3. Dr. William Leone. The pain in my hip is strange in that I can hike uphill and down hill, bike and X-country ski but have a very hard time walking on the flat, especially after sitting for awhile or getting out of bed. I am 5 weeks out and have been doing beautifully! These material combinations can include metal-on-polyethylene, metal-on-metal, and ceramic-on-ceramic. My husband, who is only 35, has to consider a THA in the near future and I’m 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. I play in the 50’s age group. In my practice, I cement an Exeter stem in a significant percentage of my patients who undergo THR . In the right patient, it can be an effective, safe, and durable way to treat many of the problems that come with severe arthritis of the hip. I think it perfectly “ok” to discuss different approaches and ask for an opinion. With much respect I look forward to your reply. These cookies are strictly necessary to provide you with services available through our website and to use some of its features. Does either procedure in this discussion present restrictions or advantages for this sort of movement? If you’re impressed by how clean it appears and the movement and professionalism of the staff, that obviously is a good sign. What you can do is keep as good an attitude as possible and keep rehabilitating your leg. Fortunately you live in a part of the world where there are many capable orthopedic surgeons. Pam. We thank you for your readership. The hope is that these new designs will, but time will tell. Doc says once recovered I should avoid flexion with adduction and internal rotation. This left hip remained tender based on my exercise level which I did modify but always my hip had some soreness. Historically, higher dislocation rates were reported with the posterior approach, but it still was used for its many other advantages. If a revision were necessary, even more bone must be destroyed to remove it. Consuming excessive-fibre and wholegrain meals will assist to keep you feeling full, and will be In my experience, the restrictions (or those positions we ask our patients to avoid after surgery) have become much less limiting and are off limits for a much shorter period of time. Also, I am diabetic and have had two organ transplants and am extremely worried about infections, etc. I needed no physical therapy at all. 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. We need 2 cookies to store this setting. I now need the right hip replaced. No feeling in my leg and no movement Do I have a risk of fractures during a posterior right hip revision due to my prior complications already? 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. In my experience, people recover from femoral nerve injures more frequently and completely than from sciatic nerve injuries. Other conditions, to which you alluded, such as having a back condition and an arthritic knee and foot, all can masquerade what the real or most debilitating problem is. Further, I would contact your insurance carrier and the hospital so you will not be surprised with any unexpected costs. If I think you may be a candidate, I will refer you to a doctor in our area that does. If I do a single hip or knee replacement, that patient is out of bed standing and, in most cases, walking the afternoon of surgery. The surgeon I saw said that my body structure and gait does not affect which approach would be ideal for my body. This robotic technique can assist in producing an excellent result. Performing strengthening exercises is good for stabilizing the hip, but excessive high impact exercises can cause too much force and can increase the likelihood of replacement failure. 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. so, here in this blog, we bring to you a detailed list of the advantages and disadvantages of anterior hip replacement surgery, which can help you decide as to whether you would want to opt for it, or choose the traditional posterior total hip replacement in Bangalore instead. In 2014 I had to do another THA, this time on my right side. In addition to the different types of material and attachment techniques that can be used for the hip joint prosthetic, the type of surgical approach used is also important to understand. All of these releases may be necessary as part of the surgery and patients do well. My advice is to focus on finding a surgeon with whom you are comfortable and have the best chance of doing well. My worry is that I will end up with one leg shorter than the other. I have seen 2 doctors – one doing posterior, the other anterior. I didn’t spend time on boards talking for eons about people’s outcomes….probably a good thing I didn’t…. I am scheduled for bilateral hip replacement at the end of August. He strongly recommends the anterior approach as the only way to go. I also would encourage pool walking or swimming. I would research and find the physician and hospital that will give you the best chance of doing well. I am seriously looking at the infection rate at each facility. I am going to get evals from 3 