I am about 5 6 and 185 lbs, age 58, he did not think the weight was an issues. There are many different quality implants (just like surgeons and hospitals). Very important with both the traditional posterior and the mini-posterior approaches, if the surgeon is not able to visualize critical structure adequately, or if a problem were to arise such as a fracture, then either approach can easily be adjusted. I dont want a long recovery time as I am very active. Update what hes cutting is the adductor so my question is the same is this just a normal part of some THRs? We thank you for your readership. 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. I suspect that your surgeon has continued to refine his or her technique based on experience over the past five years, in the same way I have. They are addictive, can cause depression, their analgesic effects are short lived and if the condition persists, you will require an increasingly higher dose to relieve the pain. I am a sixty five year old active male and need THR on my right hip. But this blog was a nice nudge toward the posterior. Optimal component positioning also is critically important for the best stability and longevity. All: I have read your articles about procedures (anterior vs posterior). Full Function, Faster . About my surgery: I had to wait 30 hours before surgery, two days later I was released, within two more days I stopped using my walker. I also would find out your surgeons recommendation regarding activities and restrictions. That said, in general people who are longer, more flexible and thin are more easily constructed anteriorly than individuals who are very stiff, contracted, thick, and have acetubular protrusion (a condition when the femoral head wears away the central cartilage and bone of the acetabulum). Thanks again! Surgery carries increased risks because of these conditions, but by defining the risks and optimizing any underlying conditions, the risks can be minimized and hopefully managed. What all this means for patients is a more optimum outcome and faster healing, which can reduce time interval to return to normal activities. Most traditional hip replacement models are metal-on-plastic varieties. I then would trust your doctor to select the prosthetic that would deliver the best result according to your goals and allow you to return to activities that you enjoy. It is possible that you will be required to avoid certain high-impact activities to protect your new hip. I am so sorry to learn that you have had such a bad experience after THR. It is 100 percent normal and expected to be scared before surgery. I am suffering from a severe range of motion where I cant put my left sock on or tie my left shoe, I can barely get in and out of low cars and sitting up at a table hurts too! Today, everything from tools to techniques has improved. Until now. The SUPERPATHTM procedure provides a number of advantages over traditional hip replacement surgery. I was thinking of a Hip Resurfacing for my left hip and was convinced by my other top hip surgeons to stay away from it. In a posterior hip replacement, the procedure is done on the side of the hip. SuperPath Hip Replacement Surgery Chesterfield | SuperPath Hip Surgery I will let you in on something personal. I went with a total hip replacement. These positions include crossing your legs, bending your hip more than 90 degrees, or lying on your stomach. This surgical procedure is performed with a patient lying on their side, and a surgical incision made along the outside of the hip. I am a!so told by the orthopedist who referred me that I need arthroscope on my right hip. Pain Management Should I look to another approach and surgeon? It's cut off and removed through the hole. I have a good surgeon (same one as last time) but I dont know how he would feel about my asking if a mini posterior (or posterior) procedure be carried out, so as to preserve as much strength in my right leg as I now have.Do as many muscles need to be cut in the mini posterior procedure? Such joint replacement orthopaedic surgery is generally conducted to relieve arthritis pain or in some hip fractures.A total hip replacement (total hip arthroplasty or THA . Proponents of minimally invasive hip replacement say small-incision operations can lessen blood loss, ease post-operative pain, trim hospital stays, improve scar appearance, and speed healing.. Your article lacks the pros of the AMIS and the cons of min invasive posterior. Which approach did the doctor take? Most of my patients now go home the day after their surgery or the next. The mini posterior approach essentially is the same as the traditional posterior, however a smaller incision is made and less soft tissue is exposed. By adhering to the surgeons instructions as well as their pre- and post-operative instructions, you can reduce your chances of complications. The new prosthetic socket must be medialized (placed further toward the midline) and sometimes through the medial wall of the native socket. I still have a very big limp and still undergoing physical therapy. Lazaru P, Marintschev I. Please be aware that this might heavily reduce the functionality and appearance of our