Total hip replacement is one of the most successful operations in modern medicine, but outcomes depend heavily on how precisely the implant is positioned — even a few degrees of misalignment can affect the long-term stability, range of motion, and durability of the joint. The Robotic STAR Approach — Superior Transverse Anatomic Robotic Hip Replacement — addresses this directly. Rather than relying on freehand judgment in the operating room, Dr. Karas uses a robotic guidance system that works from a detailed, patient-specific plan built before surgery ever begins. Advanced imaging data is used to map your exact bone geometry, and throughout the procedure the robotic platform tracks instrument position in real time, ensuring the implant is seated precisely where the plan specifies. Equally important is the surgical access route itself: the superior transverse approach is designed to work through the natural planes of the hip anatomy, minimizing disruption to the muscles and soft tissue that surround the joint. The approach utilizes the muscle sparing practices learned from the direct anterior approach and applies these within the safety and reliability of the posterior approach. Less tissue trauma means less post-operative pain, reduced blood loss, and a faster, more predictable recovery — allowing patients to return to walking, normal daily activity, and the things they love sooner than traditional hip replacement techniques typically allow.
This level of surgical technique — and the team and technology behind it — is not the standard experience in medicine. It is what we believe patients need to be their most active selves, and it is the standard every patient in our practice receives.