Hip arthritis or hip osteoarthritis is a common disease that usually results in increasing pain and stiffness over time. Total hip replacement surgery is an effective method of treating hip osteoarthritis when non-surgical methods have failed. Direct Anterior Approach (DAA) is a minimally invasive way of performing this surgery that reduces pain and allows earlier recovery.

What are the advantages of the direct anterior hip replacement?

The direct anterior approach (DAA) is a minimally invasive way of performing hip replacements for arthritis. The advantage of this approach is that muscles do not need to be split or cut to access the hip joint which makes recovery easier and may also improve stability of the hip. Patients having hip replacements using the DAA also tend to prefer the smaller more cosmetic scar.

Can I get a direct anterior approach hip replacement done in the UK?

Direct anterior approach (DAA) hip replacement is performed more commonly in the United States, France and Belgium amongst others, but only a relatively small proportion of orthopaedic surgeons in the UK are trained to do DAA hip replacements. At Grosvenor Orthopaedic Partners, we can offer DAA hip replacements for our patients.

Are there any risks associated with the direct anterior approach hip replacement?

Whether a hip replacement is done through the direct anterior approach (DAA) or more traditional posterior or lateral approaches, the outcomes of surgery are generally good or excellent. Regardless of approach, the risk of a complications is low, and these include infection, dislocation, nerve injury and loosening over time. The DAA hip replacement potentially reduces the risk of instability that can lead to dislocation and is the preferred approach in a significant proportion of our patients.

What are the long-term outcomes of direct anterior hip replacements?

Direct anterior approach (DAA) hip replacements have been done for over 40 years and their popularity has increased significantly in recent years. However, the most important thing for any hip replacement surgery is that appropriate hip implants with pedigree are used and the implants are placed in the correct position. Whether DAA hip replacements will prove to have any longer-term benefits is as yet unknown.

Case Study (1)

Mr WB is a 78-year-old retired military officer who presented to clinic with severe right hip pain. Clinical examination and X-rays helped diagnose severe osteoarthritis of the right hip. He successfully underwent a Direct Anterior Approach Hip Replacement under the care of Mr Oragui at Chelsea and Westminster Hospital. He was mobilising safely and independently not he ward 4 hours after surgery and was ready for discharge 6 hours after surgery

Case Study (2)

Mrs DS is a 55-year-old lady who presented to clinic with a 2-year history of increasingly severe right hip pain and a diagnosis of osteoarthritis confirmed after X-ray. Following a consultation and appropriate counselling, she underwent a total right hip replacement using the direct anterior approach under the care of Mr Emeka Oragui. 6 hours after surgery she was back on the ward, mobilising independently with a single crutch. She was discharged home the following day.  Mrs DS was seen in clinic 4 weeks after surgery when she reported very little in the way of pain and was able to walk long distances without walking aides 

If you or someone you know has suffered an injury or is experiencing pain in their hip or difficulty with mobility and would like a consultant-led review, please contact us. Grosvenor Orthopaedics have extensive experience in the treatment of arthritis with excellent patient outcomes.


Grosvenor Orthopaedics have extensive experience in the treatment of hip -related injuries with excellent patient outcomes.


If you would like to learn about other hip conditions click the button below to find out more


If you would like to learn about other hip treatments click the button below to find out more

our hip SURGEONS

Hip care at Grosvenor Orthopaedics is led by Mr Simon Newman, Mr Chethan Jayaden, Mr Emeka Oragui and Mr Mark Webb. They are further supported by the orthopaedic team including other consultant surgeons, nurses and care staff. We perform over 300 hip replacements each year but offer a broad range of hip treatments to patients both young and old.

Our team are well placed to manage and treat a diverse range of hip problems utilising cutting edge diagnostic technology and treatment approaches, both surgical and conservative. Below is an overview of some of the conditions we treat but for a more thorough understanding please contact our team here


Consultant Orthopaedic Hip Surgeon

BSc(Hons) BM PhD FRCS(Tr&Orth)
Simon is a Consultant Hip Surgeon practising at the world-renowned Nuffield Orthopaedic Centre in Oxford, King Edward VIIs Hospital and The London Clinic. He has a particular interest in the hip joint and has developed a large practise treating hip problems in adults of all ages. His philosophy is to achieve the best possible outcomes for patients which involves engaging patients in the decision-making process about their treatment and utilising non-operative techniques, where possible. Should any surgery be required, Simon performs any procedure with care, planning and precision.


Consultant Orthopaedic Hip Surgeon

MA (Cantab), MBBS, MBA, FRCS (Tr & Orth)
meka is a Consultant Orthopaedic Hip Surgeon practising at Chelsea and Westminster Hospital NHS Foundation Trust. His practice includes all aspects of hip surgery including hip replacements, hip redo or revision surgery, hip arthroscopy and sports injuries around the hip including sports man’s hernia (Gilmore’s Groin) and adductor longus tears and tendinitis. He uses the muscle sparing direct anterior approach for hip replacements which allows some patients a faster recovery.


Consultant Orthopaedic Hip Surgeon

MBBS MSc FRCS (Tr & Orth)
Mark is a Consultant Orthopaedic Surgeon with a passion for sports related injuries. He strives to not only provide excellent surgical treatments but also rounded, bespoke care that allows his patients to get back to the activities they love. This is evident in his specialist training which includes a Master’s degree in Sports Medicine from University College London to help him when treating all levels of athletes. Alongside surgical treatments, Mr. Webb offers non-operative (conservative) options including using orthobiologics, such as PRP and stem cells, to treat the symptoms of early arthritis, as well as tendon injuries. Treatment plans are tailored to the patient’s requirements and expectations using the best evidence available

What some of our patients say

Mrs JS

Thank you to the whole team for getting me back on my feet again