If your surgeon has recommended surgery, I assume youre no longer getting adequate relief of pain or able to remain active with conservative measures. The SUPERPATHTM procedure provides a number of advantages over traditional hip replacement surgery. No one tells me the same thing? Why Surgeons Choose SuperPath | MicroPort Orthopedics No i just had the posterior method which has a larger incision. Posted I think the recovery time is the same though. Everyone is. 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. Both of these are very successful ways of doing a hip replacement. On July 17th, I had a left THR. The SUPERPATH technique is a tissue-sparing procedure. I dont know if this stems from the knee surgery but I do not believe so because I was well for about a year and a half. I will let you in on something personal. I wish you the best of luck, Im so pleased to learn that you had a good experience. Does Medicare Cover Hip Replacement Surgery? - Healthline The femoral prosthesis is inserted into the hollow part of the femoral shaft. Does it really not matter which approach I have, posterior or anterior? I had no inkling of this till he showed me on the x-ray. A mini posterior approach is a modification of the classical posterior approach. He strongly recommends the anterior approach as the only way to go. Advanced Ortho Surgeons | SuperPath Hip Replacement Infection. In the case of a worn or damaged ball and socket, artificial parts can be used to restore joint function. There is significantly less bleeding with the mini-posterior approach, notably reducing the necessity of a blood transfusion after the surgery. I then stage the second surgery as early as 2 or 3 weeks post-operatively. [QxMD MEDLINE Link]. Losing weight and strengthening your muscles pre-operatively will make surgery easier and greatly facilitate your rehab. 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. It is important that you find a doctor who is experienced in caring for people with complex issues. 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. What To Expect From Anterior Hip Replacement Surgery & Recovery I am a 49-year-old female. Long recovery but all is well. When performing anterior anterior reconstruction, these patients frequently have very short stems that are inserted into the bone. Traditional hip replacement surgery is no longer an option, but it is less painful and has a number of advantages. Very slow recovery. My mom is obese, short and has osteoporosis. I definitely would not recommend a hip scope and THR during one anesthetic setting. Achieving legs that feel equal in length after surgery is imperative. We are always refining and trying to make it better. disadvantages of superpath hip replacement - homelessnest.org You should avoid sitting in low chairs, beds, or toilets. If an MRI demonstrates no cartilage damage or subchondral cystification (the development of degenerative cysts), a repairable labral tear and minimal dysplasia, then a hip arthroscopy may be considered. I wish you well. We have an appointment today to discuss the plan of action. Ill know a lot more after we meet and I review your X-rays. You should consult with your doctor before deciding to have an anterior total 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. Dear Doctor Leone, If I have a 2nd revision of my right hip is it posterior approach or the mini-posterior approach as you discuss above? Over time, some patients may acquire sensitivity or an allergy to the metal particles produced by the metal ball and socket. Pros and Cons of Hip Replacement Surgery | IBJI As noted above, because the femur is difficult to visualize, component positioning, sizing, and stability are more likely to be compromised. An anterior approach to hip replacement allows the surgeon to perform more limited views of the hip joint during the surgery, making the procedure technically challenging for less experienced surgeons. Hi, People undergoing traditional hip replacement surgery, for example, are advised not to bend at the hip more than 90 degrees for approximately six weeks after the procedure. 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. Egton Medical Information Systems Limited. The surgeon I went to said he does THR using a lateral approach. My physical life is diminished. Dear DR Leone, I have read your articles about procedures (anterior vs posterior). Ten years ago I had total hip replacement on the left at hss. The surgeon I am meeting with (Dr Jimmy Chow) is supposed to be top notch in this procedure, and I am just curious as to how different the surgery is from conventional surgeries. Even though I was positive I wanted this method done, I was still questioning my decision. My question is, what will my restrictions be? Even after the procedure is completed and the patient is on pain medications, pain and discomfort may occur in some cases. Not quite in the past. Which approach did the doctor take? 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. If I can put you on the spot. I would rather my patient get half as much anesthesia. I believe this is an important discussion you should have with your surgeon preoperatively. It healed well but then I got major psoas pain which a cortisone shot helped. I spoke to the surgeon, he believes it may take up to 6 months to get better from this neuropraxia. SuperPATH Total Hip Replacement Phoenix, AZ | Total Hip Replacement Arizona 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. What are your thoughts on the use of robotics? Personally I had the posterior approach and cannot see how I could have recovered any faster . I weigh 185 and am 54 and realize its ideal to lose weight prior to surgery (working on it as always). In general, if someone is dedicated to the job, the return is very quick. My recommendation is for you to discuss this with your surgeon if you have further concerns. I understand that most surgeons now do a spinal rather than general anesthesia. The idea is it should be a little less painful if the muscle, tendons and nerves are not disturbed. That's all I know. 