disadvantages of superpath hip replacement

If so, is it possible to have both hips done at the same time? You can also change some of your preferences. I seem to be able to hike just fine up hill and down but not always on the flat. My right leg is already a bit longer than the left. Appalachian orthopedic surgeons perform revision surgery as well as mini-posterior and anterior approaches. The surgical technique for a SUPERPATH Hip Replacement was developed as an advancement to traditional total hip replacement. I share your concern that with profuse denervation potentials 10 weeks post injury, that the patient may have sustained a more severe injury than a neuropraxia. There is a chance of nerve injury with any type of hip replacement. If this occurs, the patient may experience pain and swelling. The traditional posterior approach is the most commonly used in the United States and throughout the world (about 70 percent). Therapy hopefully will help any contractures and scaring within your muscles that might have developed after surgery. Not putting you on the spot, but would it be advantageous for me to drive 200 miles to have a consultation done by you? So frustrating. Patients who are significantly overweight (I specifically assess the amount of tissue between the skin overlying the lateral hip and the greater trochanter), who have significant long-standing contractures and restricted ROM, congenital dislocation, and marked acetabular protrusion (when the femoral head wears centrally into the acetabulum) typically require a larger incision and more soft tissue releases. During anterior approaches, fracture repair is much more difficult and necessitates the use of a separate incision. As for doctors, the surgeon I had came highly recommended. Its been a couple months and I thought Id drop in with an update..over 4 yrs post op and I deal with Femoral nerve damage from Anterior, and found others who deal with the same.it may lessen with more years but who knows.Somewhere I read 15% or so end up with this..I talked 2 other people in my city, same surgeon and they have had this issue to. I have a tilted sacrum, sway back and a very large posterior. Complications associated with an anterior approach hip replacement are similar to those associated with standard hip replacement surgeries. Your symptoms still sound mechanical, positional and episodic. A hip replacement involves removing the ball (femoral head) and replacing it with a metal or ceramic prosthetic ball. There is a more than 200% chance of knee infection, most likely because the knee has more surfaces that can become infected with an infection. Thank you for this! But this will always prompt you to accept/refuse cookies when revisiting our site. For risks she mentioned all the usual I knew about from the first surgery blood clots/loss, dislocation, etc. The anterior approach typically does not violate this structure. I was initially sent to a surgeon to consider repair but he said my chances of being happy with the outcome were only 30% and suggest a THR. Get Directions, Phone: 954-489-4575 Clearly, he or she has earned your respect and confidence. I am already limping when walking and was hoping that the limp would disappear after the hip surgery. 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 . Had a total hip replacement aug 2013. I think it perfectly ok to discuss different approaches and ask for an opinion. The vast majority of my patients have their surgeries with a simple spinal with IV sedation so they are sleeping throughout the procedure . Im getting close to needing my left hip done. Is the hospital where the surgery will be performed also top rated?. Others will be empowered when they read and relate to you and/or your experience. DePuy Hip Replacement - Overview of Complications, Lawsuits It is nice to see honest Q&A versus a marketing page. 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. We want the forums to be a useful resource for our users but it is important to remember that the forums are You should feel good that you are aware of your fears and that it hasnt paralyzed you into not acting. I very rarely transfuse any patients now. I can still do 30-45 mile rides, but I need to take something before each ride, because of the undone left hip. 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. They thought it would give me about 5 yrs. Also, when a single joint is replaced versus bilateral, there is significantly less bleeding and hence a much decreased need for transfusion. Also, some body structures or anatomy makes approaching a hip anteriorly much more difficult than others. I spoke in person to probably 4-5 of his success patients and went with hearing from them. You are free to opt out any time or opt in for other cookies to get a better experience. Some patients report that symptoms increase in the not-yet reconstructed hip because of the leg length inequality. Finally, many people who are struggling with hip disease experience lower back pain or even sciatic discomfort. Dont let PR marketing confuse the big picture. In my experience, after four to six months most patients simply return to normal activity. This is particularly true if the person is overweight, has very muscular thighs or is short. Overall, it sounds as if youve had an excellent result and wonderful recovery following your hip replacement. Im a very healthy long distance bicycle rider. What To Expect From Anterior Hip Replacement Surgery & Recovery This is not true for bilateral cases. So my concerns include having the range of motion to perform moves like promenade where my body is roughly facing forward and my right leg will take a step left across my body at about 90 degrees. In my practice, patients who undergo a THR using a mini posterior or posterior approach: 1. Between your legs, you should sleep with a pillow for the next six weeks. The incision made for the operation can be as small as three inches. I have never operated on another surgeon who asked me to make as small an incision as possible or use the minimally invasive approach. Hip replacement via SuperPATH approach had a longer operation time than hip replacement via conventional approaches. Each is safe, effective, and capable of delivering exceptional results. Its reasonable to inquire about his or her experience using the Mako robot. SuperPath approach is the least invasive due in part to the minimal amount of tissue damage. We provide you with a list of stored cookies on your computer in our domain so you can check what we stored. How the soft tissues are handled and respected, the patients expectations before the surgery and the surgeons experience do. The socket of the pelvis is machined into a hemisphere and a metal hemisphere is inserted into the socket. SuperPath is a portal assisted THA approach that accesses the capsule superiorly through the interval between the gluteus medius and piriformis without requiring the cutting of any muscles or tendons. Everyone is. Operating through too small an incision and not releasing tissue that would improve exposure and result in a more balanced joint in my opinion does a disservice. 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. One advantage the ceramic-on-polyethylene carries is the lack of . 