An 81-year-old woman regained her independence within 48 hours after undergoing a Direct Anterior Approach (DAA) hip replacement at Zynova Shalby Multispeciality Hospital, Ghatkopar, Mumbai. The muscle-sparing technique reduces tissue damage, promotes faster recovery, and helps patients return to their daily routine sooner.
Hip fractures and conditions such as osteoarthritis, avascular necrosis (AVN), and inflammatory arthritis are increasingly affecting older adults, often causing severe pain, reduced mobility, and dependence on caregivers. While medications and physiotherapy may provide temporary relief, advanced joint damage frequently requires hip replacement surgery.
Quick Recovery After Hip Fracture
The patient, Mrs. Seema Soni (name changed), fractured her hip after a fall at home, leaving her unable to walk without assistance. After consulting multiple doctors, she was advised to undergo hip replacement surgery. Seeking a faster recovery, she approached Zynova Shalby Multispeciality Hospital three days after the injury.
One of her biggest concerns was whether she would be able to sit cross-legged again, an important part of daily life for many Indians. Following a detailed assessment, Dr. Srisanat Rao identified her as a suitable candidate for the Direct Anterior Approach (DAA) hip replacement.
Muscle-Sparing Technique Speeds Rehabilitation
As per the press release, Dr. Srisanat Rao, Robotic Knee & Hip Replacement Surgeon at Zynova Shalby Multispeciality Hospital, said the surgery was performed the next day using the Direct Anterior Approach, which accesses the hip joint through the natural space between muscles instead of cutting major muscles or tendons. This approach is associated with less postoperative pain, faster rehabilitation, earlier mobilisation, improved walking, and a lower risk of hip dislocation.
The hour-long procedure was completed successfully. Within 48 hours, the patient was walking independently without support, sitting cross-legged comfortably, and experiencing minimal pain. She was discharged after demonstrating good mobility. Dr. Rao added that delaying surgery could have increased the risk of complications such as blood clots, infections, bed sores, and prolonged immobility.
Not Suitable for Every Patient
Dr. Rao noted that while the Direct Anterior Approach is an important advancement in hip replacement surgery, it is not suitable for every patient. Careful evaluation, appropriate patient selection, and surgical expertise are essential. The technique can benefit patients with hip fractures, osteoarthritis, avascular necrosis (AVN), inflammatory arthritis, selected cases of hip dysplasia, and those undergoing primary or robotic-assisted hip replacement.
Patient’s Experience
Sharing her experience, Mrs. Seema Soni (name changed) said she feared she would never walk normally or sit cross-legged again after her injury. She thanked Dr. Srisanat Rao and his team for helping her regain her confidence. Walking independently within two days, she said, was an emotional and unforgettable milestone.