"Anterior" Hip Replacement-Is is Better? Precautions & Exercises.
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- เผยแพร่เมื่อ 3 ส.ค. 2017
- "Famous" Physical Therapists Bob Schrupp and Brad Heineck discuss the pros and cons of an Anterior (Front) Approach Total Hip Replacement versus a "Posterior" (Back) Approach Total Hip Replacement. They also discuss common precautions & exercises to follow after the Anterior Approach Total Hip Replacement.
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I had a left anterior approach hip replacement 1 week ago. I stayed overnight as I live alone & just didn't feel safe, otherwise. Had PT the first day who showed me how to use a walker & how to go up stairs. I walked with the walker & went up a few stairs the first day. The next day had OT who went through using devices to pick up things, putting on socks, & getting off footwear (sent me home with them). Best thing OT showed me was how to use a sheet as a sling to raise & abduct my leg to get into bed & a car. This activity was the most difficult & painful for me. Maybe because I am overweight & the swelling made my leg heavier. I reserved narcotic pain medication for getting into bed @ night & be painfree in order to sleep. Otherwise, used Tylenol, Naproxen, & Baby ASA around the clock. Baby ASA was also to help prevent blood clots from forming. The first 2 days I applied ice for additional pain relief & keep down swelling. The metal is Titanium. Cementless. Ceramic ball. My toilet seats are low so I found the raised seat with armrests that I purchased on Amazon very helpful. I also found the tub transfer seat that I purchased on Amazon very helpful as I don't have a walk-in shower. Good luck everyone. Still need to do my other hip down the road.
Thanks for an informative review of the anterior approach Total Hip Replacement, Bob and Brad. I'm a retired PA-C and was first assistant in approximately 1500 of these procedures. Just a couple minor points mentioned early in your review. Cement is rarely used for the metal implants in both the femur and acetabulum. They are typically a titanium alloy. Modern implants have irregular surfaces sometimes with bioactive coatings or Vitamin E to promote bone growth integration and prevent bacterial growth. They are termed as "press fit" after the femoral canal and acetabulum has been broached or reamed to the appropriate size. They are literally hammered in place with a mallet to set them in the appropriate position. Usually a ceramic or ceramic metal head is cold fused to the tapered end of the femur implant while a highly durable polyethylene liner is locked into the acetabular cup. Hope this helps. You guys provide a ton of useful rehab info!
I am 2 weeks post op. Is it normal to have some knee pain after THR surgery?
I've had both hips replaced by the Anterior approach. I walked using one crutch 3 hours after surgery; I bent over and tied my shoes, got dressed and went home the next day. I used the one crutch for 6 days. Done. Started walking around the block increasing distance each day; went to Pilates Class at 3 weeks out. I went back to work in 10 days. I have tiny barely visible 3" scars, and best of all it gave me my life back! I hike, go to 3-4 Pilates classes a week, use the elliptical trainer, treadmill, etc. And for God's sake!!! Do not go to a rookie - go to an ace who has done hundreds. We're really lucky in Los Angeles. Joel Matta M.D. Has trained a group of surgeons who are all aces. Accept no substitutes!
Tootsla 125 The best recommendation ever: Don't go to a rookie surgeon! I am having to wait longer to get a more experienced surgeon but it gives me peace of mind.
May I ask your age or age range?
Appreciate the info and hoping to have same type of experience.
Make sure they have done hundreds to the extent that they could do it in their sleep.
