I am deciding that my quality of life is in the toilet and need to get the THR done. Also, since I am only 51, I am concerned about component longevity. Dear Dr. Leone, Occasionally this even requires making a second, separate incision. More likely, its because ones activity increases after the first THR. Excess weight causes a hip joint that has already been stressed to become more painful and disability-causing. results, I decided to see and orthopedic doctor was advised to have THR. Celle said: Superpath may give you a faster early recovery, but whatever method is used, recovery is still going to take a long time. I wish you a full and speedy recovery. Choosing a surgeon based on his or her experience and complication rate also is exactly right., My strong advice is to choose your surgeon, not the approach. 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. I emphasize continuing exercises at home especially walking. Patients understand the risks that metal joints and sockets bring to their long-term health and are moving away from the material. Ten years ago I had total hip replacement on the left at hss. A femoral nerve injury is devastating and is more vulnerable during an anterior approach than with other approaches. We are now in a situation where we have found two extremely good surgeons and we gel with both extremely well. I also recommend that you look at the track record and reputation of the hospital where the surgery will be performed, especially considering the underlying cardiac and vascular issues. 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. By continuing to browse the site, you are agreeing to our use of cookies. There is no way that you can recover fast from having bones cut and shaped and large metal objects inserted into them. Select a surgeon based on your impression of that individual: how engaged was he or she in your care, will you have access to that person as well as his or her team before and after surgery? I am wondering if having mild hip dysplasia is a factor in which approach is used. Very few metal-on-metal bearings are being placed today due to the serious potential of metallosis. There are potential drawbacks to anterior hip replacement. July played my last match when I buckled. Again, considering my own practice, I routinely see my patients recover faster and easier after their second hip or knee replacement because they are more confident having had a good first experience. If your surgeon has recommended surgery, I assume youre no longer getting adequate relief of pain or able to remain active with conservative measures. My worry is that I will end up with one leg shorter than the other. Most patients after a bilateral procedure would not go home but rather a rehab unit. I'm hoping to read some posts post surgery. I am unsure whether the minimal invasive posterior is available in SA. Patients mobilize the day of surgery and typically go home the next day. Years!! I think the recovery time is the same though. I am an obese female and will be 62 in February. 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? Other combinations of materials have advantages and disadvantages (for instance, some researchers believe that ceramic-on-ceramic types may be more durable, but they have also been known to make squeaking and popping sounds.) Femoral nerve function also should be assessed. It normally takes about 3-6 weeks to resume normal household activities and about 12 weeks to resume recreational activities like bicycling or golfing. When asking a prospective surgeon about the anterior vs posterior approach he told me that it is necessary to use a smaller prosthesis which would not be as stable with the anterior approach and did not recommend it for this reason. Hip replacement surgeries are becoming increasingly popular due to their numerous benefits, such as increased range of motion, reduced pain and disability, improved mobility during pregnancy, and improved quality of life. A major muscle is not cut during anterior hip replacement surgery, so pain is reduced and major muscles are not cut after the operation. This approach has a number of potential advantages, including a shorter hospital stay, less pain, and a quicker recovery. The surgical technique for a SUPERPATH Hip Replacement was developed as an advancement to traditional total hip replacement. These stems are a new design, and therefore do not have an established track record. Dear Dr. Leone: Above the ankle to the thigh.Had to use leg brace to I wish you a full and satisfactory recovery. 2015 Aug. 3 (13):179. Anterior hip replacement is a type of hip replacement surgery. Thank you for sharing. 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. My doc said the angle of my hips is not the worst but also not the best. The surgeon accesses the hip joint from the front of the hip, rather than from the back or side. Fortunately, you have already experienced a THR and have done well. But this blog was a nice nudge toward the posterior. Posterior or Anterior? Hip dysplasia is a very common underlying cause of hip osteoarthritis. When discussing the options, my surgeon all of a sudden suggested performing anterior approach. 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. The source of your hip pain must be diagnosed. I live in Staten Island and need rt hip replacement. Im hoping to play tennis, go dancing and horseback riding once Ive healed. It is highly recommended that you avoid bending your hips and turning your feet together as part of hip precautions. If you decide to have your hip replaced in another country, I would consider carefully who would care for you if you develop a complication such as an infection, or a major medical problem like a pulmonary emboli or heart attack after surgery. SuperPath hip approach. My recommendation is for you to discuss this with your surgeon if you have further concerns. With SuperPath, there is no surgical dislocation of the hip. The chances of developing a revision surgery after a posterior hip replacement are low, but you should keep all follow-up appointments with your surgeon and inquire when you can resume activities that go beyond 90 degrees or bend down to pick up something small after your procedure. I am 37 and have suffered from AVN since I was 14. The mini-posterior is considered a more straightforward approach then the anterior, resulting in lesser complication rates. It is not acceptable to lean forward while sitting down or standing up, and it is not acceptable to bend past 90 degrees (as shown in the angle in the letter L). Will I still be able to do all of these things? Why is that? 