disadvantages of superpath hip replacement

There is also a risk of the hip joint not fusing correctly, which can lead to pain and instability. This technique is also referred to as the . There are numerous complications associated with hip replacement surgery, but blood clots in the legs and hips are two of them. Hip implants are medical devices intended to restore mobility and relieve pain usually associated with arthritis and other hip diseases or injuries. Does the mini posterior hip replacement conserve more femur and allow for future surgeries if needed ? I have a good surgeon (same one as last time) but I dont know how he would feel about my asking if a mini posterior (or posterior) procedure be carried out, so as to preserve as much strength in my right leg as I now have.Do as many muscles need to be cut in the mini posterior procedure? So im going back to the surgeon that did my left hip and left me in agonizing pain for 2 months after procedure. Because of the restricted view provided by the anterior incision, the anterior incision is a technically demanding procedure. While it is a surgery that does help many, many people, clearly you are struggling. I would like your opinion. The surgeon was not at the pre-op meeting, but the PA assured me it was not that big of a deal (but to me, ALL surgery is a big deal!). It is so important to stay focused on the outcome of your hip replacement surgery: excellent results both short- and long-term with minimal risk of injury or complication, and not lose sight of the real goal, which is to create a perfectly positioned reconstructed hip that is stable, balanced and has the best possible chance of lasting more than twenty years. Does anyone ever attempt to do both at the same time if THR is determined? When it comes to hip replacement surgery, the surgeons skill, the patients weight and build, and the surgeons level of experience all have an impact. Testimonials I also would encourage you to choose your surgeon first not the procedure, approach or prosthesis. The nerve which supplies sensation to the front and side of the thigh is vulnerable. The only problem Ive had post hip replacement is some on/off again groin pain. I assume PTHR is referring to partial hip replacement. I am a competitive tennis player in my age division. Dr. William Leone. (tho I am sure I asked about it ahead of time), I believe you are having trouble finding definitive answers and recommendations because every surgeon has his or her own recipe and experience and also the medical recommendations keep changing. Spring 2014 had trouble playing tennis, hip kept feeling like it was popping out of joint, groin pain, aching. Understand that every total hip, no matter which approach is used to implant it, has the potential to dislocate. Read our editorial policy. Other preoperative guidelines, such as using a prescribed pain medication and keeping the incision clean and dry, should also be followed by patients. If the tissues are traumatized and / or the final components are not optimally positioned, then it certainly is not an advantage. Hip replacement surgery is typically performed in a hospital and requires at least one night in the operating room. 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 would like to share my experience with both procedures. 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. All rights reserved. I still maintain that by far the most important decision patients must make is choosing the surgeon who will do their surgery and take care of them, then trusting that individual to choose the approach, prosthesis and make a million other decisions that deliver as perfect a result as possible. 1000 NE 56th Street, 1.2. It helps the surgeon implant the acetabular component in a very precise position. I ask my patients to restrict certain positions that exceed the mechanical limits of the artificial hip for the first six weeks. I have a tilted sacrum, sway back and a very large posterior. Celle said: Superpath may give you a faster early recovery, but whatever method is used, recovery is still going to take a long time. I have the hospital but am deciding on the surgeon and which approach is best. Although Superpath hip replacement is often a safe treatment, it may be associated with certain concerns, such as increased postoperative pain, as with any surgical procedure. The SUPERPATH technique is a tissue-sparing procedure which aims to get patients back on their feet within days (possibly hours) instead of weeks or months. It is difficult to get that from information which I find curious. The most important thing is to get a top notch surgeon and go with whatever approach they offer. It's a hip replacement surgery where you lie on your side. Conclusions SuperPATH approach showed better results in decreasing incision length and early pain intensity as well as improvement of short-term functional outcome. This is actually a good sign. The new femoral prosthesis and new socket . An anterior capsule is the only soft tissue cut during this procedure to insert the implants. 