Thanks, this gives me hope 🙏
Guys, first off I really enjoy your channel. However, as an orthopedic surgeon, who is trained to do both anterior and posterior approaches I must say you may have unintentionally mislead your viewers. The difference in dislocation from modern posterior approach and anterior approach is 1 percent. It is the same, not ten times better. The difference is that one dislocates anterior and one dislocates posterior. The lowest dislocation rate is the anterolateral approach which is neither anterior or posterior. You may want to mention a mini posterior approach, which is pretty much standard today, has recovery equal or better than anterior in some reported studies. Let's not forget the worse acetabular component positioning, psoas tendinitis and recently reported increase femoral loosening rates with the direct anterior approach. Let alone increased femoral fracture risks, tensor fascia lata damage, increased blood loss and lateral femoral cutaneous nerve injury. Furthermore, the anterior approach can be done on a regular OR table. I think patients get confused about approaches and have believed marketing hype (yes, hospitals and surgeons do market themselves for increased business). When you look at peer reviewed literature and follow up, you'll find the truth. There are advantages and disadvantages to both approaches with neither being superior. Look how hip resurfacing has essentially ceased to exist, whereas, 10 years ago it was the rage. What happened? Follow up studies. I would stress to any of your followers looking into joint replacement that component positioning, re establishing the hips center of rotation and offset to re establish muscle tension determines optimal recovery, function and wear and no approach will solve that problem. That intrinsically makes sense., doesn't it? The best option for patients is a CT guided computer navigated robotic arm assisted surgery. Stryker's MAKO is the only one on the market. I do use this system for all my replacements, hips, total and partial knees and it's striking the difference in recovery.(I have no financial ties) Harris hip and UCLA activity score show robotic MAKO hips perform better at a year than manual hips. Refer to the research paper done at Mass. General that showed of 1853 total hips, 53 percent of the acetabular component were positioned out of the safe zone( incorrectly). To their credit they published that data. They are fantastic surgeons but it demonstrates the difficulties of correctly performing this surgery, regardless of approach. Poor positioning of the hip replacement leads to increased wear, loosening , dislocation, impingement, psoas tendonitis , poor function, leg lengthening and early failure. Patients are too focused on approach and not what matters which is putting the components in the correct position. There is an assumption that all components will obtain correct position and the approach is the modifier. This simply isn't true. Anyway, enough of my rambling. Keep up the good work. Excuse any grammatical errors I didn't proof read.
Rob Lupo
Translation: you were trained and have been successful in the traditional approaches, and you don't feel the need to invest time, money and risking bad outcomes in the learning process. I get it. After 6 weeks most everybody is happy with their new hips regardless of approach. BUT! The recovery time of the anterior approach cannot be beat.
Rob Lupo d
All the positioning issues have been addressed with an X-ray machine that's live during the anterior hip replacement process. It leads to perfect positioning. The direct-anterior approach is a computer-assisted approach. Surgeons do not eyeball the positioning. Leg length is address by the size of the femur ball implant. Leg lengths can now be nearly identical.
@@tootsla1252 Typical keyboard "expert" arguing with an actual orthopedic surgeon.
I just had the posterior approach done four days ago and you are clueless. My surgeon is a Stanford Cardinals doctor and also worked on the San Francisco 49ers and he chooses the posterior approach because he feels it is the best method. He also did a speech at Stanford University on the "sales pitch of the anterior approach."
I'm sick of hearing clueless people make remarks that are untrue.
@@tootsla1252 You must not read very well. He states right at the top he's trained in BOTH.
Had anterior done 2 and one half months ago. Biggest issue was pain around the incision and hip muscles. Just now able to sleep better. And in my mind good sleep really helps the healing process. Thanks for this video. Amazing how much more common the anterior approach is now - five years after this video was shot.
Thank you i’ve had a total of 7 hip replacements and 12 dislocations i’ve had both anterior and posterior people need to educate themselves and don’t be afraid to ask or challenge your surgeon to get what isright for you
Stop using the trampoline.
In 2018 I had the posterior and the surgeon had performed over 2,000 procedures and the outcome was positive. We did discuss the lateral posterior and we did discuss the full hip replacement called posterior and the direct anterior but the hospital did not yet have the table for the interior. It is now 2021 and my orthopedic surgeon only performs the direct anterior approach and that's the one I will have in September 2021. The first procedure required a half day educational seminar for all patients which was good and it came with a book that we had to read which included post-op exercises. You are correct that the table cost is around $100,000. Approximately 60% of all full hip replacements are in America the posterior approach but that number is changing as new orthopedic surgeons are trained to use the anterior approach. You are correct that the full hip replacement using the interior approach is better for the patient. I have learned so much when it comes to physical therapy as a patient from your channel so thank you.