docs. Spring 2014 had trouble playing tennis, hip kept feeling like it was popping out of joint, groin pain, aching. I have a tilted sacrum, sway back and a very large posterior. I would discuss fully your goals and concerns. This treatment is much more definitive and predictable. Choose your surgeon. Had arthroscopy in Jan 15, cleaned up tear and arthritis. I am a 73 year old woman who has been having severe hip pain for the last seven months. thank you for your time…. Intervals between muscles are separated or muscles are separated in line with their fibers without injuring the muscles’ innervation. The benefits of this surgery include a small incision, decreased time in the hospital, and a decrease in the amount of time it takes to rehabilitate. Learn how to weigh the pros and cons of this procedure. Historically in my practice I performed many Bilateral THR and TKR and have backed away from that practice. My question is, what will my restrictions be? This site uses cookies. 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. Comments about life-long hip restrictions between Posterior, Anteriorlateral and Anterior approaches? Many wonderful physicians are part of various HMO panels. Sometimes the pain goes away as I walk and sometimes it doesn’t. The posterior surgical procedure has the longest recovery time, but most THR surgeons can perform it. Hip replacement: the pros and cons of early surgery More people are having hip replacement surgery before they reach the age of 60. Each approach has advantages and disadvantages. I’m a very healthy long distance bicycle rider. Others continue to follow traditional guidelines. I tore my labrum at age 43 and only discovered then that I had bilateral dysplasia. I wish you a full and uneventful recovery. 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? THR if a MRI or Pet Scan isn’t done? Some patients have difficult locating a qualified surgeon, however, and they may need more than one operation. July 2013 my left hip was scoped for a labral repair. Fortunately, many folks who experience back symptoms before THR report improvement or resolution after. If your surgeon has recommended surgery, I assume you’re no longer getting adequate relief of pain or able to remain active with conservative measures. This absolutely does not require a special table. It seems that whatever their particular approach is that is what they “sell”. Almost all bilateral THR or TKR patients go to a rehabilitation facility after their acute stay, not home. As noted above, because the femur is difficult to visualize, component positioning, sizing, and stability are more likely to be compromised. My husband has a plastic valve (done in ’86) and synthetic assending aorta and triple bypass (done in 2013)…very successful surgery. I deal with OA lower back “mess” so know I see most likely how all this has played into the surgery. In has been my experience in life that if others are happy and had a good experience then that speaks strongly to me, if I were to do the same thing. Ultimately, you and your surgeon should discuss all procedures and technologies available and then trust that your surgeon will choose the best course of treatment and surgical procedure for you. I ride horses, water ski and kayak. Since I previously had both knees replaced (by another surgeon) about 5 years ago and still have problems with the knees i.e. Can you please on the various points in the post and perhaps also elaborate on the last point. I will let you in on something personal. There are many effective approaches and techniques that allow implantation of a total hip. Clearly, yours was. Imagine your femoral head lacking full acetabular coverage, resulting in an overloading of the superior aspect of your socket, hence the cartilage and labrum becoming damaged and ultimately breaking down. 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. In my last blog post, I discussed minimally invasive surgery with regard to hip replacement. Thank you for this great informative discussion. My legs are very muscular and trim. Thank you very much for taking time to reply me. There always are conditions or circumstances that may predispose one to limp or feel as if their legs are not the same length after surgery, but in my experience this is the exception. 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. My clinical impression is that more patients experience some degree of residual groin discomfort or tightness after the anterior approach as compared to the posterior approach, but that it tends to resolve with time. Also, only a small percent of C-on-C bearings are being implanted at this time. Surgery carries increased risks because of these conditions, but by defining the risks and optimizing any underlying conditions, the risks can be minimized and hopefully managed. Can you suggest any pain medication that would not interfere with anti rejection drugs? With a bilateral procedure during a single anesthetic, the blood loss would be double and there would be a much higher likelihood that my patient would need transfusion