disadvantages of superpath hip replacement

Are my findings that posterior approach in my situation would have been more appropriate? Before my hip problems, I really enjoyed playing golf and would like like to play again after surgery. Update what hes cutting is the adductor so my question is the same is this just a normal part of some THRs? I wish you a full recovery. Patients mobilize the day of surgery and typically go home the next day. This is used when the cartilage in the hip is severely damaged by osteoarthritis or other conditions. Last summer I wiped out on my bike and snapped off the top of my right femur, with a diagonal break. I also would encourage you to choose your surgeon first not the procedure, approach or prosthesis. Click to enable/disable Google reCaptcha. Ken. I spoke to the surgeon, he believes it may take up to 6 months to get better from this neuropraxia. I find that patients who are well informed and know what to expect prior to surgery get well even faster. I sit on a cushion in the car to lift me up. You can check these in your browser security settings. SuperPath approach uses about a 3-inch incision at the side of . If you do not have a hip replacement, you will live a sedentary lifestyle and become overweight. 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. There is significantly less bleeding with the mini-posterior approach, notably reducing the necessity of a blood transfusion after the surgery. It sounds like he did fabulous job. I wish you a full and uneventful recovery. I had a consult with a surgeon who does posterior and cuts muscle & tendons. I'm hoping to read some posts post surgery. Hey, thanks for the forum topic.Thanks Again. It is a mix of anterior & posterior. Also if the mini posterior approach is so effective when would it not be preferred over the regular posterior approach? But after reading your articles, I am hesitant about that choice now. The doctor is planning a traditional posterior. Your out-of-pocket costs for your hipreplacement will be impacted by a number of . Long recovery but all is well. 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? Its Inosine and Sphingolin. My surgeon wants to use the posterior approach and indicates that I eventually should be able to play golf again. Following anterior hip replacement surgery, avoid soaking in hot tub, sauna, or swimming pool immediately after surgery. If your surgeon cant answer your questions about hip replacement or provides unsatisfactory answers, you may need to consult another surgeon. 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. Many manufacturers are responding to the surgeons desire for shorter stems and many are now available on the market. Thank you very much for taking time to reply me. What is SuperPath hip replacement? It seems that whatever their particular approach is that is what they sell. A miniposterior approach uses the same intervals as the standard posterior approach but simply less tissue is released for the exposure. Glad that after lots of PT and massage and medial branch block for back issues with NO!!! Thank you so much for your answer, I appreciate your taking the time to care about others. Very slow recovery. My first bike ride was 22 miles without any problems. I would love to hear some stories about the SuperPath hip replacement. Its been a nightmare for me going into 4 yrs post op soon. 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. Ceramic-on-polyethylene is currently the most popular hip replacement material, representing 50.6% of all hip replacement cases back in 2014. Some people also tend to form scar tissue and contracture more readily than others. Contact Us, Approaches Often, as the labrum is torn, it leads to a lifting off of hyaline articular cartilage where these two tissues meet, called delamination. Click to enable/disable _gat_* - Google Analytics Cookie. Finding the right surgeon is critical, because your care is about so much more than just fixing your hip. The anterior approach exploits an interval between muscles that cross the front of your hip and thigh. Have you recovered by now? Most activities of daily living have an element of hip flexion (knee up to head), which is a safe position after the anterior total hip. I am allergic to narcotics . If youre impressed by how clean it appears and the movement and professionalism of the staff, that obviously is a good sign. Every surgery should be done with as minimally invasive approach as possible taking into account these other critical factors. Regardless, the overall incidence of dislocation for every approach is smaller due to use of larger femoral heads and enhanced closure techniques. That being said, in order to meet your goals, if need to leave your area and consult with surgeons in other areas, I think that is reasonable also. (I have SCD) It has now become unbearable and I am preparing for surgery. That means you have an excellent track record. Comments about life-long hip restrictions between Posterior, Anteriorlateral and Anterior approaches? 