Services & Technology

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anterior approach total hip replacement

When I conducted my first instructional course for surgeons in 2003 Anterior Approach was utilized by less than 1% of surgeons in the USA. Today, it is estimated that approximately 1/3 of hip replacement surgeons utilize Anterior Approach.

This trend to Anterior Approach, initially driven by surgeons and patients who saw the benefits is now supported by a growing body of scientific evidence.

The downloadable PDF describes Matta Method™ for Anterior hip replacement and supporting references.

Joel Matta, MD

the Operating Table

Following anesthesia, the patient is placed on the HANA® or
PROfx® table. The unique capabilities of the table facilitate
surgery through this smaller and less invasive approach.

The carbon fiber spars that support the legs move appropriately and manipulate the operated leg during surgery. Additionally, the table has a sterile robotic hook attachment that reaches inside the incision to lift and hold the femur in an accessible position.

Patient placed on the HANA® or PROfx® table

periacetabular ostoeotomy

Periacetabular Osteotomy is a hip preserving procedure performed to correct a congenital deficiency of the acetabulum: acetabular dysplasia. 

Individuals with acetabular dysplasia usually develop through childhood and adolescence without symptoms or knowledge of their abnormality. 

Periacetabular Osteotomy (PAO) is a surgical treatment for acetabular dysplasia that preserves and enhances the patient’s own hip joint rather than replacing it with an artificial part. 

The goal is to alleviate the patient’s pain, restore function, and maximize the functional life of their dysplastic hip.

The results after PAO, which preserves the patient’s own hip, justify its use and the long-term results can be better than what the patient could have obtained from a hip replacement. 

The downloadable PDF describes PERIACETABULAR OSTEOTOMY (PAO) – FUNCTIONAL RESTORATION FOR PATIENTS WITH DYSPLASTIC HIPS – and supporting references.

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anterior hip foundation

Pioneering the Anterior Approach Hip technique to better serve our global patient population.

Anterior Hip Foundation (AHF) is devoted to advancing hip surgery through surgical technique, innovative technology, research, and education.

F.A.Q.

  • If you would like to make an appointment to meet with Dr. Matta, please call The Steadman Clinic at 970-476-1100. Please reach out to our concierge team should you need assistance with your visit to Vail. They can be reached at 970-479-5898 or concierge@thesteadmanclinic.com
  • If you are unable to travel to Vail, Dr. Matta welcomes you to complete an Image Review . Please click here to begin this process. Cases are reviewed in the order upon which they are received and please understand we cannot review your case until we have received your x-rays and completed paperwork. Dr. Matta’s physician assistant will contact you once the review is complete.
  • We do our best to consolidate your travel. If we have performed an Image Review and Dr. Matta has recommended you for a procedure, we plan on a pre-operative evaluation appointment in our clinic on a Monday and schedule you for surgery later the same week (either a Tuesday or Wednesday) to best streamline your travel plans. We do not require a follow-up visit with us in office after your surgery. We will provide a prescription for an x-ray order at the time of your surgery that you can have performed locally and send to our office for review 6 weeks after your procedure. You are welcome, however, to schedule a follow-up appointment with us in office if you are able.
  • You will be able to put your full weight on your operative extremity beginning immediately after surgery. For the first few days you can utilize a walking aide (crutches/walker) for stability, however patients are typically able to transition from these quickly. For the first 12 weeks please refrain from high velocity activities such as road biking, mountain biking, running, skiing, etc., that would place you at risk of falling on your operative hip. We do ask that you refrain from martial arts involving kicking for the lifetime of your implant as this could damage the ball and socket bearing. Apart from this, you have no restrictions on your range of motion or desired recreational activities after the initial post-operative period.
  • Walking with crutches with limited weight-bearing of operative extremity (less than 30 lbs) for the first 6 weeks after surgery. After reviewing a 6-week post-operative x-ray, patients transition off crutches to become fully weight-bearing. At this point, patients begin physical therapy. After reviewing a 12-week post-operative x-ray, patients are cleared to gradually resume activities as desired. For the first 12 weeks please refrain from high velocity activities such as road biking, mountain biking, running, skiing etc., that would place you at risk of falling on your operative hip. Apart from this, you have no restrictions on your range of motion or desired recreational activities after the initial post-operative period.

Dr. Matta and The Steadman Clinic accepts various insurance plans. As insurance plans offered by insurance carriers change, it is recommended that patients confirm participation of their plans.

The Steadman Clinic delivers the highest standard of orthopaedic care and personal attention to every patient. Our patient-focused culture includes complimentary Patient Concierge Services for anyone visiting Dr. Matta. Our Patient Concierge Team are more than happy to assist with travel, entertainment, dining, activities, and other non-medical requests.