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This then becomes a very difficult problem to solve. 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 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 . General comments will be answered in as timely a manner as possible. I would look for a surgeon who is busy, has a strong track record and who practices at a hospital with a stellar reputation and where many joint replacement surgeries are done. There are potential drawbacks to anterior hip replacement. This effectively moves the hip joint center, toward the bladder or midline, and improves hip mechanics. I wish you the best of luck with your care. Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant, that is, a hip prosthesis.Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. The anterior hip can be easily and naturally recovered by walking, simple home exercises, and isometric exercises. That's all I know. I am Australian so no business from me but it has helped me become happier with my prospective surgeons judgement that he will offer me a posterior THR (hopefully the minimally invasive) when my insurance allows the procedure to occur. The posterior approach is used by a small percentage of people. In May of 2015, I had a Labial tear repaired. Im so pleased to learn that you had a good experience. Years!! I think there may be increased associated complications. 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. There is some concern that this weakens the abductor and leads to a limp. I just saw a patient with a femoral neuropraxia after a anterior approach THR. I would encourage you to discuss your concerns with you surgeon. There arent any activities that you can do with a resurfaced hip that you cant do with a total hip. I am concerned that I may have a pinched nerve and that that is what is causing all this pai as the pain is severe only in certain positions but when I am tired I also have a throbbing pain in the sciatic region.talk about the golden yearsI thank you from the bottom of my heart for the kindness and caring that you do in answering all these questions. The hip is replaced without the need for surgery to dislocate the joint. It was also observed to be associated with longer surgery times. Thank you. Once again, it sounds as if you had a wonderful surgeon, which is the most important variable. Introduction. Additionally, people with certain health conditions such as diabetes or heart disease may also not be good candidates. Pain Management I wish you a full and satisfactory recovery. SuperPath hip replacement is a differentiated total hip technique being performed by a growing number of experienced surgeons. Many studies suggest that any limp or clinical weakness resolves after approximately three months. Hip replacement is a fantastic operation that can help relieve pain, improve daily function, and improve quality of life. I walk a lot in my job and bend lots (work with children) and sitting causes pain due to impingement. respect of any healthcare matters. Does this mean my body may reject the metal of the post or cup? I have many patients who are accomplished and passionate ballroom dancers. Most doctors have and continue to implant hips through the posterior approach. But Im impressed with your blog and responses, so am writing to ask you about an apparently new procedure in which the surgeon uses a customised implant, utilising pre-operative 3D CT scanning. Ive never foulnd information from any doctor or research-site but that there is always no legs-crossing, no more than 90-degrees (for the most part), and no twisting for anything but full Anterior. 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). Share your concerns with your surgeon. Can I make an appointment with you. The anterior approach is not as muscle sparing as some would argue. 4. Depending on the degree of injury, you may need a knee brace to lock you knee in extension when walking until the quad function returns. What Ive been able to achieve is find two nerve supplements that have taken away the burn/tingle on my thigh. I emphasize continuing exercises at home especially walking. I understand that most surgeons now do a spinal rather than general anesthesia. The experiences will vary greatly . For centers like Phoenix Spine and Joint that use a robot, there is . 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. This complete wall of tissue that surrounds the new hip imparts stability. Hip replacement via SuperPATH approach had a longer operation time than hip replacement via conventional approaches. When the stem is placed in the femur, it still destroys the same amount of bone for implantation, regardless of which approach is used. Since I previously had both knees replaced (by another surgeon) about 5 years ago and still have problems with the knees i.e. I am scheduled to have total hip replacement surgery in 2 weeks. Infection: You are given IV antibiotics before and after surgery. This does not necessarily mean they will have more pain or take longer to get well. Fax: 954-489-4584 Intervals between muscles are separated or muscles are separated in line with their fibers without injuring the muscles innervation. Dr. I began using the superior approach for total hip replacement in February