I have linked back to several blog posts below that will give you more in-depth information. I understand they have good results in Thailand or India for half that. Everyone I know that has had both posterior and anterior surgery say not to even consider posterior. I believe this is an important discussion you should have with your surgeon preoperatively. 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. Are expected to be out of bed (hips and knees patients) the afternoon of their surgery and at least taking a few steps if not walking. The approach planned is a frequent topic of Continued Some patients who have recently had anterior hip replacement may suffer from complications such as wound healing. The Pros and Cons of Two Approaches to Hip Replacement: Mini-Posterior This effectively moves the hip joint center, toward the bladder or midline, and improves hip mechanics. It seems reasonable and I trust my surgeon but would like to know what I'm in for post op and beyond. I have had both hips replaced about 13 months apart, one anterior and one posterior, and there is no doubt that I would recommend anterior. My clinical impression is that more patients experience some degree of residual groin discomfort or tightness after the anterior approach as compared to the posterior approach, but that it tends to resolve with time. The vast majority of my patients have their surgeries with a simple spinal with IV sedation so they are sleeping throughout the procedure . I think the recovery time is the same though. There is a chance of nerve injury with any type of hip replacement. 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 . Raleighs orthopaedic clinic is board certified and has fellowship training in total joint replacement. Even if the hip doesnt dislocate, prosthetic or soft tissue impingement is not beneficial. SuperPath approach uses about a 3-inch incision at the side of . We now have less-invasive techniques, better surgical methods of closing soft the tissue and more experience. 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. Fortunately you live in a part of the world where there are many capable orthopedic surgeons. Thanks for any feedback. I never seem to know when I am going to get hit with pain. Hip Preservation Surgery | Duke Health According to Dr. Gililand, patients should not try to change their surgeons opinion based on their preferences. Hospitsl staff 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. Most importantly, I would meet with your surgeon and discuss all of these concerns. Choose your surgeon. People undergoing traditional hip replacement surgery, for example, are advised not to bend at the hip more than 90 degrees for approximately six weeks after the procedure. There is also a risk of the hip joint not fusing correctly, which can lead to pain and instability. The surgeon I am meeting with (Dr Jimmy Chow) is supposed to be top notch in this procedure, and I am just curious as to how different the surgery is from conventional surgeries. However, some offer greater patient benefits than others. 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 difficult to get that from information which I find curious. It all comes down to the surgeons comfort as well as the patients. I have since read that hips with this condition might get worse after labrum repair due to this structural defect. Everyone is. Can You Use An Inversion Table With A Hip Replacement Also, is it immoral for an 80 year old to have THR and cost the nations health care system $25 $35k? My physical life is diminished. I have seen 4 surgeons. Soft tissue contractures often are associated with long-standing arthritis. If you were in Los Angeles and needed a THR who would you choose to do your surgery? The actual length of the incision really is not important, but rather how well the components were implanted and the hip mechanics restored. A femoral nerve injury is devastating and is more vulnerable during an anterior approach than with other approaches. Will I be able to dance, hike, bike, swim, exercise after a 3rd surgery? disadvantages of superpath hip replacement Also, if this nerve injury occurred, I would expect these symptoms to be present immediately surgery, not five months post-op. I have been told that I can fly 48 hours after surgery?? Intervals between muscles are separated or muscles are separated in line with their fibers without injuring the muscles innervation. I find that patients who are well informed and know what to expect prior to surgery get well even faster. Welcome to Brandon Orthopedics! In my last blog post, I discussed minimally invasive surgery with regard to hip replacement. Would appreciate any input you might have on the auto immune issue, and weight etc. Some patients have no pain at all, which is remarkable. By far the most important variable is the doctor who is doing your surgery and managing your post-op care. Six weeks or longer is the exception. Some surgeons will use 2 incisions, both the anterior and superior approach. Im a 50 year old female whose been dealing with hip, leg and back pain for many years, recently diagnosed with OA, and finding that I need a right THR. Because the dissection is over the front of the hip, a number of patients will experience residual pain and tightness anteriorly (in the front of the hip) at least early on. I dont want a long recovery time as I am very active. I don't think there's a one size fits all when it comes to hip surgery. disadvantages of superpath hip replacement - homelessnest.org Thigh feels so Heavy and I massage that area a lot. I will reiterate what I know to be true. What reasons would there be to use the regular over the mini? But I am now in chronic low grade pain thats getting worse and dont know what I should do. The anterior approach, as opposed to the lateral or posterior approach, uses a small incision in the front of the hip. A shorter hospital stay and faster recovery are typical of this because there is less damage to the muscles. The size of the incision is determined by how large and tight the hip/thigh is and how much tissue (fat and muscle) exists between the bones of the hip and the overlying skin. Robert H. Sigmund, MD | Signature Orthopedics There is also a risk of the hip joint not fusing correctly, which can lead to pain and instability. It is important that the individual who ultimately implants your next THR uses the approach which he or she feels comfortable with and has the best chance to deliver the optimal result. Hip replacement currently consists of two major approaches: direct anterior and anterior approaches. Unfortunately, injury to the lateral femoral cutaneous nerve is a common complication after the anterior approach for hip replacement. I do participate in competitions and showcase presentations. 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. 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. They are addictive, can cause depression, their analgesic effects are short lived and if the condition persists, you will require an increasingly higher dose to relieve the pain. I believe a THR will benefit you tremendously. About my surgery: I had to wait 30 hours before surgery, two days later I was released, within two more days I stopped using my walker. There is a possibility that blood loss may be reduced as there is less unnecessary exposed bone surface left to bleed. I had posterior and much like the superpath trussed into the jig . I am feeling like this is a business like everything is else. I do not want the approach to dictate the optimal construct which I hope will last 20 years and more. 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. If I can put you on the spot. If you would like a personal consultation, please contact our office at 954-489-4575 or by email at LeoneCenter@Holy-cross.com. Cons of Robotic Assisted Surgery As with any type of procedure, Mako is not without its drawbacks. Therapy hopefully will help any contractures and scaring within your muscles that might have developed after surgery. No, I would not tolerate the pain and immobility, if there is a reasonable way to relieve it. I also would encourage pool walking or swimming. Country. As a result of anterior hip surgery, there is little need for any special care. 5. My husband tells me that I cry out in pai as I turn over during the night. The hope is that these new designs will, but time will tell. The first is that it is a major surgery, so there is a risk of complications such as infection. I wish you a full and satisfactory recovery. What are your thoughts on the use of robotics? Which is the best? I read hip dislocation is 28% higher after a revision, is it more then 28% after 2 revisions??? My advice is to consult with your surgeon regarding how stable the replaced hip is and the most appropriate rehab to follow post-operatively. An artificial joint is used to replace the worn out hip joint during a hip replacement procedure known as posterior hip replacement. Hip Replacement Materials Best to Worst - Bioxcellerator Every hip implant has benefits and risks. Though the duration of your hospital stay can vary, many patients having hip replacement surgery don't need to stay in the hospital very long. Upgrade to Patient Pro Medical Professional? Having physio I have the hospital but am deciding on the surgeon and which approach is best. An operating room that can support safe Anterior or SuperPATH minimally invasive joint replacement surgery costs around $1.5 million. I, personally, have not had a patient dislocate following a primary total hip replacement in many years.