It does sound as if proceeding with a THR is appropriate, since your attempt to repair the joint arthroscopically did not pan out. I am totally confused and dont know which procedure to choose. 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. A hospital outpatient surgery can cost between one-third and one-half the cost of an outpatient surgery atCOSC. There is less risk of neurological injury. Being out of bed and moving soon after surgery adds to a patients safety and speeds the recovery. Bleeding at the operative site can occur as a result of an anesthesia reaction, such as an allergic reaction. I had a posterior, the surgeon did not cut any muscle, they just move them now. 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. The incidence of dislocations has further decreased over the past decade with our ability to implant larger size femoral heads. If was 3 weeks after discharge Better luck to you all. I would rather this not happen with my right leg when I have the THR in Jan 2017. 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. crackling noise/pain, cannot bend them or kneel in church or get on the floor to do exercises, I am very afraid to ending up in a wheelchair or having to use a walker the rest of my life.I am a very active 65 year old, and very, very worried about the hip surgery. Advantages and Disadvantages of Anterior Hip Replacement I had an MRI by a different hip doctor (a preservationist) who diagnosed me with a birth defect (hip dysplasia). There is a chance that the hip will fall out of the socket, or that it will be levered out by twisting it. There is a 1-2% risk of fracture of the femoral neck. I have many patients who are accomplished and passionate ballroom dancers. Just need reassuranceI am stressing he is fine. Thanks. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. This too will lower your anxiety and improve your experience. Hip Replacement Surgery: How it Works, Recovery Time | HSS It's cut off and removed through the hole. My walking is very limited, shoe is built up as leg is shorter and in recent months Ive realized my leg is bowed. Doctors use metal, ceramic, or plastic replacement parts. Thanks for giving us patients the kind of information we need to be more educated as to what questions to ask. What are your thoughts on the use of robotics? 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. Choose your surgeon. Patients who work for themselves are very motivated to return to work and often do so between procedures. Every hip implant has benefits and risks. It was also observed to be associated with longer surgery times. Im pleased that you will be coming in for an appointment. I worry that replacing it with a differently configured socket could make things worse rather than helping. The approach planned is a frequent topic of Continued My question is: should I just tolerate the pain and limp, or take a chance with the hip replacement. 3. Can you please on the various points in the post and perhaps also elaborate on the last point. Total hip replacement is one of the most successful operations ever developed and is a remarkably predictable way to relieve pain from arthritic conditions. I wish you only the best, Clearly, yours was. Read our editorial policy. Part of those possibilities includes a better and more comfortable sex life. thank you for your time. Every surgery should be done with as minimally invasive approach as possible taking into account these other critical factors. Dear DR Leone, William Leone. 4. There are a few disadvantages of anterior hip replacement that patients should be aware of before undergoing the surgery. My knee and foot and ankle are messed up too since leg ended up at least 3/4 shorter.I wear a shoe lift, but probably needed it sooner than I realized the shorter issue, My knee is pretty stiff and pain when I walk too much, but I deal with it, it bends good, I sleep good, no pain when I do nothing, so Im working all to do NO knee surgery, This hip was ENOUGH to last a lifetime.. Im 76 and use a lot of supplements to save knee and OA in general..I am looking at other protocols for the knee too.not insurance covered, what else is new.if its good, its out of pocket. Full Function, Faster . Clots can form in the leg veins after surgery. They thought surgery to repair it would give me about 5 yrs. All: 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. Still going to rehab to reduce stiffness and increase strength but I am in better shape now than before surgery. Following surgery, the surgeon will devise a routine for the patient to engage in that is both comfortable and safe. Le has extensive experience in primary joint replacements, complex revision surgery, periprosthetic fractures, and infection management. Stay was 2.5 days. I am deciding that my quality of life is in the toilet and need to get the THR done. Studying a hospital and physicians track record before you commit is important. Because of the straightforward exposure of the femur, there is less risk of femoral fracture or poor implant positioning. Following the anterior approach, we provide you with a number of precautions and positions that you should avoid if you are in danger of being discomfited. This left hip remained tender based on my exercise level which I did modify but