At Orthopaedic Innovation, we specialise in Rapid Recovery, truly minimally invasive day-case hip replacement surgery that gets you up walking on the same day as your procedure.
At Orthopaedic Innovation, our international surgical team has extensive experience in the Rottinger Approach technique for hip replacement surgery.
Originally, this surgical approach was developed in the UK by Warsin-Jones the 1930s then modified into the Rottinger Approach in the 1990s
Over the past 15 years, Dr Kristian Kley has pioneered the further advancement of this technique (the Rapid Recovery hip procedure) to make it one of the safest and most effective surgical hip replacement procedures available globally.
Our leading surgical team have perfected the Rapid Recovery modified Rottinger approach - a minimally invasive, muscle-sparing total hip replacement technique, designed as a day-case procedure that’s appropriate for a wide range of patients.
Here’s why we think it’s the best choice:
| Feature | Our Rapid Recovery Approach | Traditional Posterior Approach |
|---|---|---|
| Incision & Approach | Small 4–6 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 | 98% of patients discharged within 24 hours | 2–5 days, depending on pain levels |
| Recovery Time | Faster recovery: Most patients walk unaided within hours, 50% can return to work and most activities within 2 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 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.
Use our easy form to book your first consultation with Professor Adrian Wilson, one of our world-leading experts in orthopaedic surgery.
If you have any questions before booking your first consultation, feel free to book a free 10 minute assessment here.
You can choose between in-person appointments at our Harley Street clinic or online appointments.
During the 60 minute consultation Professor Wilsom will review your medical condition and discuss the best treatment options for you. He will also answer any question you have about hip replacement surgery or any of the other options.
After your initial consultation, if you decide to go ahead with surgery, we’ll book you in at the Cromwell Hospital or The London Independent Hospital on a day and time suitable to you.
The Rapid Recovery hip replacement surgery is done as a day case, so the majority of our patients are home the same day. In the event that you do need to stay in the hospital, this will be arranged for you.
Your surgery will be performed by two of our team - Dr Kristian Kley and Prof. Adrian Wilson.
To discuss the pricing of surgery for your specific case, please get in touch with our dedicated admin team.
To discuss the pricing of surgery for your specific case, please get in touch with our dedicated admin team.
While the likelihood of major complications following a rapid recovery hip replacement is low, it’s important to be aware of the potential risks involved. Here’s what you need to know:
No recorded nerve or vessel injuries in the last 15 years atDr Kley’s practice having performed over 3000 hip replacements
With the rapid recovery technique, you will benefit from an advanced surgical procedure that prioritises safety and minimise risks, ensuring the best possible outcomes for you.
While recovery times can vary from person to person, many of our patients are walking unaided within a day. They can get back to work within a few weeks and get back to driving within a week or two.
