He and his fellow Lake Regional board-certified orthopedic surgeon Rick Walker, D.O., perform total hip replacement surgeries, like Nepote’s, using a hana ® table. This high-tech surgical table has moving parts that enable surgeons to access the hip joint from the front of the hip. The traditional, back approach requires cutting muscles and tendons, but with the front, anterior approach, surgeons can work through the natural gap between the muscles.