This is not true for bilateral cases. Each is safe, effective, and capable of delivering exceptional results. It does mean the surgeon has lots of room to move about though!! Hip Pain & Injury Care Sarasota, FL - Advanced Sports Medicine You can do anything you want after a hip replacement. Specific protocols, therapy and what positions you will be asked to avoid after surgery and for how long will be directed by your surgeon. Also, since I am only 51, I am concerned about component longevity. The most important thing is to get a top notch surgeon and go with whatever approach they offer. I have been doing ALOT of research about the different approaches to THR and looking for the absolute best surgeon. But this blog was a nice nudge toward the posterior. It is important that these medical and cardiac conditions be optimized by your PCP and cardiologist preoperatively. 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. 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. I would rather this not happen with my right leg when I have the THR in Jan 2017. Will I be able to dance, hike, bike, swim, exercise after a 3rd surgery? Im a very healthy long distance bicycle rider. A major muscle is not cut during anterior hip replacement surgery, so pain is reduced and major muscles are not cut after the operation. 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. I'm hoping to read some posts post surgery. Possible Infections Dr. Sutphen: A minimal number of surgery patients (roughly around 1%) can develop an infection around their hip replacement. I am so sorry to learn that you have had such a bad experience after THR. I had posterior and much like the superpath trussed into the jig . I wish you only the best. Also, after an accident, I had 12 screw and an L shaped plate in my heel. SUPERPATH Hip Replacement | Bethesda Orthopaedic Institute Dear Dr. Leone: You always can block or delete cookies by changing your browser settings and force blocking all cookies on this website. What do you consider to be the most important factors in choosing a surgeon? Types of Hip Replacement (Approach) Hip replacements can be preformed through a direct anterior approach, an anterior lateral approach, a lateral approach, a posterior approach, and a superior approach. This site uses cookies. SuperPATH showed better results in decreasing operation time, incision length, intraoperative blood loss, and early pain intensity. If I can put you on the spot. Lateral femoral cutaneous nerve injury is the most common injury incurred during an anterior approach. Intervals between muscles are separated or muscles are separated in line with their fibers without injuring the muscles innervation. Can I make an appointment with you. Hip Preservation Surgery | Duke Health It requires surgical insight and skill to accomplish. I am a 55 year old with a labral tear and moderate arthritis. I did have numerous blood tests, MRI of knee and hip, total body scan with radio active injection, X-ray knee and hip etc. 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. My surgeon has told me I will need PT 3 times a week for 6-12 weeks is this too long? Of note, I am a RN with 30 years of experience and took this decision very seriously. 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. He strongly recommends the anterior approach as the only way to go. Hi, Super path appears to come with it's hazards due to bone sawing rather than dislocation of the hip to be replaced, making revision much more difficult if issues occur later down the line. I also would encourage pool walking or swimming. If this occurs, the patient may experience pain and swelling. But I am now in chronic low grade pain thats getting worse and dont know what I should do. It's cut off and removed through the hole. Some people also tend to form scar tissue and contracture more readily than others. After reading your article on disadvantages of anterior approach and also doing extensive online search about this subject, I came to realize that anterior approach was definitely a wrong choice considering my physical build short, muscular, overweight. bible teaching churches near me. I deal with major nerve damage on front of thigh, almost whole thigh. I am a 73 year old woman who has been having severe hip pain for the last seven months. 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. I dont think there is one best prosthetic. Some have features that are more suited to one persons anatomy and needs than others. If you are minimally handicapped with discomfort from the non-operated hip and the leg length difference is tolerable or easily managed with a shoe lift or modification, I would consider waiting. I think seeing several surgeons for different opinions is good judgment. I am unsure whether the minimal invasive posterior is available in SA. I'm hoping to read some posts post surgery. 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. I have cared for many patients over the years with significant heart and peripheral vascular disease. And, I Do. With the ease of movements during pregnancy, you will be able to move around more freely. 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. As a result of the interventions, the surgeon has a better view of the hip joint. The most common reason or diagnosis that leads me to replace the hips of young women is hip dysplasia. Better luck to you all. Hip Replacement Materials Best to Worst - Bioxcellerator The source of your hip pain must be diagnosed. Disadvantages of the anterior approach include: The nerve which supplies sensation to the front and side of the thigh is vulnerable. I love that you take time off to reply to these messages it is commendable. 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 Personally I had the posterior approach and cannot see how I could have recovered any faster . 