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Anterior Approach to Hip Replacement

Anterior approach to hip replacement at Methodist Health System  

At Methodist Health System, orthopedists offer the spectrum of treatments for hip pain from traditional hip replacement surgery to the innovative anterior approach, a minimally invasive hip replacement procedure that dramatically shortens hospitalization and rehabilitation times.

Methodist Health System was one of the first health systems in the country to offer the anterior approach to hip replacement. The first anterior approach at Methodist Dallas was performed in January 2007.

Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson are among the few hospitals in North Texas to offer the anterior approach to hip replacement surgery using the Hana table. 

Anterior approach to hip replacement surgery patients have ranged in age from 32 to 92!

Guy Woolman, Southwest Airlines pilot, had his second anterior approach hip replacement surgery at Methodist Dallas, and was back in the cockpit flying three weeks later. 

Advantages of the Anterior Approach to Hip Replacement Surgery

Anterior approach refers to surgery from the front of the hip, rather than from the side (lateral) or back (posterior) of the joint.  

Anterior Approach to Hip Replacement at a Glance*

Anesthesia Spinal, epidural, or general
Duration 1.5 – 2 hours
Team Surgeon, 2 assistants, anesthesiologist, scrub nurse, circulating nurse, x-ray technician
Post-op Recovery room for 1 – 2 hours, then to orthopedic floor; stand, move to chair, and walk the same day depending on when surgery is completed
Up and walking the same day or next morning

Minimally invasive hip surgery

  • Specialized surgical table (Hana table, at some locations) allows the surgeon to enter through a small (4- to 5-inch) incision in the front of the hip in a natural interval between muscles
  • Allows for better access to the hip socket
  • Eliminates the need to cut or detach muscles from the pelvis or femur (long bone in the upper thigh)
  • With no severed muscles to heal, the new hip is immediately stable, and there is less risk of dislocating the new hip joint

Shorter recovery process*

  • Less pain means fewer pain medications
  • Patients are on their feet faster, often the same day as surgery
  • Shorter hospital stay – most patients spend one or two nights in the hospital instead of four to six
  • Physical therapy is rarely needed
  • Faster rehabilitation – two to four versus six to 12 weeks with conventional hip replacement
  • Discontinued use of a walker or cane within just weeks
  • Quicker return to normal activities – including driving and flexing the hip to sit – within two weeks, rather than two to four months

The advantages of the anterior approach to hip replacement versus conventional hip replacement surgery allow a patient to regain their mobility, independence, and confidence more quickly.

*Individual results may vary.

Imagine walking out of the hospital a day or two after hip replacement surgery 

Karen Cude, anterior approach hip replacement surgery patient of Dr. Phil Berry, independently practicing orthopedic surgeon, shares her success story. Follow her journey from the Methodist Joint Academy, a free educational workshop that prepares patients mentally and physically, for joint replacement surgery, to the anterior approach hip replacement surgery at Methodist Dallas Medical Center that allowed her to walk, without pain, just hours after surgery. 

Texas law prohibits hospitals from practicing medicine. The physicians on the Methodist Health System medical staff are independent practitioners who are not employees or agents of Methodist Health System. 


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Methodist Health System Foundation

P.O. Box 655999 Dallas, Texas 75265-5999  |  1-877-637-4297