Direct Anterior Approach Hip Replacement: What Patients Should Know

The Direct Anterior Approach

Hip replacement surgery has come a long way and one technique gaining global attention is the direct anterior approach (DAA) hip replacement. By accessing the hip joint from the front and sparing key muscle groups, DAA offers many patients a faster, smoother recovery.

In this post, we explore what makes DAA different, who it’s best for, and how it fits into personalised care at RNOH Private Care.

What Is the Direct Anterior Approach Hip Replacement?

The direct anterior approach uses an intermuscular and internervous plane to reach the hip joint. Instead of cutting through muscle, it gently separates fibres, which can reduce pain and support early mobility.

Key benefits:

• Incision length: ~8–12 cm
• Muscle preservation = less disruption
• Faster recovery in the first few weeks

Have you been told that you require a revision procedure? Learn more about revision hip replacement surgery.

Who Is a Good Candidate?

DAA isn’t right for everyone, but for many, it’s a great fit.

Ideal candidates often have:

• Healthy body weight and bone quality
• Standard hip anatomy
• Motivation to return quickly to work, hobbies, or sport

Meet Mr Albert Ngu, Private Consultant Orthopaedic Surgeon at RNOH Private Care, who specialises in the direct anterior approach.

Recovery Timeline After DAA

Most patients follow a structured recovery plan tailored to their needs. Here’s a general guide:

✅ Same-day discharge possible for some patients ✅ Walking aids often discontinued ~9 days earlier than with other approaches

Explore rehabilitation services at RNOH Private Care to support your recovery.

Myths vs Facts About DAA

Key Stats (2023–2024 Data)

• Dislocation rate: ~0.3% (vs ~0.5% for posterior approach)
• Hospital stay: 1–2 days; 60% eligible for same-day discharge
• Implant survival: 96–97% at 10 years (Australian & Swedish registries)

Interested in other procedures? Explore our range of knee procedures at RNOH Private Care.

A Patient Success Story (anonymised)

A 62-year-old retired teacher and keen golfer came to Mr Ngu with severe hip arthritis. After undergoing DAA hip replacement, she walked 50 metres the same evening, went home the next morning, and resumed light golf practice by eight weeks. Today, she’s pain-free and fully active.

Browse all RNOH Private Care Consultants to find the right specialist for your needs.

Why Choose RNOH Private Care?

• Consultant-led personalised planning
• Advanced imaging and tailored implants
• Co-ordinated anaesthesia, pain control, and physiotherapy
• Multidisciplinary support within an NHS teaching hospital

📞 Make an enquiry or book a consultation 💳 View self-pay options for private treatment

FAQs

Is DAA hip replacement less invasive? Yes, it spares muscle, reducing early recovery time and discomfort.

How long is recovery after DAA? Most return to everyday activity within 3–6 months; some walk unaided by week 3–6.

What are the risks of DAA? While dislocation risk is low, proper implant positioning and surgical expertise are key.