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. disadvantages of superpath hip replacement Also many folks develop peripheral neuropathy in their lower legs, which also becomes more common with age. Since I previously had both knees replaced (by another surgeon) about 5 years ago and still have problems with the knees i.e. Posterior hip surgery may be the best option if your surgeon makes a larger incision at the side or back of the hip joint. Your blog on anterior vs posterior approach was very informative. Most patients are able to walk the day of surgery. First, I am a little bit scared. About how much does this cost? We need 2 cookies to store this setting. Above the ankle to the thigh.Had to use leg brace to A mini posterior approach is a modification of the classical posterior approach. Some people also tend to form scar tissue and contracture more readily than others. The surgeon accesses the hip joint from the front of the hip, rather than from the back or side. Le has extensive experience in primary joint replacements, complex revision surgery, periprosthetic fractures, and infection management. I was thinking of a Hip Resurfacing for my left hip and was convinced by my other top hip surgeons to stay away from it. Additionally, there is a small risk of dislocation after surgery, which can be painful and may require additional surgery to correct. While it is a surgery that does help many, many people, clearly you are struggling. You always can block or delete cookies by changing your browser settings and force blocking all cookies on this website. Some of the most common considerations are age, weight, activity level, and the presence of other health conditions. Regarding restrictions after your hip replacement, this too is an area that has changed drastically over my 25 year career. Further, I would contact your insurance carrier and the hospital so you will not be surprised with any unexpected costs. Obese or extremely muscular people may not be the best candidates for this surgical procedure. The highly crossed linked polyethylene liners are now the gold standard in this country. When discussing the options, my surgeon all of a sudden suggested performing anterior approach. In my experience, almost all patients who have bilateral THRs go to rehabs and not home. I think stem cell injections will have little chance of doing any good if indeed your hip condition has already progressed to bone on bone. Im considering this mini posterior approach. Hip replacement - NHS Because visualizing the femur is easier, an experienced surgeon can choose the most appropriate femoral implant rather than just the one that is easiest to implant, taking into account the patients bone quality, activity level and age. However, there are also some potential drawbacks to this type of surgery including a longer surgery time, a greater risk of blood loss, and a higher risk of nerve injury. It was also observed to be associated with longer surgery times. A femoral nerve injury is devastating and is more vulnerable during an anterior approach than with other approaches. How would a hip replacement be done? If these values are elevated, further investigation with hip aspiration should be considered. 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. Sitting seems to irritate it the most. No i just had the posterior method which has a larger incision. This is described as a posterior approach because the actual hip . Patients are told how to use their hip after hip replacement surgeries, which is very different than the usual practice. Most receive a simple spinal with sedation. Hip Surgery Techniques - Hip and Knee Will meet with doctor soon but when I was finally able to really exercise after surgery I overdid it and developed plantar fasciitis. 2 x week. I then would trust your doctor to select the prosthetic that would deliver the best result according to your goals and allow you to return to activities that you enjoy. Can I expect any problems with the bilateral it was my choice. 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. Hello Dr. The posterior approach is used frequently again, in large part due to the fact that it is an extensile approach. Will I still be able to do the things I like to do? When compared to the anterior approach to hip replacement, which is typically more painful, there are several advantages to recovering from an anterior approach, including the fact that you will not be required to follow any specific anterior hip replacement precautions, such as bending or crossing your leg. The best of luck to you, 3 years ago, Conserves the two main muscles that make up the front of the hip and upper thigh aspirated via the direct anterior approach. Thank you. Can you suggest any pain medication that would not interfere with anti rejection drugs? What you can do is keep as good an attitude as possible and keep rehabilitating your leg. It typically requires a 4 to 5 day hospital stay, 3 to 6 month recovery period . If youre impressed by how clean it appears and the movement and professionalism of the staff, that obviously is a good sign. Is a prerequisite for THR to have a MRI or Pet Scan? The rule of thumb is that recovery occurs over a 12-18 month period following injury. 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. Help. People who have anterior hip replacements tend to stop using walkers, canes, and other aids 5 to 7 days sooner than people who have conventional hip surgery. An artificial joint is used to replace the worn out hip joint during a hip replacement procedure known as posterior hip replacement. I again suggest you concentrate on finding a surgeon in whom you have faith and then trust that doctor. Unfortunately, short of conservative and supportive measures, only time will tell. I, personally, have not had a patient dislocate following a primary total hip replacement in many years. I do not have dials and no one seems to know where the neuropathy stems from. Every prosthetic joint has a mechanical range of motion. 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. Unfortunately, injury to the lateral femoral cutaneous nerve is a common complication after the anterior approach for hip replacement. My acyive 60 year old husband is scheduled to have Mini posterior total hip replacement in 6 weeks. 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. It also helps to stabilize the acetabular shell and prevent soft tissue irritation on the out edge of the cup. Bleeding at the operative site can occur as a result of an anesthesia reaction, such as an allergic reaction. The SUPERPATHTM procedure provides a number of advantages over traditional hip replacement surgery. 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. Most importantly, I would meet with your surgeon and discuss all of these concerns. I needed no physical therapy at all. There is also a small risk of infection at the surgical site. In my practice, I cement an Exeter stem in a significant percentage of my patients who undergo THR . A couple of things I am hoping you will explain using laymans termology. My doctor does not do mini posterior, therefor I have a 6 incision. I am temped to wait but it is getting worse. It seems reasonable and I trust my surgeon but would like to know what I'm in for post op and beyond. I read about this type of mini hip replacement being done in the UK and just wondering if mini hip replacement means the same thing in the US .