Traditional versus Minimally-Invasive Hip Replacement Surgery

With a rapidly aging population in the United States, the demand for procedures such as hip replacement is only expected to rise. When considering hip replacement surgery it is important to know which type of procedure is appropriate for you, traditional hip replacement surgery or minimally invasive hip replacement surgery. The physicians participating in the Texas Health Spine and Orthopedic Center referral line include hip replacement specialists who would be happy to answer any questions you may have. But first, let’s cover the basics in this blog post.

Difference in Incision

In traditional hip replacement surgery, a 10 to 12-inch incision is made on the side of the hip. Surgeons access the hip joint by detaching the surrounding muscles. They then remove the ball from the thigh bone and prepare the hip socket and femur for the implant, which is a metallic ball and socket joint. In minimally invasive surgery, a 3 to 6-inch incision is made. Typically, it requires just one small incision, though there can also be two small incisions in some cases.

Medical Requirements

There is no limit on age or weight for eligible candidates undergoing traditional hip replacement surgery. There are two basic requirements:

  1. They shouldn’t have severe osteoporosis
  2. They should be able to follow through all pre and post-surgical instructions.

Candidates for minimally invasive have to meet the requirements as traditional surgery. Additionally, younger and relatively thinner patients with no major joint deformity, previous hip surgery, or osteoporosis are considered ideal candidates for minimally invasive surgery.

Read Related: Understanding Hip Arthritis & Total Hip Replacement Surgery

Procedural Advantages

According to medical experts, the traditional technique, being time-tested, is highly reliable. A broad and clear view of the hip joint helps surgeons to align and fit the replacement with precision, which minimizes the chances of post-surgical complications. The key advantages of minimally invasive surgery include less possibility of damage to surrounding tissues, less postoperative pain, shorter hospital stay, faster rehabilitation, and smaller scar.


When we talk about risks, both traditional and minimally invasive procedures have a proportionate share. In traditional hip surgery, surrounding muscles and soft tissues can sustain damage, and the surgery can also leave a bigger scar. On the other hand, surgeons performing minimally invasive surgery are restricted by the limited view of the patient’s joint. This can increase the chances of misalignment or poor fitting of surgical hip components. Which is why it’s important to choose an experienced joint replacement surgeon.


Minimally invasive hip replacement has a shorter recovery time compared to traditional hip replacement. The hospital stay is only one or two days. Some patients are allowed to go home the same day. They also experience less pain compared to traditional hip replacement surgery. In addition, traditional hip replacement surgery takes longer, and demands a longer stay in the hospital. Patients also require extensive rehabilitation.


Both traditional and minimally invasive hip replacement surgeries have their own advantages and drawbacks. It is, however, clear from the preceding discussion that both the procedures are technically challenging. That is why it is important for patients to ensure the surgeon they choose has proven expertise in performing the procedure. If you are looking for a hip replacement specialist, Texas Health Spine and Orthopedic Center can help. We are an orthopedic referral center in Plano that connects patients with experienced hip physicians. To book appointment with a hip replacement specialist, simply call +1 888-608-4762.

Physicians who are members of the referral program practice independently and are not employees or agents of Texas Health Spine and Orthopedic.



L.D. Jennings

Orthopedic SurgeonTexas Knee & SportsSports Medicine
Work Phone: 888-608-4762
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Donald Hohman Jr.

Orthopedic SurgeonTexas Orthopaedic AssociatesHip and Knee Replacement
Work Phone: 888-608-4762
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Keith Heier

Orthopedic SurgeonOrthoTexasFoot and Ankle
Work Phone: 888-608-4762
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Mark Lessner

Orthopedic SurgeonPerformance Orthopaedics & Sports MedicineSports Medicine
Work Phone: 888-608-4762
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