Who Performs Anterior Hip Replacement in Clifton?
Dr. Michael K. Shindle, our expert orthopedic surgeon, performs anterior hip replacement surgery for patients in Clifton. He specializes in treating severe hip arthritis, joint degeneration, chronic hip pain, and mobility issues. His expertise in minimally invasive techniques, joint preservation, and complex hip conditions supports his precise, tissue-sparing approach to diagnosis and treatment.
After surgery, Dr. Michael K. Shindle also provides patient-focused, comprehensive care to reduce hip pain, restore natural movement, and improve walking ability through a structured recovery plan. His post-operative guidance helps patients recover safely, regain confidence in daily activities, and maintain better hip function over time. Call us at 855-321-6784 to get personalized attention and treatment options for your hip conditions.
Who Is the Best Anterior Hip Replacement Specialist in Clifton?
Dr. Michael K. Shindle is a trusted choice for advanced hip replacement surgery in Clifton for patients with severe hip arthritis, stiffness, groin pain, or reduced mobility. He treats a wide range of hip conditions, including rheumatoid arthritis, avascular necrosis, post-traumatic hip damage, degenerative joint disease, chronic hip stiffness, and severe hip pain that affects daily activities.
While treating these chronic conditions, he uses advanced procedures and instruments that reduce complications or infections and shorten recovery times. In addition, his evidence-based surgical approach results in less disruption and soft-tissue trauma. Since hip conditions may vary, Dr. Michael K. Shindle carefully evaluates each case before recommending surgery. His focus is not only on performing a successful orthopedic surgery but also on selecting the right treatment at the right time for each patient.
After evaluating, he may recommend pain medication, lifestyle changes, injections, or walking support before considering surgery. However, if hip damage gets severe and non-surgical treatments no longer provide lasting relief, he performs partial or total hip replacement. Besides this, he also communicates about possible surgical risks, recovery expectations, and recovery needs. This level of communication helps patients make informed decisions about their health at every stage. If you have persistent hip pain, stiffness, or limping, consult our board-certified orthopedic surgeon and determine whether anterior hip replacement is the right option for you.
What Certifications Should a Hip Replacement Surgeon Have?
A hip replacement surgeon should be board-certified in orthopedic surgery and fellowship-trained in adult reconstruction or total joint arthroplasty. These certifications ensure that the surgeon has undergone extensive training, passed comprehensive examinations, and maintains high standards for patient care, safety, and modern hip-surgery techniques.
Beyond these medical licensing requirements, you should choose a surgeon who regularly performs arthroscopic surgery, handles complex or revision cases, and works at a well-known hospital. In addition, experienced surgeons should be members of the following societies that focus on advanced education and research:
- American Academy of Orthopedic Surgeons (AAOS)
- American Association of Hip and Knee Surgeons (AAHKS)
If you are seeking a highly qualified orthopedic surgeon, visit Total Orthopedics and Sports Medicine in Clifton to consult Dr. Michael K. Shindle. He is our board-certified orthopedic surgeon with expertise in sports medicine and arthroscopic surgery for the treatment of complex joint and musculoskeletal conditions. His board certification through the American Board of Orthopedic Surgery confirms that he has met the standards for surgical skill and orthopedic care.
Additionally, he completed his medical education at Johns Hopkins University School of Medicine, followed by orthopedic residency training at the Hospital for Special Surgery. He also completed fellowship training, which further strengthened his surgical background. Dr. Michael K. Shindle’s experience with sports-related injuries, hip joint pain, and traditional hip replacement care allows him to perform surgery with precision.
Who Is an Ideal Candidate for Anterior Hip Replacement?
An ideal candidate for anterior hip replacement is an active individual suffering from severe hip pain due to arthritis that has not improved with conservative treatments like targeted exercises or medication. This surgery may also be a good option for patients who want a less invasive surgical option and a shorter recovery time.
It is because in this surgery, our surgeon approaches the hip from the front and separates the muscles rather than cutting through the musculoskeletal system. This may help patients continue their normal activities quickly and feel less discomfort during early recovery. However, before performing the surgery, he may consider the following factors:
Body Weight
A higher body weight can increase mechanical stress on the hip joint after surgery, potentially slowing recovery and making it difficult for the repaired tissues to heal comfortably. It can also make hip socket positioning, visualization, and instrument movement more challenging during surgery.
