Dr. Unger is the medical director of the Institute of Bone and Joint Health at Sibley Memorial Hospital and a professor of orthopedic surgery at George Washington University Hospital, both in Washington, D.C. Anterior hip replacements are less invasive than approaching the joint from the rear. The surrounding muscles can be moved aside rather than cut through, he said.
However, only about 20 percent of surgeons opt for the anterior approach, according to statistics from the American Association of Hip and Knee Surgeons. While Dr. Unger participated in a 2011 study that showed the anterior approach to cause less muscle damage and inflammation, many surgeons are waiting for more clinical efficacy, according to the report.
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