Ask the Surgeon: An Anterior Approach to Hip Replacement - East Valley Tribune: East Valley Tribune | Active Adults

Ask the Surgeon: An Anterior Approach to Hip Replacement

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Posted: Wednesday, May 7, 2014 5:30 am | Updated: 4:40 pm, Thu May 8, 2014.

Dr. Maxwell Thomas is a Board Certified Orthopaedic Surgeon specializing in primary and revision joint arthroplasty of the hip, knee, and shoulder. Dr. Thomas has been practicing in the Valley for over 15 years and is one of the few surgeons in the East Valley trained in the Anterior Approach to Hip Replacement- a less invasive, muscle sparing approach to hip replacement.

Why would someone need a hip replacement?

When a patient’s hip condition affects their quality of life and activities of daily living that is when a patient should consider a hip replacement. A hip replacement procedure reconstructs a worn out hip. In 2013, 325,00 people in the U.S. will have hip replacement surgery. In 2030 it is estimated that 600,000 people will have hip replacement surgery.

What does the procedure look like?

The hip joint is a ball and socket joint. The surgical procedure removes then replaces diseased joint surfaces with implants. The socket is replaced with a metal cup and inner liner; the ball is replaced with an implant that is fitted into the femur.

What is an anterior hip replacement?

Most traditional hip replacement procedures approach the hip from the back of the joint (posteriorly). The anterior hip replacement approaches the hip from the front (anteriorly). Therefore the distinction is in the surgical approach to the hip.

What are the advantages of the anterior approach?

Because the anterior approach is less invasive and avoids cutting muscular tendons, there are many advantages. These include a small 4-inch incision, intra-operative X-ray to confirm anatomic placement of the components using the HANA table, no hip precautions, a significant decrease in hip dislocation rates, and the potential for quicker recovery.



Mezona Orthopedics

Dr. Maxwell Thomas

2940 E. Banner Gateway Dr.,

Suite 200, Gilbert, AZ 85234

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