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Procedure

Anterior Hip Replacement
in Miami

Muscle- and tendon-sparing direct anterior total hip replacement, including the bikini incision, with AI fluoroscopic navigation. Same-day discharge at UHealth for appropriate patients.

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Total hip replacement (THA) implant diagram

What Is Total Hip Replacement?

Total hip replacement (total hip arthroplasty, or THA) replaces the arthritic ball-and-socket hip joint with a precision metal, ceramic, and polyethylene implant. The femoral head (ball) and acetabular cartilage (socket) are replaced, allowing smooth, pain-free movement.

Hip replacement is one of the most successful operations in all of medicine, with high patient satisfaction and excellent long-term outcomes. Advances in approach, implant design, and perioperative care have dramatically improved recovery — many patients walk the day of surgery and return home the same day.

Does Dr. Denyer perform anterior hip replacement?

Yes. Anterior hip replacement is Dr. Denyer's usual approach for primary total hip replacement. He works between muscle planes from the front of the hip, including a bikini-incision option along the groin crease when appropriate, and uses AI navigation to restore implant position and leg length. Compared with a traditional posterior approach, the anterior approach has been associated with less early pain, faster recovery, lower dislocation rates, and no routine hip precautions for most patients. Individual results vary.

Approach Options

Anterior Approach

Front-of-hip access working between muscle planes — no muscle cutting. Associated with faster recovery, earlier walking, and lower dislocation risk in appropriate patients.

Bikini Incision

Cosmetic variant of the anterior approach with the incision along the natural groin crease — same muscle-sparing principles with improved scar aesthetics.

AI Navigation

Fluoroscopy-based AI navigation for direct anterior hip replacement, used to help restore cup position, offset, and leg length during surgery.

Recovery Timeline

Day 1

Walk with assistance, same-day discharge for most

Week 1–2

Independent walking, minimal pain medication

Week 2–4

Return to driving (left leg first)

Month 3

Return to full activities, no restrictions

Individual timelines vary. Recovery depends on age, health, and adherence to physical therapy.

Frequently Asked Questions

Does Dr. Denyer do anterior hip replacement?›
Yes. Anterior hip replacement is his usual approach for primary total hip replacement, including a bikini-incision option when appropriate, with AI navigation.
Do I need hip precautions after anterior hip replacement?›
Usually not. After anterior hip replacement, most patients do not need routine hip precautions. Your plan is confirmed at the visit.
What is the bikini incision?›
The bikini incision is a cosmetic variation of the direct anterior approach that places the incision along the natural groin crease. It uses the same muscle-sparing technique with a less visible scar for many patients.
Can I go home the same day after hip replacement?›
Yes, many patients go home the same day from UHealth after anterior hip replacement when they are medically appropriate for outpatient surgery.
What is anterior hip replacement?›
The anterior approach accesses the hip from the front of the thigh, working between muscle planes rather than cutting through them. This preserves the hip abductor muscles and can result in a faster recovery, earlier return to walking, and lower dislocation risk — for appropriate candidates.
How long does hip replacement surgery take?›
Total hip replacement typically takes 60–90 minutes. Including anesthesia preparation and recovery, expect 4–6 hours at the surgery center. Many patients go home the same day.
What implant types are used?›
Cementless implants — where bone grows directly into a porous metal surface — are often preferred in active, healthy patients. Cemented fixation is selected when bone quality indicates it. The implant bearing surface (ceramic, highly cross-linked polyethylene, metal) is selected based on patient age and activity goals.
What are the risks of hip replacement?›
As with any surgery, risks include blood clots, infection, implant loosening, nerve injury, and leg length changes. These are minimized through advanced surgical planning, modern implant selection, infection prevention protocols, and appropriate patient selection. Overall complication rates for hip replacement are low with experienced surgeons.

Related Procedures

Total Knee Replacement →

Robotic-assisted, minimally invasive knee replacement

Outpatient Joint Replacement →

Same-day hip and knee surgery at UHealth

Ready to get back to living?

Schedule a consultation to discuss your hip pain, review imaging, and determine if total hip replacement is right for you.

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