A muscle-sparing approach
The direct anterior approach reaches the hip from the front of the thigh, working between the muscles rather than cutting through them. For many patients this muscle-sparing technique can mean less early discomfort and a quicker return to walking.
It is worth knowing that, by six to twelve months, patients generally do equally well whichever well-performed approach is used,⁵ so the approach is one part of a bigger picture rather than a guarantee on its own.
Higher body weight is not an automatic barrier
Patients who carry more weight are sometimes told that their options are limited. With the right planning and technique, the anterior approach can be performed safely for many of these patients. I assess each person individually and plan carefully for their situation.
Your future options stay open
One point that matters a great deal: I also perform complex revision hip surgery through both the anterior and the posterior approaches. This means the way your hip is done today is never limited by what might be needed years down the track.
You can have confidence that the whole pathway is covered, in experienced hands.
Is the anterior approach right for me?
The best approach depends on your anatomy, your general health and your goals. Some hips are better suited to a posterior approach, and I will be honest with you about what suits your hip. The aim is always the safest, most reliable result for you as an individual.
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More on hip conditions & treatments
Explore the four pillars
Want surgery designed for your anatomy, not the average?
Joint-preserving partial replacement where suitable, personalised total replacement with kinematic alignment and robotic precision, and direct anterior hip surgery — matched to your joint, not a standard mould.
Had a replacement that still doesn’t feel right?
When a replacement hasn’t worked out there is often a specific reason — and a specific solution. An independent review: examination, imaging reviewed, and a written summary of your options.
Been told you’re too young, too heavy, or to just wait?
Dr Yas reviews each patient case by case and recommends the operation that fits the joint — not the other way around. Higher-BMI patients considered on their individual merits, not declined on weight alone.
Been told nothing more can be done?
Specialist revision hip & knee surgery, partial-to-total conversion with modern bone-preserving technique, and complex reconstruction after trauma — including limb-preserving surgery — considered case-by-case.
Latest insights from Dr Yas
Plain-language articles on modern hip & knee surgery — written to help you make an informed decision.
- Direct anterior versus posterior approach in total hip arthroplasty — systematic review & meta-analysis: better early function (2–6 weeks), no significant difference between approaches by 6–12 months.