ANTERIOR ADVANTAGE™
ANTERIOR ADVANTAGE™
The Anterior Approach is a surgical approach which allows surgeons to work between the muscles and tissues without the need to release any muscles or tendons from the pelvis or femur. An increasing body of evidence suggests that compared to the Posterior Approach, the Anterior Approach supports faster recovery,1-2 improvements in short term outcomes1,3 and reductions in the total cost of care,4-6 while also showing equivalent mid-term survivorship.7-8
MEDIA
The Anterior Approach is a surgical approach which allows surgeons to work between the muscles and tissues without the need to release any muscles or tendons from the pelvis or femur. An increasing body of evidence suggests that compared to the Posterior Approach, the Anterior Approach supports faster recovery,1-2 improvements in short term outcomes1,3 and reductions in the total cost of care,4-6 while also showing equivalent mid-term survivorship.7-8
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).
190192-210923
© 2021 Johnson & Johnson (New Zealand) Ltd. This site is published by Johnson & Johnson (New Zealand) Ltd which is solely responsible for its contents.
This site is intended for Healthcare Professionals from New Zealand only. DePuy Synthes is a business unit of Johnson & Johnson (New Zealand) Ltd. 507 Mount Wellington Highway, Mount Wellington, Auckland, 1060, New Zealand.
