Tell us what has changed
Where the pain is, when it appears, and what it has made harder give us the starting point.
Hip arthritis and replacement
Hip care starts with the right diagnosis.
Hip · Keep moving forward
From pain to a plan
Confirm the source
History, examination, and imaging help determine whether the hip joint, a tendon, a bursa, the spine, or another structure is driving the pain.
Choose the next useful step
The plan may begin with activity changes, exercise, medication, or a selected injection. Replacement becomes reasonable when arthritis continues to limit function despite appropriate nonsurgical care.
Muscle-sparing hip replacement
The Direct Superior (DS) Approach
The approach matters because recovery should support your life, not become your life. The Direct Superior route is designed to spare key muscles while supporting stability, function, and an enhanced recovery.
- Direct Anterior
- Posterior
- Miniposterior / Lateral / Anterolateral
- Direct Superior
What makes it different
- Muscle-sparingThe Direct Superior Technique approaches the hip from above and behind. It preserves the iliotibial band, the main hip abductor muscles, and the piriformis while providing reliable access for precise implant placement.
- Lower blood lossLess soft-tissue disruption is associated with less bleeding during surgery.
- Lower complication riskPreserving the structures that support the hip reduces approach-related complications.
- Designed for stability and functionPrecise implant positioning and preserved soft tissues are intended to support a stable, functional hip.
- No routine hip precautionsDr. Fischer's recovery protocol does not require the traditional list of prohibited hip positions.
The safest surgical plan is the one that fits your anatomy, health, prior surgery, spine mobility, and recovery goals.
Common diagnoses
Conditions we evaluate
Hip pain can arise from several structures. The examination should determine whether the joint itself is the primary source before treatment is recommended.
A first visit is not a commitment to surgery