Minimally Invasive. Precisely Performed. Expertly Delivered.


Direct Anterior Total Hip Replacement with Dr. Armin Arshi
If hip pain is limiting your ability to walk, sleep, or enjoy life, a Total Hip Replacement (THR) can provide long-lasting relief. At Dr. Arshi’s practice, we specialize in the Direct Anterior Approach to hip replacement—a minimally invasive technique that allows for faster recovery, less pain, and greater precision.
Using advanced computer navigation technology, Dr. Arshi ensures each procedure is tailored to the individual, providing optimal implant positioning and long-term joint function.
Dr. Arshi is not a selective anterior approach surgeon and offers the minimally invasive technique to 99%+ of patients.
Why Choose Dr. Arshi?
- Fellowship-trained orthopedic surgeon
- Recognized expert in the Direct Anterior Approach
- Has trained numerous surgeons nationwide in this technique
- Utilizes real-time navigation for precise implant placement
- Focuses on minimally invasive, muscle-sparing surgery
- Offers outpatient hip replacement for most patients
The Direct Anterior Approach Advantage
Unlike traditional techniques that cut through major muscles, the Direct Anterior Approach allows Dr. Arshi to access the hip joint between natural muscle planes. This results in:
- Less muscle damage
- Reduced postoperative pain
- Smaller incision and minimal scarring
- Faster return to walking and everyday activities

Bilateral Total Hip Replacements (Anterior Approach) in an Elite Athlete
When is Total Hip Replacement Recommended?
You may be a candidate if you’re experiencing:
- Persistent hip pain that interferes with walking or daily function
- Stiffness or limited range of motion
- Arthritis of the hip (osteoarthritis, rheumatoid arthritis, avascular necrosis)
- Pain that hasn’t improved with conservative treatment
What to Expect
Before Surgery:
You’ll undergo a comprehensive evaluation, including imaging, to create a custom surgical plan. We use intraoperative navigation to ensure precise implant positioning based on your unique anatomy.
During Surgery:
Dr. Arshi performs the hip replacement using a minimally invasive anterior approach, with computer-guided navigation for enhanced accuracy and safety.
After Surgery:
Most patients walk the same day and return home within hours of surgery. Some patients may require a short overnight hospital stay, depending on individual needs.
Recovery Timeline
Patients typically resume light activities within 2 to 4 weeks, with ongoing improvements in strength, mobility, and pain relief over the next few months. Most are walking unaided much sooner than with traditional hip replacement methods.

Hybrid Cemented Total Hip Replacement (Anterior Approach) in an Osteoporotic Patient
Benefits of Navigation-Guided, Anterior Hip Replacement
- Faster recovery and less downtime
- Smaller incision and reduced pain
- Lower risk of dislocation
- Improved leg length accuracy
- Greater joint stability and implant longevity
Anterior Approach Total Hip Replacement: Frequently Asked Questions
The direct anterior approach accesses the hip joint from the front of the body, allowing Dr. Arshi to work between natural muscle planes rather than cutting through muscle. This typically results in less pain, a smaller incision, faster recovery, and reduced risk of dislocation compared to traditional approaches.
Dr. Arshi uses intraoperative navigation to ensure precise implant placement, improve leg length accuracy, and optimize joint alignment. This technology enhances safety, reduces complications, and improves long-term outcomes.
In most cases, yes. The majority of Dr. Arshi’s patients go home just a few hours after surgery. Some patients with medical conditions or mobility challenges may benefit from a short overnight hospital stay, but outpatient recovery is the standard when appropriate.
Most patients begin walking—often with a walker—on the same day as surgery. Because the anterior approach preserves muscle, early mobility and weight-bearing are encouraged to support a faster recovery.
Many patients return to light daily activities within 2 to 4 weeks, with ongoing improvement in strength, mobility, and comfort over the next few months. Recovery time can vary depending on your health, activity level, and commitment to physical therapy.
Most patients experience a significant reduction in pain and an improvement in function. While no artificial joint feels exactly like the one you were born with, the precise fit and natural movement provided by the anterior approach and navigation technology help the hip feel more “normal” than with traditional methods.
Modern hip implants can last 15–20 years or longer, especially when placed accurately and cared for properly. Dr. Arshi’s use of navigation and minimally invasive techniques helps optimize implant longevity and joint performance.
As with any surgery, risks may include infection, blood clots, implant wear, or nerve irritation. However, the anterior approach typically has a lower risk of dislocation and a faster recovery timeline. Dr. Arshi’s expertise in this approach and his use of real-time navigation further reduce surgical risks.
Ready to take the next step?
Contact us today to schedule a consultation with Dr. Arshi and learn if minimally invasive, navigation-assisted hip replacement is right for you.
