US Direct Anterior Approach Market: Industry Analysis and Forecast (2024-2030)

  • The US Direct Anterior Approach Market size was valued at USD 900 Mn. in 2023 and the total US Direct Anterior Approach revenue is expected to grow at a CAGR of 12.12% from 2024 to 2030, reaching nearly USD 2004.6 Mn. in 2030.

  • Format : PDF | Report ID : SMR_2054

US Direct Anterior Approach Market Overview

The Direct Anterior Approach is a minimally invasive technique commonly utilized in total hip replacement surgery. Ongoing orthopedic research indicates that the approach has been correlated with decreased muscle damage and pain, along with quicker recovery times following surgery.


In the USA, in recent years, the market for hip replacement surgeries using the Direct Anterior Approach (DAA) has grown significantly. Thanks to its benefits in shortening recovery periods and enhancing postoperative results, the minimally invasive surgical approach which enables doctors to access the hip joint from the front has gained popularity. The main trends, forces, obstacles, and competitive environment influencing the DAA market in the US are examined in the market report.


The aging population, rising osteoarthritis prevalence, and growing awareness of the advantages of minimally invasive procedures are the main drivers of growth. The accuracy and results of DAA procedures have increased thanks to advancements in surgical instruments and methods, such as better imaging systems and robotically assisted surgeries have boosted the market growth. The method is now easier to use and more enticing to patients and surgeons thanks to these developments in the US Direct Anterior Approach Market.

US Direct Anterior Approach Market


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US Direct Anterior Approach Market Dynamics

Rising Popularity of Direct Anterior Approach in Hip Replacement Surgery

The direct anterior approach (DAA) to hip replacement surgery is gaining popularity in the United States owing to its potential benefits, including less muscle damage, faster recovery, and reduced post-operative pain has propelled the market growth.  The rise in the advantages of the Anterior Approach has been attributed to the proven technique that allows surgeons to approach the hip between muscles without detaching them from either the pelvis or femur, as is customary in conventional total hip arthroplasty (THA).  The Direct Anterior Approach needs a special operating table uniquely designed for the procedure to position the patient on his or her back, enabling the surgeon to make a small incision on the front of the hip and gain access to the joint through a natural interval between muscles has boosted the US Direct Anterior Approach Market demand.


Direct Anterior Approach Hip Replacement has been performed as an outpatient procedure at OrthoIllinois Surgery Center. Unlike a traditional approach where the muscles are cut, the anterior approach allows the surgeon to work between the muscles keeping them intact. In the anterior approach to hip replacement additional tools and exclusive technologies have been used to help improve the experience for the surgeon and the patient. The DA utilizes native inter-nervous muscle planes to approach the hip leading to less muscle injury (in contrast to both anterior-lateral and posterior-lateral, which require greater degrees of muscle reflection).

US Direct Anterior Approach Market1

Challenges and Limitations of Direct Anterior Approach in Hip Replacement Surgery

The use of DAA in surgeries often requires costly specialized tables and instruments, limiting its availability in certain healthcare facilities and hindering US Direct Anterior Approach Market growth. The approach offers a smaller surgical field compared to traditional methods, making it challenging to visualize and access the hip joint. Additionally, there is an increased risk of injury to the lateral femoral cutaneous nerve, leading to potential numbness, tingling, or pain in the thigh.


Not all patients are suitable candidates for DAA, with factors like obesity, complex hip anatomy, or prior hip surgeries complicating the procedure. While some studies suggest decreased post-operative pain and quicker recovery times, other research shows comparable complication rates such as infections, implant misplacements, and dislocations to alternative approaches. The costs associated with specialized training, equipment, and potentially longer surgery times are significant, requiring a deep understanding of anatomy and precise surgical skills to prevent complications has created a barrier in the US Direct Anterior approach Market.


US Direct Anterior Approach Market Segment Analysis

Based on Procedure Type, the Primary Hip Replacement segment held the larges share and is expected to dominate through the forecast period with an increasing CAGR.  The major factor that has influenced the market growth is the shift towards an older population. The surge in joint diseases such as rheumatoid arthritis, osteoarthritis, and many others has boosted the demand for Primary Hip replacements.


The rise in the Hip replacement success rates and longevity have increased owing to advancements in surgical techniques, including the direct anterior approach, and advancements in implant materials and design have propelled the US Direct Anterior Approach Market growth. As it makes the procedure more appealing to surgeons as well as patients. Hip replacement surgery is necessary thanks to an increased risk of joint diseases associated with a more sedentary lifestyle and rising obesity rates. A less active lifestyle and rising obesity rates are linked to an increased risk of joint diseases that require hip replacement surgery.