Moreover, patients with a higher BMI may have a greater risk of complications such as wound healing problems, infection, breathing issues, blood clots, and hospital readmission after orthopedic procedures. A PubMed study also reported that obesity is associated with increased risk of periprosthetic joint infection after primary total hip arthroplasty.
Previous Hip Surgery
Scar tissue from a previous hip surgery may be present around the joint, altering normal anatomy. This can make it difficult for our surgeon to access the joint, identify tissue planes, and safely move instruments. Besides this, patients who have already undergone surgery may have stiffness, reduced cartilage quality, persistent inflammation, or weaker surrounding muscles. These issues can slow recovery and may reduce the chance of complete pain relief.
Hip Deformity
A hip deformity, such as an abnormal femoral head shape, a shallow hip socket, abnormal socket coverage, or hip impingement, can directly affect the surgical plan. These structural changes may alter the normal position of the hip joint, making it more difficult for surgeons to correctly position the artificial socket and femoral implant.
In some cases, severe deformity can make hip replacement more challenging, as the surgeon may need to correct bone alignment, restore leg length, improve joint stability, and ensure the implant fits securely. If the hip has been dislocated for a long time, has major bone loss, or has unusual anatomy, the surgery may require special implants, bone grafting, or additional reconstruction.
Besides this, patients with significant hip deformity may require a longer recovery period. This is because the surrounding muscles, ligaments, and soft tissues may have adapted to the abnormal hip position over time. Therefore, after surgery, the body may need more time to adjust to the corrected joint alignment.
Osteoporosis
Weaker bone health is an important factor that surgeons consider before hip replacement. It is because the artificial implants need strong bone support to remain stable. If a patient has osteoporosis, the bone may be thinner, weaker, and more likely to fracture during surgery. In fact, an NCBI study found that patients with a previous fragility fracture, often linked to osteoporosis, had an increased risk of revision hip surgery after total hip arthroplasty.
Osteoporosis can also make it more challenging for the surgeon to place the stem into the thigh bone. In some cases, the surgeon may choose a different implant type, use special fixation methods, or take extra precautions to reduce the risk of fractures.
Heart or Lung Disease
Heart or lung disease can affect anesthesia and overall surgical safety. This is because hip replacement is usually performed under anesthesia, and patients with heart or lung conditions may be at higher risk of blood pressure changes, oxygen issues, or cardiac complications. In addition, the Arthroplasty Journal review on total hip arthroplasty found that COPD patients may develop complications such as pneumonia, reintubation, myocardial infarction, sepsis, and death after surgery.
These conditions can also slow recovery. Moreover, a patient with poor cardiopulmonary fitness may fatigue more easily during exercise, require closer monitoring, and take longer to return to normal activity. In some cases, we may need medical clearance from a cardiologist or a pulmonologist before surgery.
Blood Clot History
Surgery and reduced mobility can increase the risk of deep vein thrombosis or pulmonary embolism. Therefore, for orthopedic surgery patients with risk factors of blood clots, we recommend a specific clot-prevention plan, such as early mobilization, compression devices, or blood-thinning medication. We also encourage walking soon after surgery and closely monitor calf pain or swelling. Our team also adjusts treatment plans in real time if anticoagulant medication is needed.
Severity of Joint Damage
Hip replacement may be recommended when the hip joint has advanced arthritis or major cartilage loss. In these cases, the protective cartilage that cushions the joint has worn away, causing the bones to rub against each other. This can lead to ongoing pain, hip clicking, swelling, and difficulty walking. Besides that, the severity of joint damage helps our surgeon decide whether hip replacement is the best option.
If the damage is mild, we may recommend other treatments such as medication, injections, or activity changes. According to published research of Dr. Michael K. Shindle et al., labral tears, loose bodies, femoroacetabular impingement, chondral injuries, and gluteus medius or meniscus tears can be treated using less invasive methods or smaller incisions. However, when joint damage is advanced, our surgeon may perform hip replacement surgery to reduce significant pain.
What Tests Are Needed Before Hip Replacement?
