disadvantages of superpath hip replacement disadvantages of superpath hip replacement

It was discovered that I had a torn Labrum. 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. Im hoping to play tennis, go dancing and horseback riding once Ive healed. My advice is to focus on finding a surgeon with whom you are comfortable and have the best chance of doing well. Does this mean my body may reject the metal of the post or cup? 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. Appalachian orthopedic surgeons perform revision surgery as well as mini-posterior and anterior approaches. Doctors use metal, ceramic, or plastic replacement parts. However, some offer greater patient benefits than others. Also I have read that there is a sharp learning curve that must take place in order to do the direct anterior approach. You can check these in your browser security settings. 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). Some surgeons will use 2 incisions, both the anterior and superior approach. Often in this group of patients, their X-rays show only minimal cartilage space compromise (it may appear thinned and irregular) and I observe at time of surgery that the labrum appears hypertrophied (to compensate for lack of head coverage) and often torn. Ill be 60 at the time and Im 54 and weight about 130 lbs in fairly good shape. 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 would rather this not happen with my right leg when I have the THR in Jan 2017. Hi, Felt very uninformed and left She provided all kinds of benefits with this approach, as faster recovery, less motion restrictions et.al. I typically do hip replacement on the get anterior approach in 90% of my patients. We provide the best cash prices and customer care in the industry. Dr. William Leone. One thing I do not want is any muscles or tendons cut in the procedure. In 2013 I had a THA done on the left hip. crackling noise/pain, cannot bend them or kneel in church or get on the floor to do exercises, I am very afraid to ending up in a wheelchair or having to use a walker the rest of my life.I am a very active 65 year old, and very, very worried about the hip surgery. What determines the differences? Fortunately, the incidence of hips dislocating after THR is very small, especially after first-time hip replacement. I have seen a number of patients who were reconstructed with the anterior approach who developed painful anterior scarring after the procedure. Other jobs, which tend to be more structured and / or more physical, may require more time off. How long will my hip replacement last in your opinion? While new techniques, instruments and prostheses have been developed specifically for minimally invasive surgeries, there are many well-established approaches to hip replacement. If its a struggle, then the situation needs to be reassessed. Risks associated with hip replacement surgery can include: Blood clots. Ten out of every fifteen hip replacements will be functional for more than 20 years after they are inserted. Understand that every total hip, no matter which approach is used to implant it, has the potential to dislocate. Also, be aware that as the nerve recovers, the smallest C fibers within the nerve recover first, which can cause a burning discomfort. Orthop Clin North Am. Also, only a small percent of C-on-C bearings are being implanted at this time. Anterior hip replacement is a type of hip replacement surgery. 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. Hip replacements might keep you out of action for a considerable period. Hip pain, soreness, and stiffness can quickly become unbearable and sideline us from the things we enjoy the most. Dr. Sigmund holds a subspecialty certificate in Orthopedic Sports Medicine. Thank you for this! I would consider talking to other patients who had their hips replaced by that physician and learn about their experiences. The technique allows recovery that is as rapid as a mini-posterior approach while conferring stability of the hip joint that is equal to other exposures that . Many, many interactions and decisions go into the final result as well as someones perception of his or her result and experience. Reconstructing the opposite hip hopefully will result in legs that feel more equal. An anterior approach hip replacement is one of the most minimally invasive surgical options for replacing a hip. A hip replacement is an excellent option for people who suffer from significant pain and disability as a result of arthritis in the hip joint. The vascular supply of your leg must be assessed preoperatively as part of you work-up, but most do very well. I am a 73 year old woman who has been having severe hip pain for the last seven months. Is THR something that can help? They thought surgery to repair it would give me about 5 yrs. The SuperPath procedure was designed to replace the joint while sparing as much tissue as possible, substantially improving patients' recovery time. Also many folks develop peripheral neuropathy in their lower legs, which also becomes more common with age. Introduction A hip replacement is the most common cause of complication in about 20% of cases. Should I be though? 