Additionally, an increase in physical activity among younger individuals has been associated with a higher incidence of sports injuries, leading to potential early hip degeneration. Enhanced outcomes from surgery, including reduced pain, enhanced mobility, and increased quality of life, have caused a surge in the adoption of hip replacement surgeries. Patient reviews and personal recommendations have also influenced others to undergo the procedure.

US Direct Anterior Approach Market2


US Direct Anterior Approach Market Competitive Landscape

  • In Dec 2023, Stryker, one of the world's leading medical technology companies, announced that it has executed a binding offer to Menix to acquire SERF SAS, a France-based joint replacement company. This acquisition is expected to complement Stryker's existing presence in France and across Europe as well as its global joint replacement portfolio, allowing Stryker to serve a wider range of patients.

US Direct Anterior Approach Market Scope

Market Size in 2023

USD 900 Mn.

Market Size in 2030

USD 2004.6  Mn.

CAGR (2024-2030)

12.12 %

Historic Data


Base Year


Forecast Period


Segment Scope


By Procedure Type

  • Primary Hip Replacement
  • Revision Hip Replacement

By Technology

  • Robotic-assisted Surgery
  • Traditional Surgical Methods

By Material Type

  • Metal Material
  • Alloy Material
  • Resin Material


US Direct Anterior Approach Market Key Players

  1. Proliance Surgeons
  2. OrthAlign Inc.
  3. Bone & Joint Surgery Clinic
  4. Stryker Corporation
  5. Orthoillinois.
  6. Zimmer Biomet
  7. Johnson & Johnson Services Inc. (DePuy Synthes)
  8. The Hip and Knee Center
  9. Medtronic  
  10. Exactech  
  11. MicroPort Orthopedics

Frequently Asked Questions

Growing awareness of the advantages of minimally invasive procedures is expected to be the major driver for the US Direct Anterior Approach Market.

1.    US Direct Anterior Approach Market Executive Summary
1.1 Study Assumption and Market Definition
1.2 Scope of the Study
1.3 Executive Summary 
1.4 Emerging Technologies
1.5 Market Projections
1.6 Strategic Recommendations
2.    US Direct Anterior Approach Market Trends
2.1 Market Consolidation
2.2 Adoption of Advanced Technologies
2.3 Pricing and Reimbursement Trends
3.    US Direct Anterior Approach Market: Dynamics
3.1.1 Market Driver
3.1.2 Market Restraints
3.1.3 Market Opportunities
3.1.4 Market Challenges

3.2 PORTER’s Five Forces Analysis
3.3 PESTLE Analysis
3.4 Regulatory Landscape 
3.5 Analysis of Government Schemes and Initiatives for the US Direct Anterior Approach Industry
4.    US Direct Anterior Approach Market: Market Size and Forecast by Segmentation (Value) (2023-2030)
4.1 US Direct Anterior Approach Market Size and Forecast, by Procedure Type (2024-2030)
4.1.1 Primary Hip Replacement
4.1.2 Revision Hip Replacement
4.2 US Direct Anterior Approach Market Size and Forecast, by Technology (2023-2030)
4.2.1 Robotic-assisted Surgery
4.2.2 Traditional Surgical Methods

4.3 US Direct Anterior Approach Market Size and Forecast, by Material Type (2023-2030)
4.3.1 Metal Material
4.3.2 Alloy Material
4.3.3 Resin Material

5.    US Direct Anterior Approach Market: Competitive Landscape
5.1 STELLAR Competition Matrix
5.2 Competitive Landscape
5.3 Key Players Benchmarking
5.3.1 Company Name
5.3.2 Service Segment
5.3.3 End-user Segment 
5.3.4 Revenue (2023)
5.3.5 Company Locations

5.4 Leading US Direct Anterior Approach Companies, by market capitalization
5.5 Market Structure
5.5.1 Market Leaders 
5.5.2 Market Followers
5.5.3 Emerging Players

5.6 Mergers and Acquisitions Details
6.    Company Profile: Key Players
6.1 Proliance Surgeons 
6.1.1 Company Overview
6.1.2 Business Portfolio
6.1.3 Financial Overview
6.1.4 SWOT Analysis
6.1.5 Strategic Analysis
6.1.6 Scale of Operation (small, medium, and large)
6.1.7 Details on Partnership
6.1.8 Regulatory Accreditations and Certifications Received by Them
6.1.9 Awards Received by the Firm
6.1.10  Recent Developments

6.2 OrthAlign Inc. 
6.3 Bone & Joint Surgery Clinic 
6.4 Stryker Corporation 
6.5 Orthoillinois.
6.6 Zimmer Biomet 
6.7 Johnson & Johnson Services Inc. (DePuy Synthes) 
6.8 The Hip and Knee Center 
6.9 Medtronic  
6.10 Exactech  
6.11 MicroPort Orthopedics 
7.    Key Findings
8.    Industry Recommendations
9.    US Direct Anterior Approach Market: Research Methodology

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