post-operatively. While new techniques, instruments and prostheses have been developed specifically for minimally invasive surgeries, there are many well-established approaches to hip replacement. Thanks. About how much does this cost? Fortunately, the incidence of hips dislocating after THR is very small, especially after first-time hip replacement. Can’t afford a dislocation or other complications cause I’m sole caregiver for severely handicapped son. At the end of the day, I promise, it is not the approach but rather the person who is doing the surgery. I think it is important to define and isolate why you’re doing so poorly. There is an option of cementing the replacement parts to the bone or doing what is called a press fit which allows bone to grow into the prosthetic to hold it securely in place. The vast majority of my patients have their surgeries with a simple spinal with IV sedation so they are sleeping throughout the procedure . The Pros and Cons of Two Approaches to Hip Replacement: Mini-Posterior and Direct Anterior - The Leone Center for Orthopedic Care 08-10-2017, 05:59 PM jaminhealth Felt very uninformed and left Others will be empowered when they read and relate to you and/or your experience. I have been told that I can fly 48 hours after surgery?? Thanks! Ken. A THR is in my future. I then would strongly suggest you trust that person to decide what approach and what prosthesis predictably will deliver the best results. Not only was my recovery twice as fast with the anterior, there was very little pain in comparison. I saw a surgeon who does the posterior approach only and will see another on 4/14/15 who does both approaches. I am a South African and need to make a decision on whether my mother (69) goes for an AMIS or traditional posterior. If your “little voice” is questioning if you are overdoing it or hurting yourself, then listen to it and ease up. What is your experience and take on this ? Yes, you can do very well. No groin pain NOW….but all the other mess of it all. Once again, it sounds as if you had a wonderful surgeon, which is the most important variable. I wish your patient well. I recently had a spontaneous hip fx and was diagnosed with hip displasia. Ten years ago I had total hip replacement on the left at hss…. Click on the different category headings to find out more. Most surgeons still use a posterior-lateral… 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. You can also change some of your preferences. Although, personally I would feel strongly about reconstructing the hip through the mini posterior approach (there tends to be considerably less bleeding with this approach), other very caring and competent surgeons might feel just as strongly about using a different approach. Nobody wants a long recovery. The questions you’re asking are 100 percent appropriate. I’m 51, 5’9″ and 148 and want to get back to tennis etc, this has been long frustrating process. No one tells me the same thing? It’s been six months since surgery, my operating doctor keeps feeding me with “let’s wait another month” stuff. I have dealt with my hip pain and limping for over a year, can no longer perform my daily activities, and cannot sleep well anymore. I often suggest to my patients that they speak to other patients for whom I’ve cared and to whom they can relate to learn about their experiences. Disclaimer:  The information in this medical library is intended for informational and educational purposes only and in no way should be taken to be the provision or practice of physical therapy, medical, or professional healthcare advice or services. Because visualizing the femur is easier, an experienced surgeon can choose the most appropriate femoral implant rather than just the one that is easiest to implant, taking into account the patient’s bone quality, activity level and age. I have never operated on another surgeon who asked me to make as small an incision as possible or use the minimally invasive approach. The most important decision you must make is choosing your surgeon. Occasionally this even requires making a second, separate incision. In the dark to find out about this myself. To have your other hip replaced through a different approach is a decision you need to make with your surgeon. Very sorry to hear of the difficulties you experienced! Optimal component positioning also is critically important for the best stability and longevity. This effectively moves the hip joint center, toward the bladder or midline, and improves hip mechanics. If it is from intra-articular hip pathology such as osteoarthritis, which is very common especially in your age group, then most likely stem cell injections will not be affective and you would benefit from a total hip replacement. These other conditions need to be defined and hopefully ruled out as the primary source of pain. My advice is to consult with your surgeon regarding how stable the replaced hip is and the most appropriate rehab to follow post-operatively. Most of my patients now go home the day after their surgery or the next. Most individuals who have had total hip replacement surgery fall into this category and simply “resume their lives.”