There are a few complications that can occur with anterior hip replacement surgery. My problem isnt from a worn-down joint with no cartilage. So my question is in relation to my body structure. Further, rehab after hip arthroscopy often requires partial weight bearing on the operative side and that would be difficult with newly operated THR on contralateral side. Fitness going into surgery and speed of recovery seems to be a common theme though. For the prevention, diagnosis, and treatment of hip pain and other problems affecting your hips, call Advanced Sports Medicine Center today at (941) 957-1500. Do you also do arthroscope surgery? There are several positions to avoid after anterior hip replacement, as they can put unnecessary stress on the new hip joint and lead to dislocation. What are the risks involved? There are a few disadvantages of anterior hip replacement that patients should be aware of before undergoing the surgery. I have had both hips replaced about 13 months apart, one anterior and one posterior, and there is no doubt that I would recommend anterior. William Leone. Some patients have no pain at all, which is remarkable. I have dealt with my hip pain and limping for over a year, can no longer perform my daily activities, and cannot sleep well anymore. I worry that replacing it with a differently configured socket could make things worse rather than helping. My recommendation is for you to discuss this with your surgeon if you have further concerns. What is your experience and take on this ? My acyive 60 year old husband is scheduled to have Mini posterior total hip replacement in 6 weeks. All rights reserved. Need to choose, then select doctor based on that decision. Thanks so much for this information! Complications That being said, I agree completely with your surgeons advice to have a total hip replacement and not a hip resurfacing. Very sorry to hear of the difficulties you experienced! As a result of anterior hip surgery, there is little need for any special care. Appalachian orthopedic surgeons perform revision surgery as well as mini-posterior and anterior approaches. Even if the hip doesnt dislocate, prosthetic or soft tissue impingement is not beneficial. The approach planned is a frequent topic of Continued All have advantages and disadvantages. respect of any healthcare matters. The source of your hip pain must be diagnosed. Each approach has advantages and disadvantages. In severe cases, I will use my patients own femoral head, which is removed as a bone graft to help stabilize the new cup and garden new bone for the future. Once the surrounding tissues fully heal, they then act as a mechanical block to the ball to keep it from being able to jump out.. You can resume your active lifestyle as soon as possible thanks to a new prosthetic hip. Its reasonable to inquire about his or her experience using the Mako robot. Above the ankle to the thigh.Had to use leg brace to He is the founder and main author of brandonorthopedics.com, a website that offers valuable resources, tips, and advice for patients looking to learn more about orthopedic treatments and physiotherapy. If a mini posterior approach is used and the resultant total hip has optimally positioned components and balanced soft tissues, and was implanted through a smaller incision with less underlying soft tissue dissection and trauma, then I believe it is a benefit. According to the meta-analysis, DAA (depressing the anterior hip joint by using a metal rod) is associated with significantly shorter hospitalizations than lateral approaches, as well as increased functional rehabilitation and lower perceived pain during the first few days after surgery. My question is, I am a very active 67 yr old. If its a struggle, then the situation needs to be reassessed. Fort Lauderdale, FL 33334 Im sorry to hear that you struggled after your first, anterior-approach THR. In the right hands, both approaches do great. Pros and Cons of Robotic Assisted Surgery - Carrothers Orthopaedics Ultimately, you and your husband need to choose the surgeon who you both feel will provide the possible best care, based on reputation and your personal comfort level. I have read your articles about procedures (anterior vs posterior). Thank you for this great informative discussion. Due to security reasons we are not able to show or modify cookies from other domains. The doctor has scheduled me for total hip replacement in two weeks and he uses the Posterior approach, he didnt say anything about the mini part. Overall, it sounds as if youve had an excellent result and wonderful recovery following your hip replacement. It is important to understand that "less invasive" does not only refer to the incision but . Nobody wants a long recovery. Hip Resurfacing vs Total Hip Replacement - sosbones.com Ceramic-on-polyethylene is currently the most popular hip replacement material, representing 50.6% of all hip replacement cases back in 2014. I find that patients who are well informed and know what to expect prior to surgery get well even faster. One of the biggest changes that Ive seen in my practice over the past 25 years is how quickly patients get well and go home. Will meet with doctor soon but when I was finally able to really exercise after surgery I overdid it and developed plantar fasciitis. The surgeon was not at the pre-op meeting, but the PA assured me it was not that big of a deal (but to me, ALL surgery is a big deal!). No special surgical equipment is required when performing a mini posterior. I am so sorry to learn that you are struggling. