Long-term outcomes of SuperPATH approach need to be investigated. Long recovery but all is well. When done well, your body does well with this technology. The pain is really inconsistent, one min I will be walking fine and the next it catches and is very painful, then it may go away or may not. Thank you. Mine certainly have. I do not do hip arthroscopy. Patient Concerns What are the risks involved? We now have less-invasive techniques, better surgical methods of closing soft the tissue and more experience. If possible, speak with other health professionals who work at the hospital or at least in the same geographical area. A hip replacement is a common type of surgery where a damaged hip joint is replaced with an artificial one (known as an implant). No Muscles Cut is for billboards. Anterior vs. Posterior, Posterior vs Mini-posterior. 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 . I think tennis, dancing and horseback riding are fine. Is AL better than P for this? My recommendation is to go back to your surgeon and share your concerns and issues to see if a fresh and thorough reevaluation wont help define the problem(s) and solutions. The first is that it is a major surgery, so there is a risk of complications such as infection. I play in the 50s age group. I think the recovery time is the same though. This does expose the patient to more radiation but can help with component positioning and sizing. 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. He is passionate about helping his patients achieve the best possible outcome and is committed to providing the highest quality of care. I am still a very active 67 yr old, I like to ski, bike, hike (steep terrain) with about 25 pds. Note that blocking some types of cookies may impact your experience on our websites and the services we are able to offer. I am about to have a hip replacement and would like to know what kind of limitations Ill have afterward. I havent dropped in here for a while but here I am almost 5 yrs post op Anterior and Femoral Nerve Damage is very alivewhole thigh is numb, IT band is still very sore and numb. What is SuperPath Hip Replacement? 35 (2):153-62. I have congenital hip dysplasia which has gradually caused more pain as Ive gotten older. What do you mean by painful anterior scarring and soft tissue exposure and trauma? The initial recovery period typically takes six weeks or more. Not only was my recovery twice as fast with the anterior, there was very little pain in comparison. Hip replacement surgery can open up a world of possibilities for people who have lived with pain and restricted movement. It was also observed to be associated with longer surgery times. 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. Patients are typi. For centers like Phoenix Spine and Joint that use a robot, there is . A major hip replacement can take up to four months to fully recover from. Yes, you can do very well. 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. Can I expect any problems with the bilateral it was my choice. There are a few disadvantages to hip replacement surgery. 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). I have many patients who are accomplished and passionate ballroom dancers. Many studies suggest that any limp or clinical weakness resolves after approximately three months. He is one of the few surgeons in the U.S. that performs total hip replacement via a superior capsular approach, the most soft tissue-sparing hip replacement available and is an industry educator in the . Thanks, SuperPath hip replacement is a differentiated total hip technique being performed by a growing number of experienced surgeons. Fortunately, you have already experienced a THR and have done well. I also would find out your surgeons recommendation regarding activities and restrictions. 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. Having a THR is a major undertaking and it is reasonable to expect the hip construct to function optimally for twenty and more years. Imagine your femoral head lacking full acetabular coverage, resulting in an overloading of the superior aspect of your socket, hence the cartilage and labrum becoming damaged and ultimately breaking down. The mini posterior approach essentially is the same as the traditional posterior, however a smaller incision is made and less soft tissue is exposed. Both approaches have been shown to have potential in research. The surgeon makes 2 incisions one bigger than the other on the rear side and separates the muscle and tendon to get to the hip instead of cutting the muscle and tendons to get to the hip. Superpath total hip replacement animation. Total hip replacement is one of the most successful operations ever developed and is a remarkably predictable way to relieve pain from arthritic conditions. You should keep in mind that the vast majority of hip replacement pain reduction surgery patients are satisfied with their final results. 1. Would you recommend treating plantar 1st? If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. This allows you to resume normal daily activities quickly while also returning to normal range of motion and function. Le has extensive experience in primary joint replacements, complex revision surgery, periprosthetic fractures, and infection management. Fortunately, the incidence of hips dislocating after THR is very small, especially after first-time hip replacement. These scores are not aggregated. Hard-on-hard bearings, such as ceramic-on-ceramic as well as metalon-metal articulations, also resulted in larger femoral heads being implanted. If you refuse cookies we will remove all set cookies in our domain. 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. but it was more torn than they thought and they had to cut out about 1/4 of it. My worry is that I will end up with one leg shorter than the other. Cons of Robotic Assisted Surgery As with any type of procedure, Mako is not without its drawbacks. It normally takes about 3-6 weeks to resume normal household activities and about 12 weeks to resume recreational activities like bicycling or golfing. I dont know what type of procedure was used for my first op but it was sucessful and now can do a half lotus position with no problem.I do find however that the muscles at the front of that leg are not as strong as my unoperated right leg and lifting the left leg to a vertical position in yoga, when lying on my back, is quite difficult. 