of 2014. . The first is that it is a major surgery, so there is a risk of complications such as infection. I saw a hip surgeon last year for an opinion, but because I had almost no arthritis on the x-ray he said he saw no need for surgery. Problems such as osteoarthritis, rheumatoid arthritis and avascular necrosis can destroy the protective cartilage around the hip joint, disrupting the smooth contact between the femoral head (ball) and hip socket. Prior to surgery, you need to be evaluated by your primary care doctor and any other specialist who helps manage your care, so the conditions you have can be optimized. There are a number of different potential surgical approaches available for hip replacement, each with their own potential advantages and potential drawbacks. An anterior approach hip replacement is one of the most minimally invasive surgical options for replacing a hip. With SuperPath, there is no surgical dislocation of the hip. (I have SCD) It has now become unbearable and I am preparing for surgery. Dear Dr. Leone, After awhile the screws started shifting and poking up under the skin and they removed them. How the soft tissues are handled and respected, the patients expectations before the surgery and the surgeons experience do. The last page is asking the participant to self score their health that day out of 100. Rather, they say Bill, please just do what you have to do and do a great job. The main limitation after surgery is a lack of comfort. This robotic technique can assist in producing an excellent result. Historically short press fit stems have not done well. One advantage the ceramic-on-polyethylene carries is the lack of . The impingement can lead to a levering out of the ball from the socket. Thanks again! 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. 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. Return to the work place is an individual decision. Like you said, consistent outcome is important and this surgeon is excellent and I have great faith in him (Im a physical therapist and see his patients post-op so get to see the, at least short term, results myself). Dear Dr. Leone, I am having Makoplasty ( robotic imaging) to my right hip in February. I am not sure that is true any more. I still have some questions I hope you can answer as this is so distressful for me. Need to choose, then select doctor based on that decision. If I do a single hip or knee replacement, that patient is out of bed standing and, in most cases, walking the afternoon of surgery. 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. Over time, some patients may acquire sensitivity or an allergy to the metal particles produced by the metal ball and socket. I would discuss fully your goals and concerns. If youve had a failed hip arthroscopy, almost certainly you also have acetabular pathology and a total hip rather than a partial hip replacement may give you a more consistent, longer-lasting and more perfect result. There is less blood loss with a single THR than a bilateral, hence less risk of needing a transfusion. My mom is obese, short and has osteoporosis. Clearly, yours was. These parts have a porous coating that the bone grows into. There is a 1-2% risk of fracture of the femoral neck. Why would the doctor not have that at their finger tips? 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. 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. Granted I do deal with lower back OA and right knee OA and now all worse and now foot/ankle mess, all on right hip side. We have an appointment today to discuss the plan of action. It is critical to make the right decision regarding anterior hip replacement surgery in each case. So my question is in relation to my body structure. The chances of developing a revision surgery after a posterior hip replacement are low, but you should keep all follow-up appointments with your surgeon and inquire when you can resume activities that go beyond 90 degrees or bend down to pick up something small after your procedure. Country. Notes on SuperPath experiences good or bad, https://patient.info/forums/discuss/superpath-experiences-good-or-bad-718788. What you can do is keep as good an attitude as possible and keep rehabilitating your leg. Conclusions SuperPATH approach showed better results in decreasing incision length and early pain intensity as well as improvement of short-term functional outcome. Blog I had no inkling of this till he showed me on the x-ray. Most individuals who have had total hip replacement surgery fall into this category and simply resume their lives.. If you are minimally handicapped with discomfort from the non-operated hip and the leg length difference is tolerable or easily managed with a shoe lift or modification, I would consider waiting. Surgeons do not cut across muscles. Many modern-day femoral stems are considerably smaller or more bone sparing than well-functioning stems of the past. I suspect there is significant underlying osteoarthritis related to your labral pathology. Almost all bilateral THR or TKR patients go to a rehabilitation facility after their acute stay, not home. Glazener C, Fraser C, Hutchison J, Vale L. Single mini-incision total hip replacement for the management of arthritic disease of the hip: a systematic review and meta-analysis of randomized controlled trials. A recent article published by the Journal of Bone and Joint Surgery has demonstrated that the direct anterior hip replacement has more blood loss, a higher risk of intraoperative fractures, an overall higher complication rate and no difference in outcomes versus other techniques. Here are a few of the advantages of anterior hip replacement. You can also change some of your preferences. It is critical to consider the pros and cons of each option before making a decision. Should I be though? 