of the socket (acetabulum) and thigh bone (femur) must be carefully prepared.
Using advanced computer navigation with AI-assisted technology during hip replacement allows Dr. Nelson to pre-plan the procedure and more precisely prepare the bone and position the implants. The technology provides real-time measurements during surgery to help optimize implant alignment, improve range of motion, and appropriately match leg lengths after surgery.
The Parts of a Hip
Before we discuss hip replacement surgery, it is best to discuss how exactly your hip works.
The hip joint is one of the body’s largest and most important joints, allowing for smooth, flexible movement. It’s a ball-and-socket joint, which means it has a ball-shaped head that fits into a rounded socket.
The “ball” rests on top of the femur (thigh bone); it is known as the femoral head. The “socket” is part of the pelvis, called the acetabulum.
These components work together to allow your hip to move in multiple directions, providing a wide range of motion. Both the ball and socket are lined with smooth, slippery cartilage that cushions the bones and helps them glide effortlessly against each other. Surrounding the joint is a synovial membrane, which produces fluid to lubricate the joint, reducing friction. Strong ligaments and muscles around the hip provide stability and support, ensuring the joint stays aligned while you move, walk, or stand.
Dr. Nelson’s Training in Hip Replacement
Dr. Nelson trained extensively in the anterior approach, which is more technically demanding but offers better results for each patient. His fellowship was at the Anderson Orthopedic Research Institute, which is well known for training doctors in advanced techniques.
The preparation of bone and the position of the implants in hip replacement is really important. Well-positioned implants result in a hip replacement that feels better, has a more natural range of motion, and is easier to recover from. Ideally positioned implants also reduce the risk of hip dislocation and early implant wear.
During this procedure, the damaged bone and cartilage of the hip are removed and replaced with prosthetic implants.
The deteriorated femoral head is removed and replaced with a metal stem. This stem is “press fit” or cemented into the center of the femur (thigh) bone. On the upper portion of the metal stem, either a metal or ceramic ball is placed, perfectly mimicking how a natural hip would work.
This ball acts as the new femoral head. To replace the socket (acetabulum), the damaged cartilage is removed and a metal socket is placed inside of the pelvic bone.
Sometimes, cement or screws are used to secure the socket. A dense plastic liner is placed between the new socket and ball, allowing for smooth movement of the new joint, just like cartilage.
Our Surgery Process
Consultation
Dr. Nelson likes to start with a consultation to get to know you and your concerns. He will determine if a hip replacement is the right option to manage your hip and joint pain. If he suggests a hip replacement, he will also suggest what kind of hip replacement would be best for you: a full or partial hip replacement, and a posterior or anterior hip replacement.
Anesthesia
Dr. Nelson works closely with anesthesiologists at the hospital to ensure that you are comfortable the entire time you are at the hospital. You will go into pre-operations and we will walk you through the surgery and introduce you to the anesthesiologist.
Hip Replacement Surgery
Once you have gone through pre-op, we will have you get comfortable on the specialized orthopedic table before we give you an IV that will put you to sleep for the duration of the surgery. The surgery lasts approximately 1–2 hours. You may wake up slightly groggy and disoriented, but it will dissipate within the next 15 minutes. You will then stay in the post-op room for a short time.
Recovery
Most patients are able to recover in the comfort of their own home the night of surgery. If your medical or social constraints make it so outpatient surgery is not the safest option for you, we may choose to have you stay overnight in the hospital.
We will discuss detailed recovery instructions at your pre-operative appointment and ensure that all of your questions are answered.
Smaller Incision, Better Recovery
Dr. Nelson may be able to make a smaller incision for your surgery which makes recovery easier.
Recovery is also easier when your hip replacement is perfectly placed, as your bone will be able to heal around the hip quicker and easier when it feels more like a natural joint.
Improved Longevity of the Implants
A well-aligned and accurately placed hip implant is more likely to last longer, making it easier for you to go about your life without worrying about your implant.