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. I walk a lot in my job and bend lots (work with children) and sitting causes pain due to impingement. Some people also tend to form scar tissue and contracture more readily than others. The highly crossed linked polyethylene liners are now the gold standard in this country. Very important with both the traditional posterior and the mini-posterior approaches, if the surgeon is not able to visualize critical structure adequately, or if a problem were to arise such as a fracture, then either approach can easily be adjusted. If possible, choose a hospital that specializes in joint replacement and can back that up with excellent statistics and reputation. Again, considering my own practice, I routinely see my patients recover faster and easier after their second hip or knee replacement because they are more confident having had a good first experience. I am now 59, still in good condition but that is being compromised by lack of working out as my hips get sore from most everything I try. Today, everything from tools to techniques has improved. The questions youre asking are 100 percent appropriate. Your back does need to be evaluated as well. Also, the choice of femoral stem is more likely to be influenced by the approach and not the persons anatomy and hip mechanics. I believe a THR will benefit you tremendously. Typically, the new cup will be medialized to gain coverage and correct the abnormality that lead to your arthritis. The most common type of total hip replacement is done in the anterior anterior part of the hip. I dont think there is one best prosthetic. Some have features that are more suited to one persons anatomy and needs than others. We thank you for your readership. Because the mini-posterior is more straightforward, many surgeons think it provides an increased margin of safety for the patient, because the incision can easily be extended if exposure is poor, or if a fracture occurs. 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. I have seen 2 doctors one doing posterior, the other anterior. We want the forums to be a useful resource for our users but it is important to remember that the forums are About my surgery: I had to wait 30 hours before surgery, two days later I was released, within two more days I stopped using my walker. He is highly respected by the medical and chiropractic community, so i plan to have a appointment to discuss his plans for my surgery. I, too, am struggling which approach to have. I just saw a patient with a femoral neuropraxia after a anterior approach THR. The most important decision you will make is choosing your surgeon. Since these providers may collect personal data like your IP address we allow you to block them here. Even after the procedure is completed and the patient is on pain medications, pain and discomfort may occur in some cases. What, if anything, can be done to revive femoral nerve and get my thigh muscles back in normal? Can you compare/contrast to the other approaches; posterior, mini posterior, anterior? The initial recovery period typically takes six weeks or more. I wish you a full and speedy recovery. Being cared for in a hospital that specializes in joint replacement and has an extensive specialty medical staff also is key. 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. I seem to be able to hike just fine up hill and down but not always on the flat. Because the patient is lying on his back during the procedure, fluoroscopy or moving x-rays are used to aid in the examination. The last page is asking the participant to self score their health that day out of 100. Glazener C, Fraser C, Hutchison J, Vale L. Single mini-incision total hip replacement for the management of arthritic disease of the hip: a systematic review and meta-analysis of randomized controlled trials. Last summer I wiped out on my bike and snapped off the top of my right femur, with a diagonal break. Thanks again! My advice is to have a frank discussion with your surgeon and share these concerns. I encourage my patients to talk to other patients for whom Ive cared and learn about their experiences. In May of 2015, I had a Labial tear repaired. I wish you the best of luck. Thank you. Sitting seems to irritate it the most. 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. Every prosthetic joint has a mechanical range of motion. If you decide to have your hip replaced in another country, I would consider carefully who would care for you if you develop a complication such as an infection, or a major medical problem like a pulmonary emboli or heart attack after surgery. I definitely didnt have any tendons or muscle cut and was cycling on the road from day 12 and back running at week 4 . Fortunately, you have already experienced a THR and have done well. (I have SCD) It has now become unbearable and I am preparing for surgery. Which approach did the doctor take? I have linked back to several blog posts below that will give you more in-depth information. A number of patients who have undergone this procedure are able to walk unassisted the day after surgery . I saw a surgeon