MIS Direct Anterior Hip Replacement

Dr DP Sharma is the pioneer of direct anterior approach and MIS technique in private practice in Delhi, India. MIS stands for Minimally invasive surgery, means the cutting of tissues are kept at the minimum

Overview : What is MIS DAA (Direct Anterior Hip Replacement) ?

MIS Direct anterior hip replacement is a surgical technique used to replace a damaged hip joint with a prosthetic implant with Special interments and technique of Dr DP Sharma.

Unlike traditional hip replacement approaches, the direct anterior approach involves making an incision at the front of the hip, which allows the surgeon to reach the hip joint by working between muscles rather than cutting through them. Dr DP SHARMA, who is MIS Direct Anterior Hip Replacement specialist in India, aims to minimize muscle damage, potentially leading to a quicker recovery, reduced pain, and a shorter hospital stay for patients. It also may allow for a more stable hip joint post-surgery and a lower risk of dislocation.

Surgical Technique /approach: MIS DAA Hip Replacement

Dr DP Sharma performs the MIS Direct Anterior HIP Replacement Surgery in Delhi NCR and also performs a special COSMETIC BIKINI THR with an even small incision.

  • 1. Preparation : The patient is positioned on their back on a specialized surgical table.

  • 2. Incision : A small incision is made at the front of the hip.

  • 3. Accessing the Joint : The surgeon carefully moves muscles and tissues aside to access the hip joint without cutting through major muscles.

  • 4. Removing the Damaged Joint : The damaged femoral head and acetabulum (hip socket) are removed.

  • 5. Implanting the Prosthesis : A prosthetic hip joint is inserted, consisting of a femoral component (stem and head) and an acetabular component (cup).

  • 6. Closure : Being the Best doctor for MIS Direct Anterior Hip Replacement in delhi, Dr. DP Sharma usually does a cosmetic Stitchless Closure, that does not require removal of stitches and is hidden in the groin crease or undergarments.This is followed by a sterile dressing over wound.

Benefits /Advantages of MIS DAA THR

Dr DP Sharma performs the BEST MIS Direct Anterior Hip Replacement in Delhi. He is one of the pioneers of this technique in India and is often involved in teaching young Orthopaedic doctors.  IMPROVED Implant position as there is fluoroscopy control. IMPROVED life of IMPLANTS as they are in a Better Position .

  • Shorter Hospital Stay : Patients often leave the hospital sooner compared to traditional hip replacement surgeries.

  • Faster Rehabilitation : Enhanced recovery protocols can be implemented, allowing patients to return to daily activities more rapidly.

  • Less Blood Loss : The approach typically results in less intraoperative blood loss.

Cosmetic Bikini Incision

The surgeon makes an incision on the front (anterior) of the hip, and with BIKINI Technique of Dr DP SHARMA, you can even flaunt your curves at the beach as the incision is just not visible at the backside or even front of the thigh, it hides inside the groin crease.

  • Muscle Preservation : The approach allows the surgeon to reach the hip joint by moving muscles aside rather than cutting through them, which helps preserve muscle integrity.

  • Reduced Recovery Time: Because the muscles are not cut, patients often experience a faster recovery and less postoperative pain compared to traditional methods.

  • Lower Dislocation Risk : The natural stability of the hip joint is better preserved, potentially reducing the risk of dislocation after surgery.

  • Improved Mobility : Patients may regain mobility more quickly and resume normal activities sooner.

  • Sitting on Ground : Crosslegged or Squatting position posssible without the risk of Dislocation.

Risks and Complications of MIS Direct Anterior Hip Replacment

Mis Direct Anterior Hip Replacment Success rate is very higher in our hands as we are the only center that performs MIS DAA BIKINI TECHNIQUE for 99% (Percent) of our Hip Replacements. Apart from the standard risks of any other surgery,one small risk highlighted is numbness in a small portion of the thigh in the post operative leg in Few patients . This is a rare complication and usually does not bother much in day to day activities. This is very rare in our patients .

Precautions after MIS DAA

This is the beauty of BIKINI MIS DAA THR, Dr. DP Sharma, MIS Direct Anterior Replacement Surgeon in Delhi, tells that the restrictions and precautions that we used to give our posterior patients like

  • Don’t sit below 18 inches height

  • Use pillow in between the legs

  • Don’t sit cross legged,

  • Don’t squat.


All these are overcome by our special MIS Direct Anterior HIP Replacement Benefits. We only ask our patients to avoid getting tap water contact to the surgery site.

Recovery Time

Since we are not damaging anything inside your body, and getting operated by the best MIS Direct Anterior Hip Replacement doctor in Delhi, gives you wings. You are out of your bed on the same day, putting full load on your operated leg ,Pain-Free!!. You can use crutches/stick for support for 1-2 weeks, and the as your gait and confidence improves, you leave all of that pain and limp behind in the Past.

Cost of MIS Direct Anterior Hip Replacement

As we use some special instruments,customised to do prediction work,cutting edge technology,the cost might be a little higher than of the Standard Hip Replacement. It is completely worth the little extra cost for the huge benefits it gives as compared to the standard approaches.

Cost of MIS Direct Anterior HIP Replacement : To do the Best MIS Direct ANterior Hip Replacement in Delhi ,we require the best instruments,best implants,best OT setup. The cost is usually decided by-the type of implant,standard of the hospital, Room quality that the patient chooses,duration of stay of the patient,and requirement of ICU Stay.

MIS Direct Anterior DAA Hip Replacement vs Hip Replacement (posterolateral/posterior)

The list of advantages is just so long- DAA is

  • Minimally Invasive

  • Cosmetic Invisible BIKINI Scar

  • Faster Recovery

  • Lower Risk of Dislocation

  • Faster return to professional

  • No cutting of Rotators

  • Better implant life as they are better positioned.

  • Improved stability and Range of motion

  • Less chances of Leg Length Discrepancy

  • Less Blood Loss

  • Ability to do Bilateral (Both Sides)

Best MIS DAA Surgeon in Delhi, India.

Dr DP SHarma is a consultant Hip Surgeon, His Focus on excellence and perfection has drived our center into a tertiary Hip Center. Getting Training from Prestigious John Charnley Hip Center in United Kingdom,where Hip Replacement was 1st invented,he always wanted more and more for his patients. We are proud to tell that today we have patients coming not just from India,but from other countries including USA for Dr DP Sharma’s Direct Anterior HIP replacement Techniques.

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