The anterior approach for hip replacement surgery is a technique where the hip joint is accessed from the front of the body. This approach has gained popularity in recent years due to several advantages it offers. Here are some indications and reasons to perform an anterior approach for hip replacement surgery:

1. Faster recovery: The anterior hip replacement is done through a muscle sparing approach by accessing a space between two muscles. Through the anterior approach, muscles and tendons are not attached as is needed for other approaches. There is less trauma to the surrounding tissues and this can result in reduced pain, quicker rehabilitations, and an overall faster recovery compared with other approaches for total hip replacement. 
2. Reduced risk of dislocation: The anterior approach allows for the placement of the hip implant in a way that provides greater stability and reduces the risk of dislocation. The positioning of the implant and the preservation of the soft tissues around the joint contribute to enhanced stability and decreased chances of hip dislocation.
3. Improved accuracy: The anterior approach is done with patients on their back, which allows for the use of live x-ray guidance, known as fluoroscopy. This allows for greater precision in the placement of hip implants. Additionally, surgeons can directly see and access the joint, facilitating precise positioning of the components and potentially improving the overall outcome of the surgery.
4. Smaller incisions: The anterior approach is typically performed using smaller incisions compared to other surgical techniques. This may result in less scarring, reduced blood loss, and decreased risk of infection. 
5. Better for certain patient populations: While most patients care eligible for the anterior approach, it may be particularly beneficial for specific patient populations. These include younger and more active individuals, as it may allow for a quicker return to physical activities and sports. Additionally, the technique can be advantageous for patients who have limited hip mobility or those who require bilateral (both hips) joint replacement, as it offers improved access to both hips.

It’s important to note that not every patient is a suitable candidate for the anterior approach, and the decision to use this technique should be made on a case-by-case basis. Factors such as a patient’s anatomy, surgeon preference, and the patient’s overall health and medical history should be considered when determining the most appropriate surgical approach for hip replacement.  Dr. Lepkowsky has extensive experience doing anterior hip replacement surgery.  For more information call Total Orthopedics and Sports Medicine at 516-795-3033 for a consultation and see if you are a candidate for this surgery