In a total hip replacement surgery, doctors replace the diseased or damaged hip with an implant consisting of a stem, ball, liner, and acetabular cup. The Anterior Approach for Total Hip Arthroplasty is a procedure that minimizes soft-tissue releases through a single incision. The technique does not cut any muscles, but separates them to allow access to the hip joint. The result is that muscles are spared during surgery.

INDICATIONS

Hip joint damage, destruction or deformity causing significant pain, stiffness, or limitation of function. The acute neck of femur fracture.

RELATIVE CONTRAINDICATIONS

  • High BMI – obesity or muscular body habitus, high waist-to-hip ratio (WHR)
  • Complex primary or revision arthroplasty
  • Existing metalwork requiring removal
  • Posterior acetabular deficiency
  • Wide or horizontal iliac wing
  • Acetabular protrusion or profunda
  • Coxa vara
  • Low femoral offset

ABSOLUTE CONTRAINDICATIONS

  • Significant comorbidity where risks of surgery outweigh expected benefit
  • Active local or systemic infection
  • Insufficient bone stock to support implant
  • Inability to achieve adequate soft tissue coverage

 

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