disadvantages of superpath hip replacement

It does mean the surgeon has lots of room to move about though!! Some surgeons will use 2 incisions, both the anterior and superior approach. Because of the straightforward exposure of the femur, there is less risk of femoral fracture or poor implant positioning. His hip ball was put back in the socket and he has done beautifully since. 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. I live in Staten Island and need rt hip replacement. It healed well but then I got major psoas pain which a cortisone shot helped. Dr Leone, you make the point several times that the surgeon, not the procedure is most important. Had a total hip replacement aug 2013. In my 25 years of practice, the variable that seems to have changed the most is how quickly people recover from this surgery when done well. I don't think there's a one size fits all when it comes to hip surgery. Initially I was hesitant of THR thinking I was way too young for something so drastic but Ive now been miserable enough long enough that I am welcoming the idea of surgery. United States. The socket of the pelvis is machined into a hemisphere and a metal hemisphere is inserted into the socket. J Orthop Surg Res. Pain and disability are reduced. When it comes to revision surgery, we rely heavily on the posterior approach. Dr. Sigmund holds a subspecialty certificate in Orthopedic Sports Medicine. If not, what will my restrictions be? All have advantages and disadvantages. After reading your articles, I have decided not to have anterior. These scores are not aggregated. Uncemented. Comments about life-long hip restrictions between Posterior, Anteriorlateral and Anterior approaches? If they are really happy, then you probably will be as well. Despite the fact that this usually takes two weeks or longer, patients can return to work when they feel completely comfortable. Egton Medical Information Systems Limited. It is critical to make the right decision regarding anterior hip replacement surgery in each case. I plan to retire from working full time June 2017 and am concerned about having appropriate insurance after that. 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. In the right hands, both approaches do great. Its been my experience that patients who go into surgery well informed have a better experience and seem to rehabilitate more quickly. Walking is the best exercise. Thigh feels so Heavy and I massage that area a lot. 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)? Also, I am diabetic and have had two organ transplants and am extremely worried about infections, etc. 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. Need to choose, then select doctor based on that decision. 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 . I understand and respect that many surgeons prefer doing them simultaneously. Pain modifying drugs as well and as a course of NSAIDs might also be appropriate. In my experience the approach used to replace a hip does not effect how quickly a patient recovers. Ill know a lot more after we meet and I review your X-rays. I wish you a full and satisfactory recovery. I have/had arthritis in my hips. Why would the doctor not have that at their finger tips? This improved quality of life will be beneficial. 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. If possible, speak with other health professionals who work at the hospital or at least in the same geographical area. Every . 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. Dr. Parsons has extensive experience in the posterior, anterior and superior (SuperPATH) approach to total hip replacement having performed hundreds of each. Many of these stems have very little if any long term follow-up, although some appear to be doing well in the short term. My advice would be to avoid the extremes of any motion that exceed your hips ROM. Some people may find that traditional hip replacement surgery is the best option for them, while others may prefer a minimally invasive procedure. Click to enable/disable _gat_* - Google Analytics Cookie. I would research and find the physician and hospital that will give you the best chance of doing well. First, I am a little bit scared. Fort Lauderdale, FL 33334 With SuperPath, there is no surgical dislocation of the hip. Its from a malformation. Two which are receiving the most attention are the traditional posterior approach and the direct anterior approach. Hi, That means you have an excellent track record. It also keeps the surrounding muscles and tendons in place to reduce the risk of post-op pain and nerve damage. Inpatient footage of the patient compilation has been edited out to accommodate hospital rules. Its been a nightmare for me going into 4 yrs post op soon. I dont know what happens on that tablewas he in a hurry on Friday afternoon. The most important decision you will make is choosing your surgeon. The anterolateral approach or Watson Jones approach is one of the classical hip approaches that can produce excellent results when utilized for THR. Ten out of every fifteen hip replacements will be functional for more than 20 years after they are inserted. Regarding restrictions after your hip replacement, this too is an area that has changed drastically over my 25 year career. Consult your doctor to determine if joint replacement surgery is right for you. 2. Hips that are out of joint have an anterior hip replacement. Femoral nerve function also should be assessed. Its been my experience that femoral nerves tend to recover more readily than sciatic nerves. Very slow recovery. Thanks. Hip replacement surgeries are becoming increasingly popular due to their numerous benefits, such as increased range of motion, reduced pain and disability, improved mobility during pregnancy, and improved quality of life. My hope is that some of these symptoms will improve with time. 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. That's all I know. I went with a total hip replacement. I often suggest to my patients that they speak to other patients for whom Ive cared and to whom they can relate to learn about their experiences. I would discuss fully your goals and concerns. 