I had a consult with a surgeon who does posterior and cuts muscle & tendons. I am unsure whether the minimal invasive posterior is available in SA. If possible, speak with other health professionals who work at the hospital or at least in the same geographical area. I am a 49-year-old female. The femoral nerve functions to extend the knee and also is responsible for sensations over the anterior and medial aspects of the thigh, medial shin, and arch of the foot. The anterior approach has a lower incidence of sciatic nerve injury and a higher incidence of femoral nerve injury. I was out of bed walking around the evening of the surgery . These can include damage to blood vessels or nerves, dislocation of the hip, and infection. This risk is greatest in older females with bone of sub-optimal quality. I read about this type of mini hip replacement being done in the UK and just wondering if mini hip replacement means the same thing in the US . DePuy Hip Replacement - Overview of Complications, Lawsuits However disadvantages include the inability to adjust for leg length differences and a relatively high risk of femoral neck fracture. When the anterior approach is used, the soft tissues in the hip stay intact, allowing for better hip alignment. There are a few complications that can occur with anterior hip replacement surgery. A number of patients who have undergone this procedure are able to walk unassisted the day after surgery . 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. If not, what will my restrictions be? It is critical that the patient and the doctor consider whether the patient is a good candidate for surgery, the cost and recovery time, and the surgeons expertise. Also, patients with shorter femur necks and genu varus (lower angle between the shaft of the femur and the femoral neck) are more difficult anteriorly. Because the dissection is over the front of the hip, a number of patients will experience residual pain and tightness anteriorly (in the front of the hip) at least early on. Having a THR is a major undertaking and it is reasonable to expect the hip construct to function optimally for twenty and more years. If so, is it possible to have both hips done at the same time? Sex After a Hip Replacement: Positions, Tips, and More - Healthline Of note, I am a RN with 30 years of experience and took this decision very seriously. I feel good now and walking good now but feel so disabled as I dont know if my hip will dislocate again.I am sorry if you may have responded to some of these questions already as it is so much information to absorb and I dont want to make a wrong decision again. Both problems are on the right side of my body. I now need the right hip replaced. THOUGHTS? (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. The mini posterior approach essentially is the same as the traditional posterior, however a smaller incision is made and less soft tissue is exposed. 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 . I encourage my patients to talk to other patients for whom Ive cared and learn about their experiences. As a result, patients can return to their normal activities much sooner than if they had had traditional hip replacement surgery. I am a 70 yr old female with a 4grade thickness loss at acetabulum and head of femur. There is also a risk of the hip joint not fusing correctly, which can lead to pain and instability. These parts have a porous coating that the bone grows into. The source of your hip pain must be diagnosed. There is a possibility that blood loss may be reduced as there is less unnecessary exposed bone surface left to bleed. I had to cut some strength exercises out leg lifts, hip sled. My mom is obese, short and has osteoporosis. 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. Hip Replacement Materials Best to Worst - Bioxcellerator Posterior approach. However, there are also some potential drawbacks to this type of surgery including a longer surgery time, a greater risk of blood loss, and a higher risk of nerve injury. Also, when a single joint is replaced versus bilateral, there is significantly less bleeding and hence a much decreased need for transfusion. 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. Sometimes the pain goes away as I walk and sometimes it doesnt. I think it perfectly ok to discuss different approaches and ask for an opinion. I do not want the approach to dictate the optimal construct which I hope will last 20 years and more. There are a few disadvantages to hip replacement surgery. General comments will be answered in as timely a manner as possible, Hip & Knee Surgery Problem is that we have seen two doctors and both seem great but are on two extreme sides of the fence. I should think that all your expectations are appropriate for the activities you look forward to, especially considering youve already done so well after your knee replacement. We can help you make the best decision for your knee replacement, and our friendly staff is available to answer any questions you may have. I am a!so told by the orthopedist who referred me that I need arthroscope on my right hip. In a posterior hip replacement, the procedure is done on the side of the hip. This then becomes a very difficult problem to solve. I am deciding that my quality of life is in the toilet and need to get the THR done. I would suggest seeking out doctors who specialize in hip replacement surgery rather than general orthopedics. I had an anterior approach hip replacement. Doc says once recovered I should avoid flexion with adduction and internal rotation. My surgeon mentioned also cutting something to free me up at the same time he will be doing the posterior approach surgery. I plan to retire from working full time June 2017 and am concerned about having appropriate insurance after that. Click to enable/disable _ga - Google Analytics Cookie. I find that patients who are well informed and know what to expect prior to surgery get well even faster. Ultimately, you and your surgeon should discuss all procedures and technologies available and then trust that your surgeon will choose the best course of treatment and surgical procedure for you. Fortunately, many folks who experience back symptoms before THR report improvement or resolution after. 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. That's all I know. 