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Anterior hip replacement

A less invasive surgery and modern option for a pain-free life

Living with hip pain, particularly related to arthritis, can be exhausting, whether it’s struggling to walk, sleep, or simply getting dressed in the morning. For many, a more modern surgery known as an anterior hip replacement can offer fast relief and faster recovery. Dr Raoul Erasmus, orthopaedic surgeon based at Life Wilgers Hospital, explains how this modern approach to hip surgery is changing lives.

What is an anterior hip replacement?

“Anterior means ‘from the front,’” says Dr Erasmus. “In this approach, we access the hip joint by working between muscles instead of cutting through them. It’s less invasive and much kinder to the body.” The result is a faster, less painful recovery with fewer restrictions. “In most cases, patients are walking with support the same day. There are no movement restrictions like we used to have – people don’t need to sleep with pillows between their knees or worry about crossing their legs,” he adds.

Who is it for?

Dr Erasmus explains that this surgery is ideal for people with persistent groin or thigh pain, especially if their X-rays show signs of arthritis. “If you can’t walk the way you used to, have trouble putting on socks or can’t sleep because of pain – it might be time to consider whether surgery could help,” he says.

He notes that people often wait too long. “Hip arthritis doesn’t just take away your mobility. It affects your mood, independence, and ability to live the life you want.” Age is not a barrier. “We’ve done anterior replacements for people in their 40s who want to stay active and people in their 80s who just want to walk without pain. It’s about quality of life.”

Getting ready for surgery

Preparation is key, and Dr Erasmus encourages patients to take an active role in the lead-up to surgery. “If you can stay active – even short walks – it makes a difference. If you smoke, quit. If you have chronic conditions like diabetes, get them under control. We’ll guide you, but the more prepared you are, the smoother your recovery will be.”

What to expect afterward

Patients typically spend one to two nights in the hospital and start walking almost immediately. “Most people are surprised at how quickly they bounce back,” says Dr Erasmus. “You can expect to feel stronger and more mobile than you might have anticipated, often resuming many of your daily activities much sooner than expected.”

Dr Erasmus emphasises the importance of following post-operative instructions, including engaging in physiotherapy, which plays a crucial role in recovery. “The goal is to regain strength and mobility efficiently. Patients should not hesitate to ask questions or express concerns during this time; communication with healthcare providers is vital.”

Anterior hip replacement surgery is revolutionising the way we approach hip pain and mobility issues. With its muscle-sparing technique, patients can experience reduced pain and a faster return to normal life. By understanding the role of proper candidate identification, pre-surgical preparation, and post-operative care, both GPs and patients can significantly enhance the outcomes of this remarkable procedure. If you or someone you know is living with hip pain, it may be time to explore whether an anterior hip replacement is the right option for a pain-free future.

Speak to your GP or specialist about anterior hip replacement.

Learn about Life Healthcare’s clinical pathway approach to hip and knee surgery - Major Joints for Life programme.