always my hip had some soreness. Also, the surgeon said that I would end up having one leg shorter than the other is this true? I encourage you to do the same. It does mean the surgeon has lots of room to move about though!! Historically short press fit stems have not done well. Over time, untreated hip dysplasia or hip impingement can lead to arthritis and, eventually, hip replacement surgery. I deal with major nerve damage on front of thigh, almost whole thigh. The following cookies are also needed - You can choose if you want to allow them: You can read about our cookies and privacy settings in detail on our Privacy Policy Page. There are a few complications that can occur with anterior hip replacement surgery. Finally, because my patients are walking the day of surgery, most want to go home rather than to rehab. Which is the best? Because my husband has circulation problems in his leg and vein removed for open heart surgery last yearhis surgeon recommended the Mini posterior surgery. A couple of things I am hoping you will explain using laymans termology. Currently, I seldom do bilateral THRs under a single anesthesia but instead stage the surgeries 2 1/2 to 4 weeks apart, depending on my particular patient and his or her needs and desires. Robert H. Sigmund, MD | Signature Orthopedics This is used when the cartilage in the hip is severely damaged by osteoarthritis or other conditions. Patient is a UK registered trade mark. While new techniques, instruments and prostheses have been developed specifically for minimally invasive surgeries, there are many well-established approaches to hip replacement. as being in breach of those terms. I also have undiagnosed neuropathy in both legs from the knees down. I recently had a spontaneous hip fx and was diagnosed with hip displasia. for Orthopedic Care I think seeing several surgeons for different opinions is good judgment. I can still do 30-45 mile rides, but I need to take something before each ride, because of the undone left hip. Cant afford a dislocation or other complications cause Im sole caregiver for severely handicapped son. Im sorry to hear that you struggled after your first, anterior-approach THR. Hey, thanks for the forum topic.Thanks Again. Complications associated with an anterior approach hip replacement are similar to those associated with standard hip replacement surgeries. 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? Is it really as good as it sounds? and Privacy Policy and steps will be taken to remove posts identified Dr. William Leone. Click to enable/disable _ga - Google Analytics Cookie. Dr. Hip Preservation Surgery | Duke Health Can I make an appointment with you. Hip Replacement | Rush System I am a 70 yr old female with a 4grade thickness loss at acetabulum and head of femur. If your little voice is questioning if you are overdoing it or hurting yourself, then listen to it and ease up. Over time, some patients may acquire sensitivity or an allergy to the metal particles produced by the metal ball and socket. I have/had arthritis in my hips. Similarly, an engaged medical team needs to be available to help with care after surgery. He is the founder and main author of brandonorthopedics.com, a website that offers valuable resources, tips, and advice for patients looking to learn more about orthopedic treatments and physiotherapy. Obese or extremely muscular people may not be the best candidates for this surgical procedure. SuperPath Hip Replacement? | Joint Replacement Patient Forum There is a more than 200% chance of knee infection, most likely because the knee has more surfaces that can become infected with an infection. Its been 9 months(Ive had it 2xs bf and got rid of it and have tried everything and no results this time). Your surgeon will know better than anyone else just how stable your new hip is immediately after your surgery and how securely the surrounding tissues were repaired after the reconstruction. I wish you well. This can be dangerous because a piece of a clot can break off and travel to the lung, heart or, rarely, the brain. Update what hes cutting is the adductor so my question is the same is this just a normal part of some THRs? Many of these stems have very little if any long term follow-up, although some appear to be doing well in the short term. This complete wall of tissue that surrounds the new hip imparts stability. I also regularly receive Rolfing treatments which has helped me manage pain and maintain what mobility I have. 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. The activity that I wish to have the most success with after the surgery is ballroom dancing. Most importantly, I would meet with your surgeon and discuss all of these concerns. The surgical technique for a SUPERPATH Hip Replacement was developed as an advancement to traditional total hip replacement. Your article has made it clear I made the correct decision, especially since my daughter had nerve damage from an operation years ago. This can cause you persistent pain, stiffness . THR if a MRI or Pet Scan isnt done? Along these same lines, there is a smaller incidence of sciatic nerve injury with the anterior approach but an increased incidence of femoral nerve injury. I absolutely would not insist on minimally invasive surgery and a small incision, especially