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In general, if someone is dedicated to the job, the return is very quick. Clearly, he or she has earned your respect and confidence. I am an obese female and will be 62 in February. We need 2 cookies to store this setting. I am a competitive tennis player in my age division. Testimonials I assume its something near my groin. I am terrified of nerve damage as I am very athletic and a previous professional ballet dancer. I wish you a full and satisfactory recovery. People who have anterior hip replacements tend to stop using walkers, canes, and other aids 5 to 7 days sooner than people who have conventional hip surgery. I also would encourage pool walking or swimming. So frustrating. Thank you, Rita. I would encourage you to discuss your concerns with you surgeon. Every surgery should be done with as minimally invasive approach as possible taking into account these other critical factors. Diagnosed possible labral tear. Because the femur is more difficult to expose during the anterior approach vs. the posterior approach, many surgeons will select a shorter femoral component to facilitate reconstruction and lessen chance of fracture. I know the most important decision you will make is choosing the doctor who will perform your surgery. I wish you only the best, appropriate medical assistance immediately. Which is the best? Does it really not matter which approach I have, posterior or anterior? Currently, I seldom do bilateral THRs under a single anesthesia but instead stage the surgeries 2 1/2 to 4 weeks apart, depending on my particular patient and his or her needs and desires. What do you mean by painful anterior scarring and soft tissue exposure and trauma? Some of the most common considerations are age, weight, activity level, and the presence of other health conditions. I had posterior and much like the superpath trussed into the jig . In hopes that THA would let me live my normal life without arthritis, instead I can barely walk more than 100 yards without having to stop, my gait is crooked causing lower back problems and my personal life is less than perfect. Problems such as osteoarthritis, rheumatoid arthritis and avascular necrosis can destroy the protective cartilage around the hip joint, disrupting the smooth contact between the femoral head (ball) and hip socket. If possible, speak with other health professionals who work at the hospital or at least in the same geographical area. Fewer narcotic medications are administered, resulting in a better overall recovery. What reasons would there be to use the regular over the mini? If I can put you on the spot. There arent any activities that you can do with a resurfaced hip that you cant do with a total hip. We use cookies to let us know when you visit our websites, how you interact with us, to enrich your user experience, and to customize your relationship with our website. The following cookies are also needed - You can choose if you want to allow them: You can read about our cookies and privacy settings in detail on our Privacy Policy Page. If was 3 weeks after discharge In my experience, there is a faster and more-consistent recovery with the mini-posterior. 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. Considering I had no idea about differences between the two approaches, I said OK and surgery did go well and I was back on my feet in no time. It allows the surgeon to work between the muscles and tendons without removing them from their anchoring points on the hip or thighbone. The hope is that these new designs will, but time will tell. William Leone. You are to be commended for taking the time to answer our questions. Recovery time for anterior hip replacement is typically two to four months, and recovery time for posterior hip replacement is typically four to eight weeks. Why is that? What is most important is that you find a surgeon who understands the particular complexities with your problem and whom you trust. There is a chance that the hip will fall out of the socket, or that it will be levered out by twisting it. I wish you a full recovery. #1. Can you suggest any pain medication that would not interfere with anti rejection drugs? The surgical technique for a SUPERPATH Hip Replacement was developed as an advancement to traditional total hip replacement. 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. Dr. Robert Sigmund is a board-certified orthopedic surgeon and a sports medicine physician based in St. Louis, Missouri. Hip dysplasia is a very common underlying cause of hip osteoarthritis. Remain upright . Possibly, its secondary to an altered gait pattern or hip mechanics. I think they are happier and rehab more quickly. Walker to get around. Here are a few of the advantages of anterior hip replacement. Does anyone ever attempt to do both at the same time if THR is determined? The impingement can lead to a levering out of the ball from the socket. Le has extensive experience in primary joint replacements, complex revision surgery, periprosthetic fractures, and infection management. You can be successful by staying healthy by sticking to less pain. This risk is greatest in older females with bone of sub-optimal quality. How would a hip replacement be done? I