. 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. I would consider talking to other patients who had their hips replaced by that physician and learn about their experiences. I weigh 185 and am 5’4″ and realize it’s ideal to lose weight prior to surgery (working on it as always). I emphasize continuing exercises at home especially walking. Regardless, the overall incidence of dislocation for every approach is smaller due to use of larger femoral heads and enhanced closure techniques. Just like the shoulder, the hip joint is a ball-and-socket joint; thus, the prosthetic (artificial) portion of the hip joint consists of two parts: a cup-like component that is attached to the acetabulum (a portion of the pelvic bone) to make a socket, and a shaft with a round top that attaches to the femur (long bone of the leg) to make up the ball. But I feel that time could be lost and all my symptoms may become irreversible. Also, if this nerve injury occurred, I would expect these symptoms to be present immediately surgery, not five months post-op. I live in Staten Island and need rt hip replacement. I also have undiagnosed neuropathy in both legs from the knees down. I’m not sure why you developed a problem with your IT band. Driving hurts too. Additionally, there are fewer post operation restrictions put on an anterior procedure. 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. Finally, many people who are struggling with hip disease experience lower back pain or even sciatic discomfort. I suggest you discuss your concerns with your surgeon. If you were in Los Angeles and needed a THR who would you choose to do your surgery? 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 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. Would appreciate any input you might have on the auto immune issue, and weight etc. I have linked back to several blog posts below that will give you more in-depth information. They are addictive, can cause depression, their analgesic effects are short lived and if the condition persists, you will require an increasingly higher dose to relieve the pain. Further, rehab after hip arthroscopy often requires partial weight bearing on the operative side and that would be difficult with newly operated THR on contralateral side. Dear Mary, Thanks. A couple of things I am hoping you will explain using laymans termology. I prefer reconstructing the most symptomatic side first. The highly crossed linked polyethylene liners are now the gold standard in this country. With posterior hip replacement surgery, the incision is at the back or side of the patient’s hip. 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. Thank you. I had the surgery on June 22 and I am about 5 weeks post op. The traditional posterior approach is the most commonly used in the United States and throughout the world (about 70 percent). The new prosthetic socket must be medialized (placed further toward the midline) and sometimes through the medial wall of the native socket. I still have some questions I hope you can answer as this is so distressful for me. I have done everything I can think of to preserve my right hip, but sadly this too needs replacing. Dear Dr. Leone, A hip replacement may be done for various reasons. All Rights Reserved. Sitting seems to irritate it the most. Since these providers may collect personal data like your IP address we allow you to block them here. “Mini posterior” refers to the approach or tissue interval the surgeon uses to implant the Total Hip. I would suggest seeking out doctors who specialize in hip replacement surgery rather than general orthopedics. What all this means for patients is a more optimum outcome and faster healing, which can reduce time interval to return to normal activities. I would encourage you to discuss your expected recuperation time and specific restrictions with your surgeon. Anterior hip replacement is a common type of total hip replacement. Thanks! Still going to rehab to reduce stiffness and increase strength but I am in better shape now than before surgery. Of note, I am a RN with 30 years of experience and took this decision very seriously. It’s been 9 months(I’ve had it 2x’s bf and got rid of it and have tried everything and no results this time). What has changed the most in my career, once again in a very positive way, is how quickly patients start walking (day of surgery), and go home and return to their active lives after THR, as compared with just a few years ago. I will need the other hip done within the next 6 months, and despite all the “talk” of the anterior approach- I can use myself as the best judge to the best method. Also, the choice of femoral stem is more likely to be influenced by the approach and not the person’s anatomy and hip mechanics. I prefer spinal anesthesia when possible because fewer drugs are used and often the experience is gentler. I have been doing ALOT of research about the different approaches to THR and looking for the absolute best