Dr. Adolph Lombardi Jr.
Hip, Knee
Anterior Bikini Total Hip Replacement
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What Our Patients Say
“Absolutely fantastic from the start to where I’m at in the process of a total hip replacement. Wonderful staff in constant contact directing me through the process. Thank you!” — Kress C.
If you’re considering hip replacement surgery, you may have heard about the anterior bikini total hip replacement. This innovative surgical technique offers a less invasive approach, with potential benefits including quicker recovery, reduced pain, and minimal scarring.
At JIS Orthopedics, located in New Albany and St. Clairsville, Ohio, our experienced orthopedic surgeons specialize in advanced hip replacement procedures. Contact us today to learn more about how we can help you regain mobility, relieve pain, and improve your quality of life.
What Is Direct Anterior Hip Surgery?
Direct anterior hip surgery is a minimally invasive surgery that uses the direct anterior approach to access the hip joint without cutting through major muscle groups.
This modern surgical technique avoids damaging soft tissues, allowing the surgeon to reach the joint by working between muscles rather than cutting them. This results in a muscle-sparing operation that can lead to less postoperative pain, lower risk of hip dislocation, and a faster return to daily activities.
Because the anterior approach doesn’t disrupt the posterior soft tissue structures of the hip, it also provides a stable hip replacement that supports early mobilization and a rapid recovery.
What is a Bikini Incision?
A bikini incision is a short, curved surgical incision made in the natural crease of the groin area, where the skin naturally folds, much like where a bikini bottom would sit. This is a distinguishing feature of the anterior bikini total hip replacement.
The cosmetic advantage of this approach is significant, as it results in a less visible scar compared to traditional hip replacement incisions. For many patients, particularly those who are younger or more active, the aesthetic result of this surgical approach adds to the overall appeal of the procedure.
How is it Different from Other Hip Replacement Surgeries?
Compared to more traditional techniques like the posterior hip replacement, the bikini hip replacement differs in multiple ways:
- Surgical Approach: The anterior route uses the front of the hip, while the posterior approach involves an incision at the back.
- Muscle Preservation: The anterior technique is muscle sparing, whereas the posterior method often involves cutting muscles and tendons to reach the hip joint.
- Dislocation Risk: The anterior method results in a more stable joint due to preserved soft tissue structures, reducing the chances of hip dislocation.
- Recovery: Patients undergoing anterior hip replacement typically experience a quicker recovery, shorter hospital stays, and faster return to function.
- Technology and Equipment: The anterior method often involves the use of a special operating table and specialized instruments that aid precision and positioning.
These differences make the direct anterior hip replacement an attractive option for patients looking for a modern, minimally invasive alternative to traditional hip surgery.
Who is a Good Candidate for Bikini Anterior Hip Replacement?
You may be a good candidate for a bikini anterior hip replacement surgery if you are experiencing severe pain due to the following conditions:
- Osteoarthritis
- Rheumatoid arthritis
You may also make a good candidate if your body has not responded to conservative measures.
Further health considerations would be taken into account for suitability. Individuals who are generally healthy, with a normal body mass index, have good general health, and no severe joint deformities may be suitable.
Patients with the following characteristics are typically good candidates:
- Active adults who want a quicker recovery
- Patients seeking a more cosmetic outcome
- Those without significant scarring from previous surgeries
- Individuals without complex bone anatomy or severe hip dysplasia
Obese patients or those with a complex medical history, prior hip arthroplasty, or unusual anatomy may not be ideal candidates for this surgical procedure.
What Happens During a Bikini Hip Replacement?
During a bikini hip replacement, the patient is typically placed under a spinal anesthetic or general anesthesia. The surgeon makes a small incision in the groin and uses the direct anterior approach to expose the hip joint.
The damaged femoral head is removed and replaced with a prosthetic femoral stem and artificial ball. The acetabular surface on the hip bone is prepared and fitted with the acetabular component. These components form a new, functional hip joint. The entire process uses specialized instruments and sometimes robotic guidance for precision.
Thanks to this approach, many patients can go home within 24 hours and begin walking with assistance the same day, which greatly reduces hospital fees and supports quicker recovery.
Risks and Complications of an Anterior Hip Replacement
While the benefits are significant, it’s important to be aware of potential risks and complications, including:
- Nerve injury, particularly to the lateral femoral cutaneous nerve, can cause numbness or tingling in the thigh
- Fractures of the thigh bone during implant placement
- Blood clots, which require prompt treatment
- Deep infection between the joint space, although rare, can necessitate further surgery
- Implant loosening or wear over time
- Need for revision surgery in some cases
- There may be some leg length discrepancy after surgery
Close monitoring during the post-operative period helps manage risks, and your surgeon will implement strategies for pain management, pain control, and mobility improvement.
Benefits and Advantages of an Anterior Hip Replacement Surgery
Patients who choose the anterior bikini total hip replacement experience a number of key benefits:
- Less pain after surgery
- Shorter hospital stays and quicker return home
- Reduced risk of hip dislocation
- Faster return to walking and daily activities
- A small, discreet scar from the bikini incision
- Fewer movement restrictions after surgery
- Improved patient satisfaction, as shown in clinical studies
Because the muscle-sparing technique avoids cutting important soft tissues, patients typically feel more stable and mobile sooner after the operation.
Postoperative Care and Recovery for an Anterior Hip Replacement
Recovery is often much faster with an anterior approach compared to traditional techniques. The typical recovery roadmap includes:
- Immediate physical therapy, often beginning on the day of surgery
- Walking with assistance within the first day or so post-surgery
- Continued rehab exercises to strengthen muscles and improve motion
- Outpatient follow-up visits to monitor healing and implant function
Most patients experience substantial improvement within a few weeks, with full healing expected over the course of a few months. Patients are advised to remain active but cautious to avoid overexertion during early healing.
Learn More About Hip Replacement Options
If you’re ready to take control of your mobility and reduce pain from hip arthritis, contact the experts at JIS Orthopedics. We specialize in advanced techniques like the anterior bikini total hip replacement. Visit our hip services page to learn more about how we can help you.
Don’t let hip pain limit your life. Schedule a consultation today and find out if a modern, minimally invasive hip replacement is right for you.
Medically reviewed by Dr. David Crawford
Sources
- https://www.yalemedicine.org/conditions/total-hip-replacement-anterior-approach
- https://clevelandcliniclondon.uk/clinical-institutes/orthopaedics/anterior-hip-replacement?utm_source=chatgpt.com
- https://orthoinfo.aaos.org/en/treatment/minimally-invasive-total-hip-replacement/
- https://www.hss.edu/article_anterior-vs-posterior-hip-replacement.asp?utm_source=chatgpt.com
Live Without Limits Today!
If you’re suffering from hip pain or a hip injury, learn how JIS Orthopedics can help you get back to living your life without limits. To schedule a consultation, click the button below!
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