Patients will want to talk with their surgeons about why they think a particular approach is best for them. As one of a few experts in New York he performs both anterior and posterior total hip replacements as well as resurfacing. That should give you an idea of the recovery time involved. Anterior hip replacement (AHR) is surgery to replace a hip joint damaged by wear, injury, or disease. While there are several approaches to enter the hip joint to remove arthritic cartilage and diseased bone, there are primarily two approaches that involve minimal trauma to the hip abductors—muscles that are critical for a normal walk and speedy recover. Las Vegas, … Plus neither have mentioned — other than saying I would need a shoe lift, which I already use now — if they would have to cut off any more bone before inserting the femoral stem — making my leg even shorter. In posterior hip replacement, the surgeon gains access to the hip with an incision by the buttocks. Her husband opted for posterior. Please buy it from trusted store. I was walking with crutches the day of surgery, and with barely a cane after 3-4 weeks, and dancing at 6 weeks. Print details ; Email; Share; Facebook; Twitter; Overview; Participation eligibility; Participating Mayo Clinic info; More information; Overview. Are those enough? Dear Mayo Clinic: I have severe arthritis in my hip and have been looking into hip replacement surgery. During hip replacement, a surgeon removes the damaged sections of your hip joint and replaces them with parts usually constructed of metal, ceramic and very hard plastic. Their consult confirmed that she was a candidate for this type of approach, and she underwent hip replacement on her right side using the anterior approach in December 2013. I did this so the members already discussing this topic would see your message and so that you could read some of their previous posts. Anterior hip replacement (AHR) is surgery to replace a hip joint damaged by wear, injury, or disease. The one who does hips also does knees — about 60 hips and 140 knees a year. Both have outstanding credential and did Ortho fellowships in nationally recognized hospitals. I'll try to give you a long term perspective. I have a femur head that is collapsed and has been for about 6 years. Proponents say it speeds up recovery time. 2017 I had total hip replacement anterior approach. Mikaili Robertson has a passion for playing college sports, so the second baseman was devastated when at age 18 he learned he needed a hip replacement. The posterior approach is what has been taught in most orthopaedic training programs across the country, because it is versatile and most problems with the hip joint can be addressed with the posterior … Hi, @JustinMcClanahan Thanks for moving my post to the proper category. It would be refreshing to hear a doctor say: "You know. Salyapongse explains what he has seen first hand: "patients who have had anterior hip surgery on one side and posterior hip surgery on the other, most often prefer the anterior hip side." I believe she said it can be riskier for nerves so if your doctor wants to do it you should make sure the doctor has done at least hundreds of them. Nerve palsy after total hip replacement (THR) is one of the worst. What I have found is that each surgeon has a preference and usually does one or the other but not both. Anterior vs. Posterior Hip Replacements For patients with osteoarthritis or that have experienced trauma to their hip, a total hip replacement can restore function and decrease pain. At a minimum you need gait training to get you walking in such a way as to minimize stress on back and knees. She didn’t even need pain pills or crutches this time around. @marysapp, @mrcapri, @melar1, @lynnd1961, @scottjeffe all discussed having the anterior approach done in this conversation, https://connect.mayoclinic.org/discussion/has-anyone-had-sharp-thigh-pain-after-hip-replacement/. One randomized clinical trial of direct anterior THA versus contemporary miniposterior approach THA suggested an early functional advantage for the direct anterior group, but importantly, there were different postoperative instructions given to those two groups of patients, with the miniposterior group alone being cautioned to follow traditional hip dislocation precautions . In the posterior approach, the incision is placed on the side or the back (posterior) of the hip area. … One of the primary differences between posterior and anterior hip replacement is the location of the incision. Tab Title Description. Aug 21, 2019 Richard A. I wasn’t able to go upstairs for well over a year, and, recently, I’ve been able to go back up and I said, ‘Oh, my upstairs misses me.’”. Can anyone tell me any advantage of a posterior approach when the patient is a good candidate for either? Anterior vs. Posterior Hip Replacements. @khalt @happybug I was speaking to someone today who had just read up on this! This artificial joint (prosthesis) helps reduce pain and improve function.Also called total hip arthroplasty, hip replacement surgery may be an option for you if your hip pain interferes with daily activities and more-conservative treatments haven't helped or are no longer ef… With the posterior approach we give you certain precautions or positions to avoid for dislocation. This is precisely what happened to my sister who is now having numerous problems which I feel could have been avoided had she had the anterior approach. This allows precise placement of components that are correctly sized. There are several approaches to the hip joint that can be utilized for total hip replacement and these include with some variations the posterior approach (Moore or Southern), the lateral approach (Hardinge), the anterolateral approach (Watson Jones), and the direct anterior … I worry that the posterior approach would injure my atrophied muscles — already seen as atrophied/fatty on an MRI and confirmed by other docs — but this doc says he doesn't think my muscles are as weak as others have told me. In the short-term, anterior hip replacement is less painful and leads to a quicker recovery of mobility and strength compared to a posterior or lateral … For patients with osteoarthritis or that have experienced trauma to their hip, a total hip replacement can restore function and decrease pain. I did this so the members already discussing this topic would see your message and so that you could read some of their previous posts. In the posterior approach, the incision is placed on the side or the back (posterior) of the hip area. He had one THR a few years ago – posterior. The joint is held together by ligaments and muscles. The surgeries were done on her left side, and her surgeon used what’s called a “posterior approach” in both cases. The average hip replacement lasts 20-30 years or more. Participants in the study were initially seen by one of four Mayo Clinic surgeons. It is fusing onto the socket that it should be rotating in. From some of the other members' posts, your assessment on it coming down to what the surgeon is comfortable with is typically what members have experienced. 8402 W. Centennial Pkwy. Surely not every approach is good for each situation, right? The other says anterior. I told my regular doctor (internal medicine) I have a choice and he said why would you want the posterior approach? Home » Anterior Hip Replacement vs. Mini-Posterior Hip Replacement . Since then, my hip continues to NOT hurt. Hip Replacement Approaches Anterior, Posterior, Lateral & Minimally Invasive. Hello @happybug. I don't want to endanger my already atrophied muscles, or get an infection from an incision that is very long, etc. “I haven’t even been able to walk to the mailbox because my hips hurt so much. Why even suggest that then? Ivy Brooke Hayes from Florida shares her thoughts about having a bilateral total hip replacement at Mayo Clinic in Arizona. The older Docs were trained in posterior approach the younger ones can do both but prefer anterior unless there are complicating factors. The direct anterior patients had longer mean operative times (114 minutes; range, 60-251 minutes) than the miniposterior patients (mean, 60 minutes; range, 41-113 minutes; p<0.001). Simply click VIEW & REPLY to read past posts. Would the direct anterior approach work for someone like me? Anterior hip replacement is done with the patient lying on their back on a special table that allows precise positioning of the affected leg. The hip joint is where the top of your femur (thigh bone) sits in the socket of your pelvic bone. Study type Interventional. Those revisions, and a subsequent one were all done within an 8 week period -don't ever do that! Introduction. Thank you. @happybug , Hi happy, I had posterior 8 months ago. version 3.3.6.2.3.2Page loaded in 1.072 seconds, "Hello @happybug. The minimally invasive implantation of the hip replacement was carried out by the senior author (B.F.) and involved sparing of the quadratus femoris muscle as described by Inaba et al. The recovery time from 3 major surgeries with anesthesia and blood loss in that short time took a year. It all seems so much like an "assembly line.". It allows the surgeon to fully visualize the hip and perform any type of reconstruction necessary during the procedure. 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