Hip Replacement

Anterior Hip Replacement

When possible the anterior approach is my preferred option for a total hip replacement. The surgery is done from in front of the hip rather than in the side or back, like in traditional hip replacements. This surgery may also be called mini, modified, minimally invasive, or muscle-sparing surgeries.

Having your surgery done this way may have other advantages. These are:

  • Less than half of the incision size of traditional hip replacement
  • Decreased chance of hip dislocations
  • Earlier and easier recovery
  • Less muscle trauma
  • Shorter hospital stay
  • Less limping
How do you decide if I need a hip replacement?

Usually  pain that is in your groin or the front part of the hip means you are a candidate for hip surgery. We look at your x-ray to see if the image on the x-ray correlates with the pain you are having. You can try using soft soled shoes or anti-inflammatory drugs to relieve the pain. Cortisone injections for the hip are difficult because of the location of the hip joint. If these do not work and the pain is intolerable, total hip surgery is your only option for pain relief.

How do I know if I am a candidate for the anterior approach?

Each patient is evaluated on an individually basis to determine which approach is best for them. Typically about 80% of my patients qualify for the anterior approach.

Can I have a hip and knee replacement done at the same time?

Yes we can perform a knee and hip replacement at the same time. Please talk to us about this possibility at your appointment.

What can I expect with surgery?

The surgery usually takes about an hour. You’ll recover in our surgery suite until you are awake from the anesthesia and your vital signs are good. Our Care Team members will then move you to our Joint Replacement Center where you will stay until you are discharged.

How long will I stay in the hospital?

You will typically spend one to two days in the Joint Replacement Center and receive physical therapy to prepare you to return home. Normally on the first day you will be able to have full weight bearing exercise with a walker followed a few days or a week later with a cane. In some cases patients elect to go to a rehabilitation facility after surgery if they do not have help at home to assist in their recovery.

What happens when I go home?

Follow-up physical therapy usually is needed after you leave the hospital. Initially this will be done in your home or a rehabilitation facility if you choose go to there then possibly followed by outpatient physical therapy. You’ll come to our office in two weeks to have the staples removed and then at 6 weeks to make sure the implant is still correctly in place. Full recovery typically takes 3-6 months.


  • Dr. Rolston is the best. He has great bedside manner and is awesome at his surgery techniques

  • Our 82 year old father lives in New Jersey near New York City and Philadelphia. We are well aware of Dr. Rolston's expertise as he performed our father's left hip replacement approximately 15 years ago. Without hesitation we as a family made the decision to go to the most outstanding surgeon in Dr. Rolston for his total hip and knee replacement. We were not disappointed and he surpassed all of our expectations. What was also impressive was the outstanding care and concern our father received from everyone who cared for him at Henry Community Health. Our experience from start to finish was truly exceptional.

  • Words can't express how wonderful this doctor is. Truly an amazing man.