disadvantages of superpath hip replacement

Had a total hip replacement aug 2013. Since I previously had both knees replaced (by another surgeon) about 5 years ago and still have problems with the knees i.e. I am still a very active 67 yr old, I like to ski, bike, hike (steep terrain) with about 25 pds. When we quote probability of longevity after hip replacement based on following people who had the operation, it is based on standard length stems. Im so pleased to learn that you had a good experience. For example, the stability of the components could have been achieved initially, but then proved inadequate so you developed either a loose cup and/or a loose stem. Personally, I would not gamble with my health. respect of any healthcare matters. They thought it would give me about 5 yrs. If theyre really happy and got well quickly, you probably will too. Introduction It is critical that the patient is aware of the risks, benefits, and alternatives of the procedure. We have to get ok from cardiologist and get ekg, chest xray, etc. Thank you very much for taking time to reply me. The posterior approach is used frequently again, in large part due to the fact that it is an extensile approach. Most of the restrictions are removed at that time, although I still advise common sense, particularly for the first three or four months. I would like your opinion. I am a South African and need to make a decision on whether my mother (69) goes for an AMIS or traditional posterior. There is a chance of nerve injury with any type of hip replacement. I had posterior and much like the superpath trussed into the jig . Your back does need to be evaluated as well. 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. We are always refining and trying to make it better. Disadvantages of the anterior approach include: The nerve which supplies sensation to the front and side of the thigh is vulnerable. It requires surgical insight and skill to accomplish. I am scheduled for total hip replacement in about 3 weeks, and none of these procedures/options were discussed with me.the surgeon just said that it was a risky surgery and he could not guarantee anything! This suggests that something changed after five months. I choose to do them in a staged fashion because it is a significantly shorter procedure (more than half time-wise) and some think this lessens the risk of infection. Because these cookies are strictly necessary to deliver the website, refusing them will have impact how our site functions. Yes, Im angry. 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. Can You Use An Inversion Table With A Hip Replacement Regarding restrictions after your hip replacement, this too is an area that has changed drastically over my 25 year career. With mild dysplasia, positioning and implanting the new cup usually is not more difficult than with other conditions. Click to enable/disable _ga - Google Analytics Cookie. 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). For centers like Phoenix Spine and Joint that use a robot, there is . What Ive been able to achieve is find two nerve supplements that have taken away the burn/tingle on my thigh. The initial recovery period typically takes six weeks or more. We may request cookies to be set on your device. Soft tissue contractures often are associated with long-standing 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. Also, how about hip restructuring instead of Total Hip Replacement. I live in Staten Island and need rt hip replacement. If they are really happy, then you probably will be as well. How long will my hip replacement last in your opinion? 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. I wish you only the best. There are a few complications that can occur with anterior hip replacement surgery. Again, considering my own practice, I routinely see my patients recover faster and easier after their second hip or knee replacement because they are more confident having had a good first experience. What to Expect Im sorry to hear that you struggled after your first, anterior-approach THR. Such joint replacement orthopaedic surgery is generally conducted to relieve arthritis pain or in some hip fractures.A total hip replacement (total hip arthroplasty or THA . Infection. Kenneth, You saw me in your office yesterday (I am 48 years old) as I had complications following a THR of right hip anterior approach with revision 4 days later for a slipped acetabular and then last week I had a dislocated hip. It helps the surgeon implant the acetabular component in a very precise position. In another day I was able to take short walks without any limping, etc.. Infection. Patient Resources You are here: Home 1 / avia_transparency_logo 2 / News 3 / disadvantages of superpath hip replacement disadvantages of superpath hip replacementtesla floor mats, model y June 7, 2022 / kimt contest page / in are dogs allowed at schoetz park / by / kimt contest page / in are dogs allowed at schoetz park / by The mini posterior approach essentially is the same as the traditional posterior, however a smaller incision is made and less soft tissue is exposed. One advantage the ceramic-on-polyethylene carries is the lack of . 