disadvantages of superpath hip replacement disadvantages of superpath hip replacement

Even if the hip doesnt dislocate, prosthetic or soft tissue impingement is not beneficial. Dr. Following surgery, the surgeon will devise a routine for the patient to engage in that is both comfortable and safe. Have you ever performed the Mini on a patient 1 year after major open heart surgery? I am about to have a hip replacement and would like to know what kind of limitations Ill have afterward. I am a sixty five year old active male and need THR on my right hip. At the end of the day, I promise, it is not the approach but rather the person who is doing the surgery. Some in the early period have good track records, others do not. Thank you for sharing. About how much does this cost? My question is, I am a very active 67 yr old. 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. Having physio My surgeon mentioned also cutting something to free me up at the same time he will be doing the posterior approach surgery. I thought the newer procedure on the special table was the best way to go. Dr. William Leone. If you refuse cookies we will remove all set cookies in our domain. Some of the most common considerations are age, weight, activity level, and the presence of other health conditions. Fortunately you live in a part of the world where there are many capable orthopedic surgeons. But this blog was a nice nudge toward the posterior. A shorter hospital stay and faster recovery are typical of this because there is less damage to the muscles. Click on the different category headings to find out more. With SuperPath, there is no surgical dislocation of the hip. I have had problems with my hip for the last several yrs. I was told the joint lubricant had migrated into the hip bone creating the cyst, There is effusion in the joint and stress areas. appropriate medical assistance immediately. When people loose independence and mobility, not only does the quality of life suffer, they are much more likely to develop a myriad of medical problems requiring even more-expensive and/or long-term care, including loss of independent living. Obese or extremely muscular people may not be the best candidates for this surgical procedure. It also keeps the surrounding muscles and tendons in place to reduce the risk of post-op pain and nerve damage. SuperPath hip replacement is a differentiated total hip technique being performed by a growing number of experienced surgeons. They are encouraged to be very active and most stop using a cane, can drive their cars and are exercising in the pool, just two weeks after surgery. In addition, patients prefer the anterior approach due to the absence of pressure on the Femoral nerve in the anterior approach. I would like your opinion on the stem cell injections as I am really afraid of the second surgery on the same side of my body. Both problems are on the right side of my body. I do participate in competitions and showcase presentations. Most traditional hip replacement models are metal-on-plastic varieties. In comparison to traditional methods, anterior approaches to the hip joint are more effective. In my experience, most patients who undergo a total hip replacement dont limp after their surgery and most feel their legs are the same length. Enhanced soft tissue techniques also have been developed which more securely close the tissue around the newly placed prosthesis and set the stage for healing. No Muscles Cut is for billboards. The source of your hip pain must be diagnosed. In my experience, after four to six months most patients simply return to normal activity. If your surgeon did a great job, that is something to respect. Would not make eye contact. I am 56 now and find that physical therapy and chiropractic care dont seem to be helping anymore. Hi guys im 43 and live in Australia and due to have hip replacement in 7 weeks but im so confused as my surgeon is doing the posterior and im off work for 6 weeks where i here people having the anterior and going back sooner and no restrictions on hospital discharge any advice. Not quite in the past. THOUGHTS? Yes, you do have increase risks. I ski, hike (steep terrain) with a pack -about 25 pds, kayak, horse back ride, swim, water ski and bike, which is getting increasingly more difficult. Hip pain, soreness, and stiffness can quickly become unbearable and sideline us from the things we enjoy the most. 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. Since I previously had both knees replaced (by another surgeon) about 5 years ago and still have problems with the knees i.e. If your surgeon has recommended surgery, I assume youre no longer getting adequate relief of pain or able to remain active with conservative measures. If you do not want that we track your visit to our site you can disable tracking in your browser here: We also use different external services like Google Webfonts, Google Maps, and external Video providers. It is 100 percent normal and expected to be scared before surgery. Remember, what youre hoping to do is have a hip construct that will last 20 years or more. I am a 55 year old with a labral tear and moderate arthritis. I dont want a long recovery time as I am very active. The SUPERPATHTM procedure provides a number of advantages over traditional hip replacement surgery. Note that blocking some types of cookies may impact your experience on our websites and the services we are able to offer. Fax: 954-489-4584 Which approach did the doctor take? I am a 73 year old woman who has been having severe hip pain for the last seven months. 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. I dont think there is one best prosthetic. Some have features that are more suited to one persons anatomy and needs than others. I wish you the best of luck. What is your experience and take on this ? Currently, I seldom do bilateral THRs under a single anesthesia but instead stage the surgeries 2 1/2 to 4 weeks apart, depending on my particular patient and his or her needs and desires. When the capsule is fully healed, it forms strong ligaments that will eventually regrow (it will take about 4 months for the capsule to form again). My strategy is to make as small an incision as possible, but one that allows for excellent exposure and reconstruction without brutalizing the tissues. It is important to consider the SuperpathTM technique if you are considering a hip replacement. If possible, choose a hospital that specializes in joint replacement and can back that up with excellent statistics and reputation. The experiences will vary greatly . I think its vitally important that you go into surgery truly believing in your heart that you are going to do well, and that you are with the best surgeon and team who will help you. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. Doctors use metal, ceramic, or plastic replacement parts. Fewer narcotic medications are administered, resulting in a better overall recovery. Being discharged to a rehab unit is now the exception. I am totally confused and dont know which procedure to choose. But Im impressed with your blog and responses, so am writing to ask you about an apparently new procedure in which the surgeon uses a customised implant, utilising pre-operative 3D CT scanning. 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. Less tissue damage during surgery allows for a much faster recovery and no restrictions in range of motion when compared to traditional hip surgery. The incision made for the operation can be as small as three inches. Having diabetes and two organ transplants does significantly increase your risk for post-op infection as well as other complications. A hip replacement involves removing the ball (femoral head) and replacing it with a metal or ceramic prosthetic ball. As a result of the interventions, the surgeon has a better view of the hip joint. Optimal component positioning also is critically important for the best stability and longevity. Because the muscle fibers are separated, not cut, the nerve path is not disturbed and the muscle is not injured. I definitely didnt have any tendons or muscle cut and was cycling on the road from day 12 and back running at week 4 . An anterior capsule is the only soft tissue cut during this procedure to insert the implants. SuperPATH is a micro-invasive method of performing a standard total hip replacement where the surgeon utilizes a smaller initial incision and, more importantly, a very limited dissection in the deep tissues. It's a hip replacement surgery where you lie on your side. Do I have a high percentage of hip dislocation after a 2nd revision done posterior way if so what is my chance of another hip dislocation even if I do the surgery again? It is normal to want to recover quickly and return to a very active lifestyle without pain. I was so against doing this surgery but groin pain was very bad and crushed bone in the groin. Get Directions, Phone: 954-489-4575 Minimally invasive versus standard incision anterolateral hip replacement: a comparative study. Introduction. Dr. Leone, I am coming in to see you for an appointment for a THR to my left hip. Thanks. 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. Dr. William Leone. Im hoping to play tennis, go dancing and horseback riding once Ive healed. 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. An anterior hip replacement procedure, on the other hand, performs the same function as an anterior hip replacement in terms of tissue shaving. Hip replacement surgery is less painful than arthritis or fracture-related pain. I have had both hips replaced about 13 months apart, one anterior and one posterior, and there is no doubt that I would recommend anterior. 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. Hip anatomy Finally, hip replacement surgery is expensive and may not be covered by insurance. We use cookies to let us know when you visit our websites, how you interact with us, to enrich your user experience, and to customize your relationship with our website. This absolutely does not require a special table. Because of the marked improvement in modern plastics, there is greater longevity and durability of acetabular plastic liners and larger femoral heads are used routinely which results in an improved the head/neck ratio and therefore the jumping distance for a 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. I really appreciate this website. Its been 8 months now. It is critical that the patient and the doctor consider whether the patient is a good candidate for surgery, the cost and recovery time, and the surgeons expertise. I am having the mini posterior done in June and my surgeon gave me the pros & cons of both. They thought it would give me about 5 yrs. SuperPath approach is the least invasive due in part to the minimal amount of tissue damage. Finally, I would choose a doctor with whom you connect and whose staff is engaged and knowledgeable. I advise both my total hip and my total knee patients to avoid repetitive impact activities like distance running. Since these providers may collect personal data like your IP address we allow you to block them here. In the hands of a master, all can produce wonderful and predictable results. 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 mom is obese, short and has osteoporosis. These can include damage to blood vessels or nerves, dislocation of the hip, and infection. Patients can also have as little as a 3-inch incision. But I am now in chronic low grade pain thats getting worse and dont know what I should do. The surgeon I went to said he does THR using a lateral approach. Had a total hip replacement aug 2013. I really dont know where to go from here. It is difficult to get that from information which I find curious. Im pleased that you will be coming in for an appointment. Read our editorial policy. Changes will take effect once you reload the page. I actually was supposed to get both done at roughly same time but its been 3yrs with this bad right hip, mainly i was in great fear of going through that pain again, but now i think that pain will be better than this everyday pain!! Pain and disability are reduced. This is actually a good sign. DAA had a lower rate of hospitalization and functional rehabilitation as compared to the lateral approach, as well as a lower perceived level of pain. Also had Ultimately, it is important to discuss all of the available