2. I was really careful bending etc for four weeks until I saw the physio, who said "oh you could have touched your toes if you had wanted to!" Because the patient is lying on his back, it facilitates using a fluoroscope or moving x-ray throughout the procedure. The risk of revision surgery after a posterior hip replacement is the most serious concern. A hip replacement can greatly reduce the pain associated with arthritis of the hip, with almost all patients having complete or near-complete relief. Any info would be appreciated. I am a 70 yr old female with a 4grade thickness loss at acetabulum and head of femur. 1.2. Following anterior hip replacement surgery, avoid soaking in hot tub, sauna, or swimming pool immediately after surgery. 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. I recently had a spontaneous hip fx and was diagnosed with hip displasia. We have to get ok from cardiologist and get ekg, chest xray, etc. [QxMD MEDLINE Link]. Its been a nightmare for me going into 4 yrs post op soon. 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 I dont want a long recovery time as I am very active. Possible Infections Dr. Sutphen: A minimal number of surgery patients (roughly around 1%) can develop an infection around their hip replacement. It is difficult to get that from information which I find curious. She provided all kinds of benefits with this approach, as faster recovery, less motion restrictions et.al. The hope is that these new designs will, but time will tell. 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. After reading your articles, I have decided not to have anterior. I have had problems with my hip for the last several yrs. The amount of PT you need after surgery will be determined by you and your surgeon. Typically, the new cup will be medialized to gain coverage and correct the abnormality that lead to your arthritis. What to Expect Thank you for sharing. Comments about life-long hip restrictions between Posterior, Anteriorlateral and Anterior approaches? In general, people who are older, heavier, or more active may not be good candidates for this type of surgery. Part of those possibilities includes a better and more comfortable sex life. Currently, the incidence of dislocation after the posterior approach has been greatly reduced due to technique and other refinements. Thanks! Dr. Tom Miller gives you the five best options for hip replacement surgery. (Of course, I do.) Ann Transl Med. Time will tell if this generation of shorter press-fit stems fares as well. A typical recovery time from anterior hip surgery is six months. It requires surgical insight and skill to accomplish. 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. 3. Back to work/driving in 10 days. appropriate medical assistance immediately. Recognize that the underlying etiology is not being corrected by this procedure, so relief of symptoms probably will be temporary and possibly partial. Even though I was positive I wanted this method done, I was still questioning my decision. I take care of many individuals who have a total knee and hip replacements on the same side. I am a 49-year-old female. I then stage the second surgery as early as 2 or 3 weeks post-operatively. The technique allows recovery that is as rapid as a mini-posterior approach while conferring stability of the hip joint that is equal to other exposures that . What do you mean by painful anterior scarring and soft tissue exposure and trauma? There are many different quality implants (just like surgeons and hospitals). 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. This is because the nerve is located in front of the hip. Patients are told how to use their hip after hip replacement surgeries, which is very different than the usual practice. OTC nerve supplements suggested by a naturopath. Studying a hospital and physicians track record before you commit is important. Regardless, the overall incidence of dislocation for every approach is smaller due to use of larger femoral heads and enhanced closure techniques. Most patients are able to walk the day of surgery. Welcome to Brandon Orthopedics! I ride horses, water ski and kayak. Your blog on anterior vs posterior approach was very informative. Before my hip problems, I really enjoyed playing golf and would like like to play again after surgery. The anterior approach, as a marketing tool, has grown in popularity among surgeons. The surgical technique for a SUPERPATH Hip Replacement was developed as an advancement to traditional total hip replacement. I have written to you to learn what are the surgical considerations for someone with shallow hip sockets like mine. Getting those studies will not change the reality that you will need THRs.