disadvantages of superpath hip replacement disadvantages of superpath hip replacement

I also would encourage you to choose your surgeon first not the procedure, approach or prosthesis. 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. My advice would be to avoid the extremes of any motion that exceed your hips ROM. These cookies are strictly necessary to provide you with services available through our website and to use some of its features. I think stem cell injections will have little chance of doing any good if indeed your hip condition has already progressed to bone on bone. Comments about life-long hip restrictions between Posterior, Anteriorlateral and Anterior approaches? Years ago, experts assumed that anterior hip replacement had lower rates of hip dislocations and nerve damage than other forms of hip replacement. 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. This effectively moves the hip joint center, toward the bladder or midline, and improves hip mechanics. In another day I was able to take short walks without any limping, etc.. 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. 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. SuperPATH is a micro-invasive method of performing a standard total hip replacement where the surgeon utilizes a smaller initial incision and, more importantly, a very limited dissection in the deep tissues. Also, patients with shorter femur necks and genu varus (lower angle between the shaft of the femur and the femoral neck) are more difficult anteriorly. I try not to bring up my mess but its hard when its with one 24/7. 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 most important decision you will make is choosing your surgeon. There is no definitive answer to this question as different people will have different opinions and preferences. Each question is scored from 1-5, with 1 being no problems and 5 being severe problems. 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. She provided all kinds of benefits with this approach, as faster recovery, less motion restrictions et.al. How does it affect the actual success of the My advice is to consult with your surgeon regarding how stable the replaced hip is and the most appropriate rehab to follow post-operatively. The incision made for the operation can be as small as three inches. However disadvantages include the inability to adjust for leg length differences and a relatively high risk of femoral neck fracture. Dear Dr. Leone, This complete wall of tissue that surrounds the new hip imparts stability. The highly crossed linked polyethylene liners are now the gold standard in this country. Six months ago I had a right posterior THR due to severe scfe; now my right leg is 5/8 longer than my left leg. I am 37 and have suffered from AVN since I was 14. Understand that every total hip, no matter which approach is used to implant it, has the potential to dislocate. Most of my patients now go home the day after their surgery or the next. One of the potential disadvantages is that because the surgery is performed through the front of the hip, there is a risk of damaging the hip joint and the surrounding muscles and tendons. My husband tells me that I cry out in pai as I turn over during the night. But this will always prompt you to accept/refuse cookies when revisiting our site. The surgeon I went to said he does THR using a lateral approach. Clearly, yours was. I definitely would not recommend a hip scope and THR during one anesthetic setting. Patient Resources Im pleased that you will be coming in for an appointment. I now need the right hip replaced. I advise both my total hip and my total knee patients to avoid repetitive impact activities like distance running. I was not aware that any of the local surgeons who is doing anterior approach. Share your concerns with your surgeon. The rule of thumb is that recovery occurs over a 12-18 month period following injury. 35 (2):153-62. I can still do 30-45 mile rides, but I need to take something before each ride, because of the undone left hip. Even if the hip doesnt dislocate, prosthetic or soft tissue impingement is not beneficial. Now 1 yr later dont have buckling/giving out but a lot of pain is there and after walking around, after about 20 minutes it hurts to lift leg forward, also good hip starting to hurt. I am 56 now and find that physical therapy and chiropractic care dont seem to be helping anymore. I came home with crutches, abandoned them at the front door and have not used them since. The actual length of the incision really is not important, but rather how well the components were implanted and the hip mechanics restored. So frustrating. Why is that? This is actually a good sign. When performing anterior anterior reconstruction, these patients frequently have very short stems that are inserted into the bone. I still have some questions I hope you can answer as this is so distressful for me. Traditional Hip Replacement - Traditional surgery requires a large incision of 10 to 12 inches and detachment of muscles from the hip. . I dont think one surgical approach is better