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 of Schenectady, P.C.
Injury Prevention Tips and News

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Did you know, the most common reason for hip replacement is osteoarthritis in the hip joint?
Your doctor might also suggest this surgery if you have:
  • Rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling)
  • Osteonecrosis (a disease that causes the bone in joints to die)
  • Injury of the hip joint
  • Bone tumors that break down the hip joint.

   Office Locations
1533 Union Street
Schenectady, NY 12309
(518) 381-9166
42 Saratoga Rd.
Glenville,NY 12302
(518) 399-6861
3434 Carman Rd.
Schenectady, NY 12303
(518) 356-7445
Clifton Park
17 Halfmoon Executive  Park  Dr.
Clifton Park, NY 12065
(518) 371-6777
1182 Troy Schenectady Rd
Suite LL02
Latham, NY 12110
1 Conway Court
Troy, NY 12180
(518) 273-2715
West Sand Lake
43 Mall
West Sand Lake, NY 12196
(518) 674-1744   
178 Clizbe Ave 
Amsterdam, NY 12010
(518) 842-1425
Tamarac Plaza
PO Box 118
3991 State Rte. 2
Cropseyville, NY 12052
(518) 279-4610

Ballston Spa
220 Church Ave.
Ballston Spa, NY 12020
(518) 885-1541

Hand Therapy at Guilderland Accepting New Patients
Located within our Rotterdam/Guilderland office is Hand Therapy at Guilderland. Sheryl Sturn OTR/L, CHT is available for all hand therapy needs.
Call 630-6167
to schedule an appointment.


 November/December 2011     




   There has been a growing new trend in hip replacement surgery that takes a less invasive approach. Anterior hip replacement is not a new surgery; however, in the last 5 years the new approach is more routinely being performed through smaller incisions with more specialized instrumentation, thereby making the surgery less traumatic for the patient.


The anterior approach differs in multiple ways:

∙ The hip is exposed in a way where it does not detach muscles or tendons from the bone. It involves a muscle splitting approach, where the surgeon gets to the hip between two muscles (Sartorius and Gluteus Medius) rather than removing and then reattaching the muscle

∙ A state-of-the-art surgical table is used to help improve access to the hip

Hana Table for Anterior Hip Replacement Surgery

∙ Intraoperative x-ray or computer navigation is typically used to confirm implant position and leg length

∙ The incision isminimized improving recovery and improved mobility

∙ Keeping the muscles intact may offer a lower rate of dislocation

∙ Larger patients may be candidates for minimally invasive hip surgery with this technique



The advantages to the Anterior Hip Replacement:

∙ Accelerated recovery time as the muscle are not detached and therefore minimizes muscle damage

∙ The patient can bend forward, cross legs and bear their full weight immediately following surgery resulting in a more rapid return to normal activities

∙ Reduced pain, blood loss, reduced tissue healing required, and more accurate leg length control

∙ Reduced scarring as the technique allows for one relatively small incision (4-5 inches in the front compared to 10-12 inches on the side and back on hip with conventional surgery)

∙ Hospital stay is reduced to 2-4 days as compared to 3-10 days with conventional method

∙ More stability of the implant sooner since the muscle and tissues are not disturbed during the surgical procedure

∙ Precautions for anterior hip replacements are to avoid hip extension, external rotation beyond neutral, no prone lying or bridging, but this is only for 3-6 weeks as compared to the opposite precautions for lateral and posterior hip replacements which limits hip motion for 6-8 weeks post operatively.

∙ Patients can go up and down stairs normally usually before their hospital release


The disadvantages for this type of surgery is finding a surgeon to perform the anterior approach, as it is still relatively new and specific training is required. There is risk of infection and injury to the surrounding nerves. Hip dislocation is always a risk with both procedures, but much less with this approach.


We Want To Hear From You 
We want our newsletter to be specific to the needs of our clients. We would like your help to do this. Please feel free to email any requests for specific topics to be addressed or questions you might have regarding physical therapy and we will do our best to address them in upcoming newsletters. Email requests to ptrotterdam@aol.com attn. Kevin.

          Tip of the Month
         Anterior Hip Replacement Surgery
Video (Animation) 
Anterior Approach Hip Replacement Surgery - DePuy Videos
Anterior Approach Hip Replacement Surgery - DePuy Videos


The individuals in this video are not affiliated in any way with Physical Therapy Associates of Schenectady PC