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. Here is his perspective based on careful observation of outcomes. Get Directions, Phone: 954-489-4575 My worry is that I will end up with one leg shorter than the other. I would also like to know about the customized implant, as I havent yet heard much about it. I would not anticipate them improving with time, but rather worsening, and I cant imagine you being able to resume the activities you described without having surgery to treat this. My husband tells me that I cry out in pai as I turn over during the night. I didnt spend time on boards talking for eons about peoples outcomes.probably a good thing I didnt. Many wonderful physicians are part of various HMO panels. The Hanna bed, general anesthesia machines, spinal setup, medications, ventilation, instruments, and their sterilization are all prerequisite. There are a few complications that can occur with anterior hip replacement surgery. There are a number of different potential surgical approaches available for hip replacement, each with their own potential advantages and potential drawbacks. I would like to share my experience with both procedures. The doctor has scheduled me for total hip replacement in two weeks and he uses the Posterior approach, he didnt say anything about the mini part. There are numerous complications associated with hip replacement surgery, but blood clots in the legs and hips are two of them. The traditional posterior approach is the most commonly used in the United States and throughout the world (about 70 percent). Raleighs orthopaedic clinic is board certified and has fellowship training in total joint replacement. Years ago, experts assumed that anterior hip replacement had lower rates of hip dislocations and nerve damage than other forms of hip replacement. Try our Symptom Checker Got any other symptoms? I would recommend having an honest discussion with the surgeons you are considering. 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 do not want the approach to dictate the optimal construct which I hope will last 20 years and more. I wish you a full and satisfactory recovery. I wish you the best of luck with your care. After awhile the screws started shifting and poking up under the skin and they removed them. Complications associated with an anterior approach hip replacement are similar to those associated with standard hip replacement surgeries. I suspect there is significant underlying osteoarthritis related to your labral pathology. disadvantages of superpath hip replacement One thing I do not want is any muscles or tendons cut in the procedure. Both of these are very successful ways of doing a hip replacement. I am a sixty five year old active male and need THR on my right hip. Pros and Cons of Hip Replacement Surgery | IBJI Also had That being said, in order to meet your goals, if need to leave your area and consult with surgeons in other areas, I think that is reasonable also. I exhausted all other non-surgical options, such as physical therapy and meds but to no avail, so now plan to have a THR in March. On the other hand, there may be a slightly increased incidence of anterior instability. What do you mean by painful anterior scarring and soft tissue exposure and trauma? I dont think there is one best prosthetic. Some have features that are more suited to one persons anatomy and needs than others. Dr. William Leone. We have to get ok from cardiologist and get ekg, chest xray, etc. 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. Its been a couple months and I thought Id drop in with an update..over 4 yrs post op and I deal with Femoral nerve damage from Anterior, and found others who deal with the same.it may lessen with more years but who knows.Somewhere I read 15% or so end up with this..I talked 2 other people in my city, same surgeon and they have had this issue to. Share your concerns with your surgeon. The surgeon does about 200 a year and people say he has a good reputation. I find it curious that you report having a good result for the first five months after your surgery as this suggests that the surgery was done for the right indication, i.e., you did well and were pleased for the first five months after THR. Other combinations of materials have advantages and disadvantages (for instance, some researchers believe that ceramic-on-ceramic types may be more durable, but they have also been known to make squeaking and popping sounds.) Consult your doctor to determine if joint replacement surgery is right for you. I would rather see my patients go home. I had my hip scoped which bought me 8 years, but need a THR now. SuperPATH is a micro-invasive method of performing a standard total hip replacement where the surgeon utilizes a smaller initial incision and, more importantly, a very limited dissection in the deep tissues. Most of my patients now go home the day after their surgery or the next. Although Superpath hip replacement is often a safe treatment, it may be associated with certain concerns, such as increased postoperative pain, as with any surgical procedure. The surgeon will be building a construct that hopefully will last her life time and change her life profoundly. This interval must be developed and the muscles must be separated in order to reconstruct the hip. SuperPath brings some of the best benefits such as; earlier ambulation, no loss of strength, quicker recovery, less pain, decreased dislocation risk, and easier exposure for future revision surgery. I have written to you to learn what are the surgical considerations for someone with shallow hip sockets like mine. Posterior, mini posterior or anterior? I will reiterate what I know to be true. If was 3 weeks after discharge I wish your patient well. I really appreciate this website. No i just had the posterior method which has a larger incision. All have advantages and disadvantages. Would not make eye contact. 