Anterior Approach Total Hip Replacement - why?

Dr Collins performs both anterior and posterior approach hip replacement. His preference in appropriate patients is a minimally invasive anterior approach total hip replacement with the aide of technology (robotic-assisted or personalised technology.

A total hip replacement is a very good and successful operation when indicated, and should be performed via the approach your surgeon recommends.

Anterior total hip replacement has risen in popularity over the past 1-2 decades due to its benefits/advantages.

The Australian joint registry results show that the anterior approach has a lower infection rate, lower dislocation rate and lower overall revision rate, however a higher perioperative/early fracture rate risk, compared to a posterior or lateral approach. Studies have also shown that the anterior approach allows patients to recover quicker and with less pain in the early recovery period. By the one-year mark outcomes are similar regardless of approach. Dr Collins believes the journey is as important as the destination, and takes pride in achieving excellent outcomes both early on and in the long-term, and thus recommends the anterior approach for most patients.

Dr Collins was trained in the anterior approach during his five accredited training years in both Victoria and Tasmania. Seeing the benefit it bestowed on patients but also the potential difficulties he undertook specific post-fellowship training internationally in the direct anterior approach to become an experienced & skilled fellowship trained anterior approach hip surgeon.