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What Is the Difference Between Lateral and Anterior Hip Replacement?

Difference Between Lateral and Anterior Hip Replacement
Total hip replacement is now being opted for by many people who have arthritis. According to a recent survey, 28% of people above 45 years of age go through a hip replacement for a permanent cure.

While hip replacement is being systemized, there are differences in the surgical techniques followed by surgeons. The surgical procedure that the doctor goes through might be correct for a person but may not be ideal for others. It is mainly the decision of the doctor. Let us know more about these techniques.

Why do you need a hip replacement?

The main aim of the process is to restore normal functioning and range of motion of the hip. The most common reason includes:

  • Osteoarthritis
  • Fracture
  • Rheumatoid arthritis
  • Tumour
  • Infection
  • Abnormal growth
  • Loss of blood supply

The doctor may find the anterior approach fit if the cause of your hip replacement is arthritis. However, he may also recommend the process in case of damage. It helps the surgeon fix the hip that was previously replaced. 

He may also find it fit in unusual circumstances, like when the position of the hip bone is very difficult, or interference of medical conditions can increase the risk of complications. 

Types of Hip Replacement Surgery

In India, around 3,00,000 total hip replacement surgeries are performed yearly. However, not all follow the same method. There is a difference in the incision location, and some are performed with a minimally invasive technique. Plus, the overall risk associated with the process is also different. Let us discuss it point wise:

Lateral surgical approachDirect Anterior Hip replacement
  • This type of surgical approach is carried out on the side of the hip joint.
  •  On the other hand, the lateral surgical approach is more balanced between the posterior and anterior surgical procedures.
  • Here, the doctor asks the patient to position themself on their side in the process. Then a surgical incision is made directly outside of the hip.
  • This surgical approach is becoming most common these days.
  • Doctors have been using the direct anterior system for more than 100 years now, and it’s still increasing over so many years.
  • During the process, the patient is asked to lie on their back. Then the doctors make a surgical incision coming down the front thigh.

Advantages of the Lateral and anterior surgical approaches

As the process of the different approaches varies, so do their advantages. Here are the advantages that you may experience when going through a these approaches:

Lateral surgical approachesDirect Anterior Hip replacement
  • The most amazing advantage of the lateral surgical approach is the balance of the two methods.
  • It can also rectify deformities and push specialized implants with reduced dislocation rates than what is experienced by people in the posterior approach.
  • There are many advantages of the direct anterior hip replacement process. The two most common ones are early postoperative recovery and low dislocation risk.
  • Many surgeons have noticed that the risk of dislocation involved in anterior hip replacement is relatively lower than the posterior. Further, the second advantage is people who go through this process tend to have a shorter hospitalization period.

The major difference between the two approaches is, unlike lateral (side of the hip) approaches, the anterior approach uses an incision in the front of the hip while the patient is laying on their back.

While both options for hip replacement provide some benefits, it’s not without its disadvantages. Hence, it’s important to discuss these issues with your surgeon when it’s time to consider a hip replacement surgery.

Have queries or concern ?


    Above are the different types of hip replacement approaches your doctor can follow. Unfortunately, there is no such comparison whether which approach is better as one approach may benefit a patient while it may not work for others.

    So it is better to take the suggestion of the doctor. He/she will guide you on which approach will be suitable for you by examining your condition, hip motion, and the problem’s cause.

    Sahyadri Hospital provides the Hip Replacement treatment in pune. Call us now to schedule your appointment! Get in touch with our experts to know more details about various types of hip replacement surgery, now!

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