options with your doctor to determine which method of hip replacement is best for you. Notes on SuperPath experiences good or bad, https://patient.info/forums/discuss/superpath-experiences-good-or-bad-718788. We now have too many other proven bearing surfaces available. Additionally, there is a small risk of dislocation after surgery, which can be painful and may require additional surgery to correct. My acyive 60 year old husband is scheduled to have Mini posterior total hip replacement in 6 weeks. http://holycrossleonecenter.com/blog/hip-resurfacing-or-total-hip-replacement-a-candid-discussion/, http://holycrossleonecenter.com/blog/metal-on-metal-hip-replacements/, I wish you the very best recovery. These cookies collect information that is used either in aggregate form to help us understand how our website is being used or how effective our marketing campaigns are, or to help us customize our website and application for you in order to enhance your experience. I had the posterior approach, the surgeon did not cut any muscle plus I had no pain at all after the op. Im sorry to hear that you struggled after your first, anterior-approach THR. Back to work/driving in 10 days. All rights reserved. I spoke to the surgeon, he believes it may take up to 6 months to get better from this neuropraxia. A lot of hospitals and ambulatory surgical centers offer what's called outpatient surgery. Also, when a single joint is replaced versus bilateral, there is significantly less bleeding and hence a much decreased need for transfusion. Do you have any advice or ballroom dancer THR stories to share? When a dysplasic hip is reconstructed to THR, its important the abnormal mechanics are corrected, typically by medializing (closer to the midpoint of the body or bladder) the cup. No one tells me the same thing? 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. A hip replacement can be delayed until it is absolutely necessary if the replacement parts can fail over time. What is the best hip replacement option: anterior or Posterior? It sounds like he did fabulous job. It is important that the individual who ultimately implants your next THR uses the approach which he or she feels comfortable with and has the best chance to deliver the optimal result. Ill be 60 at the time and Im 54 and weight about 130 lbs in fairly good shape. I would not anticipate them improving with time, but rather worsening, and I cant imagine you being able to resume the activities you described without having surgery to treat this. THR if a MRI or Pet Scan isnt done? There are a few complications that can occur with anterior hip replacement surgery. I wish you a full and speedy recovery. Here are a few of the advantages of anterior hip replacement. Your symptoms still sound mechanical, positional and episodic. It is important that you find a doctor who is experienced in caring for people with complex issues. There are potential drawbacks to anterior hip replacement. Appalachian orthopedic surgeons perform revision surgery as well as mini-posterior and anterior approaches. Each approach has advantages and disadvantages. I wish your patient well. Most doctors have and continue to implant hips through the posterior approach. 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. DAA and SuperPATH were equal in functional outcome and acetabular cup positioning. We may request cookies to be set on your device. Back then my surgeon advised me to perform a posterior surgery as opposed to anterior saying that I was overweight, short and a very muscular person and it would be easier and safer to do so. I have many patients who are accomplished and passionate ballroom dancers. For many years, I performed bilateral THR and bilateral TKR procedures, but have backed away for a variety of reasons. When the stem is placed in the femur, it still destroys the same amount of bone for implantation, regardless of which approach is used. The particular surgeon who did your hip is also uniquely qualified to advise you with regard to the postoperative stability of your particular hip, because he or she physically tested your hip intra-operatively. A mini posterior approach is a modification of the classical posterior approach. Dear Dr. Leone, SuperPath hip replacement is a newer method and has been used since 2019 at Leicester's Hospitals. 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. Remain upright . I also would encourage you to choose your surgeon first not the procedure, approach or prosthesis. 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. Thanks so much for this information! The first step to rule out infection is to have two simple blood studies done, an ESR and CRP. My worry is that I will end up with one leg shorter than the other. I try not to let it get to me, but it causing me to feel handicapped. The anterior approach exploits an interval between muscles that cross the front of your hip and thigh. Would appreciate any input you might have on the auto immune issue, and weight etc. All orthopaedic surgery demands a long recovery period. 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. 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. My question is: should I just tolerate the pain and limp, or take a chance with the hip replacement. I had a posterior, the surgeon did not cut any muscle, they just move them now. I find that patients who are well informed and know what to expect prior to surgery get well even faster. No feeling in my leg and no movement Dr. William Leone. Posterior hip surgery may be the best option if your surgeon makes a larger incision at the side or back of the hip joint. We want the forums to be a useful resource for our users but it is important to remember that the forums are I emphasize continuing exercises at home especially walking. 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. The most important decision you will make is choosing your surgeon. Potential Disadvantages of Anterior Hip Replacement Anterior hip replacement does have a few limitations: There may be wound healing issues Research suggests that people who undergo anterior hip replacement may be more likely to have a problem with wound healing, particularly infection.