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. The posterior approach is used by a small percentage of people. The big difference in anterior vs posterior hip replacement is primarily where the incision is made and how long it is. I am now 59, still in good condition but that is being compromised by lack of working out as my hips get sore from most everything I try. Clots can form in the leg veins after surgery. I think speaking to a patient with whom you can relate and who has been treated by the physician youre considering also is invaluable. Can you explain it to me as he didnt go into detail. Dr. William Leone, Hello Dr. If youve had a failed hip arthroscopy, almost certainly you also have acetabular pathology and a total hip rather than a partial hip replacement may give you a more consistent, longer-lasting and more perfect result. One of the biggest changes that Ive seen in my practice over the past 25 years is how quickly patients get well and go home. Clearly, he or she has earned your respect and confidence. If so, is it possible to have both hips done at the same time? Some patients have no pain at all, which is remarkable. What, if anything, can be done to revive femoral nerve and get my thigh muscles back in normal? Patients are told how to use their hip after hip replacement surgeries, which is very different than the usual practice. On the other hand, there may be a slightly increased incidence of anterior instability. Being discharged to a rehab unit is now the exception. 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. 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. I can still do 30-45 mile rides, but I need to take something before each ride, because of the undone left hip. [QxMD MEDLINE Link]. Anterior vs. Posterior, Posterior vs Mini-posterior. A hip replacement involves removing the ball (femoral head) and replacing it with a metal or ceramic prosthetic ball. A THR is in my future. Patients can also have as little as a 3-inch incision. I believe this is an important discussion you should have with your surgeon preoperatively. From what Ive seen, most THR patients dont need very much PT, although I do encourage exercising in a pool. 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. Ive come to the conclusion that perceived benefits do not outweigh the risks with the anterior approach, especially when I can achieve the same or more using the mini-posterior. I deal with major nerve damage on front of thigh, almost whole thigh. Over the years, these precautions and the length of time to adhere to these limits have been challenged both by clinicians and patients. That I knew this recovery may take 1-2 You can be successful by staying healthy by sticking to less pain. In 2013 I had a THA done on the left hip. First, I am a little bit scared. I went with a total hip replacement. Dear DR Leone, 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. Report / Delete Reply kelly1010 nicole66881 Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. A couple of things I am hoping you will explain using laymans termology. I would rather this not happen with my right leg when I have the THR in Jan 2017. I am a sixty five year old active male and need THR on my right hip. The idea is it should be a little less painful if the muscle, tendons and nerves are not disturbed. It was discovered that I had a torn Labrum. I have many patients who are accomplished and passionate ballroom dancers. I was released to go back to work after only 10 days. No Muscles Cut is for billboards. It can lead to numbness in the thigh and, in rare cases, skin irritation due to the nerves presence. I had a consult with a surgeon who does posterior and cuts muscle & tendons. I decided to stick with my trusted orthopedic surgeon (who did two knee scopes on me) who believes the minimally invasive posterior approach is the safest approach. Even though I was positive I wanted this method done, I was still questioning my decision. results, I decided to see and orthopedic doctor was advised to have THR. There are a few disadvantages of anterior hip replacement that patients should be aware of before undergoing the surgery. but it was more torn than they thought and they had to cut out about 1/4 of it. Clearly, he or she has earned your respect and confidence. This means you could go home within 23 hours after surgery. I am totally confused and dont know which procedure to choose. It is important that these medical and cardiac conditions be optimized by your PCP and cardiologist preoperatively. Most of my patients now go home the day after their surgery or the next. As for doctors, the surgeon I had came highly recommended. As noted above, because the femur is difficult to visualize, component positioning, sizing, and stability are more likely to be compromised. Of note, I am a RN with 30 years of experience and took this decision very seriously. Also many folks develop peripheral neuropathy in their lower legs, which also becomes more common with age. Finally, hip replacement surgery is expensive and may not be covered by insurance. There is a possibility that blood loss may be reduced as there is less unnecessary exposed bone surface left to bleed. I was told the joint lubricant had migrated into the hip bone creating the cyst, There is effusion in the joint and stress areas. This left hip remained tender based on my exercise level which I did modify but always my hip had some soreness. So frustrating. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. When it comes to revision surgery, we rely heavily on the posterior approach. A hip replacement is an excellent option for people who suffer from significant pain and disability as a result of arthritis in the hip joint. This treatment is commonly recommended for patients suffering from osteoarthritis of the hip. Also I have read that there is a sharp learning curve that must take place in order to do the direct anterior approach. and Privacy Policy and steps will be taken to remove posts identified I had the mini posterior approach done and it gets better everyday. 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. An artificial joint is used to replace the worn out hip joint during a hip replacement procedure known as posterior hip replacement. 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. Following the anterior approach, we provide you with a number of precautions and positions that you should avoid if you are in danger of being discomfited. Often, as the labrum is torn, it leads to a lifting off of hyaline articular cartilage where these two tissues meet, called delamination. Once again, it sounds as if you had a wonderful surgeon, which is the most important variable. I wish you a full recovery. 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. I had no inkling of this till he showed me on the x-ray. Better luck to you all. They may be: Cemented to the bone. 2023 Brandon Orthopedics | All Right Reserved, hip replacement pain reduction surgery patients, The Best Sneakers For Hip Replacement Patients, Anterior Hip Replacement Surgery: The Pros And Cons, The Truth About Spinal Stenosis: Causes Symptoms And Treatments, Can Years Of Surfing Contribute To Spinal Stenosis, The Effects Of Spinal Stenosis And Carpal Tunnel, Should I Apply Ice Or Heat To A Compression Fracture, How Does A Soft Bed Prevent Healing Of Herniated Disc, Herniated Discs: How To Sleep Without Worrying About Rupturing Your Discs, If You Have A Herniated Disc You Know The Excruciating Pain It Can Cause. You can check these in your browser security settings. We thank you for your readership. The bone isn't dislocated in surgery. Each approach you list has advantages and disadvantages. I think cutting muscle was in the past. In my experience, there is a faster and more-consistent recovery with the mini-posterior. I think the money you spend to have a hip replacement is more than just moral or justified, it is smart business. After all, no matter the age, it will determine the likelihood of maintaining your mobility and independence. Registered in England and Wales. There is no definitive answer to this question as different people will have different opinions and preferences. I was initially sent to a surgeon to consider repair but he said my chances of being happy with the outcome were only 30% and suggest a THR. When discussing the options, my surgeon all of a sudden suggested performing anterior approach. I am unsure whether the minimal invasive posterior is available in SA. 5. I am about 5 6 and 185 lbs, age 58, he did not think the weight was an issues. Hospitsl staff Also, the surgeon said that I would end up having one leg shorter than the other is this true? Its been 8 months now. But this blog was a nice nudge toward the posterior. About how much does this cost? It is much better to precisely release and cut rather than tear or fracture. Thank you for this information. Walking is the best exercise. With degenerative osteoarthritis of the hip developing secondary to a severe slipped capital femoral epiphysis (scfe), recreating normal hip mechanics after THR may have necessitated lengthening the first hip. While it is a surgery that does help many, many people, clearly you are struggling. That being said, I agree completely with your surgeons advice to have a total hip replacement and not a hip resurfacing. Some people also tend to form scar tissue and contracture more readily than others. 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. THOUGHTS? Also, since I am only 51, I am concerned about component longevity. If this occurs, the patient usually requires a total hip replacement. The surgeon will be building a construct that hopefully will last her life time and change her life profoundly. I tore my labrum at age 43 and only discovered then that I had bilateral dysplasia. Dear Doctor Leone, These are some of the most grateful patients in my practice. The second most-common injury is to the femoral nerve. Do I have a risk of fractures during a posterior right hip revision due to my prior complications already? The pain I get is in the groin and a sharp pain in the buttocks, that feels like muscle pain. Im getting close to needing my left hip done. Further, the extent of dissection is more minimally invasive, which also improves stability. I believe going home is very therapeutic and often safer. If an MRI demonstrates no cartilage damage or subchondral cystification (the development of degenerative cysts), a repairable labral tear and minimal dysplasia, then a hip arthroscopy