Direct Anterior Hip Replacement

What Is the Anterior Approach?

Traditionally, hip replacements are performed through an incision at the back (posterior) or side (lateral) of the hip, requiring the surgeon to cut through major muscles to reach the joint. The direct anterior approach is different — the incision is made at the front of the hip, allowing Dr. Kee to work between natural muscle planes rather than cutting through them.

Because no muscles are detached from the bone, patients typically experience less pain, a faster recovery, and no activity restrictions after surgery. Dr. Kee also uses intraoperative imaging to confirm precise implant positioning and leg length before the procedure is complete — reducing the risk of dislocation and leg length discrepancy.

Am I a Candidate?

Most patients with hip arthritis that limits daily activities and has not improved with nonsurgical treatment are candidates for a hip replacement. The direct anterior approach is suitable for the large majority of these patients, though Dr. Kee will evaluate your individual anatomy, prior surgical history, and overall health to confirm it's the right fit for you.

What to Expect During Surgery

The damaged ball-and-socket joint is removed and replaced with implants designed to restore natural hip mechanics. Because the anterior approach is muscle-sparing, the procedure is considered minimally invasive — and is often completed in under an hour.

• Working between natural muscle intervals, without cutting muscle
• Intraoperative imaging to confirm implant position and leg length
• Robotic and computer-assisted technology available for added precision
• A bikini incision option for appropriate candidates, placed in the natural skin fold for a more cosmetically discreet result

Recovery After Anterior Hip Replacement

Recovery from an anterior hip replacement is typically faster and more comfortable than recovery from traditional approaches. Because the surrounding muscles aren't cut, most patients are walking the same day as surgery and go home with no hip precautions — no restrictions on bending, crossing your legs, or how you get in and out of a car.

Same-day discharge is offered for appropriate candidates. Dr. Kee will recommend a home exercise program, and many patients require little to no formal physical therapy after anterior hip replacement — though this is determined on an individual basis.

Anterior Hip Replacement in the Brazos Valley

Dr. Jadye Kee is fellowship-trained in adult joint reconstruction with specialized training in the direct anterior approach, including completion of the Anterior Hip Foundation Traveling Fellowship. If you think you may be a candidate for anterior hip replacement, our office is here to help you understand your options.