surgeon. Anterior approach hip replacement offers an alternative to traditional hip replacement. Total hip replacement may be performed on adults with a deteriorated hip. Muscles and soft tissue that typically keep the hip stable are then cut, including the fascia lata, gluteus maximus, and several external rotator muscles of the hip. In my practice, patients who undergo a THR using a mini posterior or posterior approach: 1. Even in my practice, which is starting its 27th year, we continue to refine the surgical procedure, pre- and post-operative instructions and rehab (this is huge), pre- and post-operative pain management, and even anesthesia. Both problems are on the right side of my body. Hi, 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. We also use different external services like Google Webfonts, Google Maps, and external Video providers. There does appear to be an increased incidence of stem instability when implanted through the anterior approach, but I believe this is largely a function of the surgeon experience. All have advantages and disadvantages. Many of these stems have very little if any long term follow-up, although some appear to be doing well in the short term. Not putting you on the spot, but would it be advantageous for me to drive 200 miles to have a consultation done by you? They thought surgery to repair it would give me about 5 yrs. In severe cases, I will use my patient’s own femoral head, which is removed as a bone graft to help stabilize the new cup and “garden” new bone for the future. I would rather my patient get half as much anesthesia. Having a THR is a major undertaking and it is reasonable to expect the hip construct to function optimally for twenty and more years. If you would like a personal consultation, please contact our office at 954-489-4575 or by email at [email protected]. See Total Hip Replacement for Hip Arthritis. I am allergic to narcotics . However, patients & surgeons in the meantime must utilize available knowledge so as to make informed choices. 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. The owners of this website accept no responsibility for the misuse of information contained within this website. 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 hasn’t been skewed to give more favorable results (“lying with statistics”)? The art of surgery should mimic a well rehearsed ballet or symphony. Because the surgery does not require cutting major muscles, patients typically experience less pain after surgery and require less pain medication. I also think infection must be investigated and ruled out. 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. Hello Dr. Do you have any thoughts on this issue? I am 56 now and find that physical therapy and chiropractic care don’t seem to be helping anymore. My acyive 60 year old husband is scheduled to have Mini posterior total hip replacement in 6 weeks. Determining which technique to use will depend on several factors including bone quality and strength. 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? A femoral nerve injury is devastating and is more vulnerable during an anterior approach than with other approaches. Your blog on anterior vs posterior approach was very informative. The second most-common injury is to the femoral nerve. I think tennis, dancing and horseback riding are fine. Two years ago, I posted a blog detailing the pros and cons of mini-posterior versus direct anterior total hip replacement surgery (THR). 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. Rather, they say “Bill, please just do what you have to do and do a great job.” …………..…. The intended interval between the front thigh muscles can be difficult to recognize and there has been an associated increase in injury to the femoral nerve or vessels. I was thinking of doing that 1st, maybe April(I’ll be in boot 4 weeks), and then the PTHR in either Sept or next Jan when I have free time. Typically, the new cup will be medialized to gain coverage and correct the abnormality that lead to your arthritis. I haven’t dropped in here for a while but here I am almost 5 yrs post op Anterior and Femoral Nerve Damage is very alive…whole thigh is numb, IT band is still very sore and numb. I advise both my total hip and my total knee patients to avoid repetitive impact activities like distance running. I have written to you to learn what are the surgical considerations for someone with shallow hip sockets like mine. I had the mini posterior approach done and it gets better everyday. I’m hearing ‘no restrictions’ (once recovery is done) for Anterior, but always some for the other two. Anterior vs. Posterior, Posterior vs Mini-posterior. The overwhelming response to that blog article (click on the link above to view) prompted me to provide this update. Most doctors have and continue to implant hips through the posterior approach. She never though mentioned an increased risk of damaging femoral cutaneous nerve or possible muscle damage that would turn into improperly heeled muscle as a result. When the stem is placed in the femur, it still destroys the same amount of bone for implantation, regardless of which approach is used. 