Similarly, an engaged medical team needs to be available to help with care after surgery. Adults of any age can be considered for a hip replacement, although most are done on people between the ages of 60 and 80. When the stem is placed in the femur, it still destroys the same amount of bone for implantation, regardless of which approach is used. Why would the doctor not have that at their finger tips? You should feel good that you are aware of your fears and that it hasnt paralyzed you into not acting. If you refuse cookies we will remove all set cookies in our domain. The bone isn't dislocated in surgery. After the direct anterior approach, there is generally no hip precautions required, and motion is not restricted. My advice would be to avoid the extremes of any motion that exceed your hips ROM. Notes on SuperPath experiences good or bad, https://patient.info/forums/discuss/superpath-experiences-good-or-bad-718788. After reading your article I see there are many reasons to go with the posterior approach but nothing about having to use a smaller prosthesis with the anterior approach. Such joint replacement orthopaedic surgery is generally conducted to relieve arthritis pain or in some hip fractures.A total hip replacement (total hip arthroplasty or THA . The SUPERPATH technique is a tissue-sparing procedure which aims to get patients back on their feet within days (possibly hours) instead of weeks or months. I furniture surfed in the house and used a stick outside.I was hopeless with crutches, but I think it is recommended we should use them, particularly to ensure we don't get a limp and build our leg up properly. as being in breach of those terms. Fax: 954-489-4584 My right leg is already a bit longer than the left. 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. No one tells me the same thing? This improved quality of life will be beneficial. I have seen a number of patients who were reconstructed with the anterior approach who developed painful anterior scarring after the procedure. Almost all bilateral THR or TKR patients go to a rehabilitation facility after their acute stay, not home. If theyre really happy and got well quickly, you probably will too. Sometimes the pain goes away as I walk and sometimes it doesnt. Other health issues include congenital heart ASD corrected about 12 yrs ago with an amplatzer occluder implant by the right femoral approach resulting in possible femoral nerve compression, Lateral right leg numbness and leg discomfort since the implant, Groin pain and restriction in extending the right leg back has been a problem for some time and masked the fact that at least a portion of my increasing pain was from my hip. One advantage the ceramic-on-polyethylene carries is the lack of . Dr. William Leone. With mild dysplasia, positioning and implanting the new cup usually is not more difficult than with other conditions. Can you please on the various points in the post and perhaps also elaborate on the last point. I am looking at how many hips they have done and where they are doing them. I would anticipate that you would be able to return fully to your activity once the tissues around your total hip heel. Until now. Excess weight causes a hip joint that has already been stressed to become more painful and disability-causing. Lateral femoral cutaneous nerve injury is the most common injury incurred during an anterior approach. I now need the right hip replaced. The bigger the ball, the bigger the ROM without impingement and the bigger the jumping distance that would be required for the hip to dislocate. This effectively moves the hip joint center, toward the bladder or midline, and improves hip mechanics. Can I make an appointment with you. There is no definitive answer to this question as different people will have different opinions and preferences. When studying the hospital credentials, try and learn how many joint replacements are performed at that hospital each year, their infection rate and their 30-day readmission rate. I had an anterior right hip replacement in late 2010, I was 72. Will I still be able to do the things I like to do? To have your other hip replaced through a different approach is a decision you need to make with your surgeon. This is because the nerve is located in front of the hip. The most important thing is to get a top notch surgeon and go with whatever approach they offer. My acyive 60 year old husband is scheduled to have Mini posterior total hip replacement in 6 weeks. Conclusions SuperPATH approach showed better results in decreasing incision length and early pain intensity as well as improvement of short-term functional outcome. Which is the best? As a result, patients can return to their normal activities much sooner than if they had had traditional hip replacement surgery. Between your legs, you should sleep with a pillow for the next six weeks. Your frustration is completely understandable. surgeons certainly do not go out of their way to cut anything, they move stuff about, if tendons do get damaged, it's more likely from the anterior approach as they have less 'sight' of the procedure due to the smaller incision. I ask my patients to restrict certain positions that exceed the mechanical limits of the artificial hip for the first six weeks. Also available today are larger modular heads, made possible because our plastics are so much better than years prior. If possible, speak with other health professionals who work at the hospital or at least in the same geographical area. I wish you the best of luck, In 2014 I had to do another THA, this time on my right side. According to the meta-analysis, DAA (depressing the anterior hip joint by using a metal rod) is associated with significantly shorter hospitalizations than lateral approaches, as well as increased functional rehabilitation and lower perceived pain during the first few days after surgery. Every hip implant has benefits and risks. I was thinking of doing that 1st, maybe April(Ill be in boot 4 weeks), and then the PTHR in either Sept or next Jan when I have free time. Either and all body types lend themselves to the posterior approach because it is more extensile (can make it bigger and release more soft tissue structure if needed). 