The anterior approach (also called direct anterior) to total hip replacement is a modern surgical technique that accesses the hip joint from the front, rather than the side or back. Because this approach works between muscles without cutting through them, it preserves soft tissues, reduces trauma, faster recovery times, less pain postoperatively, and no postoperative restrictions.
Dr. Joel Williams offers this advanced procedure in Chicago, treating both local patients and those traveling from across the country seeking expert care.
Muscle-sparing: The anterior approach avoids cutting significant muscles or tendons.
Smaller incision, less soft-tissue damage: Less postoperative pain, reduced swelling, and same-day surgery or shorter hospital stays.
Faster mobilization & recovery: Many patients walk sooner, with fewer restrictions.
Low dislocation risk: Because key posterior soft tissues remain intact, the hip may have improved stability.
Precise component placement: The surgeon can better assess leg length and implant alignment during the procedure.
However, not every patient is a candidate. Dr. Williams evaluates each patient’s anatomy, health, body habitus, and prior surgical history to determine whether the anterior approach is suitable.
You might be a candidate for anterior approach hip replacement if:
You have severe hip pain or disability from osteoarthritis, rheumatoid arthritis, avascular necrosis (AVN), or other end-stage joint degeneration.
Non-surgical treatments (physical therapy, injections, activity modification) no longer provide relief.
Your anatomy is favorable and you have no contraindications.
You understand the expectations and are willing to commit to a rehabilitation program.
Dr. Williams carefully reviews imaging (X-rays, CT, MRI) and physical exam findings to decide if this approach is the best option for your hip.
Recovery depends heavily on the severity of the fracture, the type of surgical repair, and patient health. General phases:
Surgical planning & imaging: Preoperative planning often includes templating and possibly 3D imaging to optimize implant sizing, alignment, and leg length balance.
Patient positioning: The patient lies supine (on their back) on a specialized table that allows controlled manipulation of the hip.
Incision & access: A small incision is made at the front of the hip. Muscles are gently mobilized and retracted (not cut).
Removal of damaged joint surfaces: The worn bone and cartilage of the femoral head and acetabulum are removed.
Implant placement: The acetabular cup and femoral stem are inserted, and the femoral head is placed. Dr. Williams ensures excellent alignment, stability, leg length symmetry, and joint function.
Closure & early mobilization: Soft tissues and skin are closed, and patients are mobilized early, often on the same day, depending on their condition.
Many anterior approach hip replacements are performed as outpatient or short-stay procedures, depending on patient health, surgical complexity, and hospital protocols.
Days 1–7
Early mobilization with physical therapy
Gradual increase in walking and daily tasks
Pain and swelling management
Weeks 2–6
Strengthening exercises for hip, core, glutes
Progression of gait training, increasing distances
Weaning off assistive devices as tolerated
Months 3–6
Continued functional rehab, return to low-impact activities
Gradual return to higher-demand tasks or recreational sports
6–12+ months
Many patients achieve full recovery and return to more strenuous activities, depending on individual factors
Recovery tends to feel quicker with the anterior approach, thanks to the muscle-sparing nature of the technique.
As with any major surgery, anterior hip replacement involves potential risks:
Infection or wound complications
Bleeding or blood clots (DVT)
Vascular (blood vessel), nerve injury or numbness
Implant malposition or leg length discrepancy
Dislocation
Fracture
Leg length inequality
Revision surgery
Dr. Williams discusses risks thoroughly with each patient to ensure realistic expectations and optimal decision-making.
Board-certified hip surgeon with strong expertise in anterior approach hip replacement
Advanced preoperative planning and imaging to optimize outcomes
A skilled surgical and rehabilitation team in Chicago, delivering coordinated care
Patients from Chicago, Milwaukee, Detroit, St. Louis, Columbus, Cleveland, and beyond come to Dr. Williams for his reputation, outcomes, and personalized approach
Emphasis on restoring mobility, reducing pain, and helping patients return to their lifestyle goals
If you’re suffering from hip pain, stiffness, or loss of function and are considering hip replacement, schedule a consultation with Dr. Williams in Chicago. He will review your imaging, assess your suitability for the anterior approach, and help you decide on the best plan to restore your mobility.
If your doctor suggests hip treatment, seek a second opinion and explore the best option.
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