Hip Care

Wisconsin Bone & Joint, S. C. hip care experts offer comprehensive
services to individuals with a wide range of hip pain issues.

Direct Anterior Total Hip Arthroplasty

Hip Specialists At Wisconsin Bone & Joint, S. C.

The physicians at Wisconsin Bone & Joint, S. C. utilize cutting-edge technology to assess, diagnose and work with patients to develop innovative treatment plans for a variety of hip conditions and injuries. Our team of physicians are committed to providing you with the best treatment options to alleviate your hip pain.

Providing trusted Orthopedic care in the community for over 40+ years

At Wisconsin Bone and Joint, S. C. we pride ourselves with providing you highly personalized and comprehensive orthopedic care. Our philosophy of direct physician-to-patient care means your physician will be an intrical part of every stage of your care. This commitment to a dedicated continuum-of-care model has made us one of the most trusted and respected practices in Southeast Wisconsin and greater Milwaukee area.

WBJ Surgeons Providing the Anterior Approach Hip Replacement Surgery

https://www.wiscboneandjoint.com/physician/jesse-bauwens-md/
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https://www.wiscboneandjoint.com/physician/david-b-kornreich-do/
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Anterior Hip Replacement

What Is Anterior Hip Replacement Surgery?

Direct Anterior Total Hip Arthroplasty

What Are The Treatment Options For Total Hip Arthroplasty?

Hip pain and stiffness limits mobility and diminishes your quality of life.  No matter the cause – arthritis, injury, lifestyle-related trauma – if non-surgical approaches like physical therapy or anti-inflammatory medications do not effectively resolve your pain, hip replacement at an outpatient hip center may be your best option to help you feel new again.

When considering any surgery it’s wise to educate yourself on the various approaches and possible outcomes.  Details about the procedure, pain levels and medications, recovery timeline and precautions, risks and aesthetics are likely to be factors in your decision making process.  Early on in your discovery process it may be beneficial to determine whether or not you are a candidate for an anterior approach hip replacement.

Direct Anterior Approach to Total Hip Replacement (Arthroplasty)

The Direct Anterior Approach for total hip replacement is a tissue-sparing alternative to traditional hip replacement surgery that provides improvements for the patient:

  • the potential for less post-operative pain
  • potential for less blood loss
  • decreased hospital stay and quicker recovery
  • less anesthesia and complications due to prolonged anesthesia use
  • improved mobility because the muscle tissues are spared during the surgical procedure
  • range of motion assessment during surgical procedure (Dr. Kornreich moves the leg and hip joint before completely closing up the incision to test and confirm full range-of-motion for the patient).

The technique allows our surgeons to work between the patient‘s muscles and tissues without detaching them from either the hip or thighbones—sparing the tissue from trauma. Keeping the muscles intact may also help to prevent dislocations.

With the Anterior Approach, one small incision on the front (anterior) of your hip as opposed to the side or back.

Since the incision is in front, the patient avoids the pain of sitting on the incision site.

During this procedure the damaged bone and cartilage is removed and replaced with prosthetic components. The damaged femoral head is removed and replaced with a metal stem that is placed into the hollow center of the femur. The femoral stem may be either cemented or “press fit” into the bone. A metal or ceramic ball is placed on the upper part of the stem. This ball replaces the damaged femoral head that was removed.

The damaged cartilage surface of the socket (acetabulum) is removed and replaced with a metal socket. Screws or cement are sometimes used to hold the socket in place. A plastic, ceramic, or metal spacer is inserted between the new ball and the socket to allow for a smooth gliding surface.

Frequently Asked Questions

An anterior approach hip replacement by a Wisconsin Bone & Joint highly-trained direct anterior hip surgeon, will take somewhere between 30 and 45 minutes.   Your total time from arrival in surgery to the recovery room is approximately 60 minutes.

Thanks to specialized instrumentation, proprietary protocols and years of experience, most anterior approach hip replacements performed by a
Wisconsin Bone & Joint, S. C. highly-trained direct anterior hip surgeon are outpatient procedures.  In fact, most patients recover and go home the same day surgery is performed, and are walking unassisted just a few days later.  In some cases, due to extenuating health issues or other precautionary protocols discussed prior to surgery, a patient may need to be hospitalized overnight or for multiple days.  Physical therapy begins immediately after surgery and continues for 2 to 6 weeks, depending on the patient’s progress toward functional goals.

Every surgical procedure has risks and total hip replacement surgery is no different. While the risks associated with total hip replacement  are low, they include:

  • Infection
  • Injury to nerves and blood vessels
  • Formation of blood clots
  • Malpositioning of implant
  • Fracture of the femur or pelvis

We strive to provide the best possible experience and the best possible outcomes for our patients.  This is why every patient is contacted prior to guide and assist you through the process of regaining your mobility and independence.

While postoperative recovery plans are tailored to the individual patient, below is some general information about the normal recovery symptoms (as well as some abnormal symptoms that require prompt attention.

Common Symptoms (no action necessary)

  • Low grade fever (less than 100.5 F)
  • Small amount of blood or fluid leaking from the surgical site
  • Bruising, swelling and discoloration in the involved limb or adjacent areas of the body
  • Mild numbness surrounding the wound site, lasting from 6-9 months

Abnormal Symptoms (call your Nurse Navigator immediately)

  • Fever of more than 100.5 F
  • A level of pain that progressively gets worse
  • A red, swollen, oozing incision site
  • Persistent headache, nausea or vomiting
  • Excessive bleeding
  • Excessive dizziness

Emergency Symptoms (call the on-call physician if mild, otherwise call 911)

  • Chest pain
  • Shortness of breath
  • Fainting or loss of consciousness
  • Persistent fever >100.5 F
  • Excessive weakness, numbness, or inability to move the area operated on

(no action necessary)

  • Low grade fever (less than 100.5 F)
  • Small amount of blood or fluid leaking from the surgical site
  • Bruising, swelling and discoloration in the involved limb or adjacent areas of the body
  • Mild numbness surrounding the wound site, lasting from 6-9 months

Abnormal Symptoms (call your WBJ Physician Office Immediately)

  • Fever of more than 100.5 F
  • A level of pain that progressively gets worse
  • A red, swollen, oozing incision site
  • Persistent headache, nausea or vomiting
  • Excessive bleeding
  • Excessive dizziness

Emergency Symptoms (call the on-call physician if mild, otherwise call 911)

  • Chest pain
  • Shortness of breath
  • Fainting or loss of consciousness
  • Persistent fever >100.5 F
  • Excessive weakness, numbness, or inability to move the area operated on

Recovery

How long it takes to recover and resume your daily activities will depend on several factors, including your general health and the type of surgical procedure you have. Initially, you may need a cane, walker, or crutches to walk, and physical therapy to help you regain strength in your hip and to restore range of motion.

Our team is here for you

When conservative care and treatment is appropriate, we offer the best, least invasive, least aggressive treatment options to relieve your pain and discomfort. When an injury is more serious and conservative care is not an option, our orthopedic surgeons provide the latest in innovative surgical interventions available with the goal of getting you back to the life you love. Wisconsin Bone & Joint, S. C.  physicians offer orthopedic services at three convenient locations in Mayfair, Glendale and Cedarburg.