
SPAIRE versus the lateral approach in hip replacement
SPAIRE preserves the gluteus medius and minimus in hip replacement; the lateral approach divides them, causing abductor insufficiency and protracted gait impairment.
Practical reading from Professor Paul Lee and the Lincolnshire Hip Clinic team on hip replacement, recovery, surgical technique and what to expect from your £17,800 fully inclusive package.

SPAIRE preserves the gluteus medius and minimus in hip replacement; the lateral approach divides them, causing abductor insufficiency and protracted gait impairment.

SPAIRE enters from behind, preserving posterior tendons as intraoperative tactile guides and reducing posterior dislocation risk; the anterior approach works from the front, enabling faster early mobilisation with no sustained long-term advantage.

Third-generation ceramic-on-ceramic hip implants achieve 93% survival at 25 years — substantially exceeding the 58% figure commonly cited, which reflects implants with older bearing surfaces and outdated techniques.

Chronic hip pain from osteoarthritis causes months of progressive muscle loss before replacement, but structured preoperative exercise raises the functional baseline. A 2025 evidence synthesis of 19 trials confirmed prehabilitation improves strength, function, and early post-operative outcomes.

Hip replacement rehab in weeks 6–12 focuses on rebuilding hip strength and normalising gait; progression follows clinical gates—abductor strength, symmetric walking, pelvic stability—not calendar weeks.

SPAIRE hip replacement preserves two key tendons that traditional posterior surgery cuts, providing immediate posterior stability that eliminates post-operative movement restrictions.

Three functional milestones define mid-phase hip replacement recovery from week six: stair climbing tests load tolerance; hip range of motion reflects mechanical recovery; single-leg stance on the operated leg probes pelvic control.

Hip replacement outcomes depend on surgical approach, not implant: SPAIRE preserves rear tendons, preventing dislocation and allowing unrestricted movement from day one; SuperPATH keeps the joint undislocated throughout, reducing blood loss but extending operative time.

Hip replacement approach choice does not determine long-term implant survival but substantially changes dislocation risk, early recovery, and intraoperative blood loss.
Lincolnshire Hip Clinic
Led by Professor Paul Lee
Start with a free, non-medical discovery call with our team. We will explain the £17,800 fully inclusive package, the included luxury car service to London, and unlimited local post-op physiotherapy. No GP referral needed. No pressure to proceed.
What’s included