My surgeon does the SuperPath method. When the stem is placed in the femur, it still destroys the same amount of bone for implantation, regardless of which approach is used. Many of these stems have very little if any long term follow-up, although some appear to be doing well in the short term. Thank you for this! Doctors use metal, ceramic, or plastic replacement parts. If possible and a pool available, I encourage my patients to walk and exercise in a pool and / or swim, starting at two weeks when their suture is removed. He strongly recommends the anterior approach as the only way to go. Tina, which procedure did you have? Im pleased that you will be coming in for an appointment. Your article is the first Ive read in which no muscle or tendons are cut in any approach other than the direct anterior approach. What to Expect 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 well known as a top doc for 20 yrs & I was persuaded because the mini posterior has less chance of nerve damage & the surgeon has more options for types of spikes, which your article explains well. Notes on SuperPath experiences good or bad, https://patient.info/forums/discuss/superpath-experiences-good-or-bad-718788. Very strange I did have a total knee replaced two years ago. Also, if a surgeon knows in advance that a certain range of motion is desired, can they provide some adjustment in surgery to help accommodate that desired movement? You should feel good that you are aware of your fears and that it hasnt paralyzed you into not acting. A modern artificial hip joint is designed to last for at least 15 years. 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. I never seem to know when I am going to get hit with pain. You always can block or delete cookies by changing your browser settings and force blocking all cookies on this website. Soft tissue contractures often are associated with long-standing arthritis. My surgeon has told me I will need PT 3 times a week for 6-12 weeks is this too long? In general, I would encourage you to consider all of your prosthetic joints a remarkable modern day miracle that must be cared for and respected. Testimonials When it comes to hip replacement surgery, the surgeons skill, the patients weight and build, and the surgeons level of experience all have an impact. Following surgery, the surgeon will devise a routine for the patient to engage in that is both comfortable and safe. Also on MRI there was a cyst (good size). She never though mentioned an increased risk of damaging femoral cutaneous nerve or possible muscle damage that would turn into improperly heeled muscle as a result. Do you also do arthroscope surgery? Following the anterior approach, we provide you with a number of precautions and positions that you should avoid if you are in danger of being discomfited. This often leads to a less than optimal component position. During the procedure, the patient must have a small incision made in the side of his hip. I wish you a full recovery. Remain upright . I have seen 2 doctors one doing posterior, the other anterior. Most of the restrictions are removed at that time, although I still advise common sense, particularly for the first three or four months. Patient Concerns I am experiencing pai. 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. Complications from infection account for approximately 10% of all cases. I am thoroughly confused at this point. Since these providers may collect personal data like your IP address we allow you to block them here. So im going back to the surgeon that did my left hip and left me in agonizing pain for 2 months after procedure. 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. I would encourage you to discuss your concerns with you surgeon. As a result of the interventions, the surgeon has a better view of the hip joint. I assume PTHR is referring to partial hip replacement. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Really Great. After reading your article on disadvantages of anterior approach and also doing extensive online search about this subject, I came to realize that anterior approach was definitely a wrong choice considering my physical build short, muscular, overweight. Just need reassuranceI am stressing he is fine. However, some offer greater patient benefits than others. Appalachian orthopedic surgeons perform revision surgery as well as mini-posterior and anterior approaches. I wish you a full and speedy recovery. The anterolateral approach or Watson Jones approach is one of the classical hip approaches that can produce excellent results when utilized for THR. Usually a hip problem is addressed before a knee or foot problem because by solving the hip problem first, the knee or foot often improves if the pain is referred from the hip (more common with knee pain) or if by addressing the hip, the body mechanics and the fluidity of gait improve. Contact Dr. Moor, Orthopedic Surgeon at Advanced Sports Medicine Center. 