Dr. Narayan Hulse’s Direct Anterior Approach- A Revolution in Hip Replacement Treatment in India


Bangalore (Karnataka) [India], June 20: Unfortunately, an increasing number of young and old patients are currently undergoing hip and knee replacements. Though most of these issues are due to unhealthy lifestyles, advancements in orthopedic treatments help to overcome these challenges in a minimally invasive manner and achieve the best possible outcomes.

Dr. Narayan Hulse, a distinguished senior joint replacement surgeon in Bangalore, India, introduced the direct anterior approach (DAA), a breakthrough technology, for the first time in India.

Dr. Narayan Hulse is renowned for pioneering India’s first robotic total hip replacement procedure with the direct anterior approach (DAA). He emphasizes that the direct anterior approach is a highly advanced technique in minimally invasive surgery. It accesses the hip joint from the front of the body for superior results.

Additionally, Dr. Hulse underscores that the MAKO robotic technology provides a comprehensive 3D model of the patient’s anatomy, significantly enhancing the procedure’s precision and accuracy. The 3D model helps the surgeons plan and perform the surgery with greater precision and accuracy.

Ms. Vishaka Goyal, co-founder of ClinicSpots, a reputed doctor discovery portal, said, “Patients across the globe are increasingly seeking the DAA surgical procedure because it reduces recovery time and increases the success rate. Also, patients regain their mobility and can live normally, which each patient desires.’

Dr. Hulse shares the numerous advantages of direct anterior approach (DAA) over traditional hip replacement surgeries:

Reduced Muscle Damage: In this procedure, the surgeon accesses the hip joint through the natural space between muscles, minimizing muscle damage and reducing the risk of post-surgery weakness and instability.

Faster Recovery Time: Compared to traditional surgery, patients experience quicker recovery with less pain, fewer medications, and an earlier return to normal activities.

Improved Hip Stability: With better access to the hip joint, the orthopedic surgeon can accurately place the artificial joint, resulting in enhanced hip stability. Additionally, the patient’s supine position helps the surgeon ensure there are no leg length discrepancies during the procedure.

Reduced Risk of Dislocation: The extent of precision available reduces the lower dislocation risk post-surgery as the surgeon is in a better position to place the implant.

Smaller Incision: The DAA involves a smaller incision at the front of the hip, resulting in less scarring and a more aesthetically pleasing outcome.

Dr. Narayan Hulse recently made headlines for performing a groundbreaking surgery on a 66-year-old housewife suffering from severe right hip pain. After multiple unsuccessful treatments, she approached Dr. Narayan Hulse, who diagnosed her with significant degenerative changes.

He created a precise 3D model of the affected area referring to a virtual CT scan made using the MAKO Robotic protocol and developed a personalized surgical plan. On November 19, 2022, Dr. Hulse and his team operated, aligning the patient’s anatomy with the 3D model via a tracker system placed in the patient’s pelvic region.

The MAKO robotic arm was crucial in preparing the bone and placing the acetabular component. At the same time, innovative techniques improved access to the proximal femur to insert the femoral component. This advanced approach exemplifies the integration of cutting-edge technology in orthopedic surgery and highlights Dr. Hulse’s expertise and commitment to patient care. The patient underwent a successful total hip replacement using two technically advanced procedures, Mako Robotic and DAA.

Dr. Hulse states, ‘Joint replacement surgeries performed using the Direct Anterior Approach ensures better outcomes and improves the mobility quotient of the patients too. They get on their feet sooner and can live normally.’

Contact Dr Narayan Hulse, for more information about the Direct Anterior Approach procedure or schedule a consultation

Hulse Clinic,

638, 29th Main, J P Nagar First Phase,


Phone: +91 9480260001

About Dr. Narayan Hulse:

Dr. Narayan Hulse is a highly experienced senior joint replacement surgeon with expertise in traditional and Mako robotic joint replacement surgery, arthroscopy, and pelvic-acetabular trauma. He has acquired commendable expertise in performing minimally invasive Direct Anterior Approach hip replacement procedures. Most patients are delighted with the outcomes of their replacement procedures.

He is also an expert surgical trainer, having trained many orthopedic surgeons in joint replacement surgeries. He runs a fellowship program for joint replacement surgeons.

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Dr. Bhanu Pratap Singh