disadvantages of superpath hip replacement

He strongly recommends the anterior approach as the only way to go. disadvantages of superpath hip replacement. All rights reserved. The best of luck to you, Should I look to another approach and surgeon? I'm hoping to read some posts post surgery. If you feel confident in your surgeon, I would discuss it frankly follow his or her guidance as to which approach and prosthesis are most appropriate to give you the best result. Blood-thinning medications can reduce this risk. I would anticipate that you would be able to return fully to your activity once the tissues around your total hip heel. 1.2. That being said, if the foot is now a much bigger problem than the hip, you may have to deal with that first. My husband tells me that I cry out in pai as I turn over during the night. There is a possibility that blood loss may be reduced as there is less unnecessary exposed bone surface left to bleed. Clearly, he or she has earned your respect and confidence. I am 37 and have suffered from AVN since I was 14. Both approaches have been shown to have potential in research. The highly crossed linked polyethylene liners are now the gold standard in this country. The surgical technique for a SUPERPATH Hip Replacement was developed as an advancement to traditional total hip replacement. I weigh 185 and am 54 and realize its ideal to lose weight prior to surgery (working on it as always). Im so pleased to learn that you had a good experience. I spoke in person to probably 4-5 of his success patients and went with hearing from them. DAA and SuperPATH were equal in functional outcome and acetabular cup positioning. Traditional hip replacement surgery is no longer an option, but it is less painful and has a number of advantages. What to Expect I tore my labrum at age 43 and only discovered then that I had bilateral dysplasia. I would focus on the individual doctor, not the approach that the individual choses to use, to deliver the best result. With a significant learning curve, it is likely that you will have to replace about 100 hips before you are truly comfortable with the approach. Although anterior approaches can be useful for some, they are not for everyone. Hip pain, soreness, and stiffness can quickly become unbearable and sideline us from the things we enjoy the most. In 2013 I had a THA done on the left hip. I had posterior and much like the superpath trussed into the jig . Maybe someday our nations health care system will measure up to that of France, Norway, Switzerland and others, in which their governments are investing half of the GDP that we are wasting. The most important decision you must make is choosing your surgeon. Most patients are able to walk the day of surgery. This allows you to resume normal daily activities quickly while also returning to normal range of motion and function. I also regularly receive Rolfing treatments which has helped me manage pain and maintain what mobility I have. My gait is off partially due to my hip but also I believe because of my body structure. out the next afternoon and using a walking stick from day 2 to day 10 when I ditched it altogether . Thank you for this! My walking is very limited, shoe is built up as leg is shorter and in recent months Ive realized my leg is bowed. Your symptoms still sound mechanical, positional and episodic. for Orthopedic Care Infection. The SuperPATH technique is arguably the least invasive hip replacement technique. Patient does not provide medical advice, diagnosis or treatment. If not, what will my restrictions be? It can lead to numbness in the thigh and, in rare cases, skin irritation due to the nerves presence. 2021 May 20;16(1):324 . It is critical at time of surgery that an excellent range of motion be created without impingement. I am temped to wait but it is getting worse. Results of the surgery numbness in the right thigh, inability to stand on the right leg, muscle atrophy all confirmed by EMG and second orthopedic surgeon. Supercapsular Percutaneously-Assisted Total Hip surgery or SuperPATH surgery is a novel method of hip replacement where your surgeon can perform total hip replacement through 2-3 inch incision into the tip of the hip and without dislocating the hip or damaging the surrounding soft-tissue (muscles and tendons). Dr. William Leone. I should think that all your expectations are appropriate for the activities you look forward to, especially considering youve already done so well after your knee replacement. Or are x-rays definitive for determining the exact reason for THR? I am scheduled for total hip replacement in about 3 weeks, and none of these procedures/options were discussed with me.the surgeon just said that it was a risky surgery and he could not guarantee anything! Both have valid cons against the others methods and pros on their method. 10 users are following. If it is from intra-articular hip pathology such as osteoarthritis, which is very common especially in your age group, then most likely stem cell injections will not be affective and you would benefit from a total hip replacement. Some surgeons believe that a patient who is neither obese nor overly muscular is a good candidate for anterior hip replacement surgery. I am a 55 year old with a labral tear and moderate arthritis. Everyone I know that has had both posterior and anterior surgery say not to even consider posterior. Im so against any other replacements as I have other issues, but working with alternative treatments, out of pocket money, as my hip replacement has been a horrible drama/saga. Posterior, mini posterior or anterior? 