Procedure

Total Hip Replacement
in South Florida

Muscle-sparing anterior approach hip replacement — designed for stability, natural gait restoration, and faster recovery.

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.

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.

Recovery Timeline

Day 1

Walk with assistance, same-day discharge for most

Week 1–2

Independent walking, minimal pain medication

Week 2–4

Driving typically about 3 weeks, off narcotics

Month 3

Return to full activities, no restrictions

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

Frequently Asked Questions

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.
What is the bikini incision for hip replacement?
The bikini incision is a cosmetic variation of the anterior approach that places the incision along the natural skin crease of the groin. It achieves the same muscle-sparing goals while offering a less visible scar, particularly relevant for active patients.
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.
Are there activity restrictions after hip replacement?
In this practice, most patients do not get the old list of hip precautions after routine primary anterior THA, because the posterior capsule and short external rotators are left intact. Dislocation risk is lower than historic posterior-approach series; it is not zero. Other surgeons may advise differently. Long-term activity is staged to strength and healing — not a lifetime ban on golf, tennis, skiing, or hiking.
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

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