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Anterior Approach Hip Replacement

Anterior Approach Hip Replacement

Most people don't look forward to having a hip replaced. But thanks to a less invasive technique that's now available in Northeast Georgia, patients who must undergo the surgery now can expect a faster, less traumatic recovery.

OrthoTLC’s Board-Certified Orthopedic Surgeon, Dr. Gottsman is trained in Anterior Approach Hip Replacement. The approach is a major advance in hip replacement surgery. Using the anterior approach, an orthopaedic surgeon is able to access the hip joint from the front of the hip as opposed to the back as other surgeons do. It is a tissue and muscle sparing surgery that has several advantages for the patient. 



“Surgery from the front is less invasive and less damaging to the surrounding muscle and hip joint,” Dr. Michael Gottsman said. “As a result, patients experience less pain, recover quicker and leave the hospital sooner.” 

Some potential advantages of this technique include:

  • Decreased hospital stay
  • Reduced hip pain
  • Smaller incision
  • Less invasive procedure
  • Minimal risk of muscle trauma
  • Faster recovery
  • Decreased risk of dislocation
  • More accurate restoration of natural anatomy
  • More accurate leg length


One of the most exciting advantages of anterior approach total hip replacement surgery is the decreased risk of hip dislocations. Surgery takes place on a special surgical table which allows surgeons unprecedented access to the hip joint. Access to the hip only requires a small incision - about 4" in length. Unlike more traditional approaches, no muscles or tendons are cut. Because the surgeon is not cutting through muscle and the hip joint in the back, the hip is more stable and has less of a risk of hip dislocation. All the natural stability is preserved. The surgical table also allows much greater precision than in the two more traditional approaches.  

Another advantage is the surgeon is able to more easily use X-ray to help him or her during the surgery. X-rays are taken during the surgery to ensure optimal placement of the hip prosthesis and more precise leg length restoration.This allows the surgeon to more accurately restore their natural hip anatomy and more accurately place the parts of the hip replacement.


Recovery from the anterior approach also has advantages. Patients usually go home the next day, and some even go home the day of surgery. With the more traditional lateral and posterior approaches, hospital stays can be up to two weeks. There are also fewer post-operative restrictions with the anterior approach. For most patients, that means walking and climbing stairs the same day as surgery. Most patients can expect to be back to their normal activities in about 6 weeks. 

OrthoTLC surgeons specializing in anterior approach have medical staff privileges at Northeast Georgia Medical Center in Gainesville and Braselton. For more information, contact OrthoTLC or call (678) 207- 4500.

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