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. Good question. Thank you. I am still a very active 67 yr old, I like to ski, bike, hike (steep terrain) with about 25 pds. This too will lower your anxiety and improve your experience. Need to choose, then select doctor based on that decision. Still going to rehab to reduce stiffness and increase strength but I am in better shape now than before surgery. Ceramic-on-polyethylene is currently the most popular hip replacement material, representing 50.6% of all hip replacement cases back in 2014. The posterior approach, then, is less inherently stable but may or may not require precautions. The following cookies are also needed - You can choose if you want to allow them: You can read about our cookies and privacy settings in detail on our Privacy Policy Page. Some people may find that traditional hip replacement surgery is the best option for them, while others may prefer a minimally invasive procedure. Our overall findings suggested that the short-term outcomes of THA through SuperPATH were superior to DAA. After reading your article I am concerned about the issues you discussed. There are a number of different potential surgical approaches available for hip replacement, each with their own potential advantages and potential drawbacks. Historically in my practice I performed many Bilateral THR and TKR and have backed away from that practice. A couple of things I am hoping you will explain using laymans termology. It turned out to be more torn than they thought and they had to cut about a forth of it out. Like you said, consistent outcome is important and this surgeon is excellent and I have great faith in him (Im a physical therapist and see his patients post-op so get to see the, at least short term, results myself). Dear Jo Anna, Changes will take effect once you reload the page. I love that you take time off to reply to these messages it is commendable. I still have some questions I hope you can answer as this is so distressful for me. If you were in Los Angeles and needed a THR who would you choose to do your surgery? Here is his perspective based on careful observation of outcomes. SuperPath hip replacement is a differentiated total hip technique being performed by a growing number of experienced surgeons. Even after the procedure is completed and the patient is on pain medications, pain and discomfort may occur in some cases. THR if a MRI or Pet Scan isnt done? In comparison to traditional methods, anterior approaches to the hip joint are more effective. One advantage the ceramic-on-polyethylene carries is the lack of . I seem to be able to hike just fine up hill and down but not always on the flat. My surgeon mentioned also cutting something to free me up at the same time he will be doing the posterior approach surgery. In the front of the hip, fewer muscles are present, so the surgeon works between them instead of cutting through them and then detaching them (and then repairing them after the surgery). I am a 49-year-old female. During anterior approaches, fracture repair is much more difficult and necessitates the use of a separate incision. It is also possible to have an anterior hip replacement during pregnancy. 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. The second most-common injury is to the femoral nerve. What Ive been able to achieve is find two nerve supplements that have taken away the burn/tingle on my thigh. Also I have read that there is a sharp learning curve that must take place in order to do the direct anterior approach. Dear Dr. Leone, The mini-posterior is considered a more straightforward approach then the anterior, resulting in lesser complication rates. Similarly, an engaged medical team needs to be available to help with care after surgery. It was discovered that I had a torn Labrum. 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. It seems reasonable and I trust my surgeon but would like to know what I'm in for post op and beyond. My right leg is already a bit longer than the left. Click to enable/disable _gid - Google Analytics Cookie. The majority of teaching institutions in the United States continue to instruct as well as perform the traditional posterior as their primary approach. I would rather my patient get half as much anesthesia. I am a sixty five year old active male and need THR on my right hip. Again, trust your doctor. I have read your articles about procedures (anterior vs posterior). I have linked back to several blog posts below that will give you more in-depth information. Surgery carries increased risks because of these conditions, but by defining the risks and optimizing any underlying conditions, the risks can be minimized and hopefully managed. I cant find anything that addresses replacing a hip that is dysplastic. Thanks for giving us patients the kind of information we need to be more educated as to what questions to ask. Reconstructing the opposite hip hopefully will result in legs that feel more equal. Complications The anterior approach typically does not violate this structure. The bigger the ball, the bigger the ROM without impingement and the bigger the jumping distance that would be required for the hip to dislocate. Also, is it immoral for an 80 year old to have THR and cost the nations health care system $25 $35k? I had my hip scoped which bought me 8 years, but need a THR now. Im ready to have the surgery, having been basically bone on bone for several years. This robotic technique can assist in producing an excellent result. (I have SCD) It has now become unbearable and I am preparing for surgery. Your article has made it clear I made the correct decision, especially since my daughter had nerve damage from an operation years ago. 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. Recovery time for anterior hip replacement is typically two to four months, and recovery time for posterior hip replacement is typically four to eight weeks. I had the mini-posterior at MGH hospital. Dear Dr. Leone, What is the best stem and ball/socket combo to use for someone that ones to play tennis? You always can block or delete cookies by changing your browser settings and force blocking all cookies on this website. It also keeps the surrounding muscles and tendons in place to reduce the risk of post-op pain and nerve damage. I very rarely transfuse any patients now. I am having the mini posterior done in June and my surgeon gave me the pros & cons of both. If youre impressed by how clean it appears and the movement and professionalism of the staff, that obviously is a good sign. Read our editorial policy. The healing and maturation of this tissue takes time. Despite the fact that this usually takes two weeks or longer, patients can return to work when they feel completely comfortable. If, on the other hand, the leg length difference is creating hardship and possibly discomfort in other joints such as the lower back, knee or ankle, I would consider proceeding with contralateral THR sooner rather than later. The bone isn't dislocated in surgery. I think its reasonable to request a tour of the facility where youre considering having the procedure. The hope is that your nerve injury will recover with time. Because the patient is lying on his back, it facilitates using a fluoroscope or moving x-ray throughout the procedure. 