It is important that the individual who ultimately implants your next THR uses the approach which he or she feels comfortable with and has the best chance to deliver the optimal result. It is important to consider the SuperpathTM technique if you are considering a hip replacement. Thank you. I saw a surgeon who does the posterior approach only and will see another on 4/14/15 who does both approaches. The SuperPATH Hip Replacement: A Novel Less Invasive Radid Recovery An anterior hip replacement is, in many ways, less risky than any other type of hip replacement. Dr. Tom Miller gives you the five best options for hip replacement surgery. 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. I would discuss fully your goals and concerns. 5 Things to Know About Anterior vs Posterior Hip Replacement Inpatient footage of the patient compilation has been edited out to accommodate hospital rules. During anterior approaches, fracture repair is much more difficult and necessitates the use of a separate incision. Kenneth, You saw me in your office yesterday (I am 48 years old) as I had complications following a THR of right hip anterior approach with revision 4 days later for a slipped acetabular and then last week I had a dislocated hip. We are now in a situation where we have found two extremely good surgeons and we gel with both extremely well. Also, because technically it is easier, many patients are being reconstructed with very short stems which are press fit into the bone during an anterior approach. Any feedback will be appreciated. Further, the extent of dissection is more minimally invasive, which also improves stability. The last page is asking the participant to self score their health that day out of 100. Surgical Approaches in Total Hip Replacement Fortunately you live in a part of the world where there are many capable orthopedic surgeons. You are free to opt out any time or opt in for other cookies to get a better experience. After a slip and fall at work 2 1/2 years ago I need a THR on my left hip. The nerve which supplies sensation to the front and side of the thigh is vulnerable. Yes, you do have increase risks. I would also like to know about the customized implant, as I havent yet heard much about it. I think it was sensible being careful on the other hand and I was told not to cross my legs. I didnt spend time on boards talking for eons about peoples outcomes.probably a good thing I didnt. invasive posterior vs not so good with AMIS) whilst on the other hand, with one of your replies you state that surgeon experience should be considered with AMIS success rates and in other replies stating that both alternatives are good. I do not want the approach to dictate the optimal construct which I hope will last 20 years and more. What is SuperPath Hip Replacement? The new prosthetic socket must be medialized (placed further toward the midline) and sometimes through the medial wall of the native socket. Simply, we keep trying to get better. The doc I saw yesterday said 4 weeks. We provide the best cash prices and customer care in the industry. In my practice, I cement an Exeter stem in a significant percentage of my patients who undergo THR . Your surgeon will know better than anyone else just how stable your new hip is immediately after your surgery and how securely the surrounding tissues were repaired after the reconstruction. By continuing to browse the site, you are agreeing to our use of cookies. It is also possible to have an anterior hip replacement during pregnancy. I weigh 185 and am 54 and realize its ideal to lose weight prior to surgery (working on it as always). Some of the most common considerations are age, weight, activity level, and the presence of other health conditions. Finally, I would choose a doctor with whom you connect and whose staff is engaged and knowledgeable. Individual results and activity levels after surgery vary and depend on many factors including age, weight and prior activity level. Pain Management I havent dropped in here for a while but here I am almost 5 yrs post op Anterior and Femoral Nerve Damage is very alivewhole thigh is numb, IT band is still very sore and numb. There is less blood loss with a single THR than a bilateral, hence less risk of needing a transfusion. First, I am a little bit scared. You can resume your active lifestyle as soon as possible thanks to a new prosthetic hip. This approach has a number of potential advantages, including a shorter hospital stay, less pain, and a quicker recovery. Contact Dr. Moor, Orthopedic Surgeon at Advanced Sports Medicine Center. It is so important to stay focused on the outcome of your hip replacement surgery: excellent results both short- and long-term with minimal risk of injury or complication, and not lose sight of the real goal, which is to create a perfectly positioned reconstructed hip that is stable, balanced and has the best possible chance of lasting more than twenty years. Technologies, The Leone Center There are a number of different potential surgical approaches available for hip replacement, each with their own potential advantages and potential drawbacks. Because the patient is lying on his back during the procedure, fluoroscopy or moving x-rays