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. I wish you luck on your journey. Hip Replacement Surgery | Superpath Hip Replacement Sydney Australia Soon my right hip started bothering me. Celle said: Superpath may give you a faster early recovery, but whatever method is used, recovery is still going to take a long time. The idea is it should be a little less painful if the muscle, tendons and nerves are not disturbed. There is significantly less bleeding with the mini-posterior approach, notably reducing the necessity of a blood transfusion after the surgery. I have/had arthritis in my hips. There are hybrids of the surgey from what I can see. It is so important to stay focused on the outcome of your hip replacement surgery: excellent results both short- and long-term with minimal risk of injury or complication, and not lose sight of the real goal, which is to create a perfectly positioned reconstructed hip that is stable, balanced and has the best possible chance of lasting more than twenty years. Consuming excessive-fibre and wholegrain meals will assist to keep you feeling full, and will be I am a 53 year old active, distance runner. Call (919) 781-5600 to find out if you need total shoulder replacement in Raleigh, Cary, North Raleigh, Garner, or Holly Springs. If possible, choose a hospital that specializes in joint replacement and can back that up with excellent statistics and reputation. Cons of Robotic Assisted Surgery As with any type of procedure, Mako is not without its drawbacks. I think the recovery time is the same though. respect of any healthcare matters. A major muscle is not cut during anterior hip replacement surgery, so pain is reduced and major muscles are not cut after the operation. Hi Frances, did you have surgery posterior Superpath? I suggest you discuss your concerns with your surgeon. As a result, you are unable to pick up something from the floor or bend down to tie your shoes. Would you recommend treating plantar 1st? Our team of experts, doctors, and orthopedic specialists are here to share their knowledge and experience with you in order to help you make informed decisions about your health and well-being. These cookies collect information that is used either in aggregate form to help us understand how our website is being used or how effective our marketing campaigns are, or to help us customize our website and application for you in order to enhance your experience. Will I be able to dance, hike, bike, swim, exercise after a 3rd surgery? I definitely would not recommend a hip scope and THR during one anesthetic setting. Most receive a simple spinal with sedation. Adults of any age can be considered for a hip replacement, although most are done on people between the ages of 60 and 80. William Leone. Comparison of short-term outcomes between direct anterior approach (DAA This is not true for bilateral cases. Patient is a UK registered trade mark. Anterior vs. Posterior, Posterior vs Mini-posterior. Had horrible groin pain issues and opted for the antior, I knew of nothing else as I consulted with a surgeon who was trained in anterior. results, I decided to see and orthopedic doctor was advised to have THR. The anterior approach, as opposed to the lateral or posterior approach, uses a small incision in the front of the hip. Obese or extremely muscular people may not be the best candidates for this surgical procedure. Your article lacks the pros of the AMIS and the cons of min invasive posterior. Some hospitals and surgery centers are promoting one method of hip replacement over another. My gait is off partially due to my hip but also I believe because of my body structure. I have insurance with very high deductible and I am scared of the debts I might incur afterwards too ( where I am planning to do it I might not have to pay any money). Pain is almost gone and I am beginning to get back to my life. How do you ask your doctor the questions you want to ask? An anterior hip replacement does not have any limitations based on comfort. Most patients after a bilateral procedure would not go home but rather a rehab unit. As for doctors, the surgeon I had came highly recommended. The highly crossed linked polyethylene liners are now the gold standard in this country. Third, the procedure is shorter in length and requires less hospital stay than traditional hip replacement surgery. This is described as a posterior approach because the actual hip . Note that blocking some types of cookies may impact your experience on our websites and the services we are able to offer. Iliotibial (IT band) damage, had 2 months of ART release work on this issue. What are your thoughts on the use of robotics? What To Expect From Anterior Hip Replacement Surgery & Recovery I can still do 30-45 mile rides, but I need to take something before each ride, because of the undone left hip. My doctor does the Posterior approach, he didnt say anything about the mini part. (PATH) and Supercapsular percutaneously assisted total hip (SuperPATH) arthroplasty: learning curves and early outcomes. Hi, A hip replacement is the most common cause of complication in about 20% of cases. Before proceeding, it is a good idea to review the recommendations and specific parts that your surgeon may recommend. 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. I just saw a patient with a femoral neuropraxia after a anterior approach THR. Also on MRI there was a cyst (good size). This effectively moves the hip joint center, toward the bladder or midline, and improves hip mechanics. Consult your doctor to determine if joint replacement surgery is right for you. This left hip remained tender based on my exercise level which I did modify but always my hip had some soreness. I, personally, have not had a patient dislocate following a primary total hip replacement in many years. The surgical "approach" in total hip replacement describes the anatomical pathway and technique that the surgeon uses to access the hip joint to perform the surgery. An anterior-approach hip replacement necessitates a small incision in the groin area on the front side of the leg. I am terrified of nerve damage as I am very athletic and a previous professional ballet dancer. I am wondering if having mild hip dysplasia is a factor in which approach is used. This means you could go home within 23 hours after surgery. When a patient feels better, they can return to work almost immediately, though it usually takes two weeks or longer. I believe a THR will benefit you tremendously. There are many effective approaches and techniques that allow implantation of a total hip. The femur is prepared with the head and neck intact reducing the chance of fracture. And does A really have none. Most importantly, I would meet with your surgeon and discuss all of these concerns.