I also would encourage you to choose your surgeon first not the procedure, approach or prosthesis. Thanks for any feedback. 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. The second most-common injury is to the femoral nerve. Sometimes during surgery it is necessary to release particularly tight structures to expose the joint for reconstruction or to better balance surrounding soft tissues after reconstruction. My acyive 60 year old husband is scheduled to have Mini posterior total hip replacement in 6 weeks. And, I Do. 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. The bone isn't dislocated in surgery. It turned out to be more torn than they thought and they had to cut about a forth of it out. Today, everything from tools to techniques has improved. It's what compelled me to seek out different methods and post here.. You will find the surgeons will all give the pros but never the cons what ever the method. I wish you the best of luck. But this will always prompt you to accept/refuse cookies when revisiting our site. It's cut off and removed through the hole. 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 . Yes, you do have increase risks. I do not want the approach to dictate the optimal construct which I hope will last 20 years and more. 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 have been in pain for about a year and first though it was a back issue and it has limited my ability to stay as active as I would like. Had arthroscopy in Jan 15, cleaned up tear and arthritis. This is used when the cartilage in the hip is severely damaged by osteoarthritis or other conditions. This site uses cookies. I think it is important to define and isolate why youre doing so poorly. This does not necessarily mean they will have more pain or take longer to get well. It is also important to avoid any sudden movements or twisting motions. Why would the doctor not have that at their finger tips? Have you recovered by now? 2004 Apr. A modern artificial hip joint is designed to last for at least 15 years. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. Raleighs orthopaedic clinic is board certified and has fellowship training in total joint replacement. 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. You can be successful by staying healthy by sticking to less pain. Im sorry to learn that you are so disappointed with your hip replacement. Walking is the best exercise. It is critical to make the right decision regarding anterior hip replacement surgery in each case. Only Dr. Leone will be using the most recent hip technique known as the SPAIRE technique as of 2020. This complete wall of tissue that surrounds the new hip imparts stability. I think its always beneficial to speak to other patients who have been cared for by that physician and learn about their experiences and results. I am deciding that my quality of life is in the toilet and need to get the THR done. Thanks for giving us patients the kind of information we need to be more educated as to what questions to ask. Hello Dr Leone, Patients who work for themselves are very motivated to return to work and often do so between procedures. My physical life is diminished. respect of any healthcare matters. They also are looking into methods to reduce the risk of infections in artificial joints. The parts may be attached to the bones in one of two ways. A major hip replacement can take up to four months to fully recover from. I came home with crutches, abandoned them at the front door and have not used them since. If an MRI demonstrates no cartilage damage or subchondral cystification (the development of degenerative cysts), a repairable labral tear and minimal dysplasia, then a hip arthroscopy may be considered. We now have too many other proven bearing surfaces available. Le has extensive experience in primary joint replacements, complex revision surgery, periprosthetic fractures, and infection management. I can still do 30-45 mile rides, but I need to take something before each ride, because of the undone left hip. Ill be 60 at the time and Im 54 and weight about 130 lbs in fairly good shape. The information I have gathered seems to indicate the anterior approach is more inherently stable, making precautions unnecessary. I believe choosing your physician is the most important decision you can make. Other conditions, to which you alluded, such as having a back condition and an arthritic knee and foot, all can masquerade what the real or most debilitating problem is. It can lead to numbness in the thigh and, in rare cases, skin irritation due to the nerves presence. 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. I am feeling like this is a business like everything is else. Contact Us, Approaches Intervals between muscles are separated or muscles are separated in line with their fibers without injuring the muscles innervation. Glad that after lots of PT and massage and medial branch block for back issues with NO!!! It's cut off and removed through the hole. 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. Complications You can resume your active lifestyle as soon as possible thanks to a new prosthetic hip. I then would strongly suggest you trust that person to decide what approach and what prosthesis predictably will deliver the best results. Surgical Approaches To Hip Joint Dr. Apoorv Jain D'Ortho, DNB Ortho . The incision made for the operation can be as small as three inches. In anterior and posterior surgeries, the outcome is essentially the same a new hip. We are an online blog dedicated to providing comprehensive and accurate information about orthopedics and injury prevention. 1000 NE 56th Street, Also, be aware that as the nerve recovers, the smallest C fibers within the nerve recover first, which can cause a burning discomfort. It is not acceptable to lean forward while sitting down or standing up, and it is not acceptable to bend past 90 degrees (as shown in the angle in the letter L). This too will lower your anxiety and improve your experience. hi im following as im due a superpath soon, there is no one size fits all everyones different I've had 2 hip replacements in 2 yrs one in 2017 then a revision to change the ball and socket to the smallest one they had and now I'm going for a smaller stem I had the anterior approch done which is in the front which is way better then the posterior as the front they can just move ur muscles over to the side to accsess ur hip rather then go through the back or side where they have to cut the muscles. Honestly, most 59-year-old active women do best with a well done THR. What is SuperPath Hip Replacement? All rights reserved. The hip joint can be supported by the socket, which is designed to fit over the ball and provide stability. 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. Rather, they say Bill, please just do what you have to do and do a great job. 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. I actually was supposed to get both done at roughly same time but its been 3yrs with this bad right hip, mainly i was in great fear of going through that pain again, but now i think that pain will be better than this everyday pain!! I try not to bring up my mess but its hard when its with one 24/7. I was so against doing this surgery but groin pain was very bad and crushed bone in the groin. I find that patients who are well informed and know what to expect prior to surgery get well even faster. It is nice to see honest Q&A versus a marketing page. Usually a hip problem is addressed before a knee or foot problem because by solving the hip problem first, the knee or foot often improves if the pain is referred from the hip (more common with knee pain) or if by addressing the hip, the body mechanics and the fluidity of gait improve. Dear Doctor Leone, The hip joint needs to be replaced again when it no longer works properly because of a revision surgery. I sit on a cushion in the car to lift me up. My personal preference has changed from doing both hips during a single anesthetic to staged procedures two to three weeks apart. Introduction Use of the forums is subject to our Terms of Use Im getting close to needing my left hip done. For risks she mentioned all the usual I knew about from the first surgery blood clots/loss, dislocation, etc. Traditional hip replacement surgery is no longer an option, but it is less painful and has a number of advantages. posterior surgery . I had posterior and much like the superpath trussed into the jig . invasive posterior vs not so good with AMIS) whilst on the other hand, with one of your replies you state that surgeon experience should be considered with AMIS success rates and in other replies stating that both alternatives are good.
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