Total Hip Arthroplasty, otherwise known as Total Hip Replacement, is a surgical procedure designed to replace the diseased hip joint with artificial components. The aim is to alleviate pain, restore function, preserve anatomy, and enhance the quality of life. Total hip replacement has completely revolutionised the way in which the arthritic hip is treated and is considered one of the most successful orthopaedic interventions of its generation.
Total Hip Replacement can be performed through various approaches; however, in our practice, we particularly prefer the anterior approach. This approach involves minimally invasive surgery, conducted through the front of the hip joint. It allows for the preservation of muscles and soft tissues around the joint and is argued to provide superior stability for the artificial joint. Patients can undergo an accelerated rehabilitation, leading to a shorter and more efficient recovery.
Other possible approaches are: The posterior, the lateral, and the anterolateral hip approach. Although all carry their own benefits, we consider the anterior approach to be superior for the vast majority of our patients.
The contraindications for Minimally Invasive Anterior Hip Replacement include the contraindications to Hip Replacement in general, and those specific to Anterior Hip Replacement:
The decision to pursue minimally invasive anterior hip replacement should be made after a thorough evaluation by a healthcare professional, considering the patient’s specific medical history, condition, and overall health.
The anterior approach involves accessing the hip joint from the front rather than the side or back (lateral or posterior). It avoids the need to cut or detach muscles from the pelvis or femur, making it less invasive. This warrants a quicker recovery and less Post-operative pain. Patients can resume their daily activities faster.
It’s worth noting that the suitability of this approach is determined on a case-by-case basis, taking individual patient factors into consideration.
The procedure is performed under general anaesthesia or spinal anaesthesia.
Post-surgery care is essential to ensure a successful recovery. Here are some key aspects:
Comprehensive post-surgery care is vital to a patient’s overall well-being and the long-term success of complex primary hip replacement surgery. Effective communication with the healthcare team and strict adherence to their recommendations are crucial for a smooth recovery process.
If patients are worried about their level of pain, experience significant bleeding, or notice fever or redness around the surgical site, they should contact the office immediately. If assistance is needed after hours, patients can contact the hospital where the surgery was performed, and they will contact Professor Al Muderis on their behalf.
Norwest Private Hospital: (02) 8882 8882
Macquarie University Hospital: (02) 9812 3000