Many of my total hip patients want to know the difference between a traditional hip approach and a direct anterior hip approach. Below are examples of how the surgical steps of an anterior approach hip replacement differ from the steps of the posterior approach, which is the most commonly utilized approach to hip replacement in the US. Location of incision During anterior hip replacement the incision is made at the front of the hip. This incision starts at the front of the pelvic bone (iliac crest) and extends down toward the top of the thigh. During posterior(back) approach to hip replacement, the surgeon makes a curved incision on the side of the hip, just behind the greater trochanter, th
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