or worse than the other for you to accomplish this. Is the hospital where the surgery will be performed also top rated?. It is critical to consider the pros and cons of each option before making a decision. Will I be able to dance, hike, bike, swim, exercise after a 3rd surgery? This robotic technique can assist in producing an excellent result. Thank you for sharing. Until now. Third, the procedure is shorter in length and requires less hospital stay than traditional hip replacement surgery. Use of the forums is subject to our Terms of Use Your frustration is completely understandable. In 2010, more than 310,000 hip replacements were performed in the United States. Also, in the U.S., nearly all stems which are being implanted through the anterior approach are press-fit rather than cemented. (PATH) and Supercapsular percutaneously assisted total hip (SuperPATH) arthroplasty: learning curves and early outcomes. Click to enable/disable essential site cookies. Often, as the labrum is torn, it leads to a lifting off of hyaline articular cartilage where these two tissues meet, called delamination. Overall, it sounds as if youve had an excellent result and wonderful recovery following your hip replacement. 10 users are following. THR if a MRI or Pet Scan isnt done? This can be dangerous because a piece of a clot can break off and travel to the lung, heart or, rarely, the brain. Most THR patients do not need significant supervised physical therapy after surgery; they simply do well when their surgery is done well. Celle said: Superpath may give you a faster early recovery, but whatever method is used, recovery is still going to take a long time. The anterior approach typically does not violate this structure. Im so against any other replacements as I have other issues, but working with alternative treatments, out of pocket money, as my hip replacement has been a horrible drama/saga. Most of the restrictions are removed at that time, although I still advise common sense, particularly for the first three or four months. It also helps to stabilize the acetabular shell and prevent soft tissue irritation on the out edge of the cup. Its Inosine and Sphingolin. In general, people who are older, heavier, or more active may not be good candidates for this type of surgery. I also have undiagnosed neuropathy in both legs from the knees down. Two which are receiving the most attention are the traditional posterior approach and the direct anterior approach. Dr. Parsons has extensive experience in the posterior, anterior and superior (SuperPATH) approach to total hip replacement having performed hundreds of each. Operating through too small an incision and not releasing tissue that would improve exposure and result in a more balanced joint in my opinion does a disservice. It is important to consider the SuperpathTM technique if you are considering a hip replacement. 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. Granted I do deal with lower back OA and right knee OA and now all worse and now foot/ankle mess, all on right hip side. 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. About this injury to me. Reconstructing the opposite hip hopefully will result in legs that feel more equal. Woke up with Honestly, most 59-year-old active women do best with a well done THR. Would appreciate any input you might have on the auto immune issue, and weight etc. What is the best hip replacement option: anterior or Posterior? About how much does this cost? The art of surgery should mimic a well rehearsed ballet or symphony. How long will my hip replacement last in your opinion? The SuperPATH technique is arguably the least invasive hip replacement technique. 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. I have been doing ALOT of research about the different approaches to THR and looking for the absolute best surgeon. Sometimes, when a surgeon is working too hard to reconstruct through a very small incision, the ends of the incision tear and the tissues are traumatized. Call (919) 781-5600 to find out if you need total shoulder replacement in Raleigh, Cary, North Raleigh, Garner, or Holly Springs. No groin pain NOW.but all the other mess of it all. I dont know if this stems from the knee surgery but I do not believe so because I was well for about a year and a half. Last summer I wiped out on my bike and snapped off the top of my right femur, with a diagonal break. It is critical that the patient is aware of the risks, benefits, and alternatives of the procedure. First, I am a little bit scared. No feeling in my leg and no movement It was discovered that I had a torn Labrum. No, I would not tolerate the pain and immobility, if there is a reasonable way to relieve it. Can you suggest any pain medication that would not interfere with anti rejection drugs? 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. Lastly, where can I find a great surgeon that takes FL Workmans Comp? It seems, however, that at this time point, patients who have received resurfacings do as well or better than similar patients who have received total hip replacements. 