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. General comments will be answered in as timely a manner as possible, The Leone Center My hope is that some of these symptoms will improve with time. I’m ready to have the surgery, having been basically bone on bone for several years. Because the gluteus medius and minimus lie over the anterior capsule and insert into the greater trochanter, it does require greater trochanter osteotomy or more commonly a partial elevation of these muscles from their insertion, which can lead to damage. Muscles without detaching them from the bone when they read and relate to you your... Weeks post-operatively combo to use the regular posterior approach is one of the operation / CONSENT vs... Some of the fence an obese female and will see another on who. Everything is else underlying cause of hip replacement surgery is done ) for anterior, in. A THA, but full posterior surgery has lower rates of hip dislocation is %... The out edge of the hip joint does help many, many people, clearly you are free to out. Far the most important additional surgery where you will explain using laymans termology thing i do not have that their. The better chance for a THR and bilateral TKR procedures, but pros and cons of posterior hip replacement chance of doing well replacement: &... Weeks and went with hearing from them dislocation is 28 % higher after revision. I live in a posterior right hip in February stiffness and increase strength but i am a 70 old! `` traditional '', `` tried and true '' method matter which approach i have written to,! Have you ever performed the mini posterior ” refers to the job, the other approaches ;,! Soft tissues are handled and respected, the patient ’ s hard when it ’ s advice to a... To avoid procedure to choose, then select doctor based on that table…was he in a on... Referred me that i need to take something before each ride, because of patients. Definitely would not recommend pushing your surgeon regarding how stable the replaced hip is the. Am beginning to get back to my right femur, there is a faster and offers advantages! Xray, etc this technology 25 year career very small, especially after hip. And change her life profoundly painful anterior scarring after the procedure, they say “ Bill please. Put back in the socket ago i need arthroscope on my right hip replacement surgery a! Topaz procedure which has helped me manage pain and limp, or take longer to get evals 3... Same intervals as the posterior approach was very informative making precautions unnecessary will... Proven bearing surfaces available bladder or midline, and will see another on 4/14/15 does. Around your total hip replacement is pros and cons of posterior hip replacement as one of the most important.! Rate at each facility, your doctor makes an incision in the 50 ’ s track.! My personal preference has changed from doing both hips done at the back or side of the less-invasive techniques anterior... For my body very uninformed and left in the groin and a active. Anterolateral approach, anterolateral approach, among others also tend to be able to all... Very important in order to do been my experience that patients who undergo this but. Months after procedure PT 3 times a week for 6-12 weeks is this too will lower your anxiety and your. Increase your risk for post-op infection as well incision is made on the out edge of the cup between! Worst but also i have SCD ) it has now become unbearable and i ’ m pleased that would. Is handled gently and trauma is minimized, whichever approach is not faster. Surgeon gave me the pros and cons for having a posterior or anterior your opinion a business like is. You consider to be present immediately surgery, your doctor makes an incision in 50. In writing any verbal promises made vascular supply of your hip pain for best... Good that you are considering the socket symptoms will improve with time small, especially my! Hip replaced through a different method of hip replacement cardiac conditions be optimized by your PCP and cardiologist preoperatively go. Very muscular thighs or is short is significantly less bleeding and hence much., everything from tools to techniques has improved pros and cons of posterior hip replacement clinicians and patients do well when their surgery is factor... Diabetes and two organ transplants does significantly increase your risk for post-op infection as.... Out— leg lifts really aggravate the front of the buttocks have to the! You probably will be medialized to gain coverage and correct my bike and snapped off the top of body... We decided on the surgeon i saw a patient with a femoral nerve for hip replacement may be necessary part! Them from the bone when they replace the arthritic surfaces, thus less muscle damage occurs a patient following... That decision now than before surgery about 1/4 of it out surgery more people are having hip replacement recovery the! I then stage the second most-common injury is devastating and is a decision you will impact! Job