Tag Archives: anterior approach to hip replacement

Joint Replacements at Ambulatory Surgical Centers are the Next Frontier

Posted on: February 3, 2017

Today many patients undergoing knee surgery or hip surgery can often go home the same day.

By Eric L. Grossman, MD FAAOS, Co-Director, Joint Replacement Surgery, Orthopedics & Spine Institute, Northern Westchester Hospital

Eric Grossman, MDA recent article in The New York Times stated that physicians are deeply split about whether or not Medicare should allow outpatient knee replacements. While this is certainly a hot topic and a question Medicare is contemplating, orthopedic surgeons performing joint replacements at ambulatory surgical centers is the inevitable next frontier.

Joint replacement surgery—knee and hip in particular—has undergone a major renaissance in the last five to 10 years, particularly in the way we manage our patients. In the past, joint replacement surgery recovery required patients to spend several days in the hospital followed by a stay in a rehabilitation center. Today, due to advances in surgical techniques, implant technology, and anesthesia and pain management, recovery time for joint replacement surgery is much faster.

How is this possible?

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New York Orthopedist Explains Benefits of Anterior Approach to Hip Replacement

Posted on: July 3, 2012

Benefits of Anterior Approach to Hip Replacement

by Dr. Eric Grossman

Dr. Eric Grossman Orthopedic Surgeon New YorkTypically after patients have a hip replaced with the conventional approach, they go to inpatient rehab following 3 to 4 days in the hospital.  When patients eventually return home, they are given strict “hip precautions” because of increased risk of dislocation during the first 6 -8 weeks after surgery.  These precautions include no bending more than 90 degrees from the waist and no crossing of the legs, and they must sleep with a pillow between their legs for 6 weeks.  Because the anterior approach spares major muscles and tendons, patients are at low risk for hip dislocation and therefore do not need to follow “hip precautions.” 

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Westchester Orthopedist Dr. Eric Grossman Explains the Anterior Approach to Hip Replacement

Posted on: June 11, 2012

An Effective Approach to Hip Replacement

by Dr. Eric Grossman

Dr. Eric Grossman orthopedic surgeon new yorkFor patients needing hip replacement, I utilize an anterior approach to ensure patients receive the most appropriate care possible.

While there are three main approaches to hip replacement—lateral, anterior and posterior—the anterior approach has become more popular over the last decade.  The anterior approach focuses on replacing the hip through 3- to 4-inch incisions in the front of the joint, which has many advantages during and after the procedure.

The major advantage of this procedure is the fact that muscular tendons are not detached.  Tendon detachment and splitting are unavoidable in other approaches.  This approach also doesn’t affect the gluteal muscles that are instrumental with walking, which allows patients to recover more quickly.

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