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. disadvantages of superpath hip replacement You should feel good that you are aware of your fears and that it hasnt paralyzed you into not acting. With SuperPath, there is no surgical dislocation of the hip. Changes will take effect once you reload the page. I also would find out your surgeons recommendation regarding activities and restrictions. Fort Lauderdale, FL 33334 Robert H. Sigmund, MD | Signature Orthopedics Minimally invasive versus standard incision anterolateral hip replacement: a comparative study. While it is a surgery that does help many, many people, clearly you are struggling. Welcome to Brandon Orthopedics! Most THR patients do not need significant supervised physical therapy after surgery; they simply do well when their surgery is done well. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. If a patient has abnormal anatomy (such as dysplasia, posttraumatic arthritis, or morbid obesity), or if their body mass index is higher than 35, it may be impossible for them to be considered for direct anterior surgery. Blood-thinning medications can reduce this risk. Patient does not provide medical advice, diagnosis or treatment. Many times, the depth of the destruction that is found during surgery is much more advanced than initially anticipated, particularly as we age. Traditional Hip Replacement - Traditional surgery requires a large incision of 10 to 12 inches and detachment of muscles from the hip. A THR is in my future. 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. A mini posterior approach is a modification of the classical posterior approach. Superpath total hip replacement animation. My walking is very limited, shoe is built up as leg is shorter and in recent months Ive realized my leg is bowed. My strategy is to make as small an incision as possible, but one that allows for excellent exposure and reconstruction without brutalizing the tissues. I can still do 30-45 mile rides, but I need to take something before each ride, because of the undone left hip. The anterior hip can be easily and naturally recovered by walking, simple home exercises, and isometric exercises. more nutritious, too. Can you explain this approach? Help. I tore my labrum at age 43 and only discovered then that I had bilateral dysplasia. I am scheduled to have total hip replacement surgery in 2 weeks. I also think its reasonable to look forward to returning to all of the listed activities that you enjoy. Some patients who have recently had anterior hip replacement may suffer from complications such as wound healing. 10 users are following. SuperPath Hip Replacement - SuperPath St Louis | Orthopedic Surgeons Your article has made it clear I made the correct decision, especially since my daughter had nerve damage from an operation years ago. Everyone is. I, too, am struggling which approach to have. Advanced Ortho Surgeons | SuperPath Hip Replacement Do you have any thoughts on this issue? When people loose independence and mobility, not only does the quality of life suffer, they are much more likely to develop a myriad of medical problems requiring even more-expensive and/or long-term care, including loss of independent living. Also on MRI there was a cyst (good size). The surgeon was not at the pre-op meeting, but the PA assured me it was not that big of a deal (but to me, ALL surgery is a big deal!). This technique is also referred to as the . The anterior approach is not as muscle sparing as some would argue. (Of course, I do.) 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. Does Medicare Cover Hip Replacement Surgery? - Healthline Can I make an appointment with you. Also, after an accident, I had 12 screw and an L shaped plate in my heel. 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. This is particularly true if the person is overweight, has very muscular thighs or is short. If I think you may be a candidate, I will refer you to a doctor in our area that does. It is critical to consider the pros and cons of each option before making a decision. I also would encourage you to choose your surgeon first not the procedure, approach or prosthesis. We need 2 cookies to store this setting. Hip Replacement Surgery & Recovery | University of Utah Health Is a prerequisite for THR to have a MRI or Pet Scan? I have done everything I can think of to preserve my right hip, but sadly this too needs replacing. Dear Dr. Leone, I am having Makoplasty ( robotic imaging) to my right hip in February. What Is Superpath Hip Replacement - HipsAdvice.com Before proceeding, it is a good idea to review the recommendations and specific parts that your surgeon may recommend. Historically short press fit stems have not done well. Do you also do arthroscope surgery? Im so pleased to learn that you had a good experience. Hip replacement is the second most common type of joint replacement, trailing only total knee replacement. Thanks again! Thigh feels so Heavy and I massage that area a lot. Is THR something that can help? I