disadvantages of superpath hip replacement

Are these expectations realistic? Traditional hip replacement surgery is no longer an option, but it is less painful and has a number of advantages. Almost all bilateral THR or TKR patients go to a rehabilitation facility after their acute stay, not home. Can you explain it to me as he didnt go into detail. How do you ask your doctor the questions you want to ask? 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 . The doctor used the posterior procedure. Clearly, he or she has earned your respect and confidence. There are 5 questions, mobility, self-care, usual activities, pain and anxiety. I believe this is an important discussion you should have with your surgeon preoperatively. No Muscles Cut is for billboards. Many people seek anterior hip replacement due to the unbearable pain they feel in their hip joints. Surgeons do not cut across muscles. Very few metal-on-metal bearings are being placed today due to the serious potential of metallosis. This improved quality of life will be beneficial. The majority of teaching institutions in the United States continue to instruct as well as perform the traditional posterior as their primary approach. I am thoroughly confused at this point. This does not necessarily mean they will have more pain or take longer to get well. As a result of anterior hip surgery, there is little need for any special care. This effectively moves the hip joint center, toward the bladder or midline, and improves hip mechanics. 2015 Aug. 3 (13):179. Will meet with doctor soon but when I was finally able to really exercise after surgery I overdid it and developed plantar fasciitis. The activity that I wish to have the most success with after the surgery is ballroom dancing. Dr. Robert Sigmund is a board-certified orthopedic surgeon and a sports medicine physician based in St. Louis, Missouri. Understand that every total hip, no matter which approach is used to implant it, has the potential to dislocate. I have cared for many patients over the years with significant heart and peripheral vascular disease. (tho I am sure I asked about it ahead of time), I believe you are having trouble finding definitive answers and recommendations because every surgeon has his or her own recipe and experience and also the medical recommendations keep changing. There are hybrids of the surgey from what I can see. What all this means for patients is a more optimum outcome and faster healing, which can reduce time interval to return to normal activities. I definitely didnt have any tendons or muscle cut and was cycling on the road from day 12 and back running at week 4 . In general, I would encourage you to consider all of your prosthetic joints a remarkable modern day miracle that must be cared for and respected. The mini-posterior approach involves separating the muscle fibers of the large buttock muscle located at the side and the back of the hip. Going in for THR in July. In general, people who are older, heavier, or more active may not be good candidates for this type of surgery. My acyive 60 year old husband is scheduled to have Mini posterior total hip replacement in 6 weeks. I again suggest you concentrate on finding a surgeon in whom you have faith and then trust that doctor. But this will always prompt you to accept/refuse cookies when revisiting our site. Fortunately, the incidence of hips dislocating after THR is very small, especially after first-time hip replacement. The surgeon makes 2 incisions one bigger than the other on the rear side and separates the muscle and tendon to get to the hip instead of cutting the muscle and tendons to get to the hip. Ill be 60 at the time and Im 54 and weight about 130 lbs in fairly good shape. Thanks for any feedback. It healed well but then I got major psoas pain which a cortisone shot helped. I would like to share my experience with both procedures. A couple of things I am hoping you will explain using laymans termology. out the next afternoon and using a walking stick from day 2 to day 10 when I ditched it altogether . I am a very active and young 69 year old female who had a THR on my left side 5 years ago. Proponents of minimally invasive hip replacement say small-incision operations can lessen blood loss, ease post-operative pain, trim hospital stays, improve scar appearance, and speed healing.. Its been my experience that patients who go into surgery well informed have a better experience and seem to rehabilitate more quickly. Click on the different category headings to find out more. The SuperPATH technique is arguably the least invasive hip replacement technique. I am scheduled for bilateral hip replacement at the end of August. My mom is obese, short and has osteoporosis. There are a few complications that can occur with anterior hip replacement surgery. 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. What is most important is choosing your surgeon. Felt very uninformed and left 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. Dr Leone, you make the point several times that the surgeon, not the procedure is most important. 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. My advice is to focus on finding a surgeon with whom you are comfortable and have the best chance of doing well. 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 advise both my total hip and my total knee patients to avoid repetitive impact activities like distance running. If you do not have a hip replacement, you will live a sedentary lifestyle and become overweight. When the capsule is fully healed, it forms strong ligaments that will eventually regrow (it will take about 4 months for the capsule to form again). If I can put you on the spot. Even in my practice, which is starting its 27th year, we continue to refine the surgical procedure, pre- and post-operative instructions and rehab (this is huge), pre- and post-operative pain management, and even anesthesia. Should I go for this or should I opt for the mini posterior. Finally, in July 2013, the first SuperPATH Hip replacement in Australia was performed in Nepean Private Hospital, Sydney. Adductors refer to a group of muscles that insert into the medial (inner) upper femur and often become contracted with an arthritic hip. Thanks! No feeling in my leg and no movement Consuming excessive-fibre and wholegrain meals will assist to keep you feeling full, and will be After reading a few articles on anterior vs posterior including yours, I know now that his decision to use the posterior approach is the best one for me! Sitting seems to irritate it the most. bible teaching churches near me. General comments will be answered in as timely a manner as possible, Hip & Knee Surgery THR if a MRI or Pet Scan isnt done? The bone isn't dislocated in surgery. I think it perfectly ok to discuss different approaches and ask for an opinion. I didnt spend time on boards talking for eons about peoples outcomes.probably a good thing I didnt. Pain is almost gone and I am beginning to get back to my life. 