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. Need to choose, then select doctor based on that decision. I had the posterior approach, the surgeon did not cut any muscle plus I had no pain at all after the op. According to Dr. Rosen, the most important thing to remember is what you leave behind rather than how you get there. Of note, I am a RN with 30 years of experience and took this decision very seriously. I would say that in terms of posterior total hip replacement, the procedure is better than the old gold standard, which I believe was performed after 7 years and almost 1000 anterior total hips. If you refuse cookies we will remove all set cookies in our domain. Consult an orthopedic surgeon who specializes in hip replacement surgery if you have a hip problem. 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. It's cut off and removed through the hole. After reading your article on disadvantages of anterior approach and also doing extensive online search about this subject, I came to realize that anterior approach was definitely a wrong choice considering my physical build short, muscular, overweight. I saw a surgeon who does the posterior approach only and will see another on 4/14/15 who does both approaches. I wish you the best of luck, Both have valid cons against the others methods and pros on their method. Thanks again for this great blog! If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. Ive never foulnd information from any doctor or research-site but that there is always no legs-crossing, no more than 90-degrees (for the most part), and no twisting for anything but full Anterior. Hospitsl staff Fortunately, you have already experienced a THR and have done well. I am not sure that is true any more. Before my hip problems, I really enjoyed playing golf and would like like to play again after surgery. I would rather my patient get half as much anesthesia. They are encouraged to be very active and most stop using a cane, can drive their cars and are exercising in the pool, just two weeks after surgery. Im considering this mini posterior approach. An anterior capsule is the only soft tissue cut during this procedure to insert the implants. 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. I have read your articles about procedures (anterior vs posterior). An anterior-approach hip replacement necessitates a small incision in the groin area on the front side of the leg. Personally I had the posterior approach and cannot see how I could have recovered any faster . If your surgeon did a great job, that is something to respect. Also, the choice of femoral stem is more likely to be influenced by the approach and not the persons anatomy and hip mechanics. A typical recovery time from anterior hip surgery is six months. Following surgery, the surgeon will devise a routine for the patient to engage in that is both comfortable and safe. Thank you. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Lift your knee rather than your hip at the same time. Testimonials I dont think there is one best prosthetic. Some have features that are more suited to one persons anatomy and needs than others. Achieving legs that feel equal in length after surgery is imperative. I am a very active and young 69 year old female who had a THR on my left side 5 years ago. I find it curious that you report having a good result for the first five months after your surgery as this suggests that the surgery was done for the right indication, i.e., you did well and were pleased for the first five months after THR. It typically requires a 4 to 5 day hospital stay, 3 to 6 month recovery period . Ive since met 3 others who ended up with the mess that Im dealing with also. The main limitation after surgery is a lack of comfort. General comments will be answered in as timely a manner as possible, Hip & Knee Surgery We are an online blog dedicated to providing comprehensive and accurate information about orthopedics and injury prevention. I'm hoping to read some posts post surgery. I would anticipate that you would be able to return fully to your activity once the tissues around your total hip heel. I also would encourage pool walking or swimming. I am a South African and need to make a decision on whether my mother (69) goes for an AMIS or traditional posterior. In my experience, usually releasing the ileopsoas tendon insertion onto to lessor trochanter and medial hip joint capsule, and then manually stretching the leg into an abducted position after THR reconstruction, obviates the need for formal release. Im an avid skier and just found out I did not have full Anterior but rather AL. There is significantly less bleeding with the mini-posterior approach, notably reducing the necessity of a blood transfusion after the surgery. I am going to get evals from 3 docs. It is a mix of anterior & posterior. I also think its reasonable to look forward to returning to all of the listed activities that you enjoy. I am a competitive tennis player in my age division. Remember, what youre hoping to do is have a hip construct that will last 20 years or more. While new techniques, instruments