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. Many wonderful physicians are part of various HMO panels. An anterior hip replacement does not have any limitations based on comfort. 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. Time will tell if this generation of shorter press-fit stems fares as well. Hi, I am planning to have a THR this summer. I will let you in on something personal. I also would learn about the track record of the surgeon and hospital where you will decide to have the surgery and what implant will be used. The SUPERPATHTM procedure provides a number of advantages over traditional hip replacement surgery. Additionally, people with certain health conditions such as diabetes or heart disease may also not be good candidates. 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. No specifics were given to me from the orthopedist . SuperPATH showed better results in decreasing operation time, incision length, intraoperative blood loss, and early pain intensity. Also, some body structures or anatomy makes approaching a hip anteriorly much more difficult than others. It is a pity that medicine cannot be as definitive as science but relies on historic figures and the future outcome appears to be a statistical probability! what is the super path method I've never heard of that before, superpath is just the fancy name for a smaller incision , less trauma and quicker recovery or so they say from what I have read along with more surety of the length of leg . I typically do hip replacement on the get anterior approach in 90% of my patients. My legs are very muscular and trim. In my experience, usually releasing the ileopsoas tendon insertion onto to lessor trochanter and medial hip joint capsule, and then manually stretching the leg into an abducted position after THR reconstruction, obviates the need for formal release. Each approach has advantages and disadvantages. Thank you. Lazaru P, Marintschev I. Most doctors have and continue to implant hips through the posterior approach. I went with a total hip replacement. Click to enable/disable _ga - Google Analytics Cookie. 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. 2 x week. I am scheduled to have total hip replacement surgery in 2 weeks. I was so against doing this surgery but groin pain was very bad and crushed bone in the groin. I also have undiagnosed neuropathy in both legs from the knees down. J. Dear Dr. Leone, Achieving legs that feel equal in length after surgery is imperative. Brian Tinsley. Share your concerns with your surgeon. A hip replacement can be delayed until it is absolutely necessary if the replacement parts can fail over time. I have the surgery planned, but then another medical professional warned me that the posterior approach will limit my twisting range of motion and prevent me from playing golf. This surgical procedure is performed with a patient lying on their side, and a surgical incision made along the outside of the hip. For risks she mentioned all the usual I knew about from the first surgery blood clots/loss, dislocation, etc. A shorter hospital stay and faster recovery are typical of this because there is less damage to the muscles. Superpath total hip replacement animation. and Privacy Policy and steps will be taken to remove posts identified Thanks! Overall, it sounds as if youve had an excellent result and wonderful recovery following your hip replacement. I do not have dials and no one seems to know where the neuropathy stems from. Do I have a risk of fractures during a posterior right hip revision due to my prior complications already? Consult an orthopedic surgeon who specializes in hip replacement surgery if you have a hip problem. With the ease of movements during pregnancy, you will be able to move around more freely. I think seeing several surgeons for different opinions is good judgment. (PATH) and Supercapsular percutaneously assisted total hip (SuperPATH) arthroplasty: learning curves and early outcomes. Apples to apples which procedure has the lowest incident of complications? That being said, you should have the additional surgery where you feel you will have the best chance of doing well. This is not true for bilateral cases. General comments will be answered in as timely a manner as possible, Hip & Knee Surgery They thought it would give me about 5 yrs. The first is that it is a major surgery, so there is a risk of complications such as infection. This technique is also referred to as the . Because of this, when you're ready to get up and walk about again, engaging your muscles and hip flexors might be extremely tough. I would look at the published track record of the hospital where the surgery is scheduled to be sure its performance record is good and its incidence of infection is low. Do you have any advice or ballroom dancer THR stories to share? Once again, it sounds as if you had a wonderful surgeon, which is the most important variable. Our insurance covers both. 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. The hip replacement needs to correct the abnormal hip mechanics that lead to the arthritis. bible teaching churches near me. I had the posterior approach, the surgeon did not cut any muscle plus I had no pain at all after the op. I don't think there's a one size fits all when it comes to hip surgery. While it is a surgery that does help many, many people, clearly you are struggling. Considering I had no idea about differences between the two approaches, I said OK and surgery did go well and I was back on my feet in no time. I think it is important to define and isolate why youre doing so poorly. Posterior or Anterior? Yes, you can do very well. Hip dysplasia is a very common underlying cause of hip osteoarthritis. I am a 70 yr old female with a 4grade thickness loss at acetabulum and head of femur. Each approach you list has advantages and disadvantages. I am looking at how many hips they have done and where they are doing them. They thought surgery to repair it would give me about 5 yrs. Obese or extremely muscular people may not be the best candidates for this surgical procedure. In my experience, almost all patients who have bilateral THRs go to rehabs and not home.

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