Direct Anterior Hip Replacement or “Jiffy” Hip

Hana Table used for Direct Anterior Hip Replacement

Orthopaedic and Spine Center (OSC) offers Hip Replacement using the Direct Anterior Approach, also known as the “Jiffy Hip.”  This surgical approach allows the surgeon to access the hip joint through a smaller incision in the front of the body, resulting in less trauma to the soft tissues surrounding the hip joint.  Less trauma typically means a less painful, more active recovery after surgery, with no post-surgical restrictions.  Depending on the patient’s overall condition and insurance coverage, many will go home on the same day to recover from surgery.

Direct Anterior Hip Replacement surgery has been in use since the 1960′s, but advancements in implant and operating room technology have made this joint replacement approach commonplace. Hip Replacement, also known as Hip Arthroplasty, is used to treat advanced arthritis of the hip, accompanied by hip pain, stiffness and limited motion of the hip joint.  Almost all hip replacements done by OSC orthopaedic surgeons are performed using the Jiffy Hip or Direct Anterior Approach.

The Jiffy Hip or Direct Anterior Hip Replacement requires that the patient be placed on a special table in the operating room, which allows the surgeon to move the patient’s legs and to flex their hips, for better access to the joint during surgery. Computers are often used to assist the surgeon when placing the hip implant precisely. Computers can also assist the surgeon in adjusting the leg length of the patient, so that they have a balanced gait after hip implantation.

Some patients are not good candidates for this type for the Jiffy Hip Replacement.  They are those who:

  1.   Are severely obese
  2.   Are extremely muscular, with tight muscles
  3.   Need complex hip joint revision surgery,
  4.   Have had previous hip surgeries or
  5.   Have had a traumatic injury to their hip

While each of the Anterior (Front), Posterior (Back) and Lateral (Side) Hip Replacement approaches offer virtually the same outcome at 6 weeks after surgery, there are many benefits to using Anterior Hip Replacement with regard to recovery. Those benefits include:

  • The Direct Anterior Hip Replacement or Jiffy Hip Approach allows the surgeon to operate through a smaller surgical incision, which means less blood loss, scarring and tissue damage
  • Muscles surrounding the hip joint are separated at intervals which naturally occur within the tissue. Muscles are NOT cut, nor are they detached from the femur or pelvis during the surgery. As a result, patients do not have to heal from surgical trauma to the muscles
  • Many patients report less pain during recovery from Direct Anterior Hip Replacement when compared to other hip replacement approaches.  1) the patient doesn’t have to sit on a large, sutured incision during the recovery period (the incision is on the front of the body)  2) less soft tissue damage results in less pain during recovery
  • Most patients go home the same day of surgery to recover.  They can eat their own food and sleep in their own bed.  They are also not exposed to many of the infectious agents that may be lurking in the inpatient hospital setting, such as MRSA or C-Diff.
  • Patients tend to walk without limping during recovery
  • Very minimal risk of post-surgical hip implant dislocation
  • Patients aren’t restricted in their activities after surgery and can get back to normal activities as soon as tolerated
  • Most patients do not require Physical Therapy after surgery to regain mobility and range of motion

As with all surgeries, there is a risk for post-surgical complications, which are:

    1.  Infection – typically less than 1-2% of cases
    2.  Blood Clots or Deep Venous Thrombosis (DVT) – patients are prescribed post-surgical, anti-clotting drugs to minimize the risks
    3.  Nerve Damage (exists with all types of hip replacement approaches)
    4.  Bone Fracture during surgery

If you are interested in a Jiffy Hip or Direct Anterior Hip Replacement surgery consultation, contact the OSC Appointment Desk at 757-596-1900.  Boyd W. Haynes III, MD, Robert J. Snyder, MD and John D. Burrow, DO are the OSC Orthopaedic Specialists who perform the Jiffy Hip or Direct Anterior Hip Replacement Approach.