site. Upgrade to Patient Pro Medical Professional? Comparison of short-term outcomes between SuperPATH approach and But this will always prompt you to accept/refuse cookies when revisiting our site. (a) Components of a total hip replacement; (b) The - ResearchGate It also keeps the surrounding muscles and tendons in place to reduce the risk of post-op pain and nerve damage. I would rather my patient get half as much anesthesia. My surgeon does the SuperPath method. Click to enable/disable Google Analytics tracking. According to Dr. Gililand, patients should not try to change their surgeons opinion based on their preferences. Thank-you. There are a few disadvantages to hip replacement surgery. A hip replacement with an anterior component does not require major muscle cuts and thus patients are less likely to experience pain and require less medication. Nerve regeneration can occur up to 18 months following injury, but the chance of full recovery decreases with delay in recovery time. There always are conditions or circumstances that may predispose one to limp or feel as if their legs are not the same length after surgery, but in my experience this is the exception. We can help you make the best decision for your knee replacement, and our friendly staff is available to answer any questions you may have. I dont know what type of procedure was used for my first op but it was sucessful and now can do a half lotus position with no problem.I do find however that the muscles at the front of that leg are not as strong as my unoperated right leg and lifting the left leg to a vertical position in yoga, when lying on my back, is quite difficult. One advantage the ceramic-on-polyethylene carries is the lack of . As a result of the interventions, the surgeon has a better view of the hip joint. Surgical Approaches Used for Hip Replacement - Verywell Health Im ready to have the surgery, having been basically bone on bone for several years. I have never operated on another surgeon who asked me to make as small an incision as possible or use the minimally invasive approach. Ken. Hip replacement - Mayo Clinic . Six weeks or longer is the exception. Blood clots or bleeding. This procedure differs from traditional hip replacements in the following ways: There is no surgical dislocation of the hip. Each surgeon approaches these issues individually. Appalachian orthopedic surgeons perform revision surgery as well as mini-posterior and anterior approaches. The same is true for a surgeon who employs the anterior or anterior technique. If they are really happy, then you probably will be as well. What is SuperPath Hip Replacement? My recommendation is to go back to your surgeon and share your concerns and issues to see if a fresh and thorough reevaluation wont help define the problem(s) and solutions. Further, I would contact your insurance carrier and the hospital so you will not be surprised with any unexpected costs. Enhanced soft tissue techniques also have been developed which more securely close the tissue around the newly placed prosthesis and set the stage for healing. The femoral nerve functions to extend the knee and also is responsible for sensations over the anterior and medial aspects of the thigh, medial shin, and arch of the foot. Achieving legs that feel equal in length after surgery is imperative. This is used when the cartilage in the hip is severely damaged by osteoarthritis or other conditions. Dear Dr. Leone, Behavior. Low-risk anterior approach patients are those who have significant deformities in their proximal femur as a result of previous trauma or dysplasia, or who have previously suffered from acetabular bone fractures. The intended interval between the front thigh muscles can be difficult to recognize and there has been an associated increase in injury to the femoral nerve or vessels. After reading a few articles on anterior vs posterior including yours, I know now that his decision to use the posterior approach is the best one for me! The SUPERPATH technique is a tissue-sparing procedure. Infection: You are given IV antibiotics before and after surgery. This allows you to resume normal daily activities quickly while also returning to normal range of motion and function. July 2013 my left hip was scoped for a labral repair. http://holycrossleonecenter.com/blog/hip-resurfacing-or-total-hip-replacement-a-candid-discussion/, http://holycrossleonecenter.com/blog/metal-on-metal-hip-replacements/, I wish you the very best recovery. In my experience, almost all patients who have bilateral THRs go to rehabs and not home. There tends to be a lesser incidence of posterior instability with the anterior approach. Like you said, consistent outcome is important and this surgeon is excellent and I have great faith in him (Im a physical therapist and see his patients post-op so get to see the, at least short term, results myself). Because of the marked improvement in modern plastics, there is greater longevity and durability of acetabular plastic liners and larger femoral heads are used routinely which results in an improved the head/neck ratio and therefore the jumping distance for a hip to dislocate. Finally, because my patients are walking the day of surgery, most want to go home rather than to rehab. I know the most important decision you will make is choosing the doctor who will perform your surgery. Use of the forums is subject to our Terms of Use
