Hip replacement with SPAIRE: Your expert guide

Saving piriformis and internus, repair of externus, also known as SPAIRE, is a modern approach used in hip replacement surgery which preserves key muscles around the joint, aiding recovery and improving outcomes. To tell us more, we invited esteemed consultant orthopaedic surgeon Mr Tom Symes to share his expert insight on this innovative surgical approach.

What are the main advantages of the SPAIRE approach over other hip surgery approaches?

The SPAIRE approach is a muscle sparing approach to hip replacement surgery that involves a standard size incision and scar. However, with this approach, nearly all of the important muscles around the hip are preserved. As a result, hip function is preserved and there is much less chance of dislocation.

Which patients are good candidates for the SPAIRE approach?

Patients who need a hip replacement but are active or sporty are good candidates. Undergoing a SPAIRE procedure means they can return to all the sporting activities they wish to, as there are no restrictions put on patients after this type of surgery. The ideal candidate is a patient of normal weight with a good hip range of movement.

What are the potential risks and complications of the SPAIRE approach?

There are no added risks with the SPAIRE approach but not all patients are suitable for this type of surgery. Your orthopaedic specialist can advise on your suitability for this type of procedure.

What is the typical recovery time after SPAIRE surgery?

SPAIRE surgery can often be done as a day case operation, or may require 1 night in hospital post-operatively. Sticks or crutches will be needed for 3-4 weeks and driving can be resumed after 6 weeks. Patients are able to go back to work after 8-12 weeks and typically make a full recovery in 6 months. However, the hip will feel less painful than before the operation within 1 to 2 weeks of surgery.

What are the long term outcomes for patients who have had SPAIRE surgery?

The long term outcomes for patients who have had SPAIRE surgery are very good, and most patients will not require any more surgery. 85 per cent of patients feel 'much better' than before their surgery and 80 per cent would report satisfaction as 'excellent' or 'very good'.
 

If you require hip replacement surgery and think you could be a good candidate for a SPAIRE procedure, visit Mr Symes’ Top Doctors profile today to schedule a consultation.