Anterior Hip Replacement Approach

The anterior approach is described as cutting through less tissue and appearing to produce better outcomes in the cited evidence. The article prefers the anterior approach based on a cited meta-analysis comparing anterior and posterior approaches. These anterior-approach positions can encourage the femur to glide anteriorly out of the socket. Early after an anterior approach, extreme hip extension, external rotation, and abduction should be avoided. Hip extension after an anterior approach can use hamstrings and glutes if end-range extension is not forced too early. Reaching neutral hip extension safely is a meaningful early milestone after anterior hip replacement.