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. The technique allows recovery that is as rapid as a mini-posterior approach while conferring stability of the hip joint that is equal to other exposures that . How does it affect the actual success of the There are many different quality implants (just like surgeons and hospitals). Six weeks or longer is the exception. I still have some questions I hope you can answer as this is so distressful for me. My clinical impression is that more patients experience some degree of residual groin discomfort or tightness after the anterior approach as compared to the posterior approach, but that it tends to resolve with time. DAA and SuperPATH were equal in functional outcome and acetabular cup positioning. 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. Stay was 2.5 days. I wish you a full and uneventful recovery. Even a task as simple as putting on socks and shoes can result in debilitating discomfort when a severely damaged or arthritic hip is involved. Changes will take effect once you reload the page. Years!! One thing I do not want is any muscles or tendons cut in the procedure. I dont want a long recovery time as I am very active. Dr. Himmelwright Introduces SuperPath to OIP A long surgery time, on the other hand, was also associated with DAA. Getting those studies will not change the reality that you will need THRs. Dr. William Leone. Here is his perspective based on careful observation of outcomes. Dr. William Leone. The big difference in anterior vs posterior hip replacement is primarily where the incision is made and how long it is. Femoral nerve function also should be assessed. A modern artificial hip joint is designed to last for at least 15 years. Length of hospital stay with SuperPath hip replacement approach. Fax: 954-489-4584 External rotation of your feet should be limited (avoiding them twisting to the outside as Charlie Chaplin does) and hip hyperextension should be avoided. Hip Resurfacing vs Hip Replacement: Know The Difference I then would strongly suggest you trust that person to decide what approach and what prosthesis predictably will deliver the best results. In 2014 I had to do another THA, this time on my right side. Hip Replacement | Types, Approach, and Surgical Recovery You can also change some of your preferences. A lot of hospitals and ambulatory surgical centers offer what's called outpatient surgery. In my experience, the restrictions (or those positions we ask our patients to avoid after surgery) have become much less limiting and are off limits for a much shorter period of time. Minimally Invasive Hip Replacement Procedure | Arthritis-health Im a 50 year old female whose been dealing with hip, leg and back pain for many years, recently diagnosed with OA, and finding that I need a right THR. I do not do hip arthroscopy. It's cut off and removed through the hole. I would recommend having an honest discussion with the surgeons you are considering. The main limitation after surgery is a lack of comfort. I think tennis, dancing and horseback riding are fine. These cookies are strictly necessary to provide you with services available through our website and to use some of its features. I would discuss fully your goals and concerns. If you do not have a hip replacement, you will live a sedentary lifestyle and become overweight. Dear Dr. Leone, 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. 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. Further, rehab after hip arthroscopy often requires partial weight bearing on the operative side and that would be difficult with newly operated THR on contralateral side. To have your other hip replaced through a different approach is a decision you need to make with your surgeon. Disadvantages of the anterior approach include: The nerve which supplies sensation to the front and side of the thigh is vulnerable. Due to security reasons we are not able to show or modify cookies from other domains. In my experience, usually releasing the ileopsoas tendon insertion onto to lessor trochanter and medial hip joint capsule, and then manually stretching the leg into an abducted position after THR reconstruction, obviates the need for formal release. Total hip replacement is one of the most successful operations ever developed and is a remarkably predictable way to relieve pain from arthritic conditions. J. Dear Dr. Leone, Cant afford a dislocation or other complications cause Im sole caregiver for severely handicapped son. disadvantages of superpath hip replacement All orthopaedic surgery demands a long recovery period. The hope is that your nerve injury will recover with time. Again, trust your doctor. Upgrade to Patient Pro Medical Professional? Hip anatomy The doctor is planning a traditional posterior. This complete wall of tissue that surrounds the new hip imparts stability. Our second opinion doctor performs traditional and Birmingham hip replacement. Very strange I try not to bring up my mess but its hard when