A typical recovery time from anterior hip surgery is six months. Its been 9 months(Ive had it 2xs bf and got rid of it and have tried everything and no results this time). A major muscle is not cut during anterior hip replacement surgery, so pain is reduced and major muscles are not cut after the operation. Length of hospital stay with SuperPath hip replacement approach. Finding the right surgeon is critical, because your care is about so much more than just fixing your hip. Doc says once recovered I should avoid flexion with adduction and internal rotation. You are here: Home 1 / avia_transparency_logo 2 / News 3 / disadvantages of superpath hip replacement disadvantages of superpath hip replacementtesla floor mats, model y June 7, 2022 / kimt contest page / in are dogs allowed at schoetz park / by / kimt contest page / in are dogs allowed at schoetz park / by Im hearing no restrictions (once recovery is done) for Anterior, but always some for the other two. The nerve which supplies sensation to the front and side of the thigh is vulnerable. I had to cut some strength exercises out leg lifts, hip sled. Dear DR Leone, I would discuss fully your goals and concerns. The femoral prosthesis is inserted into the hollow part of the femoral shaft. I am so sorry to learn that you have had such a bad experience after THR. Is the hospital where the surgery will be performed also top rated?. 2. Thank you. This effectively moves the hip joint center, toward the bladder or midline, and improves hip mechanics. While new techniques, instruments and prostheses have been developed specifically for minimally invasive surgeries, there are many well-established approaches to hip replacement. In my experience, after four to six months most patients simply return to normal activity. By continuing to browse the site, you are agreeing to our use of cookies. Not only was my recovery twice as fast with the anterior, there was very little pain in comparison. In general, if someone is dedicated to the job, the return is very quick. But I am now in chronic low grade pain thats getting worse and dont know what I should do. Maybe someday our nations health care system will measure up to that of France, Norway, Switzerland and others, in which their governments are investing half of the GDP that we are wasting. For example, the stability of the components could have been achieved initially, but then proved inadequate so you developed either a loose cup and/or a loose stem. Because the anterior hip replacement surgery is a minimally invasive procedure, no cuts are made to the muscles surrounding the hip. Although, personally I would feel strongly about reconstructing the hip through the mini posterior approach (there tends to be considerably less bleeding with this approach), other very caring and competent surgeons might feel just as strongly about using a different approach. I assume its something near my groin. Start your day off right, with a Dayspring Coffee Also I have read that there is a sharp learning curve that must take place in order to do the direct anterior approach. Even though I was positive I wanted this method done, I was still questioning my decision. The vascular supply of your leg must be assessed preoperatively as part of you work-up, but most do very well. We thank you for your readership. This absolutely does not require a special table. 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. No i just had the posterior method which has a larger incision. 3 years ago, 2021 May 20;16(1):324 . In the United States, a traditional posterior approach is the most commonly used. I am temped to wait but it is getting worse. 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. As long as you do the necessary surgeries, you will eventually break your femur, but only if you do enough. 4. This treatment is much more definitive and predictable. Fortunately, the incidence of hips dislocating after THR is very small, especially after first-time hip replacement. It was discovered that I had a torn Labrum. Each is safe, effective, and capable of delivering exceptional results. Always speak to your doctor before acting and in cases of emergency seek but it was more torn than they thought and they had to cut out about 1/4 of it. I am looking at how many hips they have done and where they are doing them. Hello Dr. 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. Some patients report that symptoms increase in the not-yet reconstructed hip because of the leg length inequality. I also would encourage you to choose your surgeon first not the procedure, approach or prosthesis. You can resume your active lifestyle as soon as possible thanks to a new prosthetic hip. Fortunately, you have already experienced a THR and have done well. I sit on a cushion in the car to lift me up. Obese or extremely muscular people may not be the best candidates for this surgical procedure. Hip replacement surgery can open up a world of possibilities for people who have lived with pain and restricted movement. My question is: should I just tolerate the pain and limp, or take a chance with the hip replacement. I had good results into 5th month post op and then everything went downhill. I had an anterior approach hip replacement. Also had I had posterior and much like the superpath trussed into the jig . Check to enable permanent hiding of message bar and refuse all cookies if you do not opt in. There is a chance of nerve injury with any type of hip replacement. Its been my experience that femoral nerves tend to recover more readily than sciatic nerves. With a bilateral procedure during a single anesthetic, the blood loss would be double and there would be a much higher likelihood that my patient would need transfusion post-operatively. You are to be commended for taking the time to answer our questions. Similarly, an engaged medical team needs to be available to help with care after surgery. Im so against any other replacements as I have other issues, but working with alternative treatments, out of pocket money, as my hip replacement has been a horrible drama/saga. 