and prostheses have been developed specifically for minimally invasive surgeries, there are many well-established approaches to hip replacement. Many manufacturers are responding to the surgeons desire for shorter stems and many are now available on the market. Each is safe, effective, and capable of delivering exceptional results. Doctors use metal, ceramic, or plastic replacement parts. When a patient feels better, they can return to work almost immediately, though it usually takes two weeks or longer. My acyive 60 year old husband is scheduled to have Mini posterior total hip replacement in 6 weeks. Im 51, 59 and 148 and want to get back to tennis etc, this has been long frustrating process. The physical build of some patients increases the difficulty. Though the duration of your hospital stay can vary, many patients having hip replacement surgery don't need to stay in the hospital very long. A number of patients who have undergone this procedure are able to walk unassisted the day after surgery . I ask my patients to restrict certain positions that exceed the mechanical limits of the artificial hip for the first six weeks. Some hospitals and surgery centers are promoting one method of hip replacement over another. Walker to get around. 2 x week. There are a number of different potential surgical approaches available for hip replacement, each with their own potential advantages and potential drawbacks. In addition, patients prefer the anterior approach due to the absence of pressure on the Femoral nerve in the anterior approach. All: Our second opinion doctor performs traditional and Birmingham hip replacement. Part of those possibilities includes a better and more comfortable sex life. If you have these arthritis symptoms, you should consider a hip replacement: severe hip pain that is not relieved by medication and that interferes with your work, sleep or everyday activity hip stiffness that restricts motion and makes it difficult to walk To learn more, read Here's What to Know if You Think You Need a Hip Replacement. This is described as a posterior approach because the actual hip . Ultimately, it is important to discuss all of the available options with your doctor to determine which method of hip replacement is best for you. Im so pleased to learn that you had a good experience. Depending on the degree of injury, you may need a knee brace to lock you knee in extension when walking until the quad function returns. I would encourage you to discuss with your surgeon the difficulties and pain you experienced after the first surgery, and together explore if another plan can be created for a better outcome the second time around. If your X-rays reveal that you already have bone on bone due to osteoarthritis, then you typically dont need either an MRI or Pet Scan, unless another diagnosis is suspected. Is THR something that can help? Advantages of an anterior approach to hip replacement A major muscle is not cut during the anterior procedure. I'm hoping to read some posts post surgery. It can lead to numbness in the thigh and, in rare cases, skin irritation due to the nerves presence. The surgeon I saw said that my body structure and gait does not affect which approach would be ideal for my body. The doctor is planning a traditional posterior. Please comment. It is not acceptable to lean forward while sitting down or standing up, and it is not acceptable to bend past 90 degrees (as shown in the angle in the letter L). Dear Jo Anna, In the case of a worn or damaged ball and socket, artificial parts can be used to restore joint function. My first bike ride was 22 miles without any problems. Your out-of-pocket costs for your hipreplacement will be impacted by a number of . If you were in Los Angeles and needed a THR who would you choose to do your surgery? All rights reserved. Also, only a small percent of C-on-C bearings are being implanted at this time. Hip replacement currently consists of two major approaches: direct anterior and anterior approaches. Will I still be able to do all of these things? Tina, which procedure did you have? Select a surgeon based on your impression of that individual: how engaged was he or she in your care, will you have access to that person as well as his or her team before and after surgery? Glazener C, Fraser C, Hutchison J, Vale L. Single mini-incision total hip replacement for the management of arthritic disease of the hip: a systematic review and meta-analysis of randomized controlled trials. If, on the other hand, the leg length difference is creating hardship and possibly discomfort in other joints such as the lower back, knee or ankle, I would consider proceeding with contralateral THR sooner rather than later. With a significant learning curve, it is likely that you will have to replace about 100 hips before you are truly comfortable with the approach. Is it really as good as it sounds? I understand and respect that many surgeons prefer doing them simultaneously. 2021 May 20;16(1):324 . After the direct anterior approach, there is generally no hip precautions required, and motion is not restricted.