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. If so, how long until I can get back to normal living? 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). Between your legs, you should sleep with a pillow for the next six weeks. #1. There are hybrids of the surgey from what I can see. They may be: Cemented to the bone. Historically, higher dislocation rates were reported with the posterior approach, but it still was used for its many other advantages. I am planning to have a THR this summer. If you have these arthritis symptoms, you should consider a hip replacement: severe hip pain that is not relieved by medication and that interferes with your work, sleep or everyday activity hip stiffness that restricts motion and makes it difficult to walk To learn more, read Here's What to Know if You Think You Need a Hip Replacement. Everyone is. I would anticipate that you would be able to return fully to your activity once the tissues around your total hip heel. Conserves the two main muscles that make up the front of the hip and upper thigh aspirated via the direct anterior approach. I assume PTHR is referring to partial hip replacement. Some hospitals and surgery centers are promoting one method of hip replacement over another. Lateral femoral cutaneous nerve injury is the most common injury incurred during an anterior approach. If these values are elevated, further investigation with hip aspiration should be considered. With the ease of movements during pregnancy, you will be able to move around more freely. I just want to thank you for the information on this site. We have an appointment today to discuss the plan of action. Long-term outcomes of SuperPATH approach need to be investigated. The most common total hip replacement method is the anterior approach, which allows the surgeon to see better, more precisely place implants, and perform less invasive total hip replacement surgeries. Dr. William Leone. 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. I sit on a cushion in the car to lift me up. I was released to go back to work after only 10 days. Rush joint replacement surgeons are leaders in hip replacement surgery and research. I dont think one surgical approach is better or worse than the other for you to accomplish this. Thru X-rays Ive been told both hips are bone on bone! Regardless, the overall incidence of dislocation for every approach is smaller due to use of larger femoral heads and enhanced closure techniques. My doc said the angle of my hips is not the worst but also not the best. Having physio The size and placement of the incisions will be different. If, on the other hand, the leg length difference is creating hardship and possibly discomfort in other joints such as the lower back, knee or ankle, I would consider proceeding with contralateral THR sooner rather than later. Anterior vs. Posterior, Posterior vs Mini-posterior. 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. Dr. Robert Sigmund is a board-certified orthopedic surgeon and a sports medicine physician based in St. Louis, Missouri. Thank you for sharing with others the nerve supplements that youre finding affective. Recently the doctor doing anterior decided because of thin bone, he should do direct lateral approach. Every . Despite the fact that this usually takes two weeks or longer, patients can return to work when they feel completely comfortable. Because of the concerns of posterior dislocation, in the past patients were taught certain positions to avoid. Testimonials SuperPath is a portal assisted THA approach that accesses the capsule superiorly through the interval between the gluteus medius and piriformis without requiring the cutting of any muscles or tendons. Its been my experience that femoral nerves tend to recover more readily than sciatic nerves. There are a number of different potential surgical approaches available for hip replacement, each with their own potential advantages and potential drawbacks. I would rather my patient get half as much anesthesia. I am a sixty five year old active male and need THR on my right hip. This does expose the patient to more radiation but can help with component positioning and sizing. 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. As long as you do the necessary surgeries, you will eventually break your femur, but only if you do enough. A hip replacement is the most common cause of complication in about 20% of cases. Common conditions that often lead people to have either posterior or anterior hip replacement surgery include the following: Osteoarthritis Rheumatoid Arthritis Osteonecrosis, also known as Avascular Necrosis Injury Fracture Bone Tumors Hi guys im 43 and live in Australia and due to have hip replacement in 7 weeks but im so confused as my surgeon is doing the posterior and im off work for 6 weeks where i here people having the anterior and going back sooner and no restrictions on hospital discharge any advice. Walking is the best exercise. A modern artificial hip joint is designed to last for at least 15 years. With much respect I look forward to your reply. Thank you, Rita. The femur is prepared with the head and neck intact reducing the chance of fracture. Dr. William Leone. An anterior-approach hip replacement necessitates a small incision in the groin area on the front side of the leg. I assume its something near my groin. Soft tissue contractures often are associated with long-standing arthritis. more nutritious, too. Its from a malformation. I am a 49-year-old female. Pam. How do you ask your doctor the questions you want to ask? THOUGHTS? No specifics were given to me from the orthopedist . I also would learn about the track record of the surgeon and hospital where you will decide to have the surgery and what implant will be used. There are many different quality implants (just like surgeons and hospitals). I find that patients who are well informed and know what to expect prior to surgery get well even faster. The surgeon I saw said that my body structure and gait does not affect which approach would be ideal for my body. Currently we use standard ways, called either posterior or direct lateral approach. I would like your opinion on the stem cell injections as I am really afraid of the second surgery on the same side of my body. I am about 5 6 and 185 lbs, age 58, he did not think the weight was an issues. I think it perfectly ok to discuss different approaches and ask for an opinion. I wish you a full and satisfactory recovery. The rest is marketing. There is less risk of neurological injury. However disadvantages include the inability to adjust for leg length differences and a relatively high risk of femoral neck fracture. Apples to apples which procedure has the lowest incident of complications? Check to enable permanent hiding of message bar and refuse all cookies if you do not opt in. It is much better to precisely release and cut rather than tear or fracture. I absolutely would not insist on minimally invasive surgery and a small incision, especially considering your mom is short, obese and has osteoporosis. What is most important is that the surgery is expertly done, that the tissues are not brutalized, and that the surgeon can see what he or she is doing. Thank you for all you do and for providing me with the information when I needed it. I think researching the hospital where you will have your surgery is very important. 