2023 Brandon Orthopedics | All Right Reserved, hip replacement pain reduction surgery patients, The Best Sneakers For Hip Replacement Patients, Anterior Hip Replacement Surgery: The Pros And Cons, The Truth About Spinal Stenosis: Causes Symptoms And Treatments, Can Years Of Surfing Contribute To Spinal Stenosis, The Effects Of Spinal Stenosis And Carpal Tunnel, Should I Apply Ice Or Heat To A Compression Fracture, How Does A Soft Bed Prevent Healing Of Herniated Disc, Herniated Discs: How To Sleep Without Worrying About Rupturing Your Discs, If You Have A Herniated Disc You Know The Excruciating Pain It Can Cause. If you do not have a hip replacement, you will live a sedentary lifestyle and become overweight. I did have a total knee replaced two years ago. disadvantages of superpath hip replacement. A couple of things I am hoping you will explain using laymans termology. It is highly recommended that you avoid bending your hips and turning your feet together as part of hip precautions. Individual results and activity levels after surgery vary and depend on many factors including age, weight and prior activity level. I do participate in competitions and showcase presentations. Lazaru P, Marintschev I. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. That being said, I agree completely with your surgeons advice to have a total hip replacement and not a hip resurfacing. Thank you for all you do and for providing me with the information when I needed it. We may request cookies to be set on your device. Possibly, its secondary to an altered gait pattern or hip mechanics. for Orthopedic Care Problem is that we have seen two doctors and both seem great but are on two extreme sides of the fence. If a revision were necessary, even more bone must be destroyed to remove it. These are all realistic goals. Im hearing no restrictions (once recovery is done) for Anterior, but always some for the other two. 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. If these values are elevated, further investigation with hip aspiration should be considered. I believe going home is very therapeutic and often safer. Click to enable/disable _gid - Google Analytics Cookie. The SuperPATH technique is arguably the least invasive hip replacement technique. How does it affect the actual success of the All have advantages and disadvantages. This technique is also referred to as the . This left hip remained tender based on my exercise level which I did modify but always my hip had some soreness. That being said, if the foot is now a much bigger problem than the hip, you may have to deal with that first. 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. The information I have gathered seems to indicate the anterior approach is more inherently stable, making precautions unnecessary. This most often leaves the patient with an area of decreased or uncomfortable sensation or numbness over the anterolateral thigh (top, outside area of the thigh), not the entire thigh. I am totally confused and dont know which procedure to choose. Fortunately, you have already experienced a THR and have done well. In some individuals, it takes much more force and dissection in order to accomplish this (typically, there is significantly more bleeding from an anterior approach compared to a mini-posterior approach). Also, when a single joint is replaced versus bilateral, there is significantly less bleeding and hence a much decreased need for transfusion. After reading your article I am concerned about the issues you discussed. My surgeon wants to use the posterior approach and indicates that I eventually should be able to play golf again. The incision made for the operation can be as small as three inches. Others continue to follow traditional guidelines. Because the anterior hip replacement surgery is a minimally invasive procedure, no cuts are made to the muscles surrounding the hip. Need to choose, then select doctor based on that decision. Is the hospital where the surgery will be performed also top rated?. Though the duration of your hospital stay can vary, many patients having hip replacement surgery don't need to stay in the hospital very long. I saw a surgeon who does the posterior approach only and will see another on 4/14/15 who does both approaches. I still have some questions I hope you can answer as this is so distressful for me. And, I Do. I am now bracing myself for THR surgery within the next year and am wondering if there is any big advantage in trying to have this done by a surgeon who offers the customised implant, as above. I very rarely transfuse any patients now. We now have less-invasive techniques, better surgical methods of closing soft the tissue and more experience. Does it really not matter which approach I have, posterior or anterior? They may have a certain cut-off criteria (for example, a BMI of less than 35). More likely, its because ones activity increases after the first THR. The posterior approach for hip replacement surgery is by far the most common surgical technique used in the United States and throughout the world. Since I previously had both knees replaced (by another surgeon) about 5 years ago and still have problems with the knees i.e.
David Hamamoto Diamondhead,
Ansen Sprint Wheels 15x10,
What Are European Facial Features,
Articles D
