Anterior or Posterior: Which Approach Is Better for Hip Replacement?

When it comes to hip replacement, there are two ways to approach the surgery: from the front (anterior) or rear (posterior). So which is best? Does the approach even matter, or is it all about the skill of the surgeon? In this episode, Dr. David Altchek is joined by fellow HSS orthopedic surgeons Dr. Jonathan Vigdorchik and Dr. Jose Rodriguez, who are experts in hip replacement surgery. Together, they discuss the advantages and disadvantages of various approaches for hip replacement surgery, including the anterior and posterior approach. They explain the benefits and recovery time of each approach and how to know which procedure is best for you.

Here’s what you’ll learn in this episode:

00:55 understanding how the hip can be accessed during hip replacement surgery

01:41 main differences between anterior and posterior approach 

02:55 the importance of the surgeon’s expertise in one approach versus another

04:09 which approach can best fit with robotics

05:34 recovery times

07:56 goals for surgery and minimizing trauma

09:34 long-term outcome differences between approaches

13:58 the importance of finding a physician and institution you trust

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