I had the mini-posterior at MGH hospital. I am already limping when walking and was hoping that the limp would disappear after the hip surgery. Also, after an accident, I had 12 screw and an L shaped plate in my heel. This technique avoids cutting muscles and tendons, minimizing surgical trauma and improving the post-operative experience. posterior surgery . Appalachian orthopedic surgeons perform revision surgery as well as mini-posterior and anterior approaches. I am so sorry to learn that you are struggling. A femoral nerve injury is devastating and is more vulnerable during an anterior approach than with other approaches. The anterior approach exploits an interval between muscles that cross the front of your hip and thigh. Full Function, Faster . 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. #1. The doctor has scheduled me for total hip replacement in two weeks and he uses the Posterior approach, he didnt say anything about the mini part. Did you have the surgery via Superpath method? Thank you very much for taking time to reply me. There are many factors that contribute to whether or not someone is a good candidate for anterior hip replacement surgery. My husband tells me that I cry out in pai as I turn over during the night. Although anterior approaches can be useful for some, they are not for everyone. 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. You always can block or delete cookies by changing your browser settings and force blocking all cookies on this website. 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 . Thank-you. Traditional Hip Replacement - Traditional surgery requires a large incision of 10 to 12 inches and detachment of muscles from the hip. Again, trust your doctor. I am sure you should not listen to what I did!! The development of a complete and secure surrounding scar tissue wall or pseudo capsule is critical for stability. 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. I spoke in person to probably 4-5 of his success patients and went with hearing from them. Recently the doctor doing anterior decided because of thin bone, he should do direct lateral approach. The most important decision you must make is choosing your surgeon. It allows the surgeon to work between the muscles and tendons without removing them from their anchoring points on the hip or thighbone. In a posterior hip replacement, the procedure is done on the side of the hip. I had a consult with a surgeon who does posterior and cuts muscle & tendons. Finally, hip replacement surgery is expensive and may not be covered by insurance. I also regularly receive Rolfing treatments which has helped me manage pain and maintain what mobility I have. A miniposterior approach uses the same intervals as the standard posterior approach but simply less tissue is released for the exposure. It is much better to precisely release and cut rather than tear or fracture. Try our Symptom Checker Got any other symptoms? Driving hurts too. Initially I was hesitant of THR thinking I was way too young for something so drastic but Ive now been miserable enough long enough that I am welcoming the idea of surgery. 3 years ago, Patients are typi. out the next afternoon and using a walking stick from day 2 to day 10 when I ditched it altogether . There are numerous complications associated with hip replacement surgery, but blood clots in the legs and hips are two of them. If you do not have a hip replacement, you will live a sedentary lifestyle and become overweight. Over time, untreated hip dysplasia or hip impingement can lead to arthritis and, eventually, hip replacement surgery. Possible Infections Dr. Sutphen: A minimal number of surgery patients (roughly around 1%) can develop an infection around their hip replacement. (Of course, I do.) You can be successful by staying healthy by sticking to less pain. Im considering this mini posterior approach. Otherwise you will be prompted again when opening a new browser window or new a tab. An anterior approach hip replacement is one of the most minimally invasive surgical options for replacing a hip. I do participate in competitions and showcase presentations. The Hanna bed, general anesthesia machines, spinal setup, medications, ventilation, instruments, and their sterilization are all prerequisite. I am female and I weigh 115 pounds. Which approach did the doctor take? I have the surgery planned, but then another medical professional warned me that the posterior approach will limit my twisting range of motion and prevent me from playing golf. Many manufacturers are responding to the surgeons desire for shorter stems and many are now available on the market. When the anterior approach is used, the soft tissues in the hip stay intact, allowing for better hip alignment. I am deciding that my quality of life is in the toilet and need to get the THR done. There is a 1-2% risk of fracture of the femoral neck. These scores are not aggregated. An anterior capsule is the only soft tissue cut during this procedure to insert the implants. Click to enable/disable _gat_* - Google Analytics Cookie. In anterior and posterior surgeries, the outcome is essentially the same a new hip. One disadvantage to the mini posterior approach is that patients are instructed not to place the newly implanted leg in certain positions for the first six weeks after surgery. SuperPath approach is the least invasive due in part to the minimal amount of tissue damage. I wish you a full and satisfactory recovery. Not only was my recovery twice as fast with the anterior, there was very little pain in comparison. 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. I had no inkling of this till he showed me on the x-ray. Doc says once recovered I should avoid flexion with adduction and internal rotation. Dr. William Leone. 35 (2):153-62. In the dark to find out about this myself. For risks she mentioned all the usual I knew about from the first surgery blood clots/loss, dislocation, etc. 