Minimally Invasive Hip Surgery (Direct Anterior Approach)

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Minimally Invasive Hip Surgery (Direct Anterior Approach)

At Subang Jaya Medical Centre (SJMC), we prioritise minimally invasive techniques that promote faster recovery, reduced pain, and improved patient comfort. One of the most advanced methods for hip replacement is the Direct Anterior Approach (DAA).

Unlike traditional approaches that access the hip joint from the side or back, this innovative technique reaches the joint from the front of the body. The Direct Anterior Approach allows surgeons to work between natural muscle planes instead of cutting through them, resulting in less tissue disruption and a smoother recovery process.

The Direct Anterior Approach is further enhanced by the use of the MAKO Robotic-Arm Assisted Surgery System, which provides surgeons with real-time visual guidance and 3D CT-based planning. This technology supports highly accurate implant positioning and contributes to improved joint stability and long-term outcomes.


Key Benefits of the Direct Anterior Approach

  • Front access to the hip joint – The surgeon approaches the joint from the front, avoiding large incisions on the side or back.
  • Muscle-sparing approach – Muscles are gently moved aside instead of being cut, preserving strength and stability.
  • Better blood flow – The approach helps maintain the hip’s natural blood supply, supporting faster healing and better implant integration.
  • Lower risk of dislocation – Preserving important soft tissues improves joint stability and reduces the likelihood of dislocation after surgery.
  • Enhanced precision – Supported by the MAKO Robotic-Arm Assisted Surgery System, which provides real-time guidance for highly accurate implant placement.
  • Lower infection risk – The combination of minimally invasive access and robotic assistance helps maintain a cleaner, more controlled surgical field, reducing the chance of infection compared to conventional methods.
  • Faster recovery and smaller incisions – Patients often experience less pain, minimal scarring, and an earlier return to normal activities.


How Does This Differ from Other Types of Total Hip Replacement (THR)?

Both Minimally Invasive Hip Surgery (DAA) and Total Hip Replacement (THR) aim to replace the damaged hip joint and relieve pain, but they differ in how the joint is accessed and the technology used:


Compared to Conventional Total Hip Replacement (THR):
  • Traditional THR accesses the hip joint from the side or back, which may require cutting or detaching some muscles to reach the joint.
  • The Direct Anterior Approach (DAA) accesses the joint from the front, allowing the surgeon to move muscles aside instead of cutting through them.
  • As a result, patients undergoing DAA often experience less pain, faster recovery, and a lower risk of dislocation.


Compared to Robotic-Assisted Total Hip Replacement (THR) with MAKO:
  • MAKO Robotic-Assisted THR focuses on the technology that guides the implant placement and alignment.
  • The Direct Anterior Approach focuses on the surgical technique or the pathway used to access the hip joint.
  • In short, MAKO enhances precision and consistency, while the Direct Anterior Approach focuses on preserving muscles and reducing trauma to surrounding tissues.

Both techniques share the same goal to relieve pain, restore mobility, and improve quality of life. Each approach has its own advantages depending on individual anatomy and medical needs. It is best to consult with our orthopaedic specialists to determine which method is most suitable for you.


Take the Next Step: Learn More or Book an Appointment

🔹 Click to explore our Robotics Surgery or learn more about our Orthopaedic Services.
🔹 Ready to begin your minimally invasive hip surgery (direct anterior approach) journey? Call or book your appointment today to see our specialists.
🔹 Unsure of your next step? Speak to our TeleConnect (24-Hour Medical Enquiries) team for guidance and assistance.


Planning Your Treatment in Malaysia? Let Our International Patient Care Team Help You

If you are from abroad and interested in getting your treatment here at SJMC, Malaysia , or would like to know more about how to arrange your journey, our International Patient Care (IPC) team is here to assist you every step of the way.

From travel arrangements and visa guidance to hospital admission and follow-up care, our IPC team ensures a seamless and comfortable experience throughout your medical journey. Translator services are also available upon request to help international patients communicate easily with our doctors and specialists.