Anterior hip replacement surgery

Anterior minimally invasive muscle sparing (AMIS) surgery

A minimally invasive surgical procedure to replace the hip joint using the anterior approach without cutting the muscle

About anterior hip surgery

Anterior minimally invasive muscle sparing surgery is the only hip replacement technique that follows both the intermuscular and internervous path to spare muscle and tissue damage. With this method, the surgeon makes a small cut at the front of the hip, allowing access to the hip joint without cutting or injuring any of the muscles around the hip.

This innovative approach to hip replacement surgery is in contrast to other more traditional hip surgery techniques, where various muscles need to be divided in order for the operation to proceed. 

Benefits of anterior hip replacement surgery:

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    A rapid recovery

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    No muscle damage

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    Less intra-operative blood loss

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    Less post-operative pain

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    Faster return to normal activities

How anterior hip replacement surgery helped Keith get back on the court

Given that yesterday I had the operation, I feel that its incredible that now I'm on my way back, but I imagine now that I will get back, to be playing tennis in three or four months.
Sir Keith Ajegbo

Member of the All England Tennis Club

Sir Keith Ajegbo was an avid tennis player, however severe pain stopped him from doing the sport he loved. At The Lister Hospital, he underwent an anterior hip replacement, a procedure which has helped get patients back on their feet, faster. Learn more about this procedure and watch Keith’s story. 

Need to know

  • What happens during anterior hip surgery? icon plus

    This surgical procedure is usually carried out under general anaesthetic. For this procedure, our surgeons make a small cut at the front of the hip, which allows access to the hip joint without cutting or injuring any of the muscles around the hip.

    With this minimally invasive, the muscle is not split in the same way as traditional surgery, helping to preserve some of the existing stability of the muscle. A specially designed table is used to position the leg during surgery, this allows excellent access without the need for muscle damage and results in less trauma to the soft tissues than alternative techniques.

  • How to prepare for surgery icon plus

    Your consultant will explain the procedure beforehand and talk you through what it involves. Like all procedures, there may be some risk and side effects involved, which your consultant will discuss with you.
  • Afterward anterior hip surgery icon plus

    This technique allows for rapid post-operative recovery and rehabilitation. Patients are typically out of bed and walking within 2-4 hours of the surgery and the majority will be leave hospital within 24-48 hours. 

     The anterior approach enables patients to get back to normal daily life as soon as possible.


Our hip consultants

Mr Panos Gikas, Orthopaedic surgeon

Mr Panos Gikas

Consultant Orthopaedic Surgeon

Prof Richard Field, Orthopaedics

Professor Richard Field

Consultant Orthopaedic Surgeon

Personalised care

At The Lister Hospital, our orthopaedic unit is home to specialist consultants from many of London's top teaching hospitals. The Arthroplasty Unit at The Lister hospital specialises in minimally invasive surgical options for faster recovery. We also operate regular ‘joint schools’, where you can receive care and support from a multidisciplinary team including occupational therapists, physiotherapists, pharmacists and an orthopaedic nurse specialist before you undergo surgery.

Our specialists will ensure that you know what to expect from your procedure and will aid and assist with your recovery. Our inpatient and outpatient physiotherapists are also available to assist in your recovery post discharge by helping to restore, maintain and strengthen your movement and function.

In Partnership with Medacta

The Lister Hospital in Chelsea is the UK Centre of Excellence for the AMIS approach. In partnership with the clinical service provider Medactaour specialist hip surgeons perform over 100 of AMIS hip replacements every year – more than any other private UK hospital. 


Medacta has become the global leader in assisting orthopaedic hip surgeons with their transition to the anterior approach and the Lister hospital is the UK reference centre for training hip surgeons from across Europe in AMIS hip replacement.

Our facilities

Contact us

Our advisors can help with your enquiries. Or, you can book an appointment with a specialist or consultant

Call 020 7079 4344
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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