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. There are a number of different potential surgical approaches available for hip replacement, each with their own potential advantages and potential drawbacks. Extensive release of the posterior capsule including . Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. 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. It's cut off and removed through the hole. I would rather this not happen with my right leg when I have the THR in Jan 2017. The SuperPATH technique is arguably the least invasive hip replacement technique. No special surgical equipment is required when performing a mini posterior. An anterior hip replacement is, in many ways, less risky than any other type of hip replacement. But this will always prompt you to accept/refuse cookies when revisiting our site. I did have a total knee replaced two years ago. I would also like to know about the customized implant, as I havent yet heard much about it. This risk is greatest in older females with bone of sub-optimal quality. Less tissue damage during surgery allows for a much faster recovery and no restrictions in range of motion when compared to traditional hip surgery. We are an online blog dedicated to providing comprehensive and accurate information about orthopedics and injury prevention. Dr. posterior surgery . I deal with OA lower back mess so know I see most likely how all this has played into the surgery. (tho I am sure I asked about it ahead of time), I believe you are having trouble finding definitive answers and recommendations because every surgeon has his or her own recipe and experience and also the medical recommendations keep changing. Total hip replacement is a step-by-step surgery to replace the hip socket and the ball at the top of the thighbone (femur). Even in my practice, which is starting its 27th year, we continue to refine the surgical procedure, pre- and post-operative instructions and rehab (this is huge), pre- and post-operative pain management, and even anesthesia. Finally, hip replacement surgery is expensive and may not be covered by insurance. This is actually a good sign. Not putting you on the spot, but would it be advantageous for me to drive 200 miles to have a consultation done by you? Pain Management That being said, if the foot is now a much bigger problem than the hip, you may have to deal with that first. Im 51, 59 and 148 and want to get back to tennis etc, this has been long frustrating process. 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. Had arthroscopy in Jan 15, cleaned up tear and arthritis. I decided to stick with my trusted orthopedic surgeon (who did two knee scopes on me) who believes the minimally invasive posterior approach is the safest approach. After reading your articles, I have decided not to have anterior. Which approach did the doctor take? The second most-common injury is to the femoral nerve. Since my acetabulum is too shallow, and other angles are off as well, how does the new cup get positioned correctly? This technique is also referred to as the . I believe going home is very therapeutic and often safer. Is it really as good as it sounds? There are many different quality implants (just like surgeons and hospitals). I had the mini posterior approach done and it gets better everyday. If your little voice is questioning if you are overdoing it or hurting yourself, then listen to it and ease up. I advise both my total hip and my total knee patients to avoid repetitive impact activities like distance running. The intended interval between the front thigh muscles can be difficult to recognize and there has been an associated increase in injury to the femoral nerve or vessels. It is generally agreed that the temporary numbness is more than balanced out by the substantially improved recovery, reduced pain, absence of a limp, faster return to function, and virtual elimination of the risk of hip dislocation. A shorter hospital stay and faster recovery are typical of this because there is less damage to the muscles. The most important variable is how quickly the person is motivated to return to work. 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. In my experience, there is a faster and more-consistent recovery with the mini-posterior. Dear Dr. Leone, Fortunately, many folks who experience back symptoms before THR report improvement or resolution after. Also there are concerns about disruption of blood supply to femoral head with this operation. I am totally confused and dont know which procedure to choose. Patient Resources An anterior-approach hip replacement necessitates a small incision in the groin area on the front side of the leg. There are a number of different surgical ways (approaches) to access the hip joint. Still going to rehab to reduce stiffness and increase strength but I am in better shape now than before surgery. I wish you a full recovery. crackling noise/pain, cannot bend them or kneel in church or get on the floor to do exercises, I am very afraid to ending up in a wheelchair or having to use a walker the rest of my life.I am a very active 65 year old, and very, very worried about the hip surgery. Thank you. I am having the mini posterior done in June and my surgeon gave me the pros & cons of both. Most individuals who have had total hip replacement surgery fall into this category and simply resume their lives.. I'm hoping to read some posts post surgery. Because of this, when you're ready to get up and walk about again, engaging your muscles and hip flexors might be extremely tough. Long recovery but all is well. Patient Concerns An operating room that can support safe Anterior or SuperPATH minimally invasive joint replacement surgery costs around $1.5 million. The surgeon I expect to use does the Direct Anterior approach. When a dysplasic hip is reconstructed to THR, its important the abnormal mechanics are corrected, typically by medializing (closer to the midpoint of the body or bladder) the cup. Blog SuperPath hip replacement is a differentiated total hip technique being performed by a growing number of experienced surgeons. Very