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. Hey, thanks for the forum topic.Thanks Again. Choosing a surgeon should be based on published data (if available), as well as his or her reputation in the community, according to Dr. Delcore. It is much better to precisely release and cut rather than tear or fracture. 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. Other health issues include congenital heart ASD corrected about 12 yrs ago with an amplatzer occluder implant by the right femoral approach resulting in possible femoral nerve compression, Lateral right leg numbness and leg discomfort since the implant, Groin pain and restriction in extending the right leg back has been a problem for some time and masked the fact that at least a portion of my increasing pain was from my hip. I think it perfectly ok to discuss different approaches and ask for an opinion. Adult patients who have a deteriorated hip may be candidates for total hip replacement. Because these cookies are strictly necessary to deliver the website, refusing them will have impact how our site functions. Thanks again! I am feeling like this is a business like everything is else. SuperPath hip approach. Thank you very much for taking time to reply me. In general, people who are older, heavier, or more active may not be good candidates for this type of surgery. People undergoing traditional hip replacement surgery, for example, are advised not to bend at the hip more than 90 degrees for approximately six weeks after the procedure. All have advantages and disadvantages. Im pleased that you will be coming in for an appointment. Back to work/driving in 10 days. I dont know if this stems from the knee surgery but I do not believe so because I was well for about a year and a half. I wish you well. The questions youre asking are 100 percent appropriate. I try not to bring up my mess but its hard when its with one 24/7. 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. If not, what will my restrictions be? I was really careful bending etc for four weeks until I saw the physio, who said "oh you could have touched your toes if you had wanted to!" Help. Problem is that we have seen two doctors and both seem great but are on two extreme sides of the fence. I suggest you discuss your concerns with your surgeon. I am temped to wait but it is getting worse. Dr. Leone, I am coming in to see you for an appointment for a THR to my left hip. What is your experience and take on this ? After a slip and fall at work 2 1/2 years ago I need a THR on my left hip. I needed no physical therapy at all. 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? Its been 9 months(Ive had it 2xs bf and got rid of it and have tried everything and no results this time). Honestly, most 59-year-old active women do best with a well done THR. It can lead to numbness in the thigh and, in rare cases, skin irritation due to the nerves presence. This is used when the cartilage in the hip is severely damaged by osteoarthritis or other conditions. Once you find that doctor, then you need to put your trust in him or her to help you solve this horrible problem so you can return to being active and productive. It exploits the same soft intervals but it typically accomplishes prosthetic implantation and soft tissue balancing through a smaller incision and, more importantly, with less underlying soft tissue dissection. I seem to be able to hike just fine up hill and down but not always on the flat. I suspect there is significant underlying osteoarthritis related to your labral pathology. surgeons certainly do not go out of their way to cut anything, they move stuff about, if tendons do get damaged, it's more likely from the anterior approach as they have less 'sight' of the procedure due to the smaller incision. Thank you for sharing with others the nerve supplements that youre finding affective. A hip replacement is the most common cause of complication in about 20% of cases. 2. Recognize that the underlying etiology is not being corrected by this procedure, so relief of symptoms probably will be temporary and possibly partial. My question is: should I just tolerate the pain and limp, or take a chance with the hip replacement. SuperPath Hip Replacement - SuperPath St Louis | Orthopedic Surgeons After reading your blog Im thankful he suggested this approach. 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. We have to get ok from cardiologist and get ekg, chest xray, etc. We fully respect if you want to refuse cookies but to avoid asking you again and again kindly allow us to store a cookie for that. Traditional hip replacement surgery is no longer an option, but it is less painful and has a number of advantages. I assume PTHR is referring to partial hip replacement. 2 x week. The surgical technique for a SUPERPATH Hip Replacement was developed as an advancement to traditional total hip replacement. That's all I know. Length of hospital stay with SuperPath hip replacement approach. Dear Dr. Leone, Hip pain, soreness, and stiffness can quickly become unbearable and sideline us from the things we enjoy the most. Does either procedure in this discussion present restrictions or advantages for this sort of movement? There are risks and recovery times associated with surgery. I came home with crutches, abandoned them at the front door and have not used them since. Patient is a UK registered trade mark. 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 . My walking is very limited, shoe is built up as leg is shorter and in recent months Ive realized my leg is bowed. I was released to go back to work after only 10 days. Dr. William Leone. On July 17th, I had a left THR. A mini posterior approach is a modification of the classical posterior approach.