As one of the leading orthopedic surgeons in New York and Connecticut, Dr. McLawhorn specializes in minimally invasive hip replacement surgery, specifically robotic hip surgery. He offers the most advanced surgical techniques, including robotic-assisted hip replacement and bikini incision anterior approach surgery.
Dr. McLawhorn focuses on enhancing early recovery and minimizing complications after total hip replacement. As part of his strategy to achieve these goals, Dr. McLawhorn uses robotic technologies, which allow for advanced, 3D pre-surgical planning and accurate execution of the surgery.
What Is Robotic-Assisted Hip Replacement Surgery?
Dr. McLawhorn can treat a variety of hip conditions with robotic-assisted surgery, including osteoarthritis, rheumatoid arthritis, hip impingement syndrome, osteonecrosis, hip dysplasia, and other medical conditions that cause degenerative hip disease and hip pain and dysfunction.
The most important goals in hip surgery are eliminating pain, restoring function, and expediting recovery. Robotic-assisted surgery can optimize your surgical outcome and help you regain your pre-arthritic quality of life.
Is Robotic Surgery Better?
Traditional hip surgery offers patients a variety of benefits. However, robotic-assisted surgery offers additional benefits as well. These include:
- Improved preoperative planning:Â High-tech 3D imaging allows Dr. McLawhorn to plan the sizing and positioning of the components accurately before surgery, so there are rarely intraoperative surprises. If special implants are needed, these can be anticipated ahead of time.
- Bone preservation:Â Enhanced component placement also helps to preserve more bone.
- Surgical customization: Robotic techniques also allow for customization, which is necessary for every patient’s unique anatomy.
- Greater accuracy in placement:Â Robotics provide the highest level of precision compared to manual techniques, computer-assisted navigation, or intraoperative X-rays.
Lower risk of dislocation:Â Research shows robotic-assisted hip replacement reduces the chance of postoperative hip dislocation, a common cause of implant failure.
- Reduced leg length discrepancy:Â Robotics lower the likelihood of uneven leg length after surgery.
Where Is the Incision Located?
Any surgical approach can be used, such as anterior, posterior, or lateral approaches, so the exact location of the incision may vary between patients. For example, a posterior approach involves making an incision at the back of your hip, whereas an anterior approach is made in the front.
The approach for your hip replacement will depend on your anatomy, weight, and which approach is safest for you. Dr. McLawhorn uses an anterior approach for most patients.
Recovery Period
The actual recovery period depends on several factors, including your age, overall health, and your physical condition prior to surgery. In some cases, patients may recover faster after robotic-assisted surgery. Many patients begin walking the day of surgery, and usually return to normal activities of daily living within several weeks of surgery.Â
Return to non-impact sports (e.g., golf, doubles tennis, paddle tennis, pickleball, etc.) occurs at three months, with unrestricted activity, including running and skiing, at six months after surgery.
Post-Surgery Physical Therapy and Rehabilitation
Dr. McLawhorn will collaborate with experienced physical therapists to develop your rehabilitation plan. Most patients begin physical therapy within days of surgery to start regaining strength and function.
Your early rehabilitation will emphasize safe walking techniques, gentle range-of-motion exercises, and gradual weight-bearing activities. As your recovery progresses, you’ll be able to do more advanced exercises.Â
A structured therapy program will help you return to your daily activities in several weeks. In about three months, you should be able to play recreational sports, such as golf and pickleball. Full recovery, including unrestricted activities, is typically achieved within six months.
Why Choose Dr. McLawhorn?
Dr. Alexander McLawhorn is a leading expert in hip and knee replacement surgery. He specializes in techniques like robotic-assisted hip replacements, the minimally invasive "bikini incision" approach, and rapid-recovery joint replacement. He completes more than 400 robotic-assisted hip replacements annually and is recognized as the top joint replacement surgeon in New York by volume and experience.
Beyond his surgical expertise, Dr. McLawhorn’s academic background and leadership in research mean you'll be getting some of the most advanced orthopedic care available. A graduate of Yale University and Columbia University’s medical and business schools, he completed his residency and fellowship at the prestigious Hospital for Special Surgery, where he now serves as Director of Research and Innovation for Adult Reconstruction. His practices in Manhattan and Stamford, CT, provide personalized care for local, national, and international patients.Â
FAQs
What Are the Outcomes and Success Rates of Robotic-Assisted Hip Replacements?
Robotic-assisted hip replacement surgeries have high success rates, comparable to or better than traditional techniques. The use of robotic technology enhances implant precision, which can improve joint function and reduce the risk of complications such as dislocation or leg length discrepancies. Most patients report significant pain relief and improved mobility within months of surgery.
Are There Any Additional Out-of-Pocket Costs If I Decide to Have a Robotic Hip Replacement?
