Diagnosed possible labral tear. A typical recovery time from anterior hip surgery is six months. The SuperPath procedure was designed to replace the joint while sparing as much tissue as possible, substantially improving patients' recovery time. 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. Personally, I would not gamble with my health. This most often leaves the patient with an area of decreased or uncomfortable sensation or numbness over the anterolateral thigh (top, outside area of the thigh), not the entire thigh. Start your day off right, with a Dayspring Coffee 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. Would appreciate any input you might have on the auto immune issue, and weight etc. I think researching the hospital where you will have your surgery is very important. (PATH) and Supercapsular percutaneously assisted total hip (SuperPATH) arthroplasty: learning curves and early outcomes. Since a significant amount labrum has been removed, I think another attempt at arthroscopy would prove very disappointing and I would not recommend it. I would emphasize choosing your surgeon and not the approach. Rather, they say Bill, please just do what you have to do and do a great job. I feel that at 10 weeks with profuse denervation potentials on the quad muscles, the prognosis is not good, even at 6 months. I wish you a full recovery. Note that blocking some types of cookies may impact your experience on our websites and the services we are able to offer. Very important with both the traditional posterior and the mini-posterior approaches, if the surgeon is not able to visualize critical structure adequately, or if a problem were to arise such as a fracture, then either approach can easily be adjusted. Does it really not matter which approach I have, posterior or anterior? It is not a substitute for excellent surgery. Had a total hip replacement aug 2013. Because the patient is lying on his back during the procedure, fluoroscopy or moving x-rays are used to aid in the examination. I seem to be able to hike just fine up hill and down but not always on the flat. I also recommend that you look at the track record and reputation of the hospital where the surgery will be performed, especially considering the underlying cardiac and vascular issues. I'm hoping to read some posts post surgery. I definitely would not recommend a hip scope and THR during one anesthetic setting. Do I have a high percentage of hip dislocation after a 2nd revision done posterior way if so what is my chance of another hip dislocation even if I do the surgery again? Patient does not provide medical advice, diagnosis or treatment. I am about to have a hip replacement and would like to know what kind of limitations Ill have afterward. 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 . My question is, what will my restrictions be? I have insurance with very high deductible and I am scared of the debts I might incur afterwards too ( where I am planning to do it I might not have to pay any money). Specific protocols, therapy and what positions you will be asked to avoid after surgery and for how long will be directed by your surgeon. The bone isn't dislocated in surgery. Most of the restrictions are removed at that time, although I still advise common sense, particularly for the first three or four months. An anterior hip replacement procedure, on the other hand, performs the same function as an anterior hip replacement in terms of tissue shaving. The surgery time is much less with a single joint and therefore the sterile surgical instruments are opened and exposed to the environment for a shorter time. In general, if someone is dedicated to the job, the return is very quick. The mini-posterior approach involves separating the muscle fibers of the large buttock muscle located at the side and the back of the hip. During the hip replacement procedure, the surgeon makes a small incision near the front of the hip to allow for the removal of damaged anterior bone and cartilage, as well as the implantation of an artificial hip without damaging the surrounding muscles and tendons. It is critical to make the right decision regarding anterior hip replacement surgery in each case. The second advantage of a small incision is that it makes it easier to clean and care for the hip. Some people also tend to form scar tissue and contracture more readily than others. The size and placement of the incisions will be different. I would like to share my experience with both procedures. It is generally agreed that the temporary numbness is more than balanced out by the substantially improved recovery, reduced pain, absence of a limp, faster return to function, and virtual elimination of the risk of hip dislocation. What do you consider to be the most important factors in choosing a surgeon? Most individuals who have had total hip replacement surgery fall into this category and simply resume their lives.. I wish you the best of luck, I believe going home is very therapeutic and often safer. I had the posterior approach, the surgeon did not cut any muscle plus I had no pain at all after the op. Advantages of this procedure include: The direct anterior approach involves dissecting between the natural intervals of the two main muscles located at the front of the hip and upper thigh. The first is that it is a major surgery, so there is a risk of complications such as infection. Dr. Robert Sigmund is a board-certified orthopedic surgeon and a sports medicine physician based in St. Louis, Missouri. Following surgery, the surgeon will devise a routine for the patient to engage in that is both comfortable and safe. I do not do hip arthroscopy. He strongly recommends the anterior approach as the only way to go. The rule of thumb is that recovery occurs over a 12-18 month period following injury. How long will my hip replacement last? In bed for long periods with little or no movement. As long as you do the necessary surgeries, you will eventually break your femur, but only if you do enough. Mar 13, 2013. Your symptoms still sound mechanical, positional and episodic. I believe choosing your physician is the most important decision you can make. SuperPath hip replacement is a differentiated total hip technique being performed by a growing number of experienced surgeons. 