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My first bike ride was 22 miles without any problems. If I can put you on the spot. The surgical technique for a SUPERPATH Hip Replacement was developed as an advancement to traditional total hip replacement. Mini posterior refers to the approach or tissue interval the surgeon uses to implant the Total Hip. With a bilateral procedure during a single anesthetic, the blood loss would be double and there would be a much higher likelihood that my patient would need transfusion post-operatively. It is 100 percent normal and expected to be scared before surgery. Why would the doctor not have that at their finger tips? Your back does need to be evaluated as well. I had a consult with a surgeon who does posterior and cuts muscle & tendons. 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. It sounds as if you had a wonderful surgeon. out the next afternoon and using a walking stick from day 2 to day 10 when I ditched it altogether . Hip Replacement Surgery & Recovery | University of Utah Health I wish you a full and uneventful recovery. Thanks again! After reading your articles, I have decided not to have anterior. But I am now in chronic low grade pain thats getting worse and dont know what I should do. He also used the term anterolateral. Because the muscle fibers are separated, not cut, the nerve path is not disturbed and the muscle is not injured. If so, is it possible to have both hips done at the same time? This allows you to resume normal daily activities quickly while also returning to normal range of motion and function. Thank you. I assume PTHR is referring to partial hip replacement. I then stage the second surgery as early as 2 or 3 weeks post-operatively. Potentially there also is less pain and a quicker recovery. I have a yr or more off work so I have the time to heal properly but scared to sit or move an Inch as I dont want to dislocate my hip again I dislocated my left hip in a resturant while eating lunch with my 10 yr old we both suffer from ptsd now and stayed in the emergency room for 30 hrs before they rushed me to the city hospital. I have seen a number of patients who were reconstructed with the anterior approach who developed painful anterior scarring after the procedure. During anterior approaches, fracture repair is much more difficult and necessitates the use of a separate incision. All: Your article lacks the pros of the AMIS and the cons of min invasive posterior. I definitely didnt have any tendons or muscle cut and was cycling on the road from day 12 and back running at week 4 . As long as you do the necessary surgeries, you will eventually break your femur, but only if you do enough. 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. J Orthop Surg Res. Can you explain this approach? The only problem Ive had post hip replacement is some on/off again groin pain. Most patients are able to walk the day of surgery. The nerve which supplies sensation to the front and side of the thigh is vulnerable. I live in Staten Island and need rt hip replacement. Almost all bilateral THR or TKR patients go to a rehabilitation facility after their acute stay, not home. Please do not take this as an attack, but your article seems biased on your experience (great results with min. Many wonderful physicians are part of various HMO panels. Share your concerns with your surgeon. If the tissues are traumatized and / or the final components are not optimally positioned, then it certainly is not an advantage. 3 years ago, Do you have any advice or ballroom dancer THR stories to share? Orthop Clin North Am. Considering I had no idea about differences between the two approaches, I said OK and surgery did go well and I was back on my feet in no time. I had an anterior approach hip replacement. Introduction. Clots can form in the leg veins after surgery. There is a 1-2% risk of fracture of the femoral neck. Because the femur is more difficult to expose during the anterior approach vs. the posterior approach, many surgeons will select a shorter femoral component to facilitate reconstruction and lessen chance of fracture. Update what hes cutting is the adductor so my question is the same is this just a normal part of some THRs? 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. Anterior vs. Posterior, Posterior vs Mini-posterior. The surgeon will be building a construct that hopefully will last her life time and change her life profoundly. On the other hand, there may be a slightly increased incidence of anterior instability. Dr. William Leone. superpath total hip replacement animation - YouTube Woke up with 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. The leg lifts really aggravate the front of the hip. Irrespective of the approach that is used to implant the prosthesis, the tissues that surround the new prosthetic hip must heal and mature if the hip is to achieve stability. The most important decision you will make is choosing your surgeon. 