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. The incidence of dislocations has further decreased over the past decade with our ability to implant larger size femoral heads. I also would encourage pool walking or swimming. Very strange The femur is prepared with the head and neck intact reducing the chance of fracture. 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. Thanks again for this great blog! I am already limping when walking and was hoping that the limp would disappear after the hip surgery. Registered in England and Wales. Overall, it sounds as if youve had an excellent result and wonderful recovery following your hip replacement. Advantages of an anterior approach to hip replacement A major muscle is not cut during the anterior procedure. The main limitation after surgery is a lack of comfort. There are a few disadvantages to hip replacement surgery. This does expose the patient to more radiation but can help with component positioning and sizing. Dr. Parsons has extensive experience in the posterior, anterior and superior (SuperPATH) approach to total hip replacement having performed hundreds of each. It also keeps the surrounding muscles and tendons in place to reduce the risk of post-op pain and nerve damage. There is also a risk of the hip joint not fusing correctly, which can lead to pain and instability. I think they are happier and rehab more quickly. It's cut off and removed through the hole. I would consider talking to other patients who had their hips replaced by that physician and learn about their experiences. In bed for long periods with little or no movement. There has been an increase in the range of motion. It is critical at time of surgery that an excellent range of motion be created without impingement. With SuperPath, there is no surgical dislocation of the hip. Its also reasonable to ask to speak to other patients who have undergone THR using this technique to learn about their experiences and results. I am still a very active 67 yr old, I like to ski, bike, hike (steep terrain) with about 25 pds. Choose your surgeon and not the approach or prosthesis. Its interesting that when we critically analyze all the variables that ultimately make up the experience that one person has compared with another, or that one person experiences on one side versus the other, we come to recognize its not so straightforward. An anterior capsule is the only soft tissue cut during this procedure to insert the implants. I wish you luck on your journey. While it is a surgery that does help many, many people, clearly you are struggling. I had an anterior approach hip replacement. The doctor is planning a traditional posterior. Report / Delete Reply kelly1010 nicole66881 My question is: should I just tolerate the pain and limp, or take a chance with the hip replacement. Hip replacement surgery can open up a world of possibilities for people who have lived with pain and restricted movement. I wish you the best of luck with your care. Cons of Robotic Assisted Surgery As with any type of procedure, Mako is not without its drawbacks. 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. General comments will be answered in as timely a manner as possible. Otherwise you will be prompted again when opening a new browser window or new a tab. I have linked back to several blog posts below that will give you more in-depth information. Either and all body types lend themselves to the posterior approach because it is more extensile (can make it bigger and release more soft tissue structure if needed). That being said, if the foot is now a much bigger problem than the hip, you may have to deal with that first. Therapy hopefully will help any contractures and scaring within your muscles that might have developed after surgery. If possible, choose a hospital that specializes in joint replacement and can back that up with excellent statistics and reputation. I am feeling like this is a business like everything is else. I would look at the published track record of the hospital where the surgery is scheduled to be sure its performance record is good and its incidence of infection is low. These parts have a porous coating that the bone grows into. Consult an orthopedic surgeon who specializes in hip replacement surgery if you have a hip problem. This site uses cookies. July played my last match when I buckled. Many in business or who own their own businesses will stay home for only one week and then return to their work place because they are bored and would rather be productive and busy. Patient is a UK registered trade mark. Gililand, our physician, explained the concept of health. An anterior hip replacement is not covered by a specific credential system for orthopedic surgeons. I choose to do them in a staged fashion because it is a significantly shorter procedure (more than half time-wise) and some think this lessens the risk of infection. From what Ive seen, most THR patients dont need very much PT, although I do encourage exercising in a pool. The most important variable is how quickly the person is motivated to return to work. Complications associated with an anterior approach hip replacement are similar to those associated with standard hip replacement surgeries. The leg lifts really aggravate the front of the hip. I'm scheduled for THR on the 22nd. Potentially there also is less pain and a quicker recovery. Im now 6 weeks out and doing good. There is some concern that this weakens the abductor and leads to a limp. Introduction. Im hoping to play tennis, go dancing and horseback riding once Ive healed. My walking is very limited, shoe is built up as leg is shorter and in recent months Ive realized my leg is bowed. If you are minimally handicapped with discomfort from the non-operated hip and the leg length difference is tolerable or easily managed with a shoe lift or modification, I would consider waiting. My physical life is diminished. Most doctors have and continue to implant hips through the posterior approach. I have been doing ALOT of research about the different approaches to THR and looking for the absolute best surgeon. That I knew this recovery may take 1-2 It would be interesting to hear what you have to say Doug. I am allergic to narcotics . I think seeing several surgeons for different opinions is good judgment. Dr. William Leone. My second question relates to something you mentioned earlier regarding checking the published track record of the surgical team if I use an HMO, how do I find that information, and how do I know it hasnt been skewed to give more favorable results (lying with statistics)? Thanks so much for this information! Uncemented. A number of patients who have undergone this procedure are able to walk unassisted the day after surgery . I suspect that your surgeon has continued to refine his or her technique based on experience over the past five years, in the same way I have.

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