Thank you for this great informative discussion. Ill be 60 at the time and Im 54 and weight about 130 lbs in fairly good shape. In my practice, I cement an Exeter stem in a significant percentage of my patients who undergo THR . If possible, try to get in writing any verbal promises made. Can you suggest any pain medication that would not interfere with anti rejection drugs? Many also mate this with a ceramic femoral head. 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!). Hip replacement currently consists of two major approaches: direct anterior and anterior approaches. I worry that replacing it with a differently configured socket could make things worse rather than helping. Will I still be able to do all of these things? Im ready to have the surgery, having been basically bone on bone for several years. These parts have a porous coating that the bone grows into. The actual length of the incision really is not important, but rather how well the components were implanted and the hip mechanics restored. Infection: You are given IV antibiotics before and after surgery. Patients can also have as little as a 3-inch incision. Thank you very much for taking time to reply me. Most importantly, I would meet with your surgeon and discuss all of these concerns. The amount of PT you need after surgery will be determined by you and your surgeon. Have you heard of something like this, and if so, is it worth it? SuperPath approach uses about a 3-inch incision at the side of . appropriate medical assistance immediately. The SUPERPATHTM procedure provides a number of advantages over traditional hip replacement surgery. This can be dangerous because a piece of a clot can break off and travel to the lung, heart or, rarely, the brain. If you would like a personal consultation, please contact our office at 954-489-4575 or by email at LeoneCenter@Holy-cross.com. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in Walker to get around. Potential Disadvantages of Anterior Hip Replacement Anterior hip replacement does have a few limitations: There may be wound healing issues Research suggests that people who undergo anterior hip replacement may be more likely to have a problem with wound healing, particularly infection. This treatment is commonly recommended for patients suffering from osteoarthritis of the hip. If I can put you on the spot. Stay was 2.5 days. I have been told that I can fly 48 hours after surgery?? 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. 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. What are the risks involved? His hip ball was put back in the socket and he has done beautifully since. There does appear to be an increased incidence of stem instability when implanted through the anterior approach, but I believe this is largely a function of the surgeon experience. I would anticipate that you would be able to return fully to your activity once the tissues around your total hip heel. So my concerns include having the range of motion to perform moves like promenade where my body is roughly facing forward and my right leg will take a step left across my body at about 90 degrees. Is the hospital where the surgery will be performed also top rated?. Finding the right surgeon is critical, because your care is about so much more than just fixing your hip. If they are really happy, then you probably will be as well. The anterolateral approach or Watson Jones approach is one of the classical hip approaches that can produce excellent results when utilized for THR. 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 think stem cell injections will have little chance of doing any good if indeed your hip condition has already progressed to bone on bone. I had the mini posterior approach done and it gets better everyday. But this will always prompt you to accept/refuse cookies when revisiting our site. This treatment is much more definitive and predictable. Femor fracture. The rule of thumb is that recovery occurs over a 12-18 month period following injury. Appalachian orthopedic surgeons perform revision surgery as well as mini-posterior and anterior approaches. Surgeons do not cut across muscles. Hip replacement surgery can open up a world of possibilities for people who have lived with pain and restricted movement. I was released to go back to work after only 10 days. They thought surgery to repair it would give me about 5 yrs. I take care of many individuals who have a total knee and hip replacements on the same side. SuperPath hip replacement is a differentiated total hip technique being performed by a growing number of experienced surgeons. The healing and maturation of this tissue takes time. Your article has made it clear I made the correct decision, especially since my daughter had nerve damage from an operation years ago. Most receive a simple spinal with sedation. Hard-on-hard bearings, such as ceramic-on-ceramic as well as metalon-metal articulations, also resulted in larger femoral heads being implanted. Both have valid cons against the others methods and pros on their method. If this occurs, the patient may experience pain and swelling. Can you compare/contrast to the other approaches; posterior, mini posterior, anterior? 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? I had an anterior approach hip replacement. 