The most widely used classical approach in hip surgery worldwide is the posterior approach; however, in the context of minimally invasive surgery, the most common is the direct anterior approach. Unlike the posterior or lateral approaches, the anterior approach avoids cutting any muscles, accessing the joint through a natural plane. There are minimally invasive variants of the posterior approach, such as the superPath, but the anterior approach is the only real one that offers an ideal combination of safety, aesthetics (with a “bikini” incision), and maximum functional recovery.

The main advantages of anterior approach include:

• Reduced postoperative pain.
• More aesthetic incision, typically located within the underwear line.
• Less intraoperative bleeding.
• Lower risk of prosthesis dislocation or luxation.
• Early discharge (in most cases, the patient is able to walk within a few hours after surgery).
• Faster and safer functional recovery.

Thanks to the anterior approach, most patients begin walking on the same day as the procedure, as soon as they recover from anaesthesia, which typically takes about 2 to 4 hours. Generally, the use of canes or crutches is kept for 2 to 3 weeks, although this may vary depending on each individual case.

Return to work vary on average from 2 to 6 weeks, depending on the job. Low-impact sports activities (such as cycling or swimming) can be started very early, as they are generally well-tolerated and even beneficial. In contrast, more demanding sports require individual assessment and a progressive resuming.

In a total hip replacement, both the femoral head and the acetabulum (the pelvic cavity) are replaced. In contrast, a partial replacement involves only the replacement of the femoral head. Resurfacing is a specific type of total replacement that only covers the joint surfaces of the femur and the acetabulum. The choice of procedure depends on the condition of the hip and the individual characteristics of each patient. The specialists at the HIP Institute will provide a personalized recommendation for each case.

With current materials (titanium alloys, ceramics, and high-density polyethylene), a hip joint can last between 20 and 30 years or even longer. Factors such as weight, activity level, and surgical technique can influence the longevity of the implant.

Both doctors have performed surgeries at leading hospitals in Madrid, Barcelona, and other cities. Currently, their main surgical activity takes place in Madrid; you can contact us to request an in-person or online consultation. We also regularly assist international patients from Mexico, Argentina, the USA, and other countries.

The price can vary depending on the type of prosthesis required for each case and whether it is a primary procedure or a revision. The cost estimate for each surgery is estimated after a personalized consultation with the doctor, who will assess your case and provide the best solution.

Testimonials from patients who have had minimally invasive surgery through an anterior approach performed by Dr. Prieto or Dr. Sandoval primarily highlight rapid recovery, absence of pain, and improvement in their quality of life. You can read their opinions and reviews in the patient section or in the online reviews available.