Direct Anterior Approach - Hip Replacement

The Direct Anterior Approach (DAA) for hip replacement is a revolutionary technique offered by Dr. Vivek Bhardwaj that replaces the damaged hip joint through a minimally invasive incision at the front of the hip. This approach avoids cutting any muscles or tendons, resulting in less pain, faster recovery, and a quicker return to daily activities.

Anterior Hip replacement surgery is an operation used to replace the damaged ball-and-socket with new and durable artificial synthetic parts that mimic the ball-and-socket from the front of hip without cutting any muscles and tendons around hip joint. Traditional hip replacement is available to any patient healthy enough to undergo surgery. In contrast, the patient criteria for anterior hip replacement may be more stringent

Traditionally, surgeons perform hip replacement surgery by making an incision behind (posterior approach) or on the side (lateral approach) of your hip. Now, lately it’s become more common for surgeons to make the incision in the front of hip.

An anterior approach has become more popular because it’s less invasive than posterior and lateral approaches. Entering your hip from the front causes less damage to surrounding muscles and tendons, which leads to a faster recovery.

Also, it can almost always be done as an outpatient procedure, so you can go home on the same day you have surgery.

What are the benefits of Anterior Hip Replacement?

The benefits of hip replacement in general are increased mobility and decreased pain. Unlike in lateral and posterior approaches, muscles and tendons don’t have to be cut when an anterior approach is used for hip replacement. This has many benefits.

When do you need a Hip Replacement?
  • Osteoarthritis (age-related wear and tear)
  • Rheumatoid Arthritis
  • Fracture
  • A tumor
  • Loss of blood supply (avascular necrosis)

The anterior approach is most often used when arthritis is the reason for a hip replacement. But it also be used to replace hips with any type of damage. It can even be used to fix a hip that has previously been replaced.

Anterior Hip Replacement Benefits
  • Less pain
  • Faster and easier recovery
  • Earlier hospital discharge
  • Usually can be done as an outpatient
  • Fewer restrictions on activity after surgery
  • Lower risk of hip dislocation after surgery
  • Lower risk of different leg lengths after surgery
What is the outlook for people who have anterior hip replacement?

This approach is particularly beneficial for patients with osteoarthritis, rheumatoid arthritis, or hip fractures who require hip replacement but seek a less invasive procedure with a quicker recovery time. It’s also ideal for those who wish to maintain an active lifestyle post-surgery.

Dr. Vivek Bhardwaj’s expertise in Direct Anterior Approach hip replacement ensures that patients receive top-tier care with the latest surgical techniques, leading to superior outcomes and faster return to normal life.

In the short-term, anterior hip replacement is less painful and leads to a quicker recovery of mobility and strength compared to a posterior or lateral approach. The long-term outcome is very good and similar to other approaches. There is less chance of hip coming out compared with the traditional method, which can cause complications

Using Anterior Approach and patented FIFO technology, patients are able to put weight on new hip 3 hours after surgery and may be able to walk outside the room using a walker or crutches the next day and back home in 24 to 48 hours.

You’ll need physical therapy to regain strength and mobility. Most people can return to work after about a month, but it may take up to 2 to 3 months before you can return to work that requires a lot of standing, walking, or heavy lifting. Anterior Hip Surgery is the new revolutionary innovation in Hip Surgery for patients who wish quicker recovery with least pain.

The Revolutionary Hip Replacement today is founded upon the development of least traumatic surgical approaches that do not cut any muscles and high performance bearing surfaces that wear less and give more flexibility in movements, clinically established implants and responsible and effective minimal invasive techniques.

Revolutionary New Hip Replacement

Total Hip Replacement has become one of the most frequently performed and successful reconstructive procedures in orthopaedic surgery since its introduction four decades back. As outcomes following hip replacement continue to improve, the demand for less traumatic surgery has increased, shifting the challenge towards less invasive, yet equally effective techniques that reduce pain and lead to a quicker recovery.

Intelligent Hip surgery (DAA) – It is a revolutionary new type of Hip Replacement Surgery which is easing the misery of patients needing Hip Replacement that can have patients off the operating table on their feet in 3 hours and back home in next 24 to 48 hours.

It involves cutting through the front of a person’s hip rather than the back, meaning less muscle damage and less pain. There is less chance of hip coming out compared with the traditional method, which can cause complications. With this new technology, patient can start playing mild sports in 6 weeks or less. This new innovative technology cuts hospital stay down from a week to a day or two.

The incredible surgery is easing pressure on cramped hospitals and improving patient welfare. Risk of extended hospital stay is minimised by getting them out of hospital and getting them mobile. This Intelligent Hip Surgery is an approach to patient treatment that places equal importance on much faster rehabilitation, maximizing survivorship, optimizing function and accelerating recovery. Its success is founded upon the development of least traumatic surgical approaches that do not cut any muscles and high performance bearing surfaces that wear less and give more flexibility in movements, clinically established implants and responsible and effective minimal invasive techniques.

  • Minimal Trauma to soft tissues
  • Minimal muscle damage around Hip Joint
  • Minimal Blood loss, smaller scar
  • Walking 3 hours after surgery
  • Leg length restoration better
  • No pain during and after surgery
  • Almost No blood transfusion needed
  • Quicker return to a normal life
  • Most patients can do mild squatting/ sit cross legged
  • Smaller scars for improved cosmetics