considering your mom is short, obese and has osteoporosis. What is most important is that the surgery is expertly done, that the tissues are not brutalized, and that the surgeon can see what he or she is doing. There are various ways of doing a hip replacement. Specific protocols, therapy and what positions you will be asked to avoid after surgery and for how long will be directed by your surgeon. I would like to share my experience with both procedures. Consult an orthopedic surgeon who specializes in hip replacement surgery if you have a hip problem. There are several positions to avoid after anterior hip replacement, as they can put unnecessary stress on the new hip joint and lead to dislocation. Lazaru P, Marintschev I. Finally, I would choose a doctor with whom you connect and whose staff is engaged and knowledgeable. Before my hip problems, I really enjoyed playing golf and would like like to play again after surgery. A orthopedic surgeon may insert a numbing agent directly into a new joint, which can last up to 48 hours. They may have a certain cut-off criteria (for example, a BMI of less than 35). I definitely didnt have any tendons or muscle cut and was cycling on the road from day 12 and back running at week 4 . About this injury to me. Both of these are very successful ways of doing a hip replacement. #1. SuperPath hip replacement is a differentiated total hip technique being performed by a growing number of experienced surgeons. I just want to thank you for the information on this site. Not quite in the past. Ive come to the conclusion that perceived benefits do not outweigh the risks with the anterior approach, especially when I can achieve the same or more using the mini-posterior. What you can do is keep as good an attitude as possible and keep rehabilitating your leg. So frustrating. Im hearing no restrictions (once recovery is done) for Anterior, but always some for the other two. 1. 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. Overall, it sounds as if youve had an excellent result and wonderful recovery following your hip replacement. I feel that at 10 weeks with profuse denervation potentials on the quad muscles, the prognosis is not good, even at 6 months. Note that blocking some types of cookies may impact your experience on our websites and the services we are able to offer. General comments will be answered in as timely a manner as possible, Hip & Knee Surgery Recovery time for anterior hip replacement is typically two to four months, and recovery time for posterior hip replacement is typically four to eight weeks. Very sorry to hear of the difficulties you experienced! Finally, hip replacement surgery is expensive and may not be covered by insurance. No, I would not tolerate the pain and immobility, if there is a reasonable way to relieve it. This interval must be developed and the muscles must be separated in order to reconstruct the hip. Gililand, our physician, explained the concept of health. Here are a few of the advantages of anterior hip replacement. As a result of this precaution, it is difficult to sit on low chairs, sofas, or toilets. I would also like to know about the customized implant, as I havent yet heard much about it. Patients understand the risks that metal joints and sockets bring to their long-term health and are moving away from the material. I have seen a number of patients who were reconstructed with the anterior approach who developed painful anterior scarring after the procedure. We provide you with a list of stored cookies on your computer in our domain so you can check what we stored. It is critical to make the right decision regarding anterior hip replacement surgery in each case. I have been told that I can fly 48 hours after surgery?? A hip replacement with an anterior component does not require major muscle cuts and thus patients are less likely to experience pain and require less medication. Last summer I wiped out on my bike and snapped off the top of my right femur, with a diagonal break. Also, after an accident, I had 12 screw and an L shaped plate in my heel. As you can see, there are no restrictions. The anterior approach, as a marketing tool, has grown in popularity among surgeons. Finding the right surgeon is critical, because your care is about so much more than just fixing your hip. A metal or plastic implant is used to replace a damaged or diseased hipbone. If your surgeon did a great job, that is something to respect. This robotic technique can assist in producing an excellent result. A miniposterior approach uses the same intervals as the standard posterior approach but simply less tissue is released for the exposure. Fax: 954-489-4584 Going in for THR in July. I had the surgery on June 22 and I am about 5 weeks post op. Also if the mini posterior approach is so effective when would it not be preferred over the regular posterior approach? Individual results and activity levels after surgery vary and depend on many factors including age, weight and prior activity level. If it is from intra-articular hip pathology such as osteoarthritis, which is very common especially in your age group, then most likely stem cell injections will not be affective and you would benefit from a total hip replacement.
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