Anterior Approach To Total Hip Replacement

Credited with bringing total anterior hip replacement to West Michigan, Dr. Johnson has performed more than 1,000 anterior approach hip surgeries, a minimally invasive procedure for total hip replacement, partial hip replacement and hip resurfacing. Direct anterior hip replacement allows us to reach the hip joint from the front of the hip instead of the side or back. Unlike traditional surgical techniques, anterior approach means we can replace the joint without disturbing or detaching muscle from the pelvis or femur during surgery. We simply work through the natural separation between the muscles. With an anterior hip replacement, you may be able to immediately bend your hip freely and bear full weight when comfortable, resulting in a faster return to normal function. For additional information of the many benefits of anterior hip replacement, contact us at

Hana® Table

HANA TABLEThe hana® table allows hyperextension and rotation of the hip for femoral component positioning not possible with conventional tables. The carbon fiber hana® table also allows uninterrupted perioperative imaging for precise fit and leg length refinement.

The Advantage of Real-Time Imaging

One of the major advantages of the anterior approach is the surgeon's ability take real-time imaging of the implant position. By knowing exactly how the implant is positioned in relationship to the other hip, the surgeon can work with much greater precision and accuracy; a significant advantage in assuring longer wear of the prosthesis cup as well correcting leg length alignment.

Faster Recovery, Less Pain

  • Smaller incision and scar, with less pain
  • No detachment of muscles from pelvis or femur, with decreased risk of hip dislocation
  • Quicker recovery and shorter hospital stay
  • More precise placement of the components, leading to increased longevity of the prosthesis and accurate leg length
  • Few, if any, post surgery 'hip precautions' and faster return to full function

Faster Recovery

Bone-Joint-Center_Hip-Arthroscopy_5-2014Surgery Sheet - Total Hip Replacement - Direct Anterior

This surgery replaces diseased and damaged portions of the hip with implants designed to restore function to the hip joint. The surgeon uses an incision on the anterolateral part of the hip, instead of a more traditional incision on the side or back of the joint.

The anterior incision allows the surgeon to work between the major muscles of the hip instead of cutting through them or detaching them from the hip or femur. By preserving muscle tissue, the anterior approach may minimize recovery time.

Download Surgery Sheet