I’m going to be scheduled for an anterior hip replacement within the next month. I’m totally looking forward to it, I asked my doctor to get this taken care of so I could have this done the way I needed it done
Thanks guys, you're adorable and you seem to be the only ones making the clear distinction of what type of surgery and what the dos and don'ts are. Maybe do an update now that the surgery is so much more common? :-)
Great video very good info and demo just had any hpi repl
Big help
I had both hips replaced anterior and it was such a great experience
How was it great was it and how are you doing now? Are you active ?
May 2022 I just had Anterior at age 74. After than more than 1/2 year of hip bone on bone with extreme pain. I have no hip pain, minor muscle pain as these muscle have not been used for last 1 1/2 years. I could walk with minimal pain day of surgery & walked around block within week with walker. By 12 weeks walking > 2 km daily with walking sticks. Increasing range slowly. ROM(Range of Motion) exercises are a MUST, to give you full mobility. My surgeon did an Amazing job. He has done over 3,000 Anterior THR.
Wow, great team and excellent explanation as I'm doing a report on Total Ship anterior approach. Thanks The handyman 🛠️🛠️ . May you also do one on knee replacement? (Surgery)
"Titanium is a chemical element with symbol Ti and atomic number 22. It is a lustrous transition metal with a silver color, low density, and high strength. Titanium is resistant to corrosion in sea water, aqua regia, and chlorine." For hip replacements, titanium is commonly part of the alloy used. Each company will have it's own 'recipe' for the metals used in their products.
Had a total RTHR anterior approach in Feb. Dislocated 5 weeks after surgery. Surprisingly you discuss Anterior precautions, I was released with none. The orthopedic doctor didn't even want me to pursue a PT program to rehab. TBH I have not been the same since the procedure, and dislocation. I have severe scoliosis which I believe is making matters worse. My hip flexor/psoas area is extremely tight, and every time I go to work the glute and hip muscle group I am making things worse (perhaps hip tendonitis?) .
Actually last week, I was working out and now have fired up the psoas area, the SI joint is also very painful. I have been barely able to walk for the past 10 days. Any kind of stretching I do makes it worse, been doing pool work to mildly decompress the back to get some SI joint relief. Not going to lie, the amount of pain I am having is flaring up my PSTD from the hip dislocation, and now am fearing since I am in a lot of pain & weakness I might be heading for the same dislocation disaster
Working with my PT, she tells me to erase my fears. I want to believe, I really do, my faith is pretty weak. They are recommending I get a dry needle procedure to see if I can calm down things in the hip...going to say a lot of prayers something works, the steroid meds are barely making a impact..
My wish is to find in the UNIVERSE someone who understands me, and can help me make the healing progress I desire. I might be frustrated, and tired but wrangling up some determination to find answers for someone to help me get to the physical level I am willing to work for.
My age is 51, and would really enjoy getting back to my active lifestyle. Don't need to run, but I sure would mind walking. I have been to many specialists who have looked at individualized joints of my body ( all which are being affected by my curvy back)...Wish I could find a doctor who would connect the dots and give me a program which can make me stronger not weaker. I do NOT want to get a rod in my back for scoliosis correction surgery...maybe I am fooling myself...my gut is telling me it's not the BEST decision for me.
Have you ever worked with a patient with the combination of joint issues, having scoliosis? Really would like to understand why the muscle area (PSOAS muscle group) around the right hip have been so freaking tight, making me have my little limp since surgery. If so, what do you recommend for patients like me.
