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ETMC Orthopedic Institute

Getting patients back in motion

Anterior Hip Replacement


Dr. Joseph Conflitti and Dr. Scott Devinne of the ETMC Orthopedic Institute discuss anterior hip replacement.

The Anterior Approach to hip replacement, or total hip arthroplasty, provided through the ETMC Orthopedic Institute at ETMC Tyler, allows doctors to perform replacement surgery with a minimally invasive technique.

Smaller incisions
The surgery utilizes a smaller incision on the front or anterior of the hip rather than the back or side, and less trauma is generally caused to tissue under the skin.

Working with the smaller opening, surgeons move muscle aside with special instruments or work through available separations in muscle rather than detaching muscle from the bone.

Anterior Hip Availalbe Space Between Muscle

With the anterior approach, available space between muscles is used rather than detaching the muscle from the femur.


They then rotate the femur through the available opening and replace the damaged or arthritic femoral head with an artificial ball in the traditional fashion.

The patient usually experiences several benefits from the anterior approach.

Generally the hospital stay after surgery is shorter. With traditional hip replacement, the stay is about three to five days. With anterior hip surgery, a stay of one to two days is common.

Additionally patients experience less post-operative pain and, following the anterior approach, usually enjoy a greater range of movement almost immediately. In most cases, patients are able to use their hip normally without restrictions.

The anterior approach also leaves a smaller surgical scar.

Not all patients are candidates for the anterior approach.


The anterior approach is currently performed by Dr. Dennis Devinney or Dr. Joseph Conflitti of the ETMC Orthopedic Institute .

Call 903-596-3844 for an appointment.