Anterior Approach Surgery

moving me forward™

Your movement may be limited, but your options don't have to be. See how other patients conquered their pain and get started on your own journey to recovery.

Mike "Coach K" Krzyzewski
Inspirational college coach and DePuy joint recipient.

watch a hip pep-talk from Coach Kread Coach K's story

now playing:

"It's not worth living with pain."
"It's not worth living with pain."

read Coach K's story

"Hi, I'm Mike Krzyzewski, coach of Duke University's Men's Basketball team. If you could take a journey to move better, live better, why wouldn't you? I did when I had joint replacement surgery.

"I'm here to tell you that you have two opponents. Pain and lack of mobility. Pain can get you down every day. Lack of mobility can lead to decreased speed and loss of endurance. With speed and endurance loss, you don't stay competitive and you spend energy just trying to catch up. But you've got to fight your opponents to stay in the game.

"I know it isn't always easy. There was a part of me that thought of stopping, giving up coaching altogether. I would never have won two Olympic team medals and four NCAA Championships if I hadn't had my surgeries.

"Now, I don't have to overcompensate for injury and pain. I'm more active than before, I have relief from pain and I'm even quicker on my feet. People say I look better now. Do you want your life back the way it should be? You have two choices, a continued downward spiral or take action.

"So don't let the injury win. You don't need to live in pain. That's why I want to encourage you to empower yourself. Get educated, develop a personal treatment plan with your doctor, build a team of support and commit to reclaiming your life. Remember, this is a major event in your life—treat it as such. What you put into it will multiply for you at the end of the journey."

Take Action

Download helpful tools to get you moving

take action

Being active again starts with the action
you take today. Get back in motion with
these useful resources.

potential for less pain, faster recovery and improved mobility.1-3

The Anterior Approach for total hip replacementtotal hip replacementReplacement of both the femoral and acetabular hip components. is a tissuetissueA collection of similar cells and the intercellular substances surrounding them.-sparing alternative to traditional hip replacement surgerysurgeryThe branch of medicine concerned with the treatment of disease, injury, and deformity by operation or manipula... that provides the potential for less pain, faster recovery and improved mobility because the musclemuscleContractile connective tissues that affect movement; a component of nearly all organs and body systems. tissues are spared during the surgical procedure. The technique allows the surgeon to work between the patient‘s muscles and tissues without detaching them from either the hip or thighbones—sparing the tissue from traumatraumaPhysical injury..

Keeping the muscles intact may also help to prevent dislocations. With the Anterior Approach, the surgeon uses one small incisionincisionA cut or surgical wound. on the front (anterior) of your hip as opposed to the side or back. Since the incision is in front, the patient avoids the pain of sitting on the incision site.

anterior approach incision

The Anterior Approach procedure for total hip replacement has been gaining popularity recently due to its potential benefits:

  • Possible accelerated recovery time because key muscles are not detached during the operation. (Some other procedures require cutting or disturbing the important muscles at the side or back of the leg.) The Anterior Approach is known as a tissue-sparing procedure because it avoids cutting these key muscles and tissues and therefore minimizes muscle damage
  • Potential for fewer restrictions during recovery. Although each patient responds differently, this procedure seeks to help patients more freely bend their hip and bear their full weight immediately or soon after surgery
  • Possible reduced scarring because the technique allows for one relatively small incision
  • Potential for stability of the implant sooner after the surgery, resulting in part from the fact that the key muscles and tissues are not disturbed during the operation.

The Anterior Approach differs in multiple ways from other surgery techniques:

Every surgical approach has risks and benefits. The way a hip replacement will perform depends on age, weight, activity level and other factors. There are potential risks and recovery takes time. If patients have conditions that limit rehabilitationrehabilitationRestoration, following disease, illness, or injury, of the ability to function in a normal or near-normal mann..., they should not have this surgery. Only an orthopaedic surgeon can tell a patient if hip replacement is right for them.

Patients‘ doctors will tell them what restrictions they will have after surgery. Every surgeon has his or her own set of precautions for their patients to follow.


1 Comparison THA procedure data on file at DePuy OrthopaedicsOrthopaedicsThe medical specialty involved in the preservation and restoration of function of the musculoskeletal system t..., Inc.

2 Matta, J.M. and T.A. Ferguson. "THA After Acetabular FractureFractureA disruption of the normal continuity of bone.." OrthopedicsOrthopedicsThe medical specialty involved in the preservation and restoration of function of the musculoskeletal system t... September 2005, 28(9): 959-960.

3 Matta, J.M., C. Shahrdar and T.A. Ferguson. "Single-Incision Anterior Approach for Total Hip ArthroplastyArthroplastyExamination of a joint with a scope. on an Orthopaedic Table." Clinical Orthopaedics and Related Research December 2005. 441: 115-124.

Oct 16 2014 - 12:30:12