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. Some people also tend to form scar tissue and contracture more readily than others. I ski, hike (steep terrain) with a pack -about 25 pds, kayak, horse back ride, swim, water ski and bike, which is getting increasingly more difficult. A ball and socket are used to connect the new joint to the thigh bone (femoral bone), which is made of metal, plastic, and ceramic. For the prevention, diagnosis, and treatment of hip pain and other problems affecting your hips, call Advanced Sports Medicine Center today at (941) 957-1500. Because I have scfe also in my left hip, I will have to have it fixed too. The anterior approach is not as muscle sparing as some would argue. Recently the doctor doing anterior decided because of thin bone, he should do direct lateral approach. Patients can also have as little as a 3-inch incision. The size and placement of the incisions will be different. Your blog on anterior vs posterior approach was very informative. Others continue to follow traditional guidelines. 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. She provided all kinds of benefits with this approach, as faster recovery, less motion restrictions et.al. I'm scheduled for THR on the 22nd. Hip implants are medical devices intended to restore mobility and relieve pain usually associated with arthritis and other hip diseases or injuries. July 2013 my left hip was scoped for a labral repair. I had to cut some strength exercises out leg lifts, hip sled. On July 17th, I had a left THR. The doctor is planning a traditional posterior. 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. It is also possible to have an anterior hip replacement during pregnancy. 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. In general, people who are older, heavier, or more active may not be good candidates for this type of surgery. A neurologic evaluation is appropriate to rule out reversible causes, but most work-ups do not elicit the exact etiology and usually symptoms only can be managed at best. I had the mini posterior approach done and it gets better everyday. 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. 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). Finally, hip replacement surgery is expensive and may not be covered by insurance. Just getting your thoughts I will discuss it more with my surgeon at the pre-op meeting. It turned out to be more torn than they thought and they had to cut about a forth of it out. How does it affect the actual success of the With that said, I would have probably just done the posterior with you if we lived in the US based exclusively on the time you take to respond! We provide you with a list of stored cookies on your computer in our domain so you can check what we stored. Some patients report that symptoms increase in the not-yet reconstructed hip because of the leg length inequality. Im a 50 year old female whose been dealing with hip, leg and back pain for many years, recently diagnosed with OA, and finding that I need a right THR. Even if the hip doesnt dislocate, prosthetic or soft tissue impingement is not beneficial. Can you explain this approach? Patients understand the risks that metal joints and sockets bring to their long-term health and are moving away from the material. After reading your article I see there are many reasons to go with the posterior approach but nothing about having to use a smaller prosthesis with the anterior approach. These other conditions need to be defined and hopefully ruled out as the primary source of pain. What are the risks involved? Most patients after a bilateral procedure would not go home but rather a rehab unit. Or are x-rays definitive for determining the exact reason for THR? Most receive a simple spinal with sedation. Excess weight causes a hip joint that has already been stressed to become more painful and disability-causing. How long will my hip replacement last in your opinion? The source of your hip pain must be diagnosed. Hip replacement is the second most common type of joint replacement, trailing only total knee replacement. I am 56 now and find that physical therapy and chiropractic care dont seem to be helping anymore. The hip is replaced without the need for surgery to dislocate the joint. If you would like a personal consultation, please contact our office at 954-489-4575 or by email at LeoneCenter@Holy-cross.com. I am planning to have a THR this summer. The doc I saw yesterday said 4 weeks. hi im following as im due a superpath soon, there is no one size fits all everyones different I've had 2 hip replacements in 2 yrs one in 2017 then a revision to change the ball and socket to the smallest one they had and now I'm going for a smaller stem I had the anterior approch done which is in the front which is way better then the posterior as the front they can just move ur muscles over to the side to accsess ur hip rather then go through the back or side where they have to cut the muscles. In another day I was able to take short walks without any limping, etc.. The first is that it is a major surgery, so there is a risk of complications such as infection. My surgeon is doing posterior and my reason is I am self employed with limited Time off available and hope to be back to work at least walking and driving in 4 to 5 weeks is this possible? In 2013 I had a THA done on the left hip. Ceramic-on-polyethylene is currently the most popular hip replacement material, representing 50.6% of all hip replacement cases back in 2014. 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. 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. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. Optimal component positioning also is critically important for the best stability and longevity. The posterior approach is used frequently again, in large part due to the fact that it is an extensile approach. If this occurs, the patient usually requires a total hip replacement. I believe choosing your physician is the most important decision you can make. The Hanna bed, general anesthesia machines, spinal setup, medications, ventilation, instruments, and their sterilization are all prerequisite. Hip replacement surgery is typically performed in a hospital and requires at least one night in the operating room. I am thoroughly confused at this point. As a result of anterior hip surgery, there is little need for any special care. I think seeing several surgeons for different opinions is good judgment. All: Also, be aware that as the nerve recovers, the smallest C fibers within the nerve recover first, which can cause a burning discomfort. Also, how about hip restructuring instead of Total Hip Replacement. 