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. Additionally, there is a small risk of dislocation after surgery, which can be painful and may require additional surgery to correct. Dr. Parsons has extensive experience in the posterior, anterior and superior (SuperPATH) approach to total hip replacement having performed hundreds of each. I'm scheduled for THR on the 22nd. Our team of experts, doctors, and orthopedic specialists are here to share their knowledge and experience with you in order to help you make informed decisions about your health and well-being. Are expected to be out of bed (hips and knees patients) the afternoon of their surgery and at least taking a few steps if not walking. How long will my hip replacement last in your opinion? Both have valid cons against the others methods and pros on their method. Also, only a small percent of C-on-C bearings are being implanted at this time. Patients can also have as little as a 3-inch incision. If your X-rays reveal that you already have bone on bone due to osteoarthritis, then you typically dont need either an MRI or Pet Scan, unless another diagnosis is suspected. The surgical technique for a SUPERPATH Hip Replacement was developed as an advancement to traditional total hip replacement. Remain upright . For the prevention, diagnosis, and treatment of hip pain and other problems affecting your hips, call Advanced Sports Medicine Center today at (941) 957-1500. Many wonderful physicians are part of various HMO panels. I saw a surgeon who does the posterior approach only and will see another on 4/14/15 who does both approaches. Thank you. Dr. Sigmund holds a subspecialty certificate in Orthopedic Sports Medicine. If I do a single hip or knee replacement, that patient is out of bed standing and, in most cases, walking the afternoon of surgery. Had a total hip replacement aug 2013. I think it is important to define and isolate why youre doing so poorly. Pain Management I had the mini posterior approach done and it gets better everyday. Dr. William Leone. I now need the right hip replaced. I wish you only the best, Thru X-rays Ive been told both hips are bone on bone! Even after the procedure is completed and the patient is on pain medications, pain and discomfort may occur in some cases. In the case of a worn or damaged ball and socket, artificial parts can be used to restore joint function. Typically, the new cup will be medialized to gain coverage and correct the abnormality that lead to your arthritis. Would not make eye contact. Its been 9 months(Ive had it 2xs bf and got rid of it and have tried everything and no results this time). 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. Some patients report that symptoms increase in the not-yet reconstructed hip because of the leg length inequality. No one tells me the same thing? Why is that? Getting in and out of cars, and turning over in bed. General comments will be answered in as timely a manner as possible, Hip & Knee Surgery During the hip replacement procedure, the surgeon makes a small incision near the front of the hip to allow for the removal of damaged anterior bone and cartilage, as well as the implantation of an artificial hip without damaging the surrounding muscles and tendons. Clearly, he or she has earned your respect and confidence. Does this mean my body may reject the metal of the post or cup? Following anterior hip replacement surgery, avoid soaking in hot tub, sauna, or swimming pool immediately after surgery. In my experience, almost all patients who have bilateral THRs go to rehabs and not home. Doc says once recovered I should avoid flexion with adduction and internal rotation. Problems such as osteoarthritis, rheumatoid arthritis and avascular necrosis can destroy the protective cartilage around the hip joint, disrupting the smooth contact between the femoral head (ball) and hip socket. I exhausted all other non-surgical options, such as physical therapy and meds but to no avail, so now plan to have a THR in March. Every prosthetic joint has a mechanical range of motion. I never seem to know when I am going to get hit with pain. 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. That's all I know. A long surgery time, on the other hand, was also associated with DAA. Your back does need to be evaluated as well. Regardless, the overall incidence of dislocation for every approach is smaller due to use of larger femoral heads and enhanced closure techniques. invasive posterior vs not so good with AMIS) whilst on the other hand, with one of your replies you state that surgeon experience should be considered with AMIS success rates and in other replies stating that both alternatives are good. There always are conditions or circumstances that may predispose one to limp or feel as if their legs are not the same length after surgery, but in my experience this is the exception. Hip replacements might keep you out of action for a considerable period. I very rarely transfuse any patients now. I have written to you to learn what are the surgical considerations for someone with shallow hip sockets like mine. The anterior approach has a lower incidence of sciatic nerve injury and a higher incidence of femoral nerve injury. In 2013 I had a THA done on the left hip. Dr. William Leone. 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. Thanks so much for your help, very grateful. Is the hospital where the surgery will be performed also top rated?. There are a few complications that can occur with anterior hip replacement surgery. 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? Im sorry to hear that you struggled after your first, anterior-approach THR. Disadvantages of the anterior approach include: The nerve which supplies sensation to the front and side of the thigh is vulnerable. The hip joint can be supported by the socket, which is designed to fit over the ball and provide stability. Im an avid skier and just found out I did not have full Anterior but rather AL. 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. Lateral femoral cutaneous nerve injury is the most common injury incurred during an anterior approach. 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. Historically in my practice I performed many Bilateral THR and TKR and have backed away from that practice. Im pleased that you will be coming in for an appointment. Fitness going into surgery and speed of recovery seems to be a common theme though. I am going to get evals from 3 docs. What is the best stem and ball/socket combo to use for someone that ones to play tennis? I came home with crutches, abandoned them at the front door and have not used them since. Hip replacement surgeries are becoming increasingly popular due to their numerous benefits, such as increased range of motion, reduced pain and disability, improved mobility during pregnancy, and improved quality of life. Testimonials Patients understand the risks that metal joints and sockets bring to their long-term health and are moving away from the material. Ceramic-on-polyethylene is currently the most popular hip replacement material, representing 50.6% of all hip replacement cases back in 2014. What is your experience and take on this ? Prior to surgery, you need to be evaluated by your primary care doctor and any other specialist who helps manage your care, so the conditions you have can be optimized.