Anterior Hip Replacement
Total Joint Replacement
Sports Medicine
Arthroscopic Rotator Cuff Repairs
Knee Replacement


The Anterior Approach to hip replacement surgery allows the surgeon to reach the hip joint from the front of the hip as opposed to the lateral (side) or the posterior (back) approach. This way, the hip can be replaced without detachment of muscle from the pelvis or femur during surgery. The surgeon can simply work through the natural interval between the muscles. The most important muscles for hip function, the gluteal muscles that attach to the pelvis and femur, are left undisturbed and, therefore, do not require a healing process to recover from surgical trauma.

In 1996, Joel M. Matta, M.D., the John C. Wilson, Jr., Chair of Orthopedic Surgery at Good Samaritan Hospital in Los Angeles brought Anterior Hip Replacement to the United States. Dr. Matta has advanced the technique even further by co-designing a special, state-of-the-art surgical table with OSI and improving many surgical protocols for the hip replacement procedure. Having performed over 600 Anterior Hip Replacements himself since 1996, Dr. Matta has also been instrumental in the training of many orthopedic surgeons in this important minimally invasive approach. Dr. Matta's views on this technique can be found at:

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Arthroscopy is defined as the examination of the interior of a joint using an endoscope that is inserted into the joint through a small incision and is also called arthroendoscopy. This also involves treatment of upper and lower extremity injuries including arthroscopy of the knee, ankle, shoulder, elbow, and carpal tunnel. Injuries of these areas include: ACL and meniscal injuries, rotator cuff disorders, carpal tunnel syndrome, joint replacement and cartilage grafting.

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During total joint replacement, an arthritic or damaged joint is removed and replaced with an artificial joint called a prosthesis. The goal is to relieve the pain in the joint caused by the damage done to the cartilage. For example, in an arthritic knee the damaged ends of the bones and cartilage are replaced with metal and plastic surfaces that are shaped to restore knee movement and function. In an arthritic hip, the damaged ball (the upper end of the femur) is replaced by a metal ball attached to a metal stem fitted into the femur, and a plastic socket is implanted into the pelvis, replacing the damaged socket. Although hip and knee replacements are the most common, joint replacement can be performed on other joints, including the ankle, foot, shoulder, elbow and fingers.

The materials used in a total joint replacement are designed to enable the joint to move just like your normal joint. The prosthesis is generally composed of two parts: a metal piece that fits closely into a matching sturdy plastic piece. Several metals are used, including stainless steel, alloys of cobalt and chrome, and titanium. The plastic material is durable and wear resistant (polyethylene). A plastic bone cement may be used to anchor the prosthesis into the bone. Joint replacements also can be implanted without cement when the prosthesis and the bone are designed to fit and lock together directly.

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Sports medicine is the branch of medicine that deals with injuries or illnesses resulting from participation in sports and athletic activities, including injury prevention and diagnosis. This includes surgical and nonsurgical treatment for sports injuries, arthroscopic diagnosis and treatment, knee ligament injuries, meniscal tears and shoulder rotator cuff and instability.

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The incidence of rotator cuff damage increases with age and is most frequently due to degeneration of the tendon, rather than injury from sports or trauma. Arthroscopic repair uses multiple small incisions (portals) and arthroscopic technology to visualize and repair the rotator cuff, rather than the more invasive, traditional open repair. This less invasive surgery benefits patients by decreasing pain from surgery, decreasing post-operative stiffness, decreasing operative blood loss and decreasing length of hospital stay.

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When the knee is unable to effectively cushion the body from impact and stress, it may become necessary to replace the knee. The surgeon reshapes the femor, the tibia and the patella, also known as the thigh bone, the shin bone and the knee cap, and fits them with metal and plastic components. This enables the knee to operate as smoothly as it ever did, and minimally invasive knee replacement reduces pain from surgery and rehabilitation time.

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Lester F Littell, lll, MD
Orthpaedics, Sports and Joints
1340 us Highway 231
Suite 6
Troy, Al. 36081

Phone: 334-670-5475
fax: 334-566-9895

Office Hours
Monday-Friday 8am-5pm