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 have a tilted sacrum, sway back and a very large posterior. Very few metal-on-metal bearings are being placed today due to the serious potential of metallosis. What Ive been able to achieve is find two nerve supplements that have taken away the burn/tingle on my thigh. I am about 5 6 and 185 lbs, age 58, he did not think the weight was an issues. Most patients are able to walk the day of surgery. I definitely would not recommend a hip scope and THR during one anesthetic setting. I would rather see my patients go home. I am temped to wait but it is getting worse. As a result of anterior hip surgery, there is little need for any special care. Thanks again! An artificial joint is used to replace the worn out hip joint during a hip replacement procedure known as posterior hip replacement. It does sound as if proceeding with a THR is appropriate, since your attempt to repair the joint arthroscopically did not pan out. This means you could go home within 23 hours after surgery. Years!! Please be aware that this might heavily reduce the functionality and appearance of our site. Individual results and activity levels after surgery vary and depend on many factors including age, weight and prior activity level. If you have an abnormal anatomy or are morbidly obese, you may not be a good candidate. A modern artificial hip joint is designed to last for at least 15 years. Are these expectations realistic? The surgical area of anterior hip replacement is located in the vicinity of the lateral cutaneous femoral nerve. Talked to my foot doc and we decided on the Topaz procedure which has good results. Im 51, 59 and 148 and want to get back to tennis etc, this has been long frustrating process. The pain in my hip is strange in that I can hike uphill and down hill, bike and X-country ski but have a very hard time walking on the flat, especially after sitting for awhile or getting out of bed. According to Dr. Gililand, patients should not try to change their surgeons opinion based on their preferences. I am unsure whether the minimal invasive posterior is available in SA. I am feeling like this is a business like everything is else. An anterior approach to hip replacement allows the surgeon to perform more limited views of the hip joint during the surgery, making the procedure technically challenging for less experienced surgeons. 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. If a mini posterior approach is used and the resultant total hip has optimally positioned components and balanced soft tissues, and was implanted through a smaller incision with less underlying soft tissue dissection and trauma, then I believe it is a benefit. Because of the straightforward exposure of the femur, there is less risk of femoral fracture or poor implant positioning. I needed no physical therapy at all. The incision made for the operation can be as small as three inches. Also had Yes, Im angry. Thigh feels so Heavy and I massage that area a lot. If this occurs, the patient usually requires a total hip replacement. What is SuperPath hip replacement? The surgical "approach" in total hip replacement describes the anatomical pathway and technique that the surgeon uses to access the hip joint to perform the surgery. An anterior hip replacement is, in many ways, less risky than any other type of hip replacement. Before proceeding, it is a good idea to review the recommendations and specific parts that your surgeon may recommend. Pain Management Most traditional hip replacement models are metal-on-plastic varieties. It sounds like he did fabulous job. Once again, I think your decision to proceed with THR is the most reasonable. A ceramic-on-ceramic bearing is also a very good bearing. I was released to go back to work after only 10 days. Would you recommend treating plantar 1st? I would focus on the individual doctor, not the approach that the individual choses to use, to deliver the best result. Dr. William Leone. If you decide to have your hip replaced in another country, I would consider carefully who would care for you if you develop a complication such as an infection, or a major medical problem like a pulmonary emboli or heart attack after surgery. Do you agree? 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. The first step to rule out infection is to have two simple blood studies done, an ESR and CRP. Thanks again for this great blog! The first is that it is a major surgery, so there is a risk of complications such as infection. Thank you for this great informative discussion. These are all realistic goals. DAA and SuperPATH were equal in functional outcome and acetabular cup positioning. Getting those studies will not change the reality that you will need THRs. Because my husband has circulation problems in his leg and vein removed for open heart surgery last yearhis surgeon recommended the Mini posterior surgery. But I am now in chronic low grade pain thats getting worse and dont know what I should do. Once you find that doctor, then you need to put your trust in him or her to help you solve this horrible problem so you can return to being active and productive. We are an online blog dedicated to providing comprehensive and accurate information about orthopedics and injury prevention. Click to enable/disable _ga - Google Analytics Cookie. In the United States, a traditional posterior approach is the most commonly used. Pain modifying drugs as well and as a course of NSAIDs might also be appropriate. I thought the newer procedure on the special table was the best way to go. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. Clearly, yours was. I ask my patients to restrict certain positions that exceed the mechanical limits of the artificial hip for the first six weeks. I wish you the best of luck with your care. Every . Would appreciate any input you might have on the auto immune issue, and weight etc. Adductors refer to a group of muscles that insert into the medial (inner) upper femur and often become contracted with an arthritic hip. Some other methods are effective, but they are less effective for patients who leave the hospital earlier. This does not necessarily mean they will have more pain or take longer to get well. However, some offer greater patient benefits than others. How do you ask your doctor the questions you want to ask? bible teaching churches near me. I think the recovery time is the same though. I think it was sensible being careful on the other hand and I was told not to cross my legs. With degenerative osteoarthritis of the hip developing secondary to a severe slipped capital femoral epiphysis (scfe), recreating normal hip mechanics after THR may have necessitated lengthening the first hip. In my experience, after four to six months most patients simply return to normal activity. If I think you may be a candidate, I will refer you to a doctor in our area that does. Thanks! 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. SuperPath hip replacement is a differentiated total hip technique being performed by a growing number of experienced surgeons. Le has extensive experience in primary joint replacements, complex revision surgery, periprosthetic fractures, and infection management. We provide the best cash prices and customer care in the industry. Many others feel the same. The anterior approach typically does not violate this structure. When performing anterior anterior reconstruction, these patients frequently have very short stems that are inserted into the bone. The traditional posterior approach is the most commonly used in the United States and throughout the world (about 70 percent). No specifics were given to me from the orthopedist . I just had mine 10/30 all I can say is be patient get lots of rest and take your pain meds way before you start to move around so that the pain want be so bad with movement.
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