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. Infection. It seems, however, that at this time point, patients who have received resurfacings do as well or better than similar patients who have received total hip replacements. The Pros and Cons of Two Approaches to Hip Replacement: Mini-Posterior https://holycrossleonecenter.com/wp-content/uploads/2018/12/Screen-Shot-2018-12-10-at-3.48.24-PM.png, https://holycrossleonecenter.com///wp-content/uploads/2017/11/Leone-Center-Logo@2x.png, The Pros and Cons of Two Approaches to Hip Replacement: Mini-Posterior and Direct Anterior, Copyright 2018 - 2023 The Leone Center for Orthopedic Care. more nutritious, too. Dear Doctor Leone, I am 5 weeks out and have been doing beautifully! Sitting seems to irritate it the most. My surgeon is doing posterior and my reason is I am self employed with limited Time off available and hope to be back to work at least walking and driving in 4 to 5 weeks is this possible? One of the potential disadvantages is that because the surgery is performed through the front of the hip, there is a risk of damaging the hip joint and the surrounding muscles and tendons. Comparison of short-term outcomes between SuperPATH approach and The hip joint needs to be replaced again when it no longer works properly because of a revision surgery. The size and placement of the incisions will be different. There tends to be a lesser incidence of posterior instability with the anterior approach. Dr. Tom Miller gives you the five best options for hip replacement surgery. Its been my experience that femoral nerves tend to recover more readily than sciatic nerves. Click to enable/disable _ga - Google Analytics Cookie. Im considering this mini posterior approach. Also, how about hip restructuring instead of Total Hip Replacement. 3. There has been an increase in the range of motion. My surgeon uses the posterior approach. I will need the other hip done within the next 6 months, and despite all the talk of the anterior approach- I can use myself as the best judge to the best method. SuperPath Hip Replacement - Elvis Grandic, MD My husband has a plastic valve (done in 86) and synthetic assending aorta and triple bypass (done in 2013)very successful surgery. I would love to hear some stories about the SuperPath hip replacement. Further, the extent of dissection is more minimally invasive, which also improves stability. I am very athletic and active even with many years of pain from bone on bone arthritis so I am worried about restrictions since Ill probably forget or something. I have the surgery planned, but then another medical professional warned me that the posterior approach will limit my twisting range of motion and prevent me from playing golf. (Of course, I do.) Disadvantages of the anterior approach include: The nerve which supplies sensation to the front and side of the thigh is vulnerable. I assume its something near my groin. Since my acetabulum is too shallow, and other angles are off as well, how does the new cup get positioned correctly? 1.2. I would suggest seeking out doctors who specialize in hip replacement surgery rather than general orthopedics. In Dr. Lawrence Dorrs opinion, doctors and hospitals should not market a specific type of surgery as the most effective. She provided all kinds of benefits with this approach, as faster recovery, less motion restrictions et.al. 5. Here is his perspective based on careful observation of outcomes. I would discuss fully your goals and concerns. It all comes down to the surgeons comfort as well as the patients. Try our Symptom Checker Got any other symptoms? These can include damage to blood vessels or nerves, dislocation of the hip, and infection. Thanks! I have since read that hips with this condition might get worse after labrum repair due to this structural defect. His hip ball was put back in the socket and he has done beautifully since. I have been doing ALOT of research about the different approaches to THR and looking for the absolute best surgeon. This complete wall of tissue that surrounds the new hip imparts stability. We provide you with a list of stored cookies on your computer in our domain so you can check what we stored. SuperPath hip replacement is a differentiated total hip technique being performed by a growing number of experienced surgeons. Many times, the depth of the destruction that is found during surgery is much more advanced than initially anticipated, particularly as we age. 2 x week. What is most important is that you find a surgeon who understands the particular complexities with your problem and whom you trust. The earlier the recovery begins, the better chance for a more-complete recovery. Update what hes cutting is the adductor so my question is the same is this just a normal part of some THRs? I would not recommend pushing your surgeon to use one specific approach or another. I will reiterate what I know to be true. I have a tilted sacrum, sway back and a very large posterior. Dear Dr. Leone, Because the anterior hip replacement surgery is a minimally invasive procedure, no cuts are made to the muscles surrounding the hip. Not only was my recovery twice as fast with the anterior, there was very little pain in comparison.
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