Before hip replacement, our hip specialist, Dr. Michael K. Shindle, may perform hip X-rays, a urine test, an ECG, and a general pre-operative medical assessment. For some patients, he may also recommend a chest X-ray, stress test, MRSA screening, or diabetes and kidney checks, depending on age, symptoms, and medical history.
Here’s how these tests help our doctors and anesthesia teams confirm that the body is prepared for surgery:
- Blood tests: These tests provide reports on red/white blood cells, platelets, clotting ability, kidney function, liver function, blood sugar, and electrolyte levels.
- Hip X-ray: It shows the condition of the hip joint, including arthritis, bone damage, joint space narrowing, or deformity. They help the surgeon plan the size, position, and approach for surgery.
- Urine test for infection: This test is important because doctors treat infections before hip replacement surgery to reduce the risk of bacteria spreading.
- ECG / EKG: It checks the electrical activity of the heart. It can show abnormal heart rhythms, signs of previous heart strain, or other heart-related concerns.
- Chest X-ray: A chest X-ray may be recommended for some patients, especially those with lung disease, heart disease, older age, smoking history, or symptoms such as shortness of breath.
- Stress test: A cardiac stress test may be performed if the patient has heart symptoms, a history of heart disease, or risk factors suggesting a thorough evaluation.
- MRSA screening: This test checks whether the patient carries methicillin-resistant Staphylococcus aureus, a bacterium that can cause difficult-to-treat infections.
How Is Anterior Hip Replacement Performed?
Doctors perform anterior hip replacement by accessing the hip joint from the front, rather than the side or back, through a single 3- to 5-inch incision. After that, they move muscles aside (rather than cutting them) to reach the hip joint. During this procedure, the femur is separated from the acetabulum (socket) to remove the damaged arthritic femoral head.
After that, doctors prepare the damaged socket using a special tool called a reamer. To ensure accurate implant placement, they also use real-time X-ray (fluoroscopy) during the procedure. In the end, the prosthetic femoral head is placed onto the stem. Once the new components are secure, they close the incision.
How Do Anterior vs Posterior Hip Surgery Approaches Differ?
Anterior and posterior hip surgery differ mainly by incision location and muscle handling. The anterior approach accesses the hip from the front, often separating major muscles and supporting faster early mobility. However, according to an NCBI study, 2% of patients who underwent the anterior approach experienced a major surgical complication.
In contrast, the posterior approach accesses the hip from the back and provides visibility of the hip joint. This can be helpful for patients with complex anatomy, previous surgery, obesity, deformity, or revision needs. But it may disrupt more soft tissue and carry a higher risk of dislocation than anterior surgery. Additionally, the right choice depends on the surgeon’s experience, implant positioning, patient anatomy, bone quality, medical history, and recovery plan.
What Type of Implants Are Used in Hip Arthroplasty?
Our surgeons use a metal femoral stem, a ceramic or metal ball, and an acetabular cup lined with polyethylene, ceramic, or metal implants for hip arthroplasty. We commonly use modern combinations such as ceramic-on-polyethylene, metal-on-polyethylene, and ceramic-on-ceramic.
These implants replace damaged cartilage and bone and typically include a femoral stem, a femoral head, an acetabular cup, and a liner. Additionally, we may use the following implants to maximize hip stability:
- Cemented implants may be recommended for patients with reduced bone strength, as they provide secure fixation when natural bone support is limited.
- Press-fit implants are often chosen when the bone is strong enough to grow securely around the prosthesis.
- Highly Cross-Linked Polyethylene (HXLPE) is an improved plastic liner that resists wear significantly better.
- Oxidized Zirconium (Oxinium) combines a metal alloy with a ceramic-like surface to reduce implant wear.
- Surgeons may use 3D-printed implants to customize the fit for patients with complex anatomical variations.
How Long Does Anterior Hip Surgery Take?
Anterior hip replacement surgery takes 60 to 90 minutes, though the entire time in the operating room, including anesthesia and preparation, usually ranges from 1.5 to 2.5 hours. This muscle-separating approach allows our surgeon to access the joint from the front, often resulting in a quicker recovery. Many patients can return home on the same day of the procedure. However, this duration can vary slightly depending on the case’s complexity, the patient’s anatomy, and the surgeon’s experience.
When Can You Walk After Hip Replacement Surgery?
