March 03, 2011
Surgeon Provides New Approach to Hip Replacements

Each year, more than a quarter million Americans undergo hip replacement surgery. With traditional surgery, the patient is generally told to limit mobility for six to eight weeks.

Orthopaedic surgeon Royce Hood, MD, is among a small number of orthopaedic surgeons nationwide who are now offering, to patients who qualify, a new surgical approach that may speed recovery and decrease postoperative pain for hip replacement procedures.


Called the direct anterior approach or "front" approach, this new technique involves making an incision on the front of the hip rather than the side or back as traditionally done. As a result, Dr. Hood can follow the natural spaces between the hip joint's muscles and tendons, resulting in less damage to these soft tissues.


The advantages of the direct anterior approach total hip replacement include: less muscle and tendon trauma; a reduced hospital stay; an accelerated recovery -- two to eight weeks as opposed to two to four months; a smaller incision -- four to five inches as opposed to 10 to 12 inches; the lack of post surgical precautions; and reduced pain. Additional benefits are low risks of hip dislocation, reduced blood loss, and a more rapid return to activities of daily living such as driving.


To perform this minimally invasive hip surgery, it is necessary to manipulate the patient’s body during the operation.  Using the hana TM Orthopedic Surgery Table, the patient’s feet are placed in devices that look like ski boots. A series of levers, dials, and lifts permits the surgeon to move the patient’s leg in ways that allows for smaller cuts during the operation.


“With the innovative technology of this new orthopedic surgical ta­ble, the direct anterior approach hip replacement is a breakthrough in the field of hip replacement surgery," said Dr. Hood. "This is a worthy addition to the Florida Hospital DeLand Orthopaedic Center of Excellence."


It is believed Florida Hospital DeLand is the first hospital in Volusia County to employ the new hana TM table for hip replacement surgery with the surgical expertise of Dr. Hood.


About the Florida Hospital DeLand Orthopaedic Center of Excellence

The nationally ranked Florida Hospital DeLand Orthopaedic Center of Excellence provides options to help patients manage a variety of musculoskeletal disorders. The Center has implemented a comprehensive, planned course of treatment.   With the belief that patients play a key role in promoting their own successful recovery, the goal is to involve them through each step of the treatment program.



Florida Hospital DeLand, located at 701 West Plymouth Avenue in DeLand, was established in 1962 and is a 156-bed acute-care hospital. Florida Hospital DeLand is a part of the Adventist Health System; the largest Protestant not-for-profit hospital system in the nation and works to provide exceptional, patient-focused care to the DeLand community. For more information about Florida Hospital DeLand, visit


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