I try not to let it get to me, but it causing me to feel handicapped. We thank you for your readership. I am a 73 year old woman who has been having severe hip pain for the last seven months. I had the mini posterior approach done and it gets better everyday. The most important decision you will make is choosing your surgeon. Comparison of short-term outcomes between SuperPATH approach and Each surgeon approaches these issues individually. Your out-of-pocket costs for your hipreplacement will be impacted by a number of . Here are a few of the advantages of anterior hip replacement. Some people may find that traditional hip replacement surgery is the best option for them, while others may prefer a minimally invasive procedure. What you can do is keep as good an attitude as possible and keep rehabilitating your leg. 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. disadvantages of superpath hip replacement It is critical at time of surgery that an excellent range of motion be created without impingement. I think speaking to a patient with whom you can relate and who has been treated by the physician youre considering also is invaluable. How would a hip replacement be done? 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. After reading your blog Im thankful he suggested this approach. Ive since met 3 others who ended up with the mess that Im dealing with also. The leg lifts really aggravate the front of the hip. Hi, Will meet with doctor soon but when I was finally able to really exercise after surgery I overdid it and developed plantar fasciitis. This is not true for bilateral cases. Simply, we keep trying to get better. I believe choosing your physician is the most important decision you can make. Even if the hip doesnt dislocate, prosthetic or soft tissue impingement is not beneficial. Patients can also have as little as a 3-inch incision. J. Dear Dr. Leone, 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). I am 63 years old, 54, 115 pounds. It is important to understand that "less invasive" does not only refer to the incision but . (I have SCD) It has now become unbearable and I am preparing for surgery. I typically do hip replacement on the get anterior approach in 90% of my patients. Your symptoms still sound mechanical, positional and episodic. I think tennis, dancing and horseback riding are fine. I was out of bed walking around the evening of the surgery . Gililand, our physician, explained the concept of health. It was discovered that I had a torn Labrum. Posterior hip surgery may be the best option if your surgeon makes a larger incision at the side or back of the hip joint. That being said, you should have the additional surgery where you feel you will have the best chance of doing well. I dont think one surgical approach is better or worse than the other for you to accomplish this. I had an anterior approach hip replacement. As a result, you are unable to pick up something from the floor or bend down to tie your shoes. This treatment is much more definitive and predictable. Also, be aware that as the nerve recovers, the smallest C fibers within the nerve recover first, which can cause a burning discomfort. I came home with crutches, abandoned them at the front door and have not used them since. Would appreciate any input you might have on the auto immune issue, and weight etc. Because the gluteus medius and minimus lie over the anterior capsule and insert into the greater trochanter, it does require greater trochanter osteotomy or more commonly a partial elevation of these muscles from their insertion, which can lead to damage. The size and placement of the incisions will be different. In my experience, almost all patients who have bilateral THRs go to rehabs and not home. An anterior approach hip replacement is one of the most minimally invasive surgical options for replacing a hip. Thank you for all you do and for providing me with the information when I needed it. Six months ago I had a right posterior THR due to severe scfe; now my right leg is 5/8 longer than my left leg. Hip pain, soreness, and stiffness can quickly become unbearable and sideline us from the things we enjoy the most. My doc said the angle of my hips is not the worst but also not the best. The particular surgeon who did your hip is also uniquely qualified to advise you with regard to the postoperative stability of your particular hip, because he or she physically tested your hip intra-operatively. The traditional posterior approach is the most commonly used in the United States and throughout the world (about 70 percent). Dear Dr. Leone, When it comes to hip replacement surgery, the surgeons skill, the patients weight and build, and the surgeons level of experience all have an impact. If possible, choose a hospital that specializes in joint replacement and can back that up with excellent statistics and reputation. The socket of the pelvis is machined into a hemisphere and a metal hemisphere is inserted into the socket. Did you have the surgery via Superpath method? The physical build of some patients increases the difficulty. After awhile the screws started shifting and poking up under the skin and they removed them. 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. Good question. They are encouraged to be very active and most stop using a cane, can drive their cars and are exercising in the pool, just two weeks after surgery. Thank you for this! Minimally Invasive Hip Replacement Procedure | Arthritis-health Ultimately, you and your husband need to choose the surgeon who you both feel will provide the possible best care, based on reputation and your personal comfort level. from publication: Current and . I plan to retire from working full time June 2017 and am concerned about having appropriate insurance after that. Fortunately, many folks who experience back symptoms before THR report improvement or resolution after. It is possible that you will be required to avoid certain high-impact activities to protect your new hip. 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. #1. I needed no physical therapy at all. Surgical Approaches To Hip Joint Dr. Apoorv Jain D'Ortho, DNB Ortho . A long surgery time, on the other hand, was also associated with DAA. Again, trust your doctor. Tossed the cane at three weeks and went back to work. Since a significant amount labrum has been removed, I think another attempt at arthroscopy would prove very disappointing and I would not recommend it. Inpatient footage of the patient compilation has been edited out to accommodate hospital rules. A ceramic-on-ceramic bearing is also a very good bearing. It is important that you find a doctor who is experienced in caring for people with complex issues. Dr. Leone, I am coming in to see you for an appointment for a THR to my left hip. I do participate in competitions and showcase presentations. Thank you for sharing. Report / Delete Reply kelly1010 nicole66881 Its been 9 months(Ive had it 2xs bf and got rid of it and have tried everything and no results this time). Total hip replacement is one of the most successful operations ever developed and is a remarkably predictable way to relieve pain from arthritic conditions. No specifics were given to me from the orthopedist . Why Surgeons Choose SuperPath | MicroPort Orthopedics The SUPERPATHTM procedure provides a number of advantages over traditional hip replacement surgery. It is 100 percent normal and expected to be scared before surgery. Have you recovered by now? Fax: 954-489-4584 I feel that at 10 weeks with profuse denervation potentials on the quad muscles, the prognosis is not good, even at 6 months. 