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. The SuperPATH technique is arguably the least invasive hip replacement technique. 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). About how much does this cost? The mini posterior approach essentially is the same as the traditional posterior, however a smaller incision is made and less soft tissue is exposed. 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. There is also a small risk of infection at the surgical site. Can you suggest any pain medication that would not interfere with anti rejection drugs? SuperPath Tissue Sparing Hip Approach | MicroPort Orthopedics It was also observed to be associated with longer surgery times. Is a prerequisite for THR to have a MRI or Pet Scan? This surgical procedure is performed with a patient lying on their side, and a surgical incision made along the outside of the hip. The vascular supply of your leg must be assessed preoperatively as part of you work-up, but most do very well. Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant, that is, a hip prosthesis.Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. I am a 73 year old woman who has been having severe hip pain for the last seven months. Having a hip replacement using SuperPath keyhole surgery That said, in general people who are longer, more flexible and thin are more easily constructed anteriorly than individuals who are very stiff, contracted, thick, and have acetubular protrusion (a condition when the femoral head wears away the central cartilage and bone of the acetabulum). In bed for long periods with little or no movement. disadvantages of superpath hip replacement - homelessnest.org I, personally, have not had a patient dislocate following a primary total hip replacement in many years. What do you consider to be the most important factors in choosing a surgeon? 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. Between your legs, you should sleep with a pillow for the next six weeks. As you can see, there are no restrictions. When a dysplasic hip is reconstructed to THR, its important the abnormal mechanics are corrected, typically by medializing (closer to the midpoint of the body or bladder) the cup. Currently, the incidence of dislocation after the posterior approach has been greatly reduced due to technique and other refinements. An anterior hip replacement procedure, on the other hand, performs the same function as an anterior hip replacement in terms of tissue shaving. My surgeon wants to use the posterior approach and indicates that I eventually should be able to play golf again. Surgical Approaches Used for Hip Replacement - Verywell Health Over the years, these precautions and the length of time to adhere to these limits have been challenged both by clinicians and patients. Finally, many people who are struggling with hip disease experience lower back pain or even sciatic discomfort. Anterior vs. Posterior, Posterior vs Mini-posterior. We fully respect if you want to refuse cookies but to avoid asking you again and again kindly allow us to store a cookie for that. Maybe someday our nations health care system will measure up to that of France, Norway, Switzerland and others, in which their governments are investing half of the GDP that we are wasting. Had horrible groin pain issues and opted for the antior, I knew of nothing else as I consulted with a surgeon who was trained in anterior. Once the surrounding tissues fully heal, they then act as a mechanical block to the ball to keep it from being able to jump out.. The surgery is more difficult and more exacting . In May of 2015, I had a Labial tear repaired. A number of patients who have undergone this procedure are able to walk unassisted the day after surgery . Enhanced soft tissue techniques also have been developed which more securely close the tissue around the newly placed prosthesis and set the stage for healing. My problem isnt from a worn-down joint with no cartilage. Also, because technically it is easier, many patients are being reconstructed with very short stems which are press fit into the bone during an anterior approach. However, I now have quite severe OA in my right hip apparently I have no cartilage left and have been told by a surgeon that I am just lucky not to be in constant pain. SuperPath brings some of the best benefits such as; earlier ambulation, no loss of strength, quicker recovery, less pain, decreased dislocation risk, and easier exposure for future revision surgery. Once youve decided, you then need to trust that he or she will take the best care of you possible to deliver the best results. Have you heard of something like this, and if so, is it worth it? My worry is that I will end up with one leg shorter than the other. Some patients who have recently had anterior hip replacement may suffer from complications such as wound healing. Even a task as simple as putting on socks and shoes can result in debilitating discomfort when a severely damaged or arthritic hip is involved. Some surgeons believe that a patient who is neither obese nor overly muscular is a good candidate for anterior hip replacement surgery. 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. The most important variable is how quickly the person is motivated to return to work. Problem is that we have seen two doctors and both seem great but are on two extreme sides of the fence. Im so pleased to learn that you had a good experience. If you refuse cookies we will remove all set cookies in our domain. With mild dysplasia, positioning and implanting the new cup usually is not more difficult than with other conditions. The most important decision you must make is choosing your surgeon. Hello Dr. One thing I do not want is any muscles or tendons cut in the procedure. I wish you well. 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). 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. I love that you take time off to reply to these messages it is commendable. It also helps to stabilize the acetabular shell and prevent soft tissue irritation on the out edge of the cup. Finally, because my patients are walking the day of surgery, most want to go home rather than to rehab. Also, in the U.S., nearly all stems which are being implanted through the anterior approach are press-fit rather than cemented. In my experience, after four to six months most patients simply return to normal activity. 