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. Almost all bilateral THR or TKR patients go to a rehabilitation facility after their acute stay, not home. After reading your article I am concerned about the issues you discussed. 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. I am still a very active 67 yr old, I like to ski, bike, hike (steep terrain) with about 25 pds. Always speak to your doctor before acting and in cases of emergency seek By 2016 and over 300 SuperPATH cases, the results of very first 100 SuperPATH surgeries (the so called 'learning Curve') were published in a peer reviewed journal with . An anterior hip replacement is, in many ways, less risky than any other type of hip replacement. In comparison to traditional methods, anterior approaches to the hip joint are more effective. Risks of Hip Replacement Surgery The major risks include the following: Blood clot: We do reduce risk of this by using blood thinners (Enoxaparin, Aspirin or Coumadin), TED hose (compressive stockings) and compression boots on your feet to increase circulation. I worry that replacing it with a differently configured socket could make things worse rather than helping. I plan to retire from working full time June 2017 and am concerned about having appropriate insurance after that. Choosing a surgeon should be based on published data (if available), as well as his or her reputation in the community, according to Dr. Delcore. I also have undiagnosed neuropathy in both legs from the knees down. Over time, untreated hip dysplasia or hip impingement can lead to arthritis and, eventually, hip replacement surgery. A hip replacement can be delayed until it is absolutely necessary if the replacement parts can fail over time. Walker to get around. I am female and I weigh 115 pounds. Patients who work for themselves are very motivated to return to work and often do so between procedures. In my 25 years of practice, the variable that seems to have changed the most is how quickly people recover from this surgery when done well. An anterior hip replacement procedure, on the other hand, performs the same function as an anterior hip replacement in terms of tissue shaving. Obese or extremely muscular people may not be the best candidates for this surgical procedure. Does the mini posterior hip replacement conserve more femur and allow for future surgeries if needed ? Further, I would contact your insurance carrier and the hospital so you will not be surprised with any unexpected costs. Your symptoms still sound mechanical, positional and episodic. Hip replacement is the second most common type of joint replacement, trailing only total knee replacement. Also, if this nerve injury occurred, I would expect these symptoms to be present immediately surgery, not five months post-op. I am wondering if having mild hip dysplasia is a factor in which approach is used. I just had mine 10/30 all I can say is be patient get lots of rest and take your pain meds way before you start to move around so that the pain want be so bad with movement. I wish you a full and speedy recovery. Years ago, experts assumed that anterior hip replacement had lower rates of hip dislocations and nerve damage than other forms of hip replacement. Some surgeons will use 2 incisions, both the anterior and superior approach. 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). The same is true for a surgeon who employs the anterior or anterior technique. Doc says once recovered I should avoid flexion with adduction and internal rotation. Its been a nightmare for me going into 4 yrs post op soon. My recommendation is for you to discuss this with your surgeon if you have further concerns. Just getting your thoughts I will discuss it more with my surgeon at the pre-op meeting. 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. and Privacy Policy and steps will be taken to remove posts identified Traditional Hip Replacement - Traditional surgery requires a large incision of 10 to 12 inches and detachment of muscles from the hip. Le has extensive experience in primary joint replacements, complex revision surgery, periprosthetic fractures, and infection management. Start your day off right, with a Dayspring Coffee My question is, what will my restrictions be? Dont let PR marketing confuse the big picture. Click to enable/disable Google reCaptcha. for Orthopedic Care I have not seen this before because in the past, the complication from hip surgery were sciatic nerve injury from posterior approach. Thank you so much for taking the time to inform us! Very slow recovery. 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. I wish you a full recovery. The pain I get is in the groin and a sharp pain in the buttocks, that feels like muscle pain. The most important variable is how quickly the person is motivated to return to work. 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. I think it perfectly ok to discuss different approaches and ask for an opinion. This effectively moves the hip joint center, toward the bladder or midline, and improves hip mechanics. Infection: You are given IV antibiotics before and after surgery. I am a 53 year old active, distance runner. Posterior, mini posterior or anterior? Thanks so much for your help, very grateful. By continuing to browse the site, you are agreeing to our use of cookies. Introduction When the anterior approach is used, the soft tissues in the hip stay intact, allowing for better hip alignment. Once you find that doctor, then you need to put your trust in him or her to help you solve this horrible problem so you can return to being active and productive. Thigh feels so Heavy and I massage that area a lot. I would also like to know about the customized implant, as I havent yet heard much about it. When compared to the anterior approach to hip replacement, which is typically more painful, there are several advantages to recovering from an anterior approach, including the fact that you will not be required to follow any specific anterior hip replacement precautions, such as bending or crossing your leg. 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. I wish you the very best, Ive come to the conclusion that perceived benefits do not outweigh the risks with the anterior approach, especially when I can achieve the same or more using the mini-posterior. I walk a lot in my job and bend lots (work with children) and sitting causes pain due to impingement. Thanks again! If theyre really happy and got well quickly, you probably will too. In a very positive way, surgical techniques for both anterior and posterior approaches have evolved wonderfully since your surgery was done 10 years ago. I have been told that I can fly 48 hours after surgery??