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. I walk a lot in my job and bend lots (work with children) and sitting causes pain due to impingement. If you have an abnormal anatomy or are morbidly obese, you may not be a good candidate. I am seriously looking at the infection rate at each facility. 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. Granted I do deal with lower back OA and right knee OA and now all worse and now foot/ankle mess, all on right hip side. The SuperPath procedure was designed to replace the joint while sparing as much tissue as possible, substantially improving patients' recovery time. Hi, Because these cookies are strictly necessary to deliver the website, refusing them will have impact how our site functions. Blog Dr. Parsons has extensive experience in the posterior, anterior and superior (SuperPATH) approach to total hip replacement having performed hundreds of each. It's what compelled me to seek out different methods and post here.. You will find the surgeons will all give the pros but never the cons what ever the method. I have done everything I can think of to preserve my right hip, but sadly this too needs replacing. Iliotibial (IT band) damage, had 2 months of ART release work on this issue. He treats a variety of hip, knee, and shoulder conditions, and performs hip and knee total joint replacements. DAA and SuperPATH were equal in functional outcome and acetabular cup positioning. An anterior capsule is the only soft tissue cut during this procedure to insert the implants. One disadvantage to the mini posterior approach is that patients are instructed not to place the newly implanted leg in certain positions for the first six weeks after surgery. There are risks and recovery times associated with surgery. daniel neeleman net worth . I ski, hike (steep terrain) with a pack -about 25 pds, kayak, horse back ride, swim, water ski and bike, which is getting increasingly more difficult. I had the surgery on June 22 and I am about 5 weeks post op. In anterior and posterior surgeries, the outcome is essentially the same a new hip. Personally I had the posterior approach and cannot see how I could have recovered any faster . Any info would be appreciated. I am about to have a hip replacement and would like to know what kind of limitations Ill have afterward. Years ago, experts assumed that anterior hip replacement had lower rates of hip dislocations and nerve damage than other forms of hip replacement. I typically do hip replacement on the get anterior approach in 90% of my patients. Also, be aware that as the nerve recovers, the smallest C fibers within the nerve recover first, which can cause a burning discomfort. If youve had a failed hip arthroscopy, almost certainly you also have acetabular pathology and a total hip rather than a partial hip replacement may give you a more consistent, longer-lasting and more perfect result. The anterior approach has a lower incidence of sciatic nerve injury and a higher incidence of femoral nerve injury. I am Australian so no business from me but it has helped me become happier with my prospective surgeons judgement that he will offer me a posterior THR (hopefully the minimally invasive) when my insurance allows the procedure to occur. Lastly, where can I find a great surgeon that takes FL Workmans Comp? Ive never foulnd information from any doctor or research-site but that there is always no legs-crossing, no more than 90-degrees (for the most part), and no twisting for anything but full Anterior. Many studies suggest that any limp or clinical weakness resolves after approximately three months. We provide the best cash prices and customer care in the industry. Being cared for in a hospital that specializes in joint replacement and has an extensive specialty medical staff also is key. Ill be 60 at the time and Im 54 and weight about 130 lbs in fairly good shape. The new prosthetic socket must be medialized (placed further toward the midline) and sometimes through the medial wall of the native socket. SuperPath approach uses about a 3-inch incision at the side of . My advice is to consult with your surgeon regarding how stable the replaced hip is and the most appropriate rehab to follow post-operatively. You can check these in your browser security settings. Ann Transl Med. Bleeding at the operative site can occur as a result of an anesthesia reaction, such as an allergic reaction. No one tells me the same thing? Publications THR if a MRI or Pet Scan isnt done? I am a 55 year old with a labral tear and moderate arthritis. Thank you for sharing with others the nerve supplements that youre finding affective. Stay was 2.5 days. Email us. I had the mini-posterior at MGH hospital. Patients can also have as little as a 3-inch incision. A lot of hospitals and ambulatory surgical centers offer what's called outpatient surgery. Every surgery should be done with as minimally invasive approach as possible taking into account these other critical factors. The idea is it should be a little less painful if the muscle, tendons and nerves are not disturbed. It typically requires a 4 to 5 day hospital stay, 3 to 6 month recovery period . I then stage the second surgery as early as 2 or 3 weeks post-operatively. I will let you in on something personal. posterior surgery . There has been an increase in the range of motion. I assume its something near my groin. The mini posterior approach works wonderfully and predictably when expertly performed. Surgical Techniques It also helps to stabilize the acetabular shell and prevent soft tissue irritation on the out edge of the cup. The particular surgeon who did your hip is also uniquely qualified to advise you with regard to the postoperative stability of your particular hip, because he or she physically tested your hip intra-operatively. I am so sorry to learn that you are struggling. The surgeon will be building a construct that hopefully will last her life time and change her life profoundly. 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.