The computer-navigated approach allows for more precise cutting and shaping of the bone, ensuring the implant fits perfectly and functions as intended. This perfect fit means less friction and wear on the implant over time, potentially extending its lifespan. While traditional hip replacements typically last 15–20 years, computer-navigated surgeries have shown promising results in extending this timeframe, offering patients a long-lasting solution to their hip pain.
The Benefits of a Hip Replacement Surgery
Hip replacement surgery can be life-changing for those suffering from chronic hip pain and limited mobility. Here’s how it can make a significant difference:
Pain Relief
One of the most immediate and noticeable benefits of hip replacement surgery is relief from chronic pain. Whether it’s pain from arthritis, injury, or wear and tear, replacing the damaged joint with an artificial one eliminates the source of pain, allowing you to move more comfortably.
Improved Mobility and Range of Motion
As the damaged joint is replaced, you regain a greater range of motion in your hip. This means activities like walking, bending, or climbing stairs can become easier and more fluid, helping you return to an active lifestyle.
Enhanced Quality of Life
Hip pain can significantly limit your daily activities, affecting everything from work to hobbies and socializing. After surgery, many patients find they can return to activities they once enjoyed, experiencing an overall improvement in their quality of life.
What Are the Risks of Anterior Approach Hip Replacement?
Hip replacement is one of the most predictable and safest operations. It is an effective operation to relieve pain from hip arthritis. However, all surgical procedures carry some risk.
If your hip becomes dislocated, you should head to an emergency room, and contact your surgeon, Dr. Nelson. The nurses and doctors know how to treat someone who has recently had a hip replacement.
Long-Term Results of Computer-Navigated Hip Replacement
Studies have shown that computer-assisted hip replacements have excellent long-term results, with patients experiencing improved joint function and satisfaction compared to traditional hip replacement techniques. The precise positioning of the implant minimizes wear and tear, reducing the risk of needing additional surgeries in the future. This means that you can enjoy a more active and pain-free lifestyle for many years to come.
General Health Requirements for Hip Replacement Surgery
The risks of hip replacement have much less to do with the surgical approach than with your general health. It is important to talk to your surgeon about your overall health when considering hip surgery. To reduce these risks as much as possible, all our patients who need surgery are seen by a medical doctor during pre-op testing. This doctor collaborates with your other healthcare providers to optimize your condition for surgery.
Health Conditions That May Prevent Hip Replacement Surgery
Certain health conditions can make hip replacement surgery too risky or not recommended. Severe heart or lung diseases can pose dangers during surgery or anesthesia, as these conditions may make it difficult for your body to handle the stress of the procedure. Additionally, infections, especially in or around the hip joint, can prevent you from having the surgery until they’re fully treated, as the risk of spreading infection is high.
Other conditions like uncontrolled diabetes, blood clotting disorders, or severe osteoporosis can complicate the surgery or hinder recovery, making hip replacement less feasible.
General Health Requirements for Hip Replacement Surgery
The risks of hip replacement have much less to do with the surgical approach than with your general health. It is important to talk to your surgeon about your overall health when considering hip surgery. To reduce these risks as much as possible, all our patients who need surgery are seen by a medical doctor during pre-op testing. This doctor collaborates with your other healthcare providers to optimize your condition for surgery.
Health Conditions That May Prevent Hip Replacement Surgery
Certain health conditions can make hip replacement surgery too risky or not recommended. Severe heart or lung diseases can pose dangers during surgery or anesthesia, as these conditions may make it difficult for your body to handle the stress of the procedure. Additionally, infections, especially in or around the hip joint, can prevent you from having the surgery until they’re fully treated, as the risk of spreading infection is high.
Other conditions like uncontrolled diabetes, blood clotting disorders, or severe osteoporosis can complicate the surgery or hinder recovery, making hip replacement less feasible.
Long-Lasting Results
Modern hip replacements are designed to be durable, often lasting 20–30 years or more with proper care. This means that for most patients, a hip replacement can offer a long-term solution, reducing the need for additional treatments or surgeries.