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. I do participate in competitions and showcase presentations. They may have a certain cut-off criteria (for example, a BMI of less than 35). 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. It's what compelled me to seek out different methods and post here.. You will find the surgeons will all give the pros but never the cons what ever the method. The most common total hip replacement method is the anterior approach, which allows the surgeon to see better, more precisely place implants, and perform less invasive total hip replacement surgeries. Thank you for sharing. I just saw a patient with a femoral neuropraxia after a anterior approach THR. While it is a surgery that does help many, many people, clearly you are struggling. 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. disadvantages of superpath hip replacement. An anterior capsule is the only soft tissue cut during this procedure to insert the implants. By continuing to browse the site, you are agreeing to our use of cookies. I have the hospital but am deciding on the surgeon and which approach is best. There are 5 questions, mobility, self-care, usual activities, pain and anxiety. Thanks again! More soft tissue trauma can result do to this increased difficulty in exposure and then gaining more exposure if necessary. 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. Hip replacement is a fantastic operation that can help relieve pain, improve daily function, and improve quality of life. Thigh feels so Heavy and I massage that area a lot. On July 17th, I had a left THR. Because of the straightforward exposure of the femur, there is less risk of femoral fracture or poor implant positioning. I deal with OA lower back mess so know I see most likely how all this has played into the surgery. Simply, we keep trying to get better. 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. Your article is the first Ive read in which no muscle or tendons are cut in any approach other than the direct anterior approach. If this occurs, the patient usually requires a total hip replacement. In my experience, most patients who undergo a total hip replacement dont limp after their surgery and most feel their legs are the same length. Cons of Robotic Assisted Surgery As with any type of procedure, Mako is not without its drawbacks. Total hip replacement is one of the most successful operations ever developed and is a remarkably predictable way to relieve pain from arthritic conditions. The physical build of some patients increases the difficulty. It exploits the inter-muscular interval between the tensor fascia lata and the gluteus medius. This treatment is much more definitive and predictable. If a patient has abnormal anatomy (such as dysplasia, posttraumatic arthritis, or morbid obesity), or if their body mass index is higher than 35, it may be impossible for them to be considered for direct anterior surgery. When the joint is held together by gravity and asymmetric anterior muscle tension, the tension between the ball and socket may change in various directions. Femoral nerve function also should be assessed. Pain modifying drugs as well and as a course of NSAIDs might also be appropriate. I would look for a surgeon who is busy, has a strong track record and who practices at a hospital with a stellar reputation and where many joint replacement surgeries are done. I dont know what type of procedure was used for my first op but it was sucessful and now can do a half lotus position with no problem.I do find however that the muscles at the front of that leg are not as strong as my unoperated right leg and lifting the left leg to a vertical position in yoga, when lying on my back, is quite difficult. Back then my surgeon advised me to perform a posterior surgery as opposed to anterior saying that I was overweight, short and a very muscular person and it would be easier and safer to do so. emergent norm theory quizlet. If possible, choose a hospital that specializes in joint replacement and can back that up with excellent statistics and reputation. Blog A couple of things I am hoping you will explain using laymans termology. Hip replacement via SuperPATH approach had a longer operation time than hip replacement via conventional approaches. The hope is that these new designs will, but time will tell. invasive posterior vs not so good with AMIS) whilst on the other hand, with one of your replies you state that surgeon experience should be considered with AMIS success rates and in other replies stating that both alternatives are good. 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. 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. It is critical that the patient is aware of the risks, benefits, and alternatives of the procedure. The initial recovery period typically takes six weeks or more. Many people seek anterior hip replacement due to the unbearable pain they feel in their hip joints. OTC nerve supplements suggested by a naturopath. The main limitation after surgery is a lack of comfort. The chances of developing a revision surgery after a posterior hip replacement are low, but you should keep all follow-up appointments with your surgeon and inquire when you can resume activities that go beyond 90 degrees or bend down to pick up something small after your procedure.
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