may be considered. As a result of anterior hip surgery, there is little need for any special care. Thank you. 2012 Oct 17;94(20):1897-905. doi: 10.2106/JBJS.K . I try not to let it get to me, but it causing me to feel handicapped. For many years, I performed bilateral THR and bilateral TKR procedures, but have backed away for a variety of reasons. Often in this group of patients, their X-rays show only minimal cartilage space compromise (it may appear thinned and irregular) and I observe at time of surgery that the labrum appears hypertrophied (to compensate for lack of head coverage) and often torn. I plan to retire from working full time June 2017 and am concerned about having appropriate insurance after that. The hip joint can be supported by the socket, which is designed to fit over the ball and provide stability. Other combinations of materials have advantages and disadvantages (for instance, some researchers believe that ceramic-on-ceramic types may be more durable, but they have also been known to make squeaking and popping sounds.) I am terrified of nerve damage as I am very athletic and a previous professional ballet dancer. I think there may be increased associated complications. It also helps to stabilize the acetabular shell and prevent soft tissue irritation on the out edge of the cup. Many people seek anterior hip replacement due to the unbearable pain they feel in their hip joints. Hey, thanks for the forum topic.Thanks Again. So my question is in relation to my body structure. Does the mini posterior hip replacement conserve more femur and allow for future surgeries if needed ? Does this mean my body may reject the metal of the post or cup? 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. Because of the restricted view provided by the anterior incision, the anterior incision is a technically demanding procedure. Also, I am diabetic and have had two organ transplants and am extremely worried about infections, etc. 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. Very important with both the traditional posterior and the mini-posterior approaches, if the surgeon is not able to visualize critical structure adequately, or if a problem were to arise such as a fracture, then either approach can easily be adjusted. Historically short press fit stems have not done well. Why would the doctor not have that at their finger tips? Does anyone ever attempt to do both at the same time if THR is determined? The anterior approach, as a marketing tool, has grown in popularity among surgeons. Raleighs orthopaedic clinic is board certified and has fellowship training in total joint replacement. 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 . Very strange I still have some questions I hope you can answer as this is so distressful for me. That's all I know. The most important variable is how quickly the person is motivated to return to work. The anterior hip can be easily and naturally recovered by walking, simple home exercises, and isometric exercises. 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. Hip replacements might keep you out of action for a considerable period. I dont think there is one best prosthetic. Some have features that are more suited to one persons anatomy and needs than others. Fitness going into surgery and speed of recovery seems to be a common theme though. An anterior capsule is the only soft tissue cut during this procedure to insert the implants. You are free to opt out any time or opt in for other cookies to get a better experience. What is most important is choosing your surgeon. Potentially there also is less pain and a quicker recovery. Blood clots or bleeding. 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. Dr. William Leone. 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. My doc said the angle of my hips is not the worst but also not the best. Many manufacturers are responding to the surgeons desire for shorter stems and many are now available on the market. Possibly, its secondary to an altered gait pattern or hip mechanics. I saw a surgeon who does the posterior approach only and will see another on 4/14/15 who does both approaches. Similarly, an engaged medical team needs to be available to help with care after surgery. An anterior hip replacement is, in many ways, less risky than any other type of hip replacement. Fortunately, if the components are stable (bone-in grown or cemented) and optimally positioned, and the surrounding tissues has fully healed and matured, then that risk is very small. Adults of any age can be considered for a hip replacement, although most are done on people between the ages of 60 and 80. Almost all bilateral THR or TKR patients go to a rehabilitation facility after their acute stay, not home. Since 1995, there has been an extremely low dislocation rate and an infection rate of zero percent. 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. I also would encourage you to choose your surgeon first not the procedure, approach or prosthesis. Ann Transl Med. 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. This technique avoids cutting muscles and tendons, minimizing surgical trauma and improving the post-operative experience.

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