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! Before proceeding, it is a good idea to review the recommendations and specific parts that your surgeon may recommend. Technologies, The Leone Center By 2016 and over 300 SuperPATH cases, the results of very first 100 SuperPATH surgeries (the so called 'learning Curve') were published in a peer reviewed journal with . You can check these in your browser security settings. Pros and Cons of Robotic Assisted Surgery - Carrothers Orthopaedics I thought the newer procedure on the special table was the best way to go. Since 1995, there has been an extremely low dislocation rate and an infection rate of zero percent. If theyre really happy and got well quickly, you probably will too. As a result, patients can return to their normal activities much sooner than if they had had traditional hip replacement surgery. Many manufacturers are responding to the surgeons desire for shorter stems and many are now available on the market. Fort Lauderdale, FL 33334 Many believe that this results in less risk of infection. This then becomes a very difficult problem to solve. Thank you. I read hip dislocation is 28% higher after a revision, is it more then 28% after 2 revisions??? Most patients decide not to wait as long to have their contralateral hips or knees replaced after having undergone a successful surgery on the first side. I spoke to the surgeon, he believes it may take up to 6 months to get better from this neuropraxia. I havent dropped in here for a while but here I am almost 5 yrs post op Anterior and Femoral Nerve Damage is very alivewhole thigh is numb, IT band is still very sore and numb. What Ive been able to achieve is find two nerve supplements that have taken away the burn/tingle on my thigh. The nerve which supplies sensation to the front and side of the thigh is vulnerable. 5 Things to Know About Anterior vs Posterior Hip Replacement You can do anything you want after a hip replacement. Part of those possibilities includes a better and more comfortable sex life. I do not want the approach to dictate the optimal construct which I hope will last 20 years and more. Yes, Im angry. 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? Dear Dr. Leone, An artificial joint is used to replace the worn out hip joint during a hip replacement procedure known as posterior hip replacement. Reconstructing the opposite hip hopefully will result in legs that feel more equal. Further, the extent of dissection is more minimally invasive, which also improves stability. I feel good now and walking good now but feel so disabled as I dont know if my hip will dislocate again.I am sorry if you may have responded to some of these questions already as it is so much information to absorb and I dont want to make a wrong decision again. How does it affect the actual success of the respect of any healthcare matters. I have congenital hip dysplasia which has gradually caused more pain as Ive gotten older. On the other hand, there may be a slightly increased incidence of anterior instability. Comparison of short-term outcomes between direct anterior approach (DAA) and SuperPATH in total hip replacement: a systematic review and network meta-analysis of randomized controlled trials. When it comes to hip replacement surgery, the surgeons skill, the patients weight and build, and the surgeons level of experience all have an impact. There tends to be a lesser incidence of posterior instability with the anterior approach. Can You Go Home the Same Day After Hip Replacement? 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. I have not seen this before because in the past, the complication from hip surgery were sciatic nerve injury from posterior approach. Seeing that a THR is considered major surgery, my question is, should I have my left hip done sooner than later to address the length difference or wait until I can no longer tolerate the pain? He strongly recommends the anterior approach as the only way to go. Clearly, he or she has earned your respect and confidence. It is normal to want to recover quickly and return to a very active lifestyle without pain. Click to enable/disable _gid - Google Analytics Cookie. All orthopaedic surgery demands a long recovery period. I really dont know where to go from here. Potentially there also is less pain and a quicker recovery. We are always refining and trying to make it better. I would discuss fully your goals and concerns. Hip anatomy This too will lower your anxiety and improve your experience. This means you could go home within 23 hours after surgery. The femoral nerve functions to extend the knee and also is responsible for sensations over the anterior and medial aspects of the thigh, medial shin, and arch of the foot. posterior surgery . Many times, the depth of the destruction that is found during surgery is much more advanced than initially anticipated, particularly as we age. I had the mini posterior approach done and it gets better everyday. Thanks, Im now 6 weeks out and doing good. Thanks. I would emphasize choosing your surgeon and not the approach. Also if the mini posterior approach is so effective when would it not be preferred over the regular posterior approach? A hip replacement involves removing the ball (femoral head) and replacing it with a metal or ceramic prosthetic ball. These cookies are strictly necessary to provide you with services available through our website and to use some of its features. daniel neeleman net worth . Prior to surgery, you need to be evaluated by your primary care doctor and any other specialist who helps manage your care, so the conditions you have can be optimized. Personally, it I were caring for you, I would have advised you exactly as the orthopedic surgeon who took care of you did. If I have a 2nd revision of my right hip is it posterior approach or the mini-posterior approach as you discuss above? Once again, it sounds as if you had a wonderful surgeon, which is the most important variable. The SuperPath procedure was designed to replace the joint while sparing as much tissue as possible, substantially improving patients' recovery time. This is not true for bilateral cases. Clearly, he or she has earned your respect and confidence. Possible Infections Dr. Sutphen: A minimal number of surgery patients (roughly around 1%) can develop an infection around their hip replacement.