--- title: Orthopedic Update:  Anterior Approach Hip Replacement Surgery description: Orthopedic Update:  Anterior Approach Hip Replacement Surgery image: https://blog.orthopedicinstitutesf.com/hs-fs/file-4232867870-jpg/blog-files/adler-crop-headshot-300x278.jpg --- [![Orthopedic Institute Sioux Falls](https://blog.orthopedicinstitutesf.com/hs-fs/hubfs/OrthopedicInstitute_Theme/oi-logo.png?width=287&name=oi-logo.png "Orthopedic Institute Sioux Falls")](http://www.orthopedicinstitutesf.com/) - CONTACT US - [CONTACT US](https://orthopedicinstitutesf.com/contact-us/contact-us/) - [LOCATIONS & HOURS](https://orthopedicinstitutesf.com/contact-us/locations/) - RESOURCES - PATIENT RESOURCES - [LOGIN TO PORTAL](https://myidentity.platform.athenahealth.com/oauth2/auset0ja9xZ2Hniep296/v1/authorize?client%5Fid=0oaku1tngsTH20pA1296&idp=&nonce=unimplemented&prompt=&redirect%5Furi=https%3A%2F%2Foauth%2Eportal%2Eathenahealth%2Ecom%2Foauthresponse%2Ephp&response%5Ftype=code&scope=openid%20email%20communicator%2Eexternal%5Faccounts%2Eread&state=%7B%22LANGUAGE%22%3A%22en%22%2C%22COMMUNICATORBRANDID%22%3A%221%22%2C%22ANTIFORGERYTOKEN%22%3A%22389368d7d57fbfd28938af08753ad0a915a66425bea6f1b7c436f714973406ae%22%2C%22PRACTICEID%22%3A%2221545%22%2C%22IDENTITYPROVIDER%22%3A%22patient%5Fidentity%22%2C%22PORTALREDIRECTURL%22%3A%22https%3A%5C%2F%5C%2F21545%2D1%2Eportal%2Eathenahealth%2Ecom%5C%2F%22%7D) - [SIGN UP FOR PORTAL](https://21545-1.portal.athenahealth.com/?section=landing&sub=registration_wizard&CSRFPROTECT=NONE) - [PORTAL INSTRUCTIONS](https://orthopedicinstitutesf.com/resources/patient-resources/portal-instructions-and-login/) - [BILL PAY](https://orthopedicinstitutesf.com/resources/patient-resources/bill-pay/) - [PATIENT FORMS](https://orthopedicinstitutesf.com/resources/patient-resources/patient-forms/) - [INSURANCE INFO](https://orthopedicinstitutesf.com/resources/patient-resources/insurance-info/) - [BLOG](https://blog.orthopedicinstitutesf.comhttps://blog.orthopedicinstitutesf.com/) - [PATIENT REVIEWS](https://orthopedicinstitutesf.com/resources/patient-resources/patient-reviews-2/) - [FREQUENTLY ASKED QUESTIONS](https://orthopedicinstitutesf.com/resources/patient-resources/faqs/) - PROVIDER RESOURCES - [PATIENT REFERRAL FORM](https://orthopedicinstitutesf.com/resources/provider-resources/patient-referral-form/) - [REHAB PROTOCOLS](https://orthopedicinstitutesf.com/resources/provider-resources/rehabilitation-protocols/) - SERVICES - [WALK IN CLINIC: OI NOW](https://orthopedicinstitutesf.com/services/oi-now/) - [NECK AND SPINE](https://orthopedicinstitutesf.com/services/neck-and-spine/) - [SHOULDER AND ELBOW](https://orthopedicinstitutesf.com/services/shoulder-and-elbow/) - [HAND AND WRIST](https://orthopedicinstitutesf.com/services/hand-and-wrist/) - [HIP](https://orthopedicinstitutesf.com/services/hip-services/) - [KNEE](https://orthopedicinstitutesf.com/services/knee/) - [FOOT AND ANKLE](https://orthopedicinstitutesf.com/services/foot-and-ankle/) - [FRACTURES & TRAUMA](https://orthopedicinstitutesf.com/services/fractures-and-trauma/) - [SPORTS MEDICINE](https://orthopedicinstitutesf.com/services/sports-medicine/) - [PAIN MANAGEMENT](https://orthopedicinstitutesf.com/services/pain-management/) - [THERAPY & REHABILITATION](https://orthopedicinstitutesf.com/services/therapy-and-rehabilitation/) - [AQUATIC THERAPY](https://orthopedicinstitutesf.com/services/therapy-and-rehabilitation/physical-therapy/aquatic-therapy/) - [HAND THERAPY](https://orthopedicinstitutesf.com/services/therapy-and-rehabilitation/physical-therapy/hand-therapy/) - [PHYSICAL THERAPY](https://orthopedicinstitutesf.com/services/therapy-and-rehabilitation/physical-therapy/) - [IMAGING SERVICES](https://orthopedicinstitutesf.com/services/imaging-services/) - OUR TEAM - [PHYSICIANS](https://orthopedicinstitutesf.com/our-team/physicians/) - [PHYSICIAN ASSISTANTS & NURSE PRACTIONERS](https://orthopedicinstitutesf.com/our-team/physician-assistants/) - [PHYSICAL THERAPISTS](https://orthopedicinstitutesf.com/our-team/physical-therapists/) - [OCCUPATIONAL THERAPISTS](https://orthopedicinstitutesf.com/our-team/occupational-therapists/) - [ATHLETIC TRAINERS](https://orthopedicinstitutesf.com/our-team/athletic-trainers/) - [PEDORTHIST](http://www.orthopedicinstitutesf.com/our-team/pedorthist/) - ABOUT US - [CAREERS](http://www.orthopedicinstitutesf.com/about-us/careers/) - [ABOUT](http://www.orthopedicinstitutesf.com/about-us/about/) - [OI HISTORY](http://www.orthopedicinstitutesf.com/about-us/oi-history/) - [MISSION, VISION, & VALUES](http://www.orthopedicinstitutesf.com/about-us/mission,-vision,-%26-values/) - [OI CARES](http://www.orthopedicinstitutesf.com/about-us/oi-cares/) # Orthopedic Institute Blog # Orthopedic Update:  Anterior Approach Hip Replacement Surgery Posted on June 12, 2015 The anterior approach to total hip replacement has emerged as a practical alternative to the posterior approach that most surgeons still use. Although it has been in use to some degree since the 1980's, new instrumentation allowing it to be performed using smaller incisions has made it increasingly sought after. Called the anterior hip replacement, this procedure involves the surgeon making a four-inch incision through the front of the leg, rather than the back (the entry point for the more conventional posterior hip replacement surgery). Frontal entry makes it possible to reach the joint by separating the muscles rather than cutting through them and reattaching them (used in the posterior approach). By keeping the muscles intact, the Anterior Approach may allow for less pain, faster recovery, quicker stability and fewer post-operative restrictions. Although each patient responds differently, studies have shown the potential benefits of the Anterior Approach. - Accelerated recovery time is possible because key muscles are not detached during the operation. - Potential for fewer restrictions during recovery. This procedure seeks to help patients more freely bend their hip and bear their full weight immediately or soon after surgery. - Possible reduced scarring because the technique allows for one relatively small incision. Since the incision is on the front side of the leg, you may be spared from the pain of sitting on scar tissue. - Potential for stability of the implant sooner after surgery, resulting in part from the fact that they key muscles and tissues are not being disturbed during the operation. - The Anterior Approach requires less tissue disruption, which may lead to faster rehabilitation. We have four physicians at Orthopedic Institute who perform the Anterior Approach to hip replacement. Michael J. Adler, MD [![Adler Crop headshot](https://blog.orthopedicinstitutesf.com/hs-fs/file-4232867870-jpg/blog-files/adler-crop-headshot-300x278.jpg?width=234&height=217&name=adler-crop-headshot-300x278.jpg)](https://blog.orthopedicinstitutesf.com/hs-fs/file-4232867870-jpg/blog-files/adler-crop-headshot-300x278.jpg) [http://www.orthopedicinstitutesf.com/staff/michael-j-adler/](http://www.orthopedicinstitutesf.com/staff/michael-j-adler/)   Matthew J. McKenzie, MD [![Matthew_McKenzie-1024x400](https://blog.orthopedicinstitutesf.com/hs-fs/file-4232867895-jpg/blog-files/matthew_mckenzie-1024x400-300x300.jpg?width=220&height=220&name=matthew_mckenzie-1024x400-300x300.jpg)](https://blog.orthopedicinstitutesf.com/hs-fs/file-4232867895-jpg/blog-files/matthew_mckenzie-1024x400-300x300.jpg) [http://www.orthopedicinstitutesf.com/staff/matthew-j-mckenzie/](http://www.orthopedicinstitutesf.com/staff/matthew-j-mckenzie/)   Corey P. Rothrock, MD [![RothrockFacebook](https://blog.orthopedicinstitutesf.com/hs-fs/file-4110877328-png/blog-files/rothrockfacebook.png?width=211&height=241&name=rothrockfacebook.png)](https://blog.orthopedicinstitutesf.com/hs-fs/file-4110877328-png/blog-files/rothrockfacebook.png)   [http://www.orthopedicinstitutesf.com/staff/corey-p-rothrock/](http://www.orthopedicinstitutesf.com/staff/corey-p-rothrock/) Robert C. Suga, MD [![Bob_Suga_1280x5002-1024x400](https://blog.orthopedicinstitutesf.com/hs-fs/file-4110877353-jpg/blog-files/bob_suga_1280x5002-1024x400-300x300.jpg?width=211&height=211&name=bob_suga_1280x5002-1024x400-300x300.jpg)](https://blog.orthopedicinstitutesf.com/hs-fs/file-4110877353-jpg/blog-files/bob_suga_1280x5002-1024x400-300x300.jpg) [http://www.orthopedicinstitutesf.com/staff/robert-c-suga/](http://www.orthopedicinstitutesf.com/staff/robert-c-suga/)   To schedule an appointment with Dr. Adler, McKenzie, Rothrock or Suga, please call 1-888-331-5890.   Please check out this short video on the Anterior Approach to hip replacement. 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