Anterior vs Posterior Hip Replacement

Hip replacement surgery is one of the most successful procedures in modern orthopaedics.  Patients considering surgery often ask whether an hip replacement is better through an anterior approach compared to a posterior approach.

At Lidder Orthopaedics, patients from Melbourne, Albury-Wodonga, Bright, Myrtleford and surrounding regional communities are assessed individually to determine the most appropriate surgical approach for their specific circumstances.

At a glance

✔ What causes hip arthritis?

✔ What is the anterior approach?

✔ What is the posterior approach?

✔ When should you seek specialist advice?

✔ Treatment options

✔ Frequently asked questions

Hip replacement surgery involves removing damaged arthritic joint surfaces and replacing them with artificial implants designed to restore function and relieve pain.

The goal is to:

• Reduce pain

• Improve mobility

• Restore quality of life

• Allow return to recreational activities

The difference between approaches relates primarily to how the surgeon accesses the hip joint.

Hip replacement is commonly considered for patients with:

• Osteoarthritis

• Rheumatoid arthritis

• Avascular necrosis

• Hip dysplasia

• Post-traumatic arthritis

Patients are often active retirees who enjoy golf, hiking, cycling and skiing throughout Melbourne and Alpine Victoria.

Common Symptoms Leading To Hip Replacement:

• Groin pain

• Hip stiffness

• Difficulty walking

• Night pain

• Difficulty putting on shoes and socks

• Reduced exercise tolerance

• Pain getting in and out of a car

The anterior approach accesses the hip joint through the front of the hip.

Potential advantages may include:

• Less muscle disruption

• Earlier recovery of mobility

• Smaller incision location

• Reduced post-operative precautions in selected patients

However, not every patient is a suitable candidate.

Traditional approaches include posterior and lateral approaches to the hip.  These techniques have been successfully used for many decades and remain excellent options for many patients.

Potential advantages include:

• Excellent implant positioning

• Versatility in complex cases

• Familiarity in revision surgery

• Proven long-term outcomes

Consider assessment if:

• Hip pain limits walking

• Sleep is disturbed

• Physiotherapy no longer provides relief

• Daily activities become difficult

• Arthritis affects quality of life

Non-Operative Treatment

• Physiotherapy

• Weight management

• Anti-inflammatory medication

• Activity modification

• Walking aids

• Cortisone injections

Operative Treatment

Hip replacement surgery may be recommended when conservative measures fail.

The most appropriate surgical approach is determined by:

• Patient anatomy

• Body habitus

• Severity of arthritis

• Previous surgery

• Surgeon assessment

Mr Surjit Lidder specialises in hip replacement surgery and helps patients understand the benefits and limitations of different surgical approaches.  Patients from Melbourne, Bright, Myrtleford and Albury-Wodonga receive personalised recommendations based on their individual goals and anatomy.

Is anterior hip replacement less painful?

Some patients experience earlier recovery, although pain management and outcomes vary between individuals.

Is anterior hip replacement suitable for everyone?

No.  Suitability depends on anatomy, body habitus and underlying pathology.

Which approach lasts longer?

Long-term implant survival is primarily related to implant positioning and patient factors rather than skin incision location.

Can I return to golf after either approach?

Most patients can return to golf following appropriate rehabilitation.

Which approach do you recommend?

The best approach is the one most appropriate for the individual patient after specialist assessment.

Disclaimer: This article provides general information only and should not replace personalised advice from your orthopaedic surgeon, GP or physiotherapist.  Recovery timelines vary between individuals, and return to sport should always be tailored to your specific circumstances.