Muscle Sparing Hip Replacement

Dr Kristian Kley

Consultant Orthopaedic Knee & Hip Surgeon

Orthopaedic surgeon Dr Kristian Kley is renowned for his work in complex reconstructive hip and knee surgery.

A part of Dr Kley’s work is the use of computer simulation to plan and implement complex osteotomies and improve surgical procedures by engineering new technologies and techniques. His innovative hip replacement procedure speeds up recovery, meaning patients are able to walk the same day of surgery.

Dr Kley is active in several professional organisations and a guest member of the Joint Preservation Expert Group of AO Foundation. A highly regarded speaker, he lectures, teaches, and carries out live surgery at global conferences and events.


At the forefront of innovative medical techniques, the Rottinger approach is the future of hip replacement surgery

Is hip pain holding you back? If you’re struggling with discomfort and lack of mobility, it can adversely affect your quality of life and prevent you from enjoying the things you love.

Mr. Kleys advanced technique allows for you to have the surgery and be discharged on the same day, avoiding a hospital stay. Patients can rehabilitate in the comfort of their home and are walking straight after surgery without any aides.

Our team would be happy to discuss this with you over the phone or via email.

Benefits of our innovative approach to hip surgery

Interest free payment available

Procedure reduces risk of requirement for revision

Less pain relief required post-surgery

Recover in the comfort of your own home

Speedy recovery to get you back on your feet

Rapid Recovery Hip Surgery 

Your package includes:

  • Pre-assessment including blood tests and bacterial swabs (where needed)
  • Hospital costs including theatre time and nursing
  • Standard prosthesis
  • Consultant’s fee for performing the procedure
  • Anaesthetist costs
  • Length of stay; typically this is a day case procedure, but the package includes up to one night’s stay at HSSH if required
  • In-patient physiotherapy
  • Post-operative and/or 6-week check X-ray
  • Consultant follow-up

Consultation process: a step-by-step guide

1. 15-minute video triage to assess suitability
The first step is to organise a 15-minute video triage with Dr Kristian Kley to assess your suitability for the minimally invasive hip replacement procedure. This can be organised either via Zoom, Microsoft Teams or Skype. Dr Kley will ask questions relating to your symptoms, medical history, previous diagnostic tests and treatments, and then advise whether you are an appropriate candidate. At this point, we will also be able to request any diagnostics such as MRI or X-rays that may be required.
2. Face-to-face meeting at HSSH with Dr Kristian Kley
If Dr Kley believes you could be a suitable candidate for minimally invasive hip replacement, the next step is to organise an in-clinic consultation at the Harley Street Specialist Hospital in London. Consultations last 30 minutes typically. As you will have had your diagnostics prior to this appointment, Dr Kley will have all of the information he requires to make a clinical decision on the best treatment for you. Further appointments can then be arranged or your procedure booked.

Our patient success stories

Meet Ceri who was back to work as a hairdresser four weeks after surgery

Ceri is a high-profile hairdresser and is a cross fit model. She underwent right total hip replacement by Dr Kristian Kley who is world renowned for using minimally invasive anterolateral approach (OCM) for his procedure.

Ceri is back at work four weeks post her surgery. She is walking 6-7 miles per day and has restarted her strength training also.

Meet Paul, fully mobile just three hours after his hip replacement

Dr Kristian Kley, Consultant Knee and Hip Surgeon, specialises in hip replacements and his unique and special approach promotes rapid recovery of the hip.

Here you can see the patient walking three hours after his total hip replacement performed by Dr Kristian Kley.

Muscle-sparing hip replacement surgery explained

Traditional hip replacement surgery accessed the hip joint through the lateral or posterior gluteal muscles. The muscles were detached and then reattached once the artificial joint was placed, and potential complications post-surgery included muscle weakness, gait disorders and a greater risk of joint dislocation.

The anterior hip replacement is a now widely practised, modified surgical technique in which the hip joint is accessed through the front of the leg instead of the back. However, Dr Kristian Kley employs an anterolateral approach known as the Rottinger approach. This is not a direct anterior approach but a muscles-sparing approach through the natural gap between the gluteus medius and the tensor fasciae latae.

This minimally invasive technique protects not only the muscles, but also the surrounding soft tissue and nerves. This typically means less blood loss, faster recovery, and a speedier reintroduction into everyday life.

The other benefit of the anterolateral approach is that the surgeon can directly view the acetabulum when placing the artificial joint, meaning precise placement and therefore greater longevity of the hip prosthesis and lower risk of dislocation.

Frequently asked questions

How soon will I be up and about?

We have a specialist recovery team that will have you moving around following the procedure, meaning less risk of developing blood clots.

When will I be walking normally again?

After conventional hip replacement surgery, most patients typically need 6 to 8 weeks before they can walk properly. With Dr Kristian Kley’s approach, most patients are able to walk a few steps without crutches on the same day as their operation.

When can I drive again?

This usually depends on the individual patient. Some patients are able to drive again after just a couple of weeks, whereas others may want to wait until 4 to 6 weeks after surgery.

When can I go back to work?

This will depend on the type of work that you do and your pre-operative level of fitness. If you have a desk job that entails minimal activity, you may be able to return to work after a few weeks. If your job requires heavy lifting or standing, you may be advised to take six weeks off work to fully recover.

When can I start exercising again?

You will be prescribed a rehabilitation programme as soon as possible following your hip replacement which will aim to gradually improve your flexibility and muscle strength.





Ready to get started?

To book your initial consultation, contact our enquiries team by calling +44 (0)20 4513 2244

Our team are also happy to answer any questions ahead of booking your appointment.

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