Reduced Reliance on Pain Medication
Chronic hip pain often leads to regular use of pain medications, which can have unwanted side effects. After a hip replacement, many patients find they no longer need pain medication or can significantly reduce their intake.
Hip replacement surgery offers a fresh start, allowing you to move freely, participate in activities you love, and enjoy life without the burden of pain holding you back.
Who is a Good Candidate for Anterior Hip Replacement?
A good candidate for anterior hip replacement is typically someone who suffers from chronic hip pain due to conditions like:
- Osteoarthritis
- Rheumatoid arthritis
- Hip avascular necrosis
- Trauma to the bones around the hip
Hip replacement is best for those who haven’t found relief from non-surgical treatments. This procedure is especially beneficial for individuals who are looking for a faster recovery and want to resume an active lifestyle. Younger, more active patients often benefit from the anterior approach because it allows for quicker recovery and less disruption to surrounding muscles.
Age isn’t necessarily a limiting factor, but candidates should be healthy enough to undergo surgery and the rehabilitation process. This approach is especially suited for people who wish to minimize post-surgery pain, reduce recovery time, and preserve muscle strength. Dr. Nelson will evaluate your specific condition, including the extent of joint damage, activity level, and overall health, to determine if the anterior approach is the best option for you.
Personalized Surgical Experience
Every patient’s hip anatomy is unique, which means no two hip replacements are exactly the same. Computer-assisted technology enables Dr. Nelson to customize the procedure to fit your specific anatomy.
By templating your surgery prior to the operation, he can pre-plan every aspect of your surgery. This personalized approach ensures that your hip implant is the right size, shape, and orientation for your body, providing you with the best possible outcome. This level of customization is particularly beneficial for patients with unique bone structures or those who have had previous hip surgeries.
Recovering from a Hip Replacement Surgery
The hip replacement surgery will leave a small scar on the front of your leg if the hip replacement is done with the anterior approach. If your scar struggles to heal, you should contact Dr. Nelson immediately. He uses a “plastic-surgery”-like incision closure that does not require any staples or sutures that need to be removed.
He can also give recommendations for helping the scar heal quickly and can recommend you to a dermatologist in the area if you are particularly concerned about the appearance of the scar.
Learn More About Hip Replacement by Requesting a Consultation
Dr. Nelson is an experienced surgeon, with training from the renowned Anderson Orthopedic Research Institute. He offers a specialized anterior approach to hip replacement, making recovery easier and lessening any permanent damage.
To learn more and see if this advanced procedure is right for you, fill out our evaluation form today. Our team will reach out to schedule a consultation and discuss your personalized treatment options.
Preparing for Hip Replacement Surgery
To ensure a successful hip replacement, you must be in good health before the procedure. Start by managing any chronic health conditions, such as high blood pressure or diabetes, as controlling these can reduce the risk of complications.
Discussing your medications with your surgeon is also crucial, as you may need to adjust or stop certain drugs before surgery. Maintaining a healthy weight and staying as active as possible will help strengthen your muscles, which can aid in recovery. Smoking can impair healing, so quitting is required before surgery to improve your outcome and overall health.
A Newer and Better Approach to Hip Replacement
If you’re struggling with hip pain and want to explore how the anterior hip replacement approach can help you get back to an active, pain-free lifestyle, Dr. Nelson is here to guide you. With his expertise and commitment to minimally invasive techniques, you’ll be in skilled hands every step of the way.
Don’t let hip pain hold you back any longer. Fill out our pain evaluation form to take the first step toward a more comfortable, mobile future. Once submitted, our team will review your information and reach out to schedule a consultation tailored to your needs.
Start Your Journey to Hip Pain Relief Today
Dr. Nelson offers compassionate care that seeks to address the root of your hip pain, whether that be wear and tear, a genetic issue, or anything in between. You can schedule a visit with Dr. Nelson in the Gilbert area by filling out his consultation form to get started with treatment in the Gilbert, Arizona, region and beyond.