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. An anterior-approach hip replacement necessitates a small incision in the groin area on the front side of the leg. It is highly recommended that you avoid bending your hips and turning your feet together as part of hip precautions. Our second opinion doctor performs traditional and Birmingham hip replacement. No groin pain NOW.but all the other mess of it all. Some surgeons believe that a patient who is neither obese nor overly muscular is a good candidate for anterior hip replacement surgery. More soft tissue trauma can result do to this increased difficulty in exposure and then gaining more exposure if necessary. Being out of bed and moving soon after surgery adds to a patients safety and speeds the recovery. It seems reasonable and I trust my surgeon but would like to know what I'm in for post op and beyond. The surgical area of anterior hip replacement is located in the vicinity of the lateral cutaneous femoral nerve. There is less risk of neurological injury. disadvantages of superpath hip replacement. Low-risk anterior approach patients are those who have significant deformities in their proximal femur as a result of previous trauma or dysplasia, or who have previously suffered from acetabular bone fractures. Yes, you can do very well. I wish you the best of luck with your care. I had good results into 5th month post op and then everything went downhill. Try our Symptom Checker Got any other symptoms? Therapy is often appropriate for stretching, strengthening and electrical stimulation which helps maintain the motor end plates, structures on the muscles that the nerve branches must re-innervate. If you do not want that we track your visit to our site you can disable tracking in your browser here: We also use different external services like Google Webfonts, Google Maps, and external Video providers. I would focus on the individual doctor, not the approach that the individual choses to use, to deliver the best result. Thanks again! These stems are a new design, and therefore do not have an established track record. Thank you. No one tells me the same thing? results, I decided to see and orthopedic doctor was advised to have THR. Thank you for all you do and for providing me with the information when I needed it. While it is a surgery that does help many, many people, clearly you are struggling. If youre impressed by how clean it appears and the movement and professionalism of the staff, that obviously is a good sign. Always speak to your doctor before acting and in cases of emergency seek Thanks so much for this information! But this blog was a nice nudge toward the posterior. I am suffering from a severe range of motion where I cant put my left sock on or tie my left shoe, I can barely get in and out of low cars and sitting up at a table hurts too! Infection. What to Expect A THR is in my future. Rush joint replacement surgeons are leaders in hip replacement surgery and research. I had a posterior, the surgeon did not cut any muscle, they just move them now. THR if a MRI or Pet Scan isnt done? The hip replacement needs to correct the abnormal hip mechanics that lead to the arthritis. 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. It is important to consider the SuperpathTM technique if you are considering a hip replacement. I have linked back to several blog posts below that will give you more in-depth information. I then would strongly suggest you trust that person to decide what approach and what prosthesis predictably will deliver the best results. I wish you the best of luck, Our team of experts, doctors, and orthopedic specialists are here to share their knowledge and experience with you in order to help you make informed decisions about your health and well-being. Fortunately, the incidence of hips dislocating after THR is very small, especially after first-time hip replacement. I advise both my total hip and my total knee patients to avoid repetitive impact activities like distance running. 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. The leg lifts really aggravate the front of the hip. If these values are elevated, further investigation with hip aspiration should be considered. Long recovery but all is well. Dear Dr. Leone, not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in Brian Tinsley. When the stem is placed in the femur, it still destroys the same amount of bone for implantation, regardless of which approach is used. Will I still be able to do all of these things? Dear Mary, Thank you for sharing with others the nerve supplements that youre finding affective. respect of any healthcare matters. Dr. William Leone. Thank you for this information. Introduction Finally, in July 2013, the first SuperPATH Hip replacement in Australia was performed in Nepean Private Hospital, Sydney. All of these releases may be necessary as part of the surgery and patients do well. The activity that I wish to have the most success with after the surgery is ballroom dancing. I think its always beneficial to speak to other patients who have been cared for by that physician and learn about their experiences and results. Every surgery should be done with as minimally invasive approach as possible taking into account these other critical factors. Total hip replacement is a step-by-step surgery to replace the hip socket and the ball at the top of the thighbone (femur). I am going to get evals from 3 docs. These cookies collect information that is used either in aggregate form to help us understand how our website is being used or how effective our marketing campaigns are, or to help us customize our website and application for you in order to enhance your experience. I exhausted all other non-surgical options, such as physical therapy and meds but to no avail, so now plan to have a THR in March. Everyone is. 2. I would like your opinion on the stem cell injections as I am really afraid of the second surgery on the same side of my