who does the posterior approach only and will see another on 4/14/15 who does both approaches. He is passionate about helping his patients achieve the best possible outcome and is committed to providing the highest quality of care. Going in for THR in July. Personally I had the posterior approach and cannot see how I could have recovered any faster . What do you consider to be the most important factors in choosing a surgeon? Its Inosine and Sphingolin. Click to enable/disable essential site cookies. Can I make an appointment with you. The surgical area of anterior hip replacement is located in the vicinity of the lateral cutaneous femoral nerve. I assume its something near my groin. So frustrating. Apples to apples which procedure has the lowest incident of complications? It is important that you find a doctor who is experienced in caring for people with complex issues. Lift your knee rather than your hip at the same time. Others will be empowered when they read and relate to you and/or your experience. I cant find anything that addresses replacing a hip that is dysplastic. Thanks so much for this information! THR if a MRI or Pet Scan isnt done? Patients who work for themselves are very motivated to return to work and often do so between procedures. I think its always beneficial to speak to other patients who have been cared for by that physician and learn about their experiences and results. According to Dr. Rosen, the most important thing to remember is what you leave behind rather than how you get there. I live in Staten Island and need rt hip replacement. Hospitsl staff Fewer narcotic medications are administered, resulting in a better overall recovery. 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. Possibly, its secondary to an altered gait pattern or hip mechanics. Patients understand the risks that metal joints and sockets bring to their long-term health and are moving away from the material. Patient is a UK registered trade mark. Along these same lines, there is a smaller incidence of sciatic nerve injury with the anterior approach but an increased incidence of femoral nerve injury. Unfortunately, short of conservative and supportive measures, only time will tell. I feel good now and walking good now but feel so disabled as I dont know if my hip will dislocate again.I am sorry if you may have responded to some of these questions already as it is so much information to absorb and I dont want to make a wrong decision again. Le has extensive experience in primary joint replacements, complex revision surgery, periprosthetic fractures, and infection management. 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). but it was more torn than they thought and they had to cut out about 1/4 of it. Clearly, he or she has earned your respect and confidence. Just because hardware in your foot needed to be removed after repairing what sounds like a calcaneal (heel) fracture, absolutely does not mean that your body rejected the metal / hardware or that your body will reject the prosthesis your surgeon will implant to reconstruct your hip. I recently had a spontaneous hip fx and was diagnosed with hip displasia. I would also like to know about the customized implant, as I havent yet heard much about it. Again, trust your doctor. The mini posterior approach essentially is the same as the traditional posterior, however a smaller incision is made and less soft tissue is exposed. Being out of bed and moving soon after surgery adds to a patients safety and speeds the recovery. This treatment is commonly recommended for patients suffering from osteoarthritis of the hip. Super path appears to come with it's hazards due to bone sawing rather than dislocation of the hip to be replaced, making revision much more difficult if issues occur later down the line. I now need the right hip replaced. The rule of thumb is that recovery occurs over a 12-18 month period following injury. SuperPATH showed better results in decreasing operation time, incision length, intraoperative blood loss, and early pain intensity. The surgeon I saw said that my body structure and gait does not affect which approach would be ideal for my body. A recent article published by the Journal of Bone and Joint Surgery has demonstrated that the direct anterior hip replacement has more blood loss, a higher risk of intraoperative fractures, an overall higher complication rate and no difference in outcomes versus other techniques. This does expose the patient to more radiation but can help with component positioning and sizing. I think cutting muscle was in the past. Hi, It is nice to see honest Q&A versus a marketing page. 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. A couple of things I am hoping you will explain using laymans termology. Once the surrounding tissues fully heal, they then act as a mechanical block to the ball to keep it from being able to jump out.. We provide you with a list of stored cookies on your computer in our domain so you can check what we stored. I never seem to know when I am going to get hit with pain. My question is: should I just tolerate the pain and limp, or take a chance with the hip replacement.