Robotic-assisted hip replacement is often covered by insurance in the same way as traditional hip replacement. However, coverage varies depending on your provider and plan. You should confirm with your insurance company whether robotic-assisted surgery incurs any additional out-of-pocket costs. Dr. McLawhorn’s office can help provide information for insurance inquiries.
Are Financing Options Available for Out-of-Pocket Costs?
If you have out-of-network benefits or are paying out-of-pocket, we provide a transparent fee schedule for Dr. McLawhorn's services, including consultations and surgeries. We typically require payment before rendering services.
Patients who need financial assistance can explore programs like CareCredit®, a healthcare financing option that offers manageable payment plans. Additionally, the Hospital for Special Surgery and Stamford Hospital provide financial aid programs for qualifying patients to help cover hospital-related costs, though these programs do not cover Dr. McLawhorn’s fees.
Do You Have a Different Rehabilitation Protocol After Robotic Hip Replacement Surgery?
Rehabilitation protocols after robotic-assisted hip replacement are similar to those following traditional surgery. Robotic technology often allows for less invasive procedures, which may lead to quicker recovery times and an accelerated therapy timeline. Dr. McLawhorn works closely with physical therapists to make sure your program is customized to you.
Do All Hospitals Have the Equipment to Perform a Robotic Hip Replacement?
Not all hospitals are equipped with the technology required for robotic-assisted hip replacements. Dr. McLawhorn performs surgeries in hospitals and surgical centers with state-of-the-art robotic systems.
Are There Any Exercises to Avoid After Robotic Hip Replacement?
Certain high-impact activities, such as running or heavy weightlifting, may be restricted during the early stages of recovery. We also advise avoiding extreme hip movements, such as crossing their legs or deep squats, until their surgeon approves these activities. Our team will provide detailed instructions on exercises and movements to avoid.
Are Robotic Hip Replacements Suitable for Younger Patients With Hip Conditions?
Yes, robotic-assisted hip replacement can be appropriate for younger patients who have degenerative hip conditions that significantly affect their quality of life.
Conditions such as hip dysplasia, osteonecrosis, or advanced arthritis may require surgical intervention even at a younger age. Robotic technology allows for highly precise implant placement, which can help protect bone, preserve joint function, and support long-term durability of the replacement.
Dr. McLawhorn evaluates each patient’s condition, activity level, and overall health to determine if robotic-assisted surgery is the right option.
What Risks Are Associated With Robotic-Assisted Hip Replacement Surgery?
Like any major surgery, robotic-assisted hip replacement carries certain risks, including:
- Infection
- Blood clots
- Anesthesia complications
- Dislocation or leg length discrepancy (though robotic technology may reduce these risks)
- Longer operative times in some cases
Dr. McLawhorn performs surgeries in hospitals and surgical centers equipped with advanced robotic systems, which helps ensure the highest level of safety.
What Are Pain Management Strategies After Robotic Hip Replacement?
Pain management after robotic-assisted hip replacement often involves a combination of approaches, such as:
- Regional anesthesia or nerve blocks during surgery to minimize immediate postoperative pain
- Anti-inflammatory medications to reduce swelling and discomfort
- Non-opioid pain relievers to manage ongoing pain safely
- Physical therapy to decrease stiffness, improve mobility, and support natural pain control
What Are the Long-Term Benefits of Robotic-Assisted Hip Surgery?
The long-term benefits of robotic-assisted hip replacement extend beyond the initial recovery. By improving implant accuracy and alignment, robotic technology may reduce the likelihood of complications and extend the lifespan of the implant. Patients often experience reliable pain relief, restored mobility, and greater confidence in returning to both daily activities and recreational sports. These benefits can contribute to higher satisfaction rates and improved quality of life for years after surgery.
How Long Does a Robotic-Assisted Hip Replacement Surgery Take?
Most robotic-assisted hip replacement surgeries take between one and two hours to complete. The exact length depends on your specific condition, anatomy, and whether additional procedures are needed. Robotic technology can make the surgery more efficient.
What Lifestyle Changes Should I Expect After Robotic-Assisted Hip Replacement?
Many patients are able to return to an active lifestyle after robotic-assisted hip replacement. While high-impact activities such as running or heavy weightlifting may need to be limited, most people enjoy walking, swimming, cycling, golf, and other low-to-moderate-impact activities without pain.
How Soon After Surgery Can I Return to Work?
The timing depends on your job and your individual recovery. Patients with desk jobs may return to work within two to four weeks, while those with more physically demanding roles may need several months before resuming full duties. Robotic-assisted surgery often supports faster recovery, but Dr. McLawhorn will give you recommendations based on your progress.
Schedule Your Consultation Today
As an expert in the field of robotic-assisted hip surgery, Dr. McLawhorn understands the complexity of hip surgery, both traditional and robotic. If you are suffering from hip pain that has not responded to conservative treatment, contact Dr. McLawhorn’s New York or Connecticut office at 212-606-1065 or 203-705-2113 to schedule a consultation.