are used to aid in the examination. Can you explain it to me as he didnt go into detail. I had the mini-posterior at MGH hospital. Most importantly, I would meet with your surgeon and discuss all of these concerns. I dont think one surgical approach is better or worse than the other for you to accomplish this. Finally, many people who are struggling with hip disease experience lower back pain or even sciatic discomfort. i had lateral posterior, my surgeon stopped doing anterior because he said it caused muscle problems moving them about and can also cause nerve damage, which is the main reason I did not want that approach. J Orthop Surg Res. I prefer reconstructing the most symptomatic side first. I tore my labrum at age 43 and only discovered then that I had bilateral dysplasia. He strongly recommends the anterior approach as the only way to go. I am sure you should not listen to what I did!! disadvantages of superpath hip replacement I am a South African and need to make a decision on whether my mother (69) goes for an AMIS or traditional posterior. The new femoral prosthesis and new socket . I definitely didnt have any tendons or muscle cut and was cycling on the road from day 12 and back running at week 4 . The posterior approach is used frequently again, in large part due to the fact that it is an extensile approach. Also, after an accident, I had 12 screw and an L shaped plate in my heel. Hi, Less tissue damage during surgery allows for a much faster recovery and no restrictions in range of motion when compared to traditional hip surgery. His hip ball was put back in the socket and he has done beautifully since. What determines the differences? I also would encourage you to choose your surgeon first not the procedure, approach or prosthesis. I feel that at 10 weeks with profuse denervation potentials on the quad muscles, the prognosis is not good, even at 6 months. 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. Thanks! What is your experience and take on this ? Im pleased that you will be coming in for an appointment. We can do this because of improved plastics. We are always refining and trying to make it better. 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!). It exploits the inter-muscular interval between the tensor fascia lata and the gluteus medius. I feel good now and walking good now but feel so disabled as I dont know if my hip will dislocate again.I am sorry if you may have responded to some of these questions already as it is so much information to absorb and I dont want to make a wrong decision again. 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. Bleeding at the operative site can occur as a result of an anesthesia reaction, such as an allergic reaction. Going in for THR in July. Felt very uninformed and left Have you recovered by now? The vast majority of my patients have their surgeries with a simple spinal with IV sedation so they are sleeping throughout the procedure . I dont want a long recovery time as I am very active. but it was more torn than they thought and they had to cut out about 1/4 of it. This technique is also referred to as the . I love that you take time off to reply to these messages it is commendable. Therapy hopefully will help any contractures and scaring within your muscles that might have developed after surgery. Orthop Clin North Am. When the capsule is fully healed, it forms strong ligaments that will eventually regrow (it will take about 4 months for the capsule to form again). I am 63 years old, 54, 115 pounds. They are encouraged to be very active and most stop using a cane, can drive their cars and are exercising in the pool, just two weeks after surgery. I find it curious that you report having a good result for the first five months after your surgery as this suggests that the surgery was done for the right indication, i.e., you did well and were pleased for the first five months after THR. Thanks, These cookies collect information that is used either in aggregate form to help us understand how our website is being used or how effective our marketing campaigns are, or to help us customize our website and application for you in order to enhance your experience. Any info would be appreciated. A THR is in my future. The Disadvantages Of Anterior Hip Replacement I would look at the published track record of the hospital where the surgery is scheduled to be sure its performance record is good and its incidence of infection is low. Also, the surgeon said that I would end up having one leg shorter than the other is this true? Does anyone ever attempt to do both at the same time if THR is determined? Here is his perspective based on careful observation of outcomes. There are a number of different surgical ways (approaches) to access the hip joint. A major hip replacement can take up to four months to fully recover from. Hip replacement - Doctors & Departments - Mayo Clinic The idea is it should be a little less painful if the muscle, tendons and nerves are not disturbed. I choose to do them in a staged fashion because it is a significantly shorter procedure (more than half time-wise) and some think this lessens the risk of infection.

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