Orthopedic Associates' Blog

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Orthopedic Associates' Blog


Direct Anterior (DA) Hip Replacement Surgery
Direct Anterior (DA) Hip Replacement Surgery
By: Dr. Mudd Direct anterior hip replacement offers an exciting less invasive alternative to traditional techniques used to perform hip arthroplasty.  This technique is the only way to access the hip joint that is truly muscle sparing, making it the least invasive of all techniques used to access the hip.  The traditional posterior approach requires the surgeon to split the gluteus maximus, which is one of the largest muscles in the lower extremity, and to release several of the short rotators of the hip.  The unique advantage of the direct anterior approach is the ability to access the hip joint, by using a truly intermuscular plane.  The interval between the Sartorius and the Tensor Fascia Lata muscles is used to expose the hip capsule.  Using a truly intermuscular interval, the surgeon does not need to “cut, split, or release” any of your muscles.  The anterior approach allows the surgeon to minimize the trauma to the muscles while accessing the hip joint.  This translates into decreased inflammation, less pain, quicker return to function, and much less restrictive precautions after surgery.  The ...