Hi Amy - no PT can advise over the net. You have a complex condition. I am so sorry about your dislocation and the sequelae of it. Personally, if I was not happy with the orthopaedic follow-up, I would be seeking out opinions of other orthopaedic specialists. Your situation is complex. Also, if you are not happy with your PT, perhaps see another. There isn't going to be an easy answer for you. Just know your limitations, listen to your body, and find therapists and doctors who can help you. I'm a physio from Australia - have just gotten my license to do massage therapy in the USA. I was surprised to learn so much from the massage course - and how much good work massage therapists can do, especially for tight muscles and fascia. Lots of people out there to help you - but they need to do a thorough assessment, know what your medical history is, and take a slowly-slowly approach. All the best! xo
Ugh! So sorry. You are dealing with a lot of pain. Hoping you can find the right Dr or surgeon to fix your hip and get you pain free!
"If you can't be handsome, be handy!", says Red Green. Words to live by for men.
Have to have right hip replacement waiting to see Dr. My hip definitely hurts
You guys are great...thankyou!!
u 2 r great!👍 thanks for all d inputs.. n luv yr jokes 😊🙏💜
If you live in New York, USA, the Hospital for Special Surgery (HSS), in Manhattan also specializes in anterior approach .
If you're a PROBLEMATIC PATIENT...no car, help, stairs at home, no family to assist you will be treated w a lot of B.S. and NO COMPASSION. They have no heart . LENOX HILL saved my life. Equality reigns and doctors work as a team. 4 years of suffering and misdiagnosis there , also at Langone.
thanks for sharing
If you live in Georgia , USA, see Dr. Thomas Bradbury, Emory University Orthopedics and Spine. They have seven of the tables and specialize in Anterior approach .
Could you cover Lateral Approach sometime?
My Total Hip Replacement Journey - Anterior Approach • August 29, 2018 • Dr. Salyapongse • Dublin, California
Hello everyone. I would like to share my Total Hip Replacement journey with you.
I am Dr. Judith Gayle Olund, having earned my Doctorate Degree in Organizational Leadership in year 2012; however, today I will share with you a much more personal journey - my decision for a total hip replacement.
Over my past 70 years, I have enjoyed a wonderfully active life that began with dancing lessons as a young child and have continuously enjoyed all physical activities throughout the years; even until most recently often dancing at the local pub Friday and Saturday nights for two to three hours straight.
So yes, I ignored my slow but sure developing limp (over at least five years) and was finally diagnosed with osteoarthritis in my hips over one year ago (bone-on-bone). I never really considered surgery, feeling confident that perhaps losing a little weight would help with my developing limp. So...I did work at it; I lost some weight and also began a wonderful collection of shoes hoping that they would solve my “walking problem" which was becoming more and more pronounced.
More recently, it was becoming a "challenge" to walk from the dancing pub to the pizza joint just three blocks down the road. My friends were wonderful, allowing me to lean on them (literally) as we went for our snack in the early morning hours. I had never really been a pill taker during my life, but I began to take a couple of NSAIDS just before going out to my social affairs in hopes of walking better and hiding my "little limp.” Not possible; but, my friends were always so kind.
Finally I had a checkup with my general doctor Dr. Calvin Lei at Stanford Health Care in Pleasanton, California. We discussed my walking issue which resulted in a referral to my now orthopedic surgeon, Dr. Aaron Salyapongse of Webster Orthopedics in Dublin, California; however, after my first consultation with the surgeon...I remained very hesitant. Maybe all I needed was a shoe lift - funny how we rationalize when we just aren't certain about things.
Well, when my general labs were assessed - funny thing: I wasn’t even eligible for surgery because my blood sugar was a little high; and more importantly, my blood platelets were below the "normal" level important for surgery. So, I thought that just might be a "stop sign" for any surgery. Okay then - decision made. I thought it could be months before considering surgery again. Who knew?
Dr. Lei, my general doctor, soon referred me to an oncologist in order to checkout my blood platelet situation. Dr. Kavitha Raj, a wonderful oncologist with Valley Medical Oncology Consultants in Pleasanton, assessed my condition and informed me that while my low platelets were normal for me, my platelet count must be in a normal range for surgery. Okay, so I took