important with both the traditional posterior and the mini-posterior approaches, if the surgeon is not able to visualize critical structure adequately, or if a problem were to arise such as a fracture, then either approach can easily be adjusted. An artificial joint is used to replace the worn out hip joint during a hip replacement procedure known as posterior hip replacement. Use of the forums is subject to our Terms of Use Pain modifying drugs as well and as a course of NSAIDs might also be appropriate. I think it was sensible being careful on the other hand and I was told not to cross my legs. I had an anterior right hip replacement in late 2010, I was 72. It exploits the inter-muscular interval between the tensor fascia lata and the gluteus medius. I have had both hips replaced about 13 months apart, one anterior and one posterior, and there is no doubt that I would recommend anterior. Walker to get around. It is critical to consider the pros and cons of each option before making a decision. Im a very healthy long distance bicycle rider. In the hands of a master, all can produce wonderful and predictable results. 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. We are always refining and trying to make it better. Im sorry to learn that you are so disappointed with your hip replacement. Ive since met 3 others who ended up with the mess that Im dealing with also. Patients can also have as little as a 3-inch incision. Simply, we keep trying to get better. Dr. Parsons has extensive experience in the posterior, anterior and superior (SuperPATH) approach to total hip replacement having performed hundreds of each. Many manufacturers are responding to the surgeons desire for shorter stems and many are now available on the market. The other things that can affect the op is your fitness beforehand, your attitude and your age, although you may have difficulty getting younger!! If you have an abnormal anatomy or are morbidly obese, you may not be a good candidate. During the procedure, the patient must have a small incision made in the side of his hip. They thought surgery to repair it would give me about 5 yrs. The mini-posterior is considered a more straightforward approach then the anterior, resulting in lesser complication rates. We are now in a situation where we have found two extremely good surgeons and we gel with both extremely well. Hip replacement surgery is less painful than arthritis or fracture-related pain. Some patients who have recently had anterior hip replacement may suffer from complications such as wound healing. Our overall findings suggested that the short-term outcomes of THA through SuperPATH were superior to DAA. I prefer spinal anesthesia when possible because fewer drugs are used and often the experience is gentler. SuperPATH showed better results in decreasing operation time, incision length, intraoperative blood loss, and early pain intensity. Patients who have this surgery no longer require walkers, canes, or other aids 5 to 7 days after the operation, in comparison to those who have hip surgery. Upgrade to Patient Pro Medical Professional? 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. Once again, it sounds as if you had a wonderful surgeon, which is the most important variable. My legs are very muscular and trim. 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. Since a significant amount labrum has been removed, I think another attempt at arthroscopy would prove very disappointing and I would not recommend it. Therapy is often appropriate for stretching, strengthening and electrical stimulation which helps maintain the motor end plates, structures on the muscles that the nerve branches must re-innervate. Two which are receiving the most attention are the traditional posterior approach and the direct anterior approach. I do not do hip arthroscopy. I am a 53 year old active, distance runner. Personally, it I were caring for you, I would have advised you exactly as the orthopedic surgeon who took care of you did. What is most important is that you find a surgeon who understands the particular complexities with your problem and whom you trust. I would encourage you to discuss with your surgeon the difficulties and pain you experienced after the first surgery, and together explore if another plan can be created for a better outcome the second time around. I would say that in terms of posterior total hip replacement, the procedure is better than the old gold standard, which I believe was performed after 7 years and almost 1000 anterior total hips. Risks associated with hip replacement surgery can include: Blood clots. First, I am a little bit scared. There are a few complications that can occur with anterior hip replacement surgery. Dont let PR marketing confuse the big picture. Share your concerns with your surgeon. I read hip dislocation is 28% higher after a revision, is it more then 28% after 2 revisions??? I will need the other hip done within the next 6 months, and despite all the talk of the anterior approach- I can use myself as the best judge to the best method. With much respect I look forward to your reply. There are many effective approaches and techniques that allow implantation of a total hip. I also would find out your surgeons recommendation regarding activities and restrictions. 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. (I have SCD) It has now become unbearable and I am preparing for surgery. There are various ways of doing a hip replacement. I am just under 5 ft and weigh 185. Losing weight and strengthening your muscles pre-operatively will make surgery easier and greatly facilitate your rehab. I am allergic to narcotics . One thing I do not want is any muscles or tendons cut in the procedure. Thanks for giving us patients the kind of information we need to be more educated as to what questions to ask. The anterior approach is not as muscle sparing as some would argue. The doc I saw yesterday said 4 weeks. Hip replacement currently consists of two major approaches: direct anterior and anterior approaches.

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