find that patients who are well informed and know what to expect prior to surgery get well even faster. Egton Medical Information Systems Limited. Its been 9 months(Ive had it 2xs bf and got rid of it and have tried everything and no results this time). Many also mate this with a ceramic femoral head. We want the forums to be a useful resource for our users but it is important to remember that the forums are DAA had a lower rate of hospitalization and functional rehabilitation as compared to the lateral approach, as well as a lower perceived level of pain. Comparison of short-term outcomes between direct anterior approach (DAA My surgeon mentioned also cutting something to free me up at the same time he will be doing the posterior approach surgery. My surgeon does the SuperPath method. We thank you for your readership. I am female and I weigh 115 pounds. We thank you for your readership. Comparing Short-term Outcomes After Direct Anterior and SuperPATH Hip So my question is in relation to my body structure. Typically, most are eager to go home the very next day; many have already progressed to a cane, which they will not use very long. The earlier the recovery begins, the better chance for a more-complete recovery. Will I still be able to do the things I like to do? As for doctors, the surgeon I had came highly recommended. SuperPath Hip Replacement? | Joint Replacement Patient Forum 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. But this will always prompt you to accept/refuse cookies when revisiting our site. It was also observed to be associated with longer surgery times. Other preoperative guidelines, such as using a prescribed pain medication and keeping the incision clean and dry, should also be followed by patients. I wish you luck on your journey. But after reading your articles, I am hesitant about that choice now. I have had problems with my hip for the last several yrs. Surgeons do not cut across muscles. 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 stay away from narcotics. 1. My second question relates to something you mentioned earlier regarding checking the published track record of the surgical team if I use an HMO, how do I find that information, and how do I know it hasnt been skewed to give more favorable results (lying with statistics)? I don't think there's a one size fits all when it comes to hip surgery. 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. 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. It is important that these medical and cardiac conditions be optimized by your PCP and cardiologist preoperatively. I still have a very big limp and still undergoing physical therapy. What are the experiences of other countries with THR? During anterior approaches, fracture repair is much more difficult and necessitates the use of a separate incision. Since my acetabulum is too shallow, and other angles are off as well, how does the new cup get positioned correctly? The development of a complete and secure surrounding scar tissue wall or pseudo capsule is critical for stability. Hip Surgery Techniques - Hip and Knee Also, since I am only 51, I am concerned about component longevity. SuperPath Total Hip Replacement - STL Ortho I had an MRI by a different hip doctor (a preservationist) who diagnosed me with a birth defect (hip dysplasia). 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. Long recovery but all is well. 2012 Oct 17;94(20):1897-905. doi: 10.2106/JBJS.K . If you feel confident in your surgeon, I would discuss it frankly follow his or her guidance as to which approach and prosthesis are most appropriate to give you the best result. I take care of many individuals who have a total knee and hip replacements on the same side. After reading your blog Im thankful he suggested this approach. Thank you so much for your answer, I appreciate your taking the time to care about others. I am a very active and young 69 year old female who had a THR on my left side 5 years ago. I understand and respect that many surgeons prefer doing them simultaneously. Inpatient footage of the patient compilation has been edited out to accommodate hospital rules. Should I be though? Thanks again! Last summer I wiped out on my bike and snapped off the top of my right femur, with a diagonal break. Also, when a single joint is replaced versus bilateral, there is significantly less bleeding and hence a much decreased need for transfusion. . These scores are not aggregated. Hi, Patients are told how to use their hip after hip replacement surgeries, which is very different than the usual practice. 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. No Muscles Cut is for billboards. It requires surgical insight and skill to accomplish. Orthop Clin North Am. Patients can also have as little as a 3-inch incision. The doctor used the posterior procedure. for Orthopedic Care I am a!so told by the orthopedist who referred me that I need arthroscope on my right hip. Having physio After reading your articles, I have decided not to have anterior. If you refuse cookies we will remove all set cookies in our domain. An operating room that can support safe Anterior or SuperPATH minimally invasive joint replacement surgery costs around $1.5 million. In Dr. Lawrence Dorrs opinion, doctors and hospitals should not market a specific type of surgery as the most effective. The rest is marketing. I am sure you should not listen to what I did!!
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