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. Also available today are larger modular heads, made possible because our plastics are so much better than years prior. Yes, Im angry. I think the recovery time is the same though. And does A really have none. 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 dont want a long recovery time as I am very active. Currently, the incidence of dislocation after the posterior approach has been greatly reduced due to technique and other refinements. Im a very healthy long distance bicycle rider. I encourage you to do the same. In my practice, I cement an Exeter stem in a significant percentage of my patients who undergo THR . A major hip replacement can take up to four months to fully recover from. disadvantages of superpath hip replacement - homelessnest.org You should avoid sitting in low chairs, beds, or toilets. Choose your surgeon and not the approach or prosthesis. The pain I get is in the groin and a sharp pain in the buttocks, that feels like muscle pain. Additionally, people with certain health conditions such as diabetes or heart disease may also not be good candidates. Ultimately, it is important to discuss all of the available options with your doctor to determine which method of hip replacement is best for you. Do you agree? Traditional Hip Replacement - Traditional surgery requires a large incision of 10 to 12 inches and detachment of muscles from the hip. Having a hip replacement using SuperPath keyhole surgery Can you compare/contrast to the other approaches; posterior, mini posterior, anterior? I deal with OA lower back mess so know I see most likely how all this has played into the surgery. I wish you the best of luck, Dr. William Leone. All rights reserved. There is a more than 200% chance of knee infection, most likely because the knee has more surfaces that can become infected with an infection. The surgical technique for a SUPERPATH Hip Replacement was developed as an advancement to traditional total hip replacement. Finding the right surgeon is critical, because your care is about so much more than just fixing your hip. This complete wall of tissue that surrounds the new hip imparts stability. What are the risks involved? SuperPATH Total Hip Replacement Phoenix, AZ | Total Hip Replacement Arizona It is critical to make the right decision regarding anterior hip replacement surgery in each case. It's cut off and removed through the hole. Click to enable/disable _gat_* - Google Analytics Cookie. What is SuperPath hip replacement? 5. This interval must be developed and the muscles must be separated in order to reconstruct the hip. The hope is that your nerve injury will recover with time. The anterior approach is not as muscle sparing as some would argue. 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. What, if anything, can be done to revive femoral nerve and get my thigh muscles back in normal? I still have a very big limp and still undergoing physical therapy. It helps the surgeon implant the acetabular component in a very precise position. 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. Should one of these events occur during a mini-posterior procedure, they are easier to recognize and correct. 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. Dr Leone, you make the point several times that the surgeon, not the procedure is most important. 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. Thank you, Many also mate this with a ceramic femoral head. Patients are told how to use their hip after hip replacement surgeries, which is very different than the usual practice. Risks associated with hip replacement surgery can include: Blood clots. Are my findings that posterior approach in my situation would have been more appropriate? This can cause you persistent pain, stiffness . I have had problems with my hip for the last several yrs. Welcome to Brandon Orthopedics! Really Great. Infection. Ive done PT and plan to continue working on strengthening my core and flexibility of those large muscles. I believe this is an important discussion you should have with your surgeon preoperatively. They also are looking into methods to reduce the risk of infections in artificial joints. 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. Until now. Please be aware that this might heavily reduce the functionality and appearance of our site. I very rarely transfuse any patients now. Are expected to be out of bed (hips and knees patients) the afternoon of their surgery and at least taking a few steps if not walking. Dr. Tom Miller gives you the five best options for hip replacement surgery. 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. disadvantages of superpath hip replacement Most patients after a bilateral procedure would not go home but rather a rehab unit. A less stringent set of precautions is required with the anterior approach. I am female and I weigh 115 pounds. I dont know what happens on that tablewas he in a hurry on Friday afternoon. The information I have gathered seems to indicate the anterior approach is more inherently stable, making precautions unnecessary. Studying a hospital and physicians track record before you commit is important. I wish you only the best, My doctor does the Posterior approach, he didnt say anything about the mini part. Also, if a surgeon knows in advance that a certain range of motion is desired, can they provide some adjustment in surgery to help accommodate that desired movement? The risk of revision surgery after a posterior hip replacement is the most serious concern. I am going to get evals from 3 docs. I do not want the approach to dictate the optimal construct which I hope will last 20 years and more. Diagnosed possible labral tear. I am a 70 yr old female with a 4grade thickness loss at acetabulum and head of femur. I will reiterate what I know to be true. I'm hoping to read some posts post surgery. 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. I am very athletic and active even with many years of pain from bone on bone arthritis so I am worried about restrictions since Ill probably forget or something. 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. Its from a malformation. Dr. Sigmund holds a subspecialty certificate in Orthopedic Sports Medicine. This robotic technique can assist in producing an excellent result. After reading your article on disadvantages of anterior approach and also doing extensive online search about this subject, I came to realize that anterior approach was definitely a wrong choice considering my physical build short, muscular, overweight. The rule of thumb is that recovery occurs over a 12-18 month period following injury.
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