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. The most important decision you will make is choosing your surgeon. You should consult with your doctor before deciding to have an anterior total hip replacement. This interval must be developed and the muscles must be separated in order to reconstruct the hip. I recently had a spontaneous hip fx and was diagnosed with hip displasia. I think it perfectly ok to discuss different approaches and ask for an opinion. There is less risk of neurological injury. My advice is to consult with your surgeon regarding how stable the replaced hip is and the most appropriate rehab to follow post-operatively. The SuperPATH Hip Replacement: A Novel Less Invasive Radid Recovery Do I have a high percentage of hip dislocation after a 2nd revision done posterior way if so what is my chance of another hip dislocation even if I do the surgery again? Hips that are out of joint have an anterior hip replacement. 2. 35 (2):153-62. My surgeon wants to use the posterior approach and indicates that I eventually should be able to play golf again. I think its vitally important that you go into surgery truly believing in your heart that you are going to do well, and that you are with the best surgeon and team who will help you. This then becomes a very difficult problem to solve. There are various ways of doing a hip replacement. Hip replacements might keep you out of action for a considerable period. Also there are concerns about disruption of blood supply to femoral head with this operation. I dont think one surgical approach is better or worse than the other for you to accomplish this. Lastly, if one has had P or AL is there anything that can be done to offset the need for restricitons? In has been my experience in life that if others are happy and had a good experience then that speaks strongly to me, if I were to do the same thing. The impingement can lead to a levering out of the ball from the socket. I, personally, have not had a patient dislocate following a primary total hip replacement in many years. 1. I would not recommend pushing your surgeon to use one specific approach or another. 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. Choose your surgeon and not the approach or prosthesis. What has changed the most in my career, once again in a very positive way, is how quickly patients start walking (day of surgery), and go home and return to their active lives after THR, as compared with just a few years ago. Risks associated with hip replacement surgery can include: Blood clots. The surgeon will be building a construct that hopefully will last her life time and change her life profoundly. The vast majority of my patients have their surgeries with a simple spinal with IV sedation so they are sleeping throughout the procedure . It is critical that the patient is aware of the risks, benefits, and alternatives of the procedure. Following anterior hip replacement surgery, avoid soaking in hot tub, sauna, or swimming pool immediately after surgery. Regarding restrictions after your hip replacement, this too is an area that has changed drastically over my 25 year career. I seem to be able to hike just fine up hill and down but not always on the flat. Hip Replacement Surgery: How it Works, Recovery Time | HSS What is your experience and take on this ? Do you have any advice or ballroom dancer THR stories to share? SuperPath Hip Replacement Surgery Chesterfield | SuperPath Hip Surgery Fewer narcotic medications are administered, resulting in a better overall recovery. I dont think there is one best prosthetic. Some have features that are more suited to one persons anatomy and needs than others. It is important to understand that "less invasive" does not only refer to the incision but . I also regularly receive Rolfing treatments which has helped me manage pain and maintain what mobility I have. There are many benefits to posterior hip replacement surgery including a quicker return to daily activities, a more natural feeling hip joint, and a decreased risk of dislocation. I feel that at 10 weeks with profuse denervation potentials on the quad muscles, the prognosis is not good, even at 6 months. Dr. Himmelwright Introduces SuperPath to OIP The SUPERPATHTM procedure provides a number of advantages over traditional hip replacement surgery. I think researching the hospital where you will have your surgery is very important. Having diabetes and two organ transplants does significantly increase your risk for post-op infection as well as other complications. The posterior approach, then, is less inherently stable but may or may not require precautions. Avascular Necrosis AVN of the femoral head happens when part of the ball at the top of your thigh bone loses blood supply, causing that segment of bone to die. I wish you the best of luck. The vast majority of my patients return to work one to three weeks post-operatively. There are many effective approaches and techniques that allow implantation of a total hip. That means you have an excellent track record. The questions youre asking are 100 percent appropriate. If theyre really happy and got well quickly, you probably will too. Thank you so much for your answer, I appreciate your taking the time to care about others. There are a few disadvantages to hip replacement surgery. Rather, they say Bill, please just do what you have to do and do a great job.
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