Rapid Recovery hip replacement surgery
Safer, faster and gets you back to life quicker
Offering one of the UK’s most innovative orthopaedic interventions
At Orthopaedic Innovations, we specialise in rapid recovery, truly minimally invasive hip replacement surgery that gets you up walking within days not weeks.
Our full website is currently under redevelopment.
If you have any questions, please don’t hesitate to contact us.
At Orthopaedic Innovations, our international surgical team has extensive experience in the Rottinger Approach technique for hip replacement surgery.
Originally, this surgical technique was developed in the 1930’s then modified into the Rottinger Approach in the 1960’s.
Over the past 15 years, Dr Kristian Kley and Prof Adrian Wilson have pioneered the further development of this technique (the Rapid Recovery hip procedure) to make it one of the safest and most effective surgical hip replacement procedures available globally.
|
Feature |
Our Mini-Invasive Anterolateral Approach |
Traditional Posterior Approach |
|---|---|---|
|
Incision & Approach |
Small 4–5.5 cm incision, placed midway between the front & side of the hip (anterolateral approach) |
10–20 cm incision, located towards the back of the hip (posterior approach) |
|
Muscle Preservation |
All muscles are preserved, leading to faster recovery & less pain |
Muscles are detached & reattached, prolonging healing and increasing post-op pain |
|
Surgical Time |
20–30 minutes |
90 minutes (average) |
|
Time Under Anaesthetic |
20–30 minutes, reducing risks associated with prolonged anesthesia |
90 minutes |
|
Hospital Stay |
Majority discharged within 24 hours (one-night stay is standard) |
2–5 days, depending on pain levels |
|
Recovery Time |
Faster recovery: Most patients walk unaided within hours, 50% can drive within 2 weeks, return to work in 4–6 weeks |
Patients use crutches or frames for up to 6 weeks, must avoid lying on the operated side, and follow strict movement restrictions for 6 weeks |
|
Movement Restrictions |
No restrictions post-surgery; patients can sit and lie as they like from day one |
Patients must avoid deep flexion (low sitting, lying on the operated side) for 6 weeks due to dislocation risk |
|
Infection Rate |
Lower risk due to small incision, muscle preservation, and shorter surgical time; Kristian Kley’s rate: 3 infections in 7,000 cases (0.04%) |
UK national infection rate: 1–5% |
|
Blood Clot Risk |
Less than 1% risk, including both deep vein thrombosis (DVT) and pulmonary embolism (PE) |
Higher risk according to the National Joint Registry |
|
Dislocation Risk |
Significantly lower due to preserved muscle & joint integrity; Dr Kristian Kley has never seen a dislocation in 15 years |
National statistics: 2% of patients (2,000 per year) suffer dislocation, often requiring further surgery |
|
Nerve or Vessel Damage |
Midway between major nerves (femoral & sciatic), reducing risk; Kristian Kley has never seen a nerve injury with this approach |
National statistics: 0.5% risk of permanent nerve injury (500 patients per year). Lateral approach has a 15% risk of nerve damage leading to limping & disability |
|
Scarring |
Smaller incision results in minimal scarring |
Longer incision leaves a larger, more tender scar |
Our world-class surgical team is the only group in the UK performing this modification of the Rottinger approach.
Our team of innovative, internationally renowned surgeons is the only team in the UK performing the modified Rottinger approach - the Rapid Recovery Hip technique that gets you home the same day as your surgery.
Professor Wilson is a world-renowned specialist orthopaedic surgeon focusing on orthobiologic alternatives to surgical interventions, knee alignment surgery, hip replacement surgery, and all aspects of knee surgery.
His major contributions include the all-inside ACL and PCL surgical techniques, and he co-developed the internal brace technique for ACL and PCL surgery, which has gained global recognition. He holds several patents and has developed instruments used in hospitals worldwide.
Together with Dr. Kristian Kley and Dr. Ronald van Heerwaarden, he has led the development of techniques and plates commonly used in realignment surgery, also known as osteotomy surgery.
Dr. Kley is a globally renowned orthopaedic surgeon with extensive experience in hip and knee surgery.
He has performed thousands of successful surgeries and continually pushes the boundaries of surgical innovation. He is best known for his work in osteotomy surgery and, together with Professor Wilson and Dr. van Heerwaarden, co-founded the London Osteotomy Centre, where they teach international courses monthly.
Fifteen years ago, Dr. Kley traveled to Munich to learn the Rottinger approach, which he evolved into his Rapid Recovery Hip Replacement technique. Since then, he performs approximately 550 total hip replacements per year using this unparalleled technique.
Dr. van Heerwaarden is an internationally recognized leader in limb deformity correction and joint preservation surgery of the knee.
He is a co-founder of the London Osteotomy Centre and exclusively practices knee osteotomy surgery. He has established a deformity center in the Netherlands and is renowned for his work in teaching and developing techniques and implants for fixation and treatment.
Our team of internationally renowned orthopaedic surgeons is dedicated to providing personalized care to help you return to your daily activities swiftly and safely.
Can I have my initial consultation online?
Yes, you can. We can book virtual consultations or you can come to our clinic in Harley Street, London.
Where would I have my hip replacement surgery?
Our surgeons operate at the Cromwell Hospital, 164-178 Cromwell Rd, London SW5 0TU.
Will I need to stay in the hospital overnight?
The majority of our surgery is done as day case surgery, meaning that it’s highly unlikely that you’ll need to stay overnight.
Do you take insurance payments for hip replacement surgery?
No, we only take private pay. Please contact us for further details about payment and payment plans.