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. Im hoping to play tennis, go dancing and horseback riding once Ive healed. Each question is scored from 1-5, with 1 being no problems and 5 being severe problems. respect of any healthcare matters. Its reasonable to inquire about his or her experience using the Mako robot. The posterior approach, then, is less inherently stable but may or may not require precautions. All orthopaedic surgery demands a long recovery period. I think researching the hospital where you will have your surgery is very important. General comments will be answered in as timely a manner as possible, Hip & Knee Surgery You can resume your active lifestyle as soon as possible thanks to a new prosthetic hip. I sit on a cushion in the car to lift me up. Fortunately you live in a part of the world where there are many capable orthopedic surgeons. We thank you for your readership. 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. Does my prothesis not last as long since I am now doing a 3rd surgery? 2. Comparison of short-term outcomes between direct anterior approach (DAA) and SuperPATH in total hip replacement: a systematic review and network meta-analysis of randomized controlled trials. If they did develop five months post-op, then you have to consider that it could be a manifestation of back pathology compromising a nerve root. Start your day off right, with a Dayspring Coffee What Ive seen in my practice is that the more total hips I do, the less restrictions I place on my patients and the more active my patients are. I am Australian so no business from me but it has helped me become happier with my prospective surgeons judgement that he will offer me a posterior THR (hopefully the minimally invasive) when my insurance allows the procedure to occur. In 2014 I had to do another THA, this time on my right side. Many patients approach this by researching online and speaking to other patients who have been cared for at a particular facility. Thank you. It seems reasonable and I trust my surgeon but would like to know what I'm in for post op and beyond. What determines the differences? They may have a certain cut-off criteria (for example, a BMI of less than 35). but it was more torn than they thought and they had to cut out about 1/4 of it. 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. Some hospitals and surgery centers are promoting one method of hip replacement over another. I then would strongly suggest you trust that person to decide what approach and what prosthesis predictably will deliver the best results. I have congenital hip dysplasia which has gradually caused more pain as Ive gotten older. 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. Will I still be able to do the things I like to do? The most common total hip replacement method is the anterior approach, which allows the surgeon to see better, more precisely place implants, and perform less invasive total hip replacement surgeries. Also, is it immoral for an 80 year old to have THR and cost the nations health care system $25 $35k? Remain upright . Further, the extent of dissection is more minimally invasive, which also improves stability. The vast majority of my patients have their surgeries with a simple spinal with IV sedation so they are sleeping throughout the procedure . Some people also tend to form scar tissue and contracture more readily than others. I also regularly receive Rolfing treatments which has helped me manage pain and maintain what mobility I have. Patient does not provide medical advice, diagnosis or treatment. I am a South African and need to make a decision on whether my mother (69) goes for an AMIS or traditional posterior. More likely, its because ones activity increases after the first THR. It will help desensitize and help get your muscles working in synchrony. You helped me tremendously in my research of the track record of my HMO, now I have one more quick question to run by you. Thanks so much for this information! I think speaking to a patient with whom you can relate and who has been treated by the physician youre considering also is invaluable. It is critical that the patient is aware of the risks, benefits, and alternatives of the procedure. If they are really happy, then you probably will be as well. There tends to be a lesser incidence of posterior instability with the anterior approach. A major muscle is not cut during anterior hip replacement surgery, so pain is reduced and major muscles are not cut after the operation. Many studies suggest that any limp or clinical weakness resolves after approximately three months. 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. Disadvantages of the anterior approach include: The nerve which supplies sensation to the front and side of the thigh is vulnerable. A hip replacement can be delayed until it is absolutely necessary if the replacement parts can fail over time. Thanks again! Always speak to your doctor before acting and in cases of emergency seek The mini-posterior is considered a more straightforward approach then the anterior, resulting in lesser complication rates. 3 years ago, What are the experiences of other countries with THR? Thank you for this information. This often leads to a less than optimal component position.

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