5 Bramblebush Drive, Falmouth MA 02540
FAX: 508-548-5239
Robert Wilsterman, MD: Orthopedic Specialists


Hip Replacement with Dr. Wilsterman

Replacement / Direct Anterior Approach Surgery / Minimally Invasive-Rapid Recovery Surgery / Radiographically Guided Surgery / Revision Surgery / Trauma / Conservative Treatments

Inside a healthy hip, all parts work together to allow the joint to move in an effortless and pain-free way. However, injuries, wear and tear, and other conditions can disrupt the normal functioning of a hip joint, which can lead to discomfort, muscle instability, and decreased mobility. Because the general public is living longer, with active and healthier lifestyles, joint replacement is being performed in greater numbers. Dr. Wilsterman is responding to this increased demand with progressive hip replacement technology and techniques.

Why choose Dr. Wilsterman and his team at Orthopedic Specialists?

Not everyone “of a certain age” with hip pain needs joint replacement. Dr. Wilsterman treats the vast majority of his patients non-operatively. However, when hip replacement is absolutely necessary, he offers the most progressive hip replacement available on the Upper Cape. Dr. Wilsterman is the only orthopedic surgeon at Falmouth Hospital to perform "Direct Anterior Approach Hip Replacement." This patient-oriented, rapid recovery, minimally invasive procedure allows Dr. Wilsterman to enter through one small incision in the front of the hip, working between muscles (not cutting them as is done in traditional hip replacement surgery), reducing pain and recovery time post-operatively. Another benefit of the procedure is increased mobility directly after surgery due to no restrictions of movement. In fact, Dr. Wilsterman encourages his hip replacement patients to move around as much as they can, as long as they are comfortable. And even with this increased ability to move, Direct Anterior Approach patients experience lower dislocation rates nationwide than those who opt for the less progressive techniques. Patient self-assurance is boosted when restrictions are removed from the healing equation and regular activities are resumed earlier.
The Direct Anterior Approach reduces other common surgical complications, including malposition of replacement parts and leg length discrepancy. Because the patient is on his/her back during surgery, fluoroscopy, or "live x-rays" that provide keen focus can be taken during the procedure. This perspective is difficult to attain with the common approach, during which patients lie on their sides. The x-rays give Dr. Wilsterman a great view of the new hip components and he can make adjustments as needed right then and there.

How Does a Healthy Hip Work?

The reason that hips turn in different directions while still supporting the rest of your body is that the joint acts much like a ball bearing. At the top of your thighbone (or femur) is a ball that moves around in a socket. Smooth soft tissue, or cartilage, covers the ball and lines the socket, allowing the ball roll around easily inside. This cartilage does not re-grow after wear and tear or injury.

How Do I Know If I need Joint Replacement Surgery?

There are several reasons why Dr. Wilsterman may recommend hip replacement surgery. Patients who benefit from this procedure often have:
  • hip pain that limits everyday activities, such as walking, climbing stairs or bending
  • hip pain that continues while resting, either day or night
  • hip pain that comes and goes
  • pain in one or many parts of their bodies
  • stiffness in a hip that limits the ability to move or lift the leg
  • inadequate pain relief from anti-inflammatory drugs, physical therapy or walking supports
Dr. Wilsterman and his team at Orthopedic Specialists can evaluate your condition and tell you if joint replacement would be right for you.

Joint Replacement Seminars

Dr. Wilsterman frequently gives seminars on hip replacement surgery, with talking points that include:
  • Who is a candidate for hip replacement surgery?
  • How does the Direct Anterior Approach work and what are its benefits?
  • What is the healing process like and what are the correct exercises?

Please contact our office at 508-548-9423 to find out when and where Dr. Wilsterman's next Joint Replacement will be held or to schedule a talk for your group.