— Hip · muscle-sparing approach
Replace the
hip without
cutting muscle.
Advanced hip and knee replacement using robotic-assisted precision and muscle-sparing techniques — built for faster recovery, less downtime, and a return to the life you were living.
Same day
Walking
Most patients are up and walking within hours of surgery.
None
Hip precautions
No restrictions on crossing legs, bending, or twisting after surgery.
Mako
Robotic precision
Personalized 3D plan from your CT, executed within a fraction of a millimeter.
Outpatient
Most cases
Home the same day for appropriate candidates; one night for others.
See the approach.
A short animation of the direct anterior approach to hip replacement — how the joint is reached, the implant placed, and why this preserves the muscles that power your hip.
— Animation
Direct Anterior Approach
Video courtesy of Stryker
What anterior
means, exactly.
“Anterior” refers to the side of the body the surgeon approaches the joint from. In a direct anterior hip replacement, the incision is made on the front of the hip and the joint is reached through a natural plane between muscles — never cutting through them.
Hip replacement has been performed for decades through a posterior approach — entering the joint from the back, which requires cutting the gluteal muscles and detaching them from the bone. Those muscles then have to heal back, which is why traditional hip replacement comes with weeks of restrictions and a long recovery.
The anterior approach reaches the hip between the tensor fasciae latae and the sartorius muscles. Nothing is cut, nothing is detached. The capsule is opened, the joint is replaced, and the muscles are right there to support the new hip the moment surgery ends.
Not every patient is a candidate — body habitus, prior surgery, and certain anatomy can shift the right choice. We evaluate this at your consultation and choose the approach that fits you.
— Why this approach matters
01
Same-day walking
Because no muscle was cut, patients can bear weight immediately.
02
No hip precautions
No restrictions on crossing legs, bending, or sleeping positions.
03
Lower dislocation risk
The posterior capsule and external rotators stay intact.
04
Faster return to life
Driving, work, and most activities resume in weeks, not months.
Paired with
Mako precision.
The anterior approach changes how the joint is reached. Mako changes how the implant is placed — a personalized 3D plan from your CT scan, executed by a surgeon-controlled robotic arm within a fraction of a millimeter.
— Animation
Mako Total Hip Replacement
Video courtesy of Stryker
— Overview
Mako for Total Hip
Video courtesy of Stryker
Recovery,
week by week.
Every patient is different, but here’s the typical arc. Real numbers from real cases — not idealized marketing.
DAY 0
Surgery & walking
Procedure takes about 90 minutes. Most patients stand and take a few steps within hours of waking up in recovery.
DAY 1
Home or one night
Many patients go home the same day. Others stay one night. Walking with assistive device, climbing stairs supervised.
WEEK 1–2
Walking independently
Most patients transition off walker to a cane, then nothing. Driving may resume in this window for a left hip in an automatic.
WEEK 2–4
Back to daily life
Desk-based work resumes for most patients. Off walker, to cane, to nothing. Driving for a right hip typically returns in this window, depending on individual recovery and being off narcotic pain medication. No hip precautions to follow.
WEEK 4–8
Light activity returns
Physical and manual work resumes around 4–6 weeks. Walking long distances, swimming, stationary cycling, easy hiking.
MONTH 3
The major milestone
Most patients report ~90% pain relief and recover roughly 70–80% of their eventual function by 3 months. Cleared for low-impact sport — golf, cycling, doubles tennis — based on individual progress.
6–12 MONTHS
Full recovery & sport
Continued strength gains. Published data shows roughly 76% of direct-anterior patients return to sport, and 77% return to the same sport they did before. Most consider themselves fully recovered in this window.
— LONG TERM
A hip you forget you have
The goal is a hip that disappears into the background of your life. Modern implants are designed to last 20+ years for the vast majority of patients.
Hear from a patient.
A Mako total hip replacement patient on what the recovery actually felt like — in their own words.
— Animation
Mako for Joint Replacement
Video courtesy of Stryker
Frequently asked
questions.
The questions patients ask most often before scheduling. If yours isn’t here, write it down — every consultation ends with time set aside for it.
Am I a candidate for the anterior approach?
Most patients with hip arthritis are candidates. Body habitus, certain anatomical variations, prior hip surgery, and a few other factors can shift the right approach. We make this determination at your evaluation — not before.
Will I be in the hospital overnight?
Most patients with hip arthritis are candidates. Body habitus, certain anatomical variations, prior hip surgery, and a few other factors can shift the right approach. We make this determination at your evaluation — not before.
When can I drive again?
Most patients with hip arthritis are candidates. Body habitus, certain anatomical variations, prior hip surgery, and a few other factors can shift the right approach. We make this determination at your evaluation — not before.
How is this different from a "minimally invasive" posterior hip?
Most patients with hip arthritis are candidates. Body habitus, certain anatomical variations, prior hip surgery, and a few other factors can shift the right approach. We make this determination at your evaluation — not before.
How long will the implant last?
Most patients with hip arthritis are candidates. Body habitus, certain anatomical variations, prior hip surgery, and a few other factors can shift the right approach. We make this determination at your evaluation — not before.
What's the dislocation risk?
Most patients with hip arthritis are candidates. Body habitus, certain anatomical variations, prior hip surgery, and a few other factors can shift the right approach. We make this determination at your evaluation — not before.
— What patients say
From hip patients
like you.
— Fellowship-trained · UCLA · Allegheny General
Dr. Omar Kadri.
Fellowship-trained orthopedic surgeon specializing in muscle-sparing hip replacement, robotic-assisted joint reconstruction, and regenerative orthopedics. Trained at UCLA School of Medicine, Henry Ford Health System, and Allegheny General Hospital. Practicing in Riverside and Corona.
Ready to talk
through your hip?
Start with an evaluation visit — a focused exam, a review of your imaging, and an honest conversation about whether anterior hip replacement is the right next step for you.