You can usually start walking with crutches or a brace within 6 to 24 hours after hip joint replacement. Most patients can walk around their hospital room on the day of the procedure or by the following morning. This early movement is important because it helps reduce the risk of blood clots and improves strength in the new joint.
However, during the first 1–2 days, you should limit walks in the hospital hallway. After 1–3 weeks, you can gradually increase indoor walking at home. By 4–6 weeks, you can walk independently and return to normal, light activities.
What Is the Success Rate of Hip Arthroplasty?
According to a pooled data analysis of a Lancet review, 58% of hip replacements lasted 25 years. In contrast, registry data showed stronger results, with about 78% lasting 25 years. Another NCBI study reported that the 15-year survival rate of total hip arthroplasty increased from 85% to 90%, showing a 5% improvement in implant survival.
However, success can depend on factors such as the patient’s age, weight, bone quality, activity level, underlying diagnosis, implant type, surgical approach, and rehabilitation. In fact, a NIH meta-analysis found that patients with a BMI of 30 kg/m² or higher had a higher risk of dislocation. Furthermore, complications such as infection, dislocation, blood clots, implant loosening, or the need for revision surgery can also reduce the success rate of surgery.
How Much Does Anterior Hip Replacement Cost in Clifton?
Anterior hip replacement surgery in the Clifton, NJ area generally costs between $8,200 and $26,100 for the facility fee at outpatient surgical centers. In contrast, larger area hospitals may charge around $30,000–$40,000 for a traditional inpatient procedure. Other than this, several additional factors may affect the overall cost of surgery, such as:
- Facility fee: Ambulatory surgery centers, such as Clifton Surgery Center, are generally less expensive than hospital outpatient departments.
- Insurance coverage: Your final out-of-pocket cost depends on your deductible, copayment, and your insurance plan.
- Surgeon’s fees: Fees may vary based on the orthopedic surgeon’s experience, reputation, and level of specialization.
- Implants: The type and quality of prosthetic materials used may also affect the total price.
Book an Appointment with Dr. Michael Shindle for Anterior Hip Replacement in Clifton!
If you are struggling with ongoing hip pain, stiffness, or limited mobility, daily life activities can become increasingly difficult. Moreover, conditions like hip arthritis, cartilage loss, joint degeneration, inflammation, and bone-on-bone friction can gradually worsen over time, making it difficult to walk normally.
At Total Orthopedics and Sports Medicine, Dr. Michael K. Shindle offers advanced anterior hip replacement surgery for patients seeking a modern, muscle-sparing approach. This approach allows him to reduce tissue disruption while improving hip function. Additionally, our team offers online patient convenience tools that help patients book appointments and access information quickly. Visit us at 925 Clifton Ave, Clifton, NJ 07013, USA, or book your initial consultation at 855-321-6784.
FAQs
Does Anterior Hip Replacement Leave A Smaller Scar?
Yes, an anterior hip replacement typically leaves a smaller, less noticeable scar than a traditional posterior approach. The incision is usually 3 to 5 inches long, located on the front of the hip. Moreover, it often fits within the natural groin crease.
How Painful Is Hip Arthroplasty Surgery?
Hip arthroplasty surgery can cause some discomfort. But your surgical team can reduce pain with anesthesia, pain medications, ice, and early movement. Most patients feel the discomfort during the first 1-4 weeks. However, pain usually improves steadily as swelling reduces, muscles strengthen, and walking becomes easier.
Is Anterior Hip Replacement Safe For Older Adults?
Yes, anterior hip replacement can be safe for older adults . Doctors must still assess their bone quality and medical conditions. They also review heart health, diabetes, medicines, and fall risk before recommending surgery and planning safe recovery support.
Can Both Hips Be Replaced At The Same Time?
Yes, surgeons can replace both hips during one operation in selected patients. This approach may reduce total recovery time and avoid a second hospital stay. However, it can increase surgical stress, blood loss, and rehabilitation demands, so doctors recommend it only after careful health assessment.
Can I Climb Stairs After A Total Hip Replacement?
Yes, you can climb stairs after a total hip replacement, often within the first 24–48 hours post-surgery. But make sure to use a handrail, a cane, or a crutch while climbing, and lead with your non-operated (stronger) leg.
