Expert Hip Surgery in Perth

A/Prof Raj Gunaratne is dedicated to providing hip arthroplasty solutions using technology, ensuring optimal recovery and enhanced quality of life for our patients.

Anterior Approach Hip Replacement Surgery

Expert orthopaedic surgeon in Perth specializing in hip arthroplasty using technology every step of the way

Hip Arthroplasty Services

Offering state-of-the-art hip replacement solutions tailored to your individual needs.

Anterior approach Option

Utilising less invasive approaches for quicker recovery and less postoperative pain.

Comprehensive pre-operative assessments to ensure optimal surgical outcomes and patient safety.

Personalized Care Approach

Keeping you Informed

The anterior approach hip replacement is a muscle-sparing technique designed to support early recovery and excellent long-term outcomes. Most patients return to an active, pain-free lifestyle.

What is a hip replacement?

A hip replacement is an operation where the damaged parts of the hip joint are removed and replaced with artificial components. It is commonly performed for hip arthritis, which causes pain, stiffness, and reduced mobility

What is the anterior approach?

The anterior approach is a modern technique where the hip replacement is performed through the front of the hip.

This approach:

• Works between muscles rather than cutting them

• Preserves muscle and soft tissue

• Aims to allow faster early recovery

While outcomes depend on each patient, potential advantages may include:

• Less muscle damage

• Reduced pain after surgery

• Earlier mobilisation

• Faster return to normal activities

• Lower risk of hip dislocation

• No routine hip precautions in many patients

Not all patients are suitable for this approach — this will be discussed during your consultation.

Potential benefits of anterior approach?

What happens before surgery?

Before surgery you will:

• Have a medical assessment by a physician to medically optimise you before surgery

• Have an assessment by the anaesthesist

• Undergo blood tests and special imaging to plan your surgery

• Receive education about the operation and recovery

• Be advised about medications to stop or continue

• Be given instructions for the day of surgery

What happens on the day of surgery?

• Fasting solid foods for at least 6 hours before surgery but can often drink clear liquids (water, clear juice, black coffee/tea) up to 2 hours prior.

• You will be admitted on the day of surgery

• The procedure is performed under general or spinal anaesthetic

• Surgery usually takes 1–2 hours

• You will be encouraged to stand and walk on the same day or the following day

Contact the clinic if you experience:

• Increasing pain or swelling

• Redness or discharge from the wound

• Fever

• Sudden worsening of hip pain

• Calf pain or shortness of breath

When to seek medical advice?

After Surgery - What to Expect

Pain Control

• Modern pain management techniques are used

• Most patients experience manageable discomfort rather than severe pain

Mobilisation

• Walking usually begins on the day of surgery or the next day

• Physiotherapists will guide you through safe movements

• Although most patients will quickly be able to mobilise without the use of aids. Dr Gunaratne would like you to use mobility aids until 6 weeks postoperative.

Hospital Stay

• Many patients go home within 1–3 days

• Some patients may be suitable for same-day or next-day discharge

Activity

• Gentle walking is encouraged - Dr Gunaratne would like to limit you to 1500 steps a day for the first 6 weeks to let inflammation settle

• No active hip flexion exercises for 6 weeks - this again is to let the inflammation at the front of your hip settle.

• Most daily activities can be resumed after 6 weeks

Driving

• Usually possible at 4-6 weeks, depending on comfort and strength

Work

• Office work: 2–4 weeks

• Manual work: 12 weeks

Hip Precautions

With the anterior approach:

• Traditional hip precautions are often not required

• You may move your hip normally within comfort

Risks and Complications

All surgery carries risks. Some of these include:

• Infection

• Blood clots

• Leg length difference

• Nerve injury (rare)

• Dislocation (low risk with anterior approach)

• Ongoing pain or stiffness

Long-Term Outcomes

Hip replacement is one of the most successful operations in medicine.

• Most patients experience significant pain relief

• Improved mobility and quality of life

• Modern hip replacements can last over 20 years