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. The leg lifts really aggravate the front of the hip. Supercapsular Percutaneously-Assisted Total Hip surgery or SuperPATH surgery is a novel method of hip replacement where your surgeon can perform total hip replacement through 2-3 inch incision into the tip of the hip and without dislocating the hip or damaging the surrounding soft-tissue (muscles and tendons). I wish you a full and speedy recovery. Thanks. Also, if this nerve injury occurred, I would expect these symptoms to be present immediately surgery, not five months post-op. I was out of bed walking around the evening of the surgery . Patients are typi. I would recommend having an honest discussion with the surgeons you are considering. Ultimately, you and your husband need to choose the surgeon who you both feel will provide the possible best care, based on reputation and your personal comfort level. Consuming excessive-fibre and wholegrain meals will assist to keep you feeling full, and will be I had no inkling of this till he showed me on the x-ray. A hip replacement involves removing the ball (femoral head) and replacing it with a metal or ceramic prosthetic ball. We may request cookies to be set on your device. Always speak to your doctor before acting and in cases of emergency seek Currently we use standard ways, called either posterior or direct lateral approach. 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. Also, since I am only 51, I am concerned about component longevity. 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. 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. 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. Diagnosed possible labral tear. Intervals between muscles are separated or muscles are separated in line with their fibers without injuring the muscles innervation. I am about 5 6 and 185 lbs, age 58, he did not think the weight was an issues. You can do anything you want after a hip replacement. Procedures Problem is that we have seen two doctors and both seem great but are on two extreme sides of the fence. 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. Rather, they say Bill, please just do what you have to do and do a great job. I share your concern that with profuse denervation potentials 10 weeks post injury, that the patient may have sustained a more severe injury than a neuropraxia. Although anterior approaches can be useful for some, they are not for everyone. Im sorry to hear that you struggled after your first, anterior-approach THR. I also regularly receive Rolfing treatments which has helped me manage pain and maintain what mobility I have. United States. At the end of the day, I promise, it is not the approach but rather the person who is doing the surgery. There is less blood loss with a single THR than a bilateral, hence less risk of needing a transfusion. In the dark to find out about this myself. They also are looking into methods to reduce the risk of infections in artificial joints. An operating room that can support safe Anterior or SuperPATH minimally invasive joint replacement surgery costs around $1.5 million. Therapy hopefully will help any contractures and scaring within your muscles that might have developed after surgery. One thing I do not want is any muscles or tendons cut in the procedure. Changes will take effect once you reload the page. Would not make eye contact. Specific protocols, therapy and what positions you will be asked to avoid after surgery and for how long will be directed by your surgeon. But this will always prompt you to accept/refuse cookies when revisiting our site. I ride horses, water ski and kayak. Historically short press fit stems have not done well. 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. What all this means for patients is a more optimum outcome and faster healing, which can reduce time interval to return to normal activities. My hope is that some of these symptoms will improve with time. My doctor does the Posterior approach, he didnt say anything about the mini part. There is a 1-2% risk of fracture of the femoral neck. Because of the marked improvement in modern plastics, there is greater longevity and durability of acetabular plastic liners and larger femoral heads are used routinely which results in an improved the head/neck ratio and therefore the jumping distance for a hip to dislocate. The surgeon accesses the hip joint from the front of the hip, rather than from the back or side. I have seen 4 surgeons. 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. Thank-you. 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 would encourage you to discuss your expected recuperation time and specific restrictions with your surgeon. Better luck to you all. I have a yr or more off work so I have the time to heal properly but scared to sit or move an Inch as I dont want to dislocate my hip again I dislocated my left hip in a resturant while eating lunch with my 10 yr old we both suffer from ptsd now and stayed in the emergency room for 30 hrs before they rushed me to the city hospital. 