its with one 24/7. The anterior approach typically does not violate this structure. A ceramic-on-ceramic bearing is also a very good bearing. And, I Do. My surgeon mentioned also cutting something to free me up at the same time he will be doing the posterior approach surgery. Dr Leone, you make the point several times that the surgeon, not the procedure is most important. Finding the right surgeon is critical, because your care is about so much more than just fixing your hip. The best of luck to you, It exploits the same soft intervals but it typically accomplishes prosthetic implantation and soft tissue balancing through a smaller incision and, more importantly, with less underlying soft tissue dissection. Thank you for sharing with others the nerve supplements that youre finding affective. Should I look to another approach and surgeon? I am having the mini posterior done in June and my surgeon gave me the pros & cons of both. 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). Any feedback will be appreciated. What are your thoughts with regard to Stem cell therapy in lieu of THR? Thank you, Lisa. I am a 67 year old woman who has danced semi-professionally and has always been very active including doing Ashtanga yoga and caopeira. It is also important to avoid any sudden movements or twisting motions. I prefer spinal anesthesia when possible because fewer drugs are used and often the experience is gentler. This treatment is much more definitive and predictable. Further, the extent of dissection is more minimally invasive, which also improves stability. 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. Advantages of an anterior approach to hip replacement A major muscle is not cut during the anterior procedure. It is nice to see honest Q&A versus a marketing page. Getting in and out of cars, and turning over in bed. Hey, thanks for the forum topic.Thanks Again. General comments will be answered in as timely a manner as possible. 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. All: 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. out the next afternoon and using a walking stick from day 2 to day 10 when I ditched it altogether . Im now 6 weeks out and doing good. We provide the best cash prices and customer care in the industry. An operating room that can support safe Anterior or SuperPATH minimally invasive joint replacement surgery costs around $1.5 million. Click on the different category headings to find out more. Patients who are significantly overweight (I specifically assess the amount of tissue between the skin overlying the lateral hip and the greater trochanter), who have significant long-standing contractures and restricted ROM, congenital dislocation, and marked acetabular protrusion (when the femoral head wears centrally into the acetabulum) typically require a larger incision and more soft tissue releases. I recently had a spontaneous hip fx and was diagnosed with hip displasia. Just need reassuranceI am stressing he is fine. That being said, you should have the additional surgery where you feel you will have the best chance of doing well. Hip replacement is a fantastic operation that can help relieve pain, improve daily function, and improve quality of life. My husband, who is only 35, has to consider a THA in the near future and Im very torn over which approach as the surgeon we really like dos a posterior but I am concerned about dislocation rates in posterior vs anterior. Because these cookies are strictly necessary to deliver the website, refusing them will have impact how our site functions. I have been in excruiting pain and unable to do everyday normal activities. Mayo Clinic researchers have studied ways to reduce blood loss, control pain and speed recovery for people who undergo hip replacement surgery. I assume PTHR is referring to partial hip replacement. bible teaching churches near me. Simply, we keep trying to get better. I am female and I weigh 115 pounds. Original Medicare (Part A and Part B) will typically cover hip replacement surgery if it's medically necessary. Understand that every total hip, no matter which approach is used to implant it, has the potential to dislocate. How Much Does Minimally Invasive And Robotic Hip Replacement Surgery 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. In the United States, a traditional posterior approach is the most commonly used. You should feel good that you are aware of your fears and that it hasnt paralyzed you into not acting. The leg lifts really aggravate the front of the hip. Over the last six years, I have performed more than 2000 primary or first-time total hip replacements using the mini-posterior approach and I am aware of only one patient who dislocated his hip because he fell down stairs. Each approach has advantages and disadvantages. I am already limping when walking and was hoping that the limp would disappear after the hip surgery. Really Great. The anterior approach is not as muscle sparing as some would argue. Still going to rehab to reduce stiffness and increase strength but I am in better shape now than before surgery. Click to enable/disable _ga - Google Analytics Cookie. I would anticipate that you would be able to return fully to your activity once the tissues around your total hip heel. I have seen 4 surgeons. It is a mix of anterior & posterior. Because my husband has circulation problems in his leg and vein removed for open heart surgery last yearhis surgeon recommended the Mini posterior surgery.

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