I was thinking of doing that 1st, maybe April(Ill be in boot 4 weeks), and then the PTHR in either Sept or next Jan when I have free time. More likely, its because ones activity increases after the first THR. Pain and disability are reduced. Risks of SUPERPATH hip replacement surgery Risks due to the surgery may include (but are not limited to): Pain Bleeding Infection Permanent or temporary nerve damage Extra bone or tissue damage Drop in blood pressure during the procedure Leg deformity Blood clot or clots (that could travel to heart or lungs) Delayed wound healing This is described as a posterior approach because the actual hip . United States. This does expose the patient to more radiation but can help with component positioning and sizing. I wish you a full and speedy recovery. Its been a nightmare for me going into 4 yrs post op soon. Is THR something that can help? In the front of the hip, fewer muscles are present, so the surgeon works between them instead of cutting through them and then detaching them (and then repairing them after the surgery). Im hoping to play tennis, go dancing and horseback riding once Ive healed. Because these cookies are strictly necessary to deliver the website, refusing them will have impact how our site functions. How does it affect the actual success of the 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. Every . Hip replacement currently consists of two major approaches: direct anterior and anterior approaches. Also congenital pulmonary hypertension (PA pressure about 52) and have hashimotos hypothyroid, and two additional auto immune issues ( alopecia and psoriasis of feet),and hypertension. I read hip dislocation is 28% higher after a revision, is it more then 28% after 2 revisions??? I am a 55 year old with a labral tear and moderate arthritis. Hip anatomy Its been a couple months and I thought Id drop in with an update..over 4 yrs post op and I deal with Femoral nerve damage from Anterior, and found others who deal with the same.it may lessen with more years but who knows.Somewhere I read 15% or so end up with this..I talked 2 other people in my city, same surgeon and they have had this issue to. Very sorry to hear of the difficulties you experienced! My personal preference has changed from doing both hips during a single anesthetic to staged procedures two to three weeks apart. What Ive seen in my practice is that the more total hips I do, the less restrictions I place on my patients and the more active my patients are. Can you please on the various points in the post and perhaps also elaborate on the last point. The anterior approach exploits an interval between muscles that cross the front of your hip and thigh. Patients are typi. Also, be aware that as the nerve recovers, the smallest C fibers within the nerve recover first, which can cause a burning discomfort. 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. Since then, SuperPATH has enjoyed excellent success. Minimally invasive versus standard incision anterolateral hip replacement: a comparative study. Help. 4 mts later am using SuperPATH is a micro-invasive method of performing a standard total hip replacement where the surgeon utilizes a smaller initial incision and, more importantly, a very limited dissection in the deep tissues. The earlier the recovery begins, the better chance for a more-complete recovery. This effectively moves the hip joint center, toward the bladder or midline, and improves hip mechanics. I prefer reconstructing the most symptomatic side first. 2004 Apr. Because the muscle fibers are separated, not cut, the nerve path is not disturbed and the muscle is not injured. A hip replacement can greatly reduce the pain associated with arthritis of the hip, with almost all patients having complete or near-complete relief. I would recommend having an honest discussion with the surgeons you are considering. I would love to hear some stories about the SuperPath hip replacement. Disadvantages of the anterior approach include: The nerve which supplies sensation to the front and side of the thigh is vulnerable. If they did develop five months post-op, then you have to consider that it could be a manifestation of back pathology compromising a nerve root. DAA and SuperPATH were equal in functional outcome and acetabular cup positioning. The posterior approach for hip replacement surgery is by far the most common surgical technique used in the United States and throughout the world. Can You Go Home the Same Day After Hip Replacement? With much respect I look forward to your reply. 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. Notes on SuperPath experiences good or bad, https://patient.info/forums/discuss/superpath-experiences-good-or-bad-718788. Thanks so much for this information! We provide you with a list of stored cookies on your computer in our domain so you can check what we stored. Total Hip Replacement Surgery | Kaiser Permanente
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