body. To have your other hip replaced through a different approach is a decision you need to make with your surgeon. One thing I do not want is any muscles or tendons cut in the procedure. By adhering to the surgeons instructions as well as their pre- and post-operative instructions, you can reduce your chances of complications. I wish you only the best. With the ease of movements during pregnancy, you will be able to move around more freely. Similarly, an engaged medical team needs to be available to help with care after surgery. My acyive 60 year old husband is scheduled to have Mini posterior total hip replacement in 6 weeks. But Im impressed with your blog and responses, so am writing to ask you about an apparently new procedure in which the surgeon uses a customised implant, utilising pre-operative 3D CT scanning. If possible, choose a hospital that specializes in joint replacement and can back that up with excellent statistics and reputation. Had arthroscopy in Jan 15, cleaned up tear and arthritis. 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. The experiences will vary greatly . 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. I wish you a full recovery. The anterior hip can be easily and naturally recovered by walking, simple home exercises, and isometric exercises. 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. Welcome to Brandon Orthopedics! That I knew this recovery may take 1-2 The surgical technique for a SUPERPATH Hip Replacement was developed as an advancement to traditional total hip replacement. Sitting seems to irritate it the most. If was 3 weeks after discharge Does this mean my body may reject the metal of the post or cup? The surgeon I am meeting with (Dr Jimmy Chow) is supposed to be top notch in this procedure, and I am just curious as to how different the surgery is from conventional surgeries. Both of these are very successful ways of doing a hip replacement. Does either procedure in this discussion present restrictions or advantages for this sort of movement? The hip joint needs to be replaced again when it no longer works properly because of a revision surgery. I should think that all your expectations are appropriate for the activities you look forward to, especially considering youve already done so well after your knee replacement. Thanks so much for your help, very grateful. The bigger the ball, the bigger the ROM without impingement and the bigger the jumping distance that would be required for the hip to dislocate. Because of the restricted view provided by the anterior incision, the anterior incision is a technically demanding procedure. That being said, I agree completely with your surgeons advice to have a total hip replacement and not a hip resurfacing. Some patients who have recently had anterior hip replacement may suffer from complications such as wound healing. If they did develop five months post-op, then you have to consider that it could be a manifestation of back pathology compromising a nerve root. Lastly, where can I find a great surgeon that takes FL Workmans Comp? He strongly recommends the anterior approach as the only way to go. I would recommend having an honest discussion with the surgeons you are considering. When compared to the anterior approach to hip replacement, which is typically more painful, there are several advantages to recovering from an anterior approach, including the fact that you will not be required to follow any specific anterior hip replacement precautions, such as bending or crossing your leg. Doc, Ive worked out and been physically active forever running, biking, skating, etc. 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. I also have undiagnosed neuropathy in both legs from the knees down. Over time, untreated hip dysplasia or hip impingement can lead to arthritis and, eventually, hip replacement surgery. Hi Frances, did you have surgery posterior Superpath? I would rather see my patients go home. As of 2020 only Dr. Leone is using the latest hip technique called the SPAIREtechnique where patients no longer have hip precautions after surgery. I have had problems with my hip for the last several yrs. I just want to thank you for the information on this site. Only Dr. Leone will be using the most recent hip technique known as the SPAIRE technique as of 2020. I am a sixty five year old active male and need THR on my right hip. There is also a risk of the hip joint not fusing correctly, which can lead to pain and instability. This absolutely does not require a special table. 3. 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. For centers like Phoenix Spine and Joint that use a robot, there is . 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). Thanks again for this great blog! Im sorry to learn that you are so disappointed with your hip replacement. There is a chance that the hip will fall out of the socket, or that it will be levered out by twisting it. I assume its something near my groin. If possible and a pool available, I encourage my patients to walk and exercise in a pool and / or swim, starting at two weeks when their suture is removed. Having physio Possibly, its secondary to an altered gait pattern or hip mechanics. Three Cons of Hip Replacement Although total hip replacement is deemed a very safe procedure, there are associated risks that patients need to be made aware of before surgery. When performing anterior anterior reconstruction, these patients frequently have very short stems that are inserted into the bone. As a result, patients can return to their normal activities much sooner than if they had had traditional hip replacement surgery. 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. This approach has a number of potential advantages, including a shorter hospital stay, less pain, and a quicker recovery. Thank you so much for your answer, I appreciate your taking the time to care about others. Hi guys im 43 and live in Australia and due to have hip replacement in 7 weeks but im so confused as my surgeon is doing the posterior and im off work for 6 weeks where i here people having the anterior and going back sooner and no restrictions on hospital discharge any advice. 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.

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