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. I now need the right hip replaced. I am a very active and young 69 year old female who had a THR on my left side 5 years ago. I think there may be increased associated complications. It is 100 percent normal and expected to be scared before surgery. If its a struggle, then the situation needs to be reassessed. Nobody wanted to talk Do you have any thoughts on this issue? My husband, who is only 35, has to consider a THA in the near future and Im very torn over which approach as the surgeon we really like dos a posterior but I am concerned about dislocation rates in posterior vs anterior. Use of the forums is subject to our Terms of Use Complications associated with an anterior approach hip replacement are similar to those associated with standard hip replacement surgeries. My husband has a plastic valve (done in 86) and synthetic assending aorta and triple bypass (done in 2013)very successful surgery. Im sorry to learn that you are so disappointed with your hip replacement. 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. My advice is to focus on finding a surgeon with whom you are comfortable and have the best chance of doing well. Welcome to Brandon Orthopedics! The technique allows recovery that is as rapid as a mini-posterior approach while conferring stability of the hip joint that is equal to other exposures that . Also available today are larger modular heads, made possible because our plastics are so much better than years prior. Consult your doctor to determine if joint replacement surgery is right for you. The main limitation after surgery is a lack of comfort. Dear Dr. Leone, No i just had the posterior method which has a larger incision. Thank you, Rita. After awhile the screws started shifting and poking up under the skin and they removed them. Contact Dr. Moor, Orthopedic Surgeon at Advanced Sports Medicine Center. 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. Should I be though? I also would find out your surgeons recommendation regarding activities and restrictions. What is the best hip replacement option: anterior or Posterior? The physical build of some patients increases the difficulty. My two questions are: 1. 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. If you refuse cookies we will remove all set cookies in our domain. The most important thing is that tissue is handled gently and trauma is minimized, whichever approach is used. In a posterior hip replacement, the procedure is done on the side of the hip. Spring 2014 had trouble playing tennis, hip kept feeling like it was popping out of joint, groin pain, aching. No Muscles Cut is for billboards. disadvantages of superpath hip replacement. I do not do hip arthroscopy. Everyone is. Does anyone ever attempt to do both at the same time if THR is determined? I'm hoping to read some posts post surgery. I am feeling like this is a business like everything is else. Dear Dr. Leone, I am having Makoplasty ( robotic imaging) to my right hip in February. This approach has a number of potential advantages, including a shorter hospital stay, less pain, and a quicker recovery. If this occurs, the patient may experience pain and swelling. Historically in my practice I performed many Bilateral THR and TKR and have backed away from that practice. Problems such as osteoarthritis, rheumatoid arthritis and avascular necrosis can destroy the protective cartilage around the hip joint, disrupting the smooth contact between the femoral head (ball) and hip socket. I have done everything I can think of to preserve my right hip, but sadly this too needs replacing. Thank you, Lisa. The most common type of total hip replacement is done in the anterior anterior part of the hip. Recently the doctor doing anterior decided because of thin bone, he should do direct lateral approach. THOUGHTS? Thanks so much for this information! If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. Original Medicare (Part A and Part B) will typically cover hip replacement surgery if it's medically necessary. This suggests that something changed after five months. I wish you only the best, Im ready to have the surgery, having been basically bone on bone for several years. Does this mean my body may reject the metal of the post or cup? Surgical approach is important but its just one of many important variables. I am scheduled to have total hip replacement surgery in 2 weeks. If you would like a personal consultation, please contact our office at 954-489-4575 or by email at LeoneCenter@Holy-cross.com. Posted Dear Dr. Leone, No one tells me the same thing? 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? The approach planned is a frequent topic of Continued I am a 67 year old woman who has danced semi-professionally and has always been very active including doing Ashtanga yoga and caopeira. Can you suggest any pain medication that would not interfere with anti rejection drugs? I think the recovery time is the same though. Patients can also have as little as a 3-inch incision. Because of this, when you're ready to get up and walk about again, engaging your muscles and hip flexors might be extremely tough.

disadvantages of superpath hip replacement 2023