would research and find the physician and hospital that will give you the best chance of doing well. Because my husband has circulation problems in his leg and vein removed for open heart surgery last yearhis surgeon recommended the Mini posterior surgery. We now have too many other proven bearing surfaces available. Each is safe, effective, and capable of delivering exceptional results. No i just had the posterior method which has a larger incision. I spoke in person to probably 4-5 of his success patients and went with hearing from them. Most of my patients now go home the day after their surgery or the next. Hi, Im hearing no restrictions (once recovery is done) for Anterior, but always some for the other two. All have advantages and disadvantages. I definitely would not recommend a hip scope and THR during one anesthetic setting. Further, the extent of dissection is more minimally invasive, which also improves stability. Irrespective of the approach that is used to implant the prosthesis, the tissues that surround the new prosthetic hip must heal and mature if the hip is to achieve stability. Hips that are out of joint have an anterior hip replacement. I began using the superior approach for total hip replacement in February of 2014. . Most patients decide not to wait as long to have their contralateral hips or knees replaced after having undergone a successful surgery on the first side. Because visualizing the femur is easier, an experienced surgeon can choose the most appropriate femoral implant rather than just the one that is easiest to implant, taking into account the patients bone quality, activity level and age. Also available today are larger modular heads, made possible because our plastics are so much better than years prior. 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. 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. Procedures A couple of things I am hoping you will explain using laymans termology. The hip replacement needs to correct the abnormal hip mechanics that lead to the arthritis. daniel neeleman net worth . There is no definitive answer to this question as different people will have different opinions and preferences. Posterior or Anterior? Woke up with Egton Medical Information Systems Limited. I am a 55 year old with a labral tear and moderate arthritis. The surgeon I expect to use does the Direct Anterior approach. Before my hip problems, I really enjoyed playing golf and would like like to play again after surgery. It is important that these medical and cardiac conditions be optimized by your PCP and cardiologist preoperatively. We want the forums to be a useful resource for our users but it is important to remember that the forums are Currently, the incidence of dislocation after the posterior approach has been greatly reduced due to technique and other refinements. In the case of a worn or damaged ball and socket, artificial parts can be used to restore joint function. Each approach has advantages and disadvantages. My recommendation is for you to discuss this with your surgeon if you have further concerns. I love that you take time off to reply to these messages it is commendable. Its interesting that when we critically analyze all the variables that ultimately make up the experience that one person has compared with another, or that one person experiences on one side versus the other, we come to recognize its not so straightforward. General comments will be answered in as timely a manner as possible. Back then my surgeon advised me to perform a posterior surgery as opposed to anterior saying that I was overweight, short and a very muscular person and it would be easier and safer to do so. Disadvantages of the anterior approach include: The nerve which supplies sensation to the front and side of the thigh is vulnerable. The same is true for a surgeon who employs the anterior or anterior technique. Yes, Im angry. Years ago, experts assumed that anterior hip replacement had lower rates of hip dislocations and nerve damage than other forms of hip replacement. It does mean the surgeon has lots of room to move about though!! With degenerative osteoarthritis of the hip developing secondary to a severe slipped capital femoral epiphysis (scfe), recreating normal hip mechanics after THR may have necessitated lengthening the first hip. 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. On July 17th, I had a left THR. I'm hoping to read some posts post surgery. Comparison of short-term outcomes between direct anterior approach (DAA) and SuperPATH in total hip replacement: a systematic review and network meta-analysis of randomized controlled trials. If I have a 2nd revision of my right hip is it posterior approach or the mini-posterior approach as you discuss above? Ive done PT and plan to continue working on strengthening my core and flexibility of those large muscles. I already have an artificial knee that is doing great. Disadvantages of the anterior approach include: Although I am trained in both approaches and have trained surgeons in both approaches, I have stopped using the anterior approach because I saw my patients get well faster, bleed less, and have a more predictable result when I performed the surgery using a mini-posterior approach.