Nathan Cafferky, MD, is a surgeon at The Steadman Clinic specializing in joint replacement, with a clinical focus on hip replacement procedures. His advanced expertise in hip replacement surgery includes minimally invasive techniques to reduce patient recovery time. Dr. Cafferky wants patients to have an understanding of different types of hip replacement surgeries. Options include:

• Anterior hip replacement

• Posterior hip replacement

• Partial hip replacement 

What is a Total Hip Replacement?

A total hip replacement surgery, also called total hip arthroplasty, utilizes a side or back of the hip approach, with an 8” - 10” incision. It is indicated for patients with osteoarthritis, rheumatoid arthritis, avascular necrosis, hip fracture, and other severe damage of the hip joint. Symptoms that indicate surgery include worsening pain, swelling, tenderness, stiffness, decreased range of motion and a popping or crunching sensation in the hip.

A comprehensive physical examination and diagnostic imaging study provides a clear visualization of the extent of the damage. The hip joint ball and socket are removed and the artificial joint is implanted and secured. Patients will have restricted movement for several days. Physical therapy begins as soon as possible with a focus on strengthening, flexibility and increased range of motion. Benefits to patients include reduced hip pain, increased range of motion, and improved mobility and quality of life. Total hip replacement is highly effective for patients with severe arthritis or joint damage that cannot be treated by other methods.

Anterior Hip Replacement

This minimally invasive anterior hip replacement surgery is an excellent option for qualifying patients. The surgical approach is a 3” - 4” incision at the front of the hip. Studies find that the anterior approach results in a quicker recovery, reduced pain and fewer post surgical restrictions compared to a posterior hip replacement. Dr. Cafferky prefers this option for many patients. The anterior hip replacement is not recommended for patients with previous hip replacement hardware, a body mass index >40, a muscular body type, or a wide pelvis.

A comprehensive physical examination and diagnostic imaging study provides a clear visualization of the hip joint damage. The patient’s overall health is considered when analyzing treatment options. During the procedure, a general, or regional anesthesia will be used. Once the incision is made, specialized surgical instruments move muscle and tendon out of the way to access the hip joint – ensuring no injury occurs to the surrounding muscles and tendons. The damaged joint is removed.

A metal or ceramic artificial joint is implanted and secured with medical cement or screws. The incision is closed, dressed, and recovery begins. Physical therapy starts as soon as possible for strengthening, mobility and range of motion. The anterior approach results in less surgical damage to the surrounding soft tissue, and a quicker recovery. A return to normal activity for patients undergoing anterior hip replacement is within several weeks.

Posterior Hip Replacement

Posterior hip replacement is a surgical technique involving making an incision on the back of the hip, through which the hip surgeon accesses the hip joint. This approach allows the surgeon to access the joint without cutting through any major muscles, which can minimize post-operative pain and promote faster recovery. During the procedure, the damaged parts of the hip joint are removed, and a prosthetic joint is inserted to restore the function of the joint. Posterior hip replacement is a widely used technique and has been shown to be effective in treating hip joint degeneration caused by various conditions, including arthritis, osteonecrosis, and fractures.

While posterior hip replacement is generally considered safe and effective, it is not without its potential risks and complications. One of the most significant risks associated with this technique is the possibility of damaging the sciatic nerve, which runs near the hip joint. Injury to the sciatic nerve can result in numbness, weakness, and pain in the affected leg. However, with proper surgical technique, careful patient selection, and close post-operative monitoring, the risk of these and other complications can be minimized, and patients can expect to experience improved hip function and reduced pain after the procedure.

Partial Hip Replacement

A comprehensive examination and diagnostic imaging will inform the surgeon if a partial hip replacement is indicated. The procedure is similar to other hip replacement surgeries with the distinction of utilizing a smaller 4” - 6” incision on the side or back of the hip, removal of the damaged ball of the joint, and implantation of the artificial ball into the joint. Physical therapy begins as soon as possible. The benefits of partial hip replacement surgery include less bone removal, reduced risk of post-surgery complications like dislocation, quicker recovery and increased stability. The patient can expect to resume normal activities within a few months.

Hip Replacement Specialist - Dr. Nathan Cafferky

Dr. Cafferky provides expert diagnostics and treatment options for patients experiencing hip joint injury or degeneration. Patients have options for improved hip wellness. Whether anterior hip replacement, posterior hip replacement, or partial hip replacement, Dr. Cafferky works with patients to determine the optimal treatment. Request a consultation today.

Call (970) 476-1100 or request a consultation using Team Cafferky's online appointment request form. Telehealth visits are also available!