LOWER RISK PROFILE
Several studies showed that compared to the posterior approach, ANTERIOR ADVANTAGE™ is associated with:
35%
lower risk of dislocation
(RR=0.65 p=0.03)3
16%
lower risk of reoperation
(RR=0.84, p<0.001)3
58%
lower pain score at 2-week follow-up (2.2 vs. 5.2, p<0.001)9

Supporting Patients Outcomes
The Anterior Approach in hip replacement surgery can provide benefits for patients such as shorter recovery, less pain, a shorter hospital stay and fewer post-operative restrictions.1-6

Equivalent 5 Year Survivorship
Registry data from Australia and Norway demonstrate no statistical difference in survivorship rates between the Anterior Approach and Posterior Approach at 3 and 5-year follow-ups respectively.7-8

Comprehensive Professional Education
A Professional Education program specifically designed for ANTERIOR ADVANTAGE™, comprising a multi-stage educational program with digital and online materials, surgical visitations, cadaveric workshops, and reverse visitations from one of our experienced Anterior Approach educating surgeons.
Videos
Supporting Documentation
References
- Miller LE, Gondusky JS, Bhattacharyya S, Kamath AF, Boettner F, Wright J. Does Surgical Approach Affect Outcomes in Total Hip Arthroplasty Through 90 Days Follow-up? A Systematic Review with Meta-analysis. The Journal of arthroplasty. 2017 Nov 14.
- Miller LE, Kamath AF, Boettner F, Bhattacharyya SK. In-hospital outcomes with anterior versus posterior approaches in total hip arthroplasty: meta-analysis of randomized controlled trials. Journal of Pain Research. 2018 Jan 1;11:1327-34.
- Larry E Miller, Joseph S Gondusky, Atul F Kamath, Friedrich Boettner, John Wright & Samir Bhattacharyya (2018): Influence of surgical approach on complication risk in primary total hip arthroplasty, Acta Orthopaedica.
- Petis SM, Howard JL, Lanting BA, Marsh JD, Vasarhelyi EM. In-hospital cost analysis of total hip arthroplasty: does surgical approach matter? The Journal of arthroplasty. 2016 Jan 1;31(1):53-8.
- Kamath AF, Chitnis AS, Holy C, Lerner J, Curtin B, Lochow S, DeCook C, Matta JM. Medical resource utilization and costs for total hip arthroplasty: benchmarking an anterior approach technique in the Medicare population. Journal of medical economics. 2018 Feb 1;21(2):218-24.
- Miller LE, Martinson MS, Gondusky JS, Kamath AF, Boettner F, Bhattacharyya SK. Ninety-day postoperative cost in primary total hip arthroplasty: an economic model comparing surgical approaches. ClinicoEconomics and Outcomes Research. 2019; 11: 145-149.
- Australian Orthopaedic Association National Joint Replacement Registry (AOANJRR), Ad hoc Report, ID No.2595 for Johnson & Johnson Medical, Corail Pinnacle Prosthesis Total Conventional Hip, (Procedures from 1 September 1999 – 27 September 2018), Accessed 28 September 2018, AOA, Adelaide: 1-13.
- Mjaaland KE, Svenningsen S, Fenstad AM, Havelin LI, Furnes O, Nordsle. Implant survival after minimally invasive anterior or anterolateral vs. conventional posterior or direct lateral approach: an analysis of 21,860 total hip arthroplasties from the Norwegian Arthroplasty Register (2008 to 2013). JBJS. 2017 May 17;99(10):840-7.
- Zawadsky MW, et al. “Early Outcome Comparison Between the Direct Anterior Approach and the Mini-Incision Posterior Approach for Primary Total Hip Arthroplasty: 150 Consecutive Cases.” The Journal of Arthroplasty 2014; (29): 1256-1260. (Ant Adv).
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