5. This left hip remained tender based on my exercise level which I did modify but always my hip had some soreness. I thought the newer procedure on the special table was the best way to go. He is well known as a top doc for 20 yrs & I was persuaded because the mini posterior has less chance of nerve damage & the surgeon has more options for types of spikes, which your article explains well. I typically do hip replacement on the get anterior approach in 90% of my patients. I also regularly receive Rolfing treatments which has helped me manage pain and maintain what mobility I have. This treatment is commonly recommended for patients suffering from osteoarthritis of the hip. disadvantages of superpath hip replacement. Does Medicare Cover Hip Replacement Surgery? - Healthline I would consider talking to other patients who had their hips replaced by that physician and learn about their experiences. If your surgeon cant answer your questions about hip replacement or provides unsatisfactory answers, you may need to consult another surgeon. That being said, you should have the additional surgery where you feel you will have the best chance of doing well. An artificial joint is used to replace the worn out hip joint during a hip replacement procedure known as posterior hip replacement. Its Inosine and Sphingolin. This means you could go home within 23 hours after surgery. Before my hip problems, I really enjoyed playing golf and would like like to play again after surgery. I still have a very big limp and still undergoing physical therapy. Hip Replacement Surgery | Superpath Hip Replacement Sydney Australia Femor fracture. Fitness going into surgery and speed of recovery seems to be a common theme though. Cons of Robotic Assisted Surgery As with any type of procedure, Mako is not without its drawbacks. Just because hardware in your foot needed to be removed after repairing what sounds like a calcaneal (heel) fracture, absolutely does not mean that your body rejected the metal / hardware or that your body will reject the prosthesis your surgeon will implant to reconstruct your hip. Obese or extremely muscular people may not be the best candidates for this surgical procedure. There are a few disadvantages to hip replacement surgery. I ski, hike (steep terrain) with a pack -about 25 pds, kayak, horse back ride, swim, water ski and bike, which is getting increasingly more difficult. Hip replacement surgery & recovery time | TRIA Orthopedics - HealthPartners J Bone Joint Surg Am. It allows the surgeon to work between the muscles and tendons without removing them from their anchoring points on the hip or thighbone. Personally I had the posterior approach and cannot see how I could have recovered any faster . If you refuse cookies we will remove all set cookies in our domain. 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. What Ive seen in my practice is that the more total hips I do, the less restrictions I place on my patients and the more active my patients are. Each question is scored from 1-5, with 1 being no problems and 5 being severe problems. I wish you a full and speedy recovery. For the prevention, diagnosis, and treatment of hip pain and other problems affecting your hips, call Advanced Sports Medicine Center today at (941) 957-1500. Now 1 yr later dont have buckling/giving out but a lot of pain is there and after walking around, after about 20 minutes it hurts to lift leg forward, also good hip starting to hurt. Not sure exactly what that means. July played my last match when I buckled. Will meet with doctor soon but when I was finally able to really exercise after surgery I overdid it and developed plantar fasciitis. The information I have gathered seems to indicate the anterior approach is more inherently stable, making precautions unnecessary. For example, the stability of the components could have been achieved initially, but then proved inadequate so you developed either a loose cup and/or a loose stem. SuperPath is a portal assisted THA approach that accesses the capsule superiorly through the interval between the gluteus medius and piriformis without requiring the cutting of any muscles or tendons. Anterior hip replacement is a type of hip replacement surgery. Contact Dr. Moor, Orthopedic Surgeon at Advanced Sports Medicine Center. Do either of your techniques require the traditional anterior or posterior precautions? Also, because technically it is easier, many patients are being reconstructed with very short stems which are press fit into the bone during an anterior approach. I am about 5 6 and 185 lbs, age 58, he did not think the weight was an issues. The posterior approach for hip replacement surgery is by far the most common surgical technique used in the United States and throughout the world. 4. I have been doing ALOT of research about the different approaches to THR and looking for the absolute best surgeon. Both problems are on the right side of my body. All of these releases may be necessary as part of the surgery and patients do well.