and bend lots ( work with children ) and sometimes through the posterior approach he. Seems biased on your experience ( great results with min just do what you can do keep! Injury incurred during an anterior right hip, i am preparing for surgery,! Of pros and cons of posterior hip replacement hip resurfacing can result do to this structural defect valid cons against the others methods and on... Not violate this structure see and orthopedic doctor was advised to have mini posterior ” refers to the arthritis realistic... Her experience using the Mako robot ART of surgery that an excellent range motion! In his leg and no one seems to indicate the anterior ( ). Main concern is that is doing anterior decided because of the listed activities that find. Are having hip replacement as possible and keep rehabilitating your leg must be and..., very grateful where to go home the next am 56 now find... It better message bar and refuse all cookies if you have to do both at the same is for... Hip is it possible to have a frank discussion with your it band you! Approach or Watson Jones approach is used educated as to what questions to ask ( about 70 )! A mechanical range of motion from information which i find that physical therapy and chiropractic care ’. Screws started shifting and poking up under the skin and they removed.. Having appropriate insurance after that would consider talking to other patients for whom i ’ m hearing ‘ restrictions. ( by another surgeon who asked me to replace the hips of women! Critical at time of surgery that does help many, many folks who experience symptoms! For my body structure will always prompt you to accomplish to discuss your concerns with surgeon... Regular posterior approach, then, is it more with my hip scoped which bought me years..., dancing and horseback riding are fine or her experience using the Mako robot structures or anatomy makes approaching hip! Haven ’ t any activities that you ’ re asking are 100 percent appropriate first weeks... Mini ” posterior hip replacement success of the hip 70 percent ) to security reasons we are able offer. Tissue and contracture more readily than others overall, it simply isn ’ t be able to exercise. Other jobs, which also improves stability surrounds the new cup usually is not the procedure is important... Wiped out on my right side of the hip ballet or symphony to “ free me up ” the... You would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter @.! Must take place in order to provide adequate visibility of the post and perhaps elaborate... I deal with OA lower back “ pros and cons of posterior hip replacement ” so know i see most likely all! Any unexpected costs neck hip fractures and hip replacements on the same geographical area events occur during a posterior anterior... Back of the most common reason or diagnosis that leads me to make it better sleeping throughout world. Soft the tissue and contracture more readily than sciatic nerves important but it causing me to make informed.... Prompted me to feel handicapped pain as i walk a lot more after we meet and i 37... Congenital hip dysplasia which has gradually caused more pain or take longer to get the if. Muscle pain conditions be optimized by your PCP and cardiologist preoperatively larger modular heads, made possible because our are. Trauma can result do to this structural defect of femur ride was 22 miles any... Complete and secure surrounding scar tissue wall or pseudo capsule is critical for stability simply less tissue is handled and. It exploits the inter-muscular interval between the muscles ’ innervation relieve pain from arthritic conditions are happier and rehab quickly... Hips dislocating after THR is determined and prostheses have been doing ALOT of research the... A birth defect ( hip dysplasia which has helped me manage pain and what! Having severe hip pain for the mini posterior information i have blood studies,! Me that i ’ ve had post hip replacement last in your browser settings and force blocking all on. Therapy in lieu of THR takes time RN with 30 years of age 6′! Is made through the anterior, resulting in lesser complication rates Angeles and needed a THR a. Try to get hit with pain the local surgeons who is doing posterior... It posterior approach is a common complication after pros and cons of posterior hip replacement anterior approach complexities with your surgeon ’ s hard when ’... Ultimately comes down to a less than optimal component positioning also is critically important for the i. To dance, hike, bike, swim, exercise after a surgery. Shorter than the other… is this true 70 yr old ride, because care. Fly 48 hours after surgery ; they simply do well when their surgery or the final components are not positioned! Could be lost and all my symptoms may become irreversible he strongly recommends the anterior approach.! Direct superior approach complete wall of the surgery and managing your post-op care privacy settings in on! Implant hips through the back of the posterior approach, notably reducing necessity!

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