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. I am feeling like this is a business like everything is else. 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. Traditional Hip Replacement - Traditional surgery requires a large incision of 10 to 12 inches and detachment of muscles from the hip. The parts may be attached to the bones in one of two ways. My surgeon does the SuperPath method. 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. It is 100 percent normal and expected to be scared before surgery. Since I previously had both knees replaced (by another surgeon) about 5 years ago and still have problems with the knees i.e. Over time, untreated hip dysplasia or hip impingement can lead to arthritis and, eventually, hip replacement surgery. 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 . A modern artificial hip joint is designed to last for at least 15 years. No, I would not tolerate the pain and immobility, if there is a reasonable way to relieve it. Personally, I would not gamble with my health. as being in breach of those terms. I assume its something near my groin. A mini posterior approach is a modification of the classical posterior approach. I was so against doing this surgery but groin pain was very bad and crushed bone in the groin. Thanks. Fortunately, the incidence of hips dislocating after THR is very small, especially after first-time hip replacement. Rush joint replacement surgeons are leaders in hip replacement surgery and research. Since 1995, there has been an extremely low dislocation rate and an infection rate of zero percent. I think there may be increased associated complications. If your little voice is questioning if you are overdoing it or hurting yourself, then listen to it and ease up. Pain modifying drugs as well and as a course of NSAIDs might also be appropriate. All rights reserved. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. Changes will take effect once you reload the page. I think its reasonable to request a tour of the facility where youre considering having the procedure. Of note, I am a RN with 30 years of experience and took this decision very seriously. According to Dr. Gililand, patients should not try to change their surgeons opinion based on their preferences. They thought it would give me about 5 yrs. Sitting seems to irritate it the most. I have been less active this past year and am concerned that losing weight prior to surgery might be an issue, Am also wondering about my auto immune issues and the implant. If possible, speak with other health professionals who work at the hospital or at least in the same geographical area. What do you consider to be the most important factors in choosing a surgeon? It requires surgical insight and skill to accomplish. I then would trust your doctor to select the prosthetic that would deliver the best result according to your goals and allow you to return to activities that you enjoy. I am a!so told by the orthopedist who referred me that I need arthroscope on my right hip. disadvantages of superpath hip replacement. Had arthroscopy in Jan 15, cleaned up tear and arthritis. They also are looking into methods to reduce the risk of infections in artificial joints. The most common reason or diagnosis that leads me to replace the hips of young women is hip dysplasia. Blood-thinning medications can reduce this risk. This means you could go home within 23 hours after surgery. Thanks so much for your help, very grateful. I'm scheduled for THR on the 22nd. According to Dr. Rosen, the most important thing to remember is what you leave behind rather than how you get there. Get Directions, Phone: 954-489-4575 Regarding restrictions after your hip replacement, this too is an area that has changed drastically over my 25 year career. I again suggest you concentrate on finding a surgeon in whom you have faith and then trust that doctor. After reading your articles, I have decided not to have anterior. The SUPERPATH hip replacement is a new technique using superior capsulotomy that allows for implantation of the total hip components under direct vision through a single incision. More likely, its because ones activity increases after the first THR. I am wondering if having mild hip dysplasia is a factor in which approach is used. These scores are not aggregated. Patients who work for themselves are very motivated to return to work and often do so between procedures. Does either procedure in this discussion present restrictions or advantages for this sort of movement? Even if the hip doesnt dislocate, prosthetic or soft tissue impingement is not beneficial. Many of these stems have very little if any long term follow-up, although some appear to be doing well in the short term. Also, is it immoral for an 80 year old to have THR and cost the nations health care system $25 $35k? Cant afford a dislocation or other complications cause Im sole caregiver for severely handicapped son. Lazaru P, Marintschev I. He is passionate about helping his patients achieve the best possible outcome and is committed to providing the highest quality of care. I am so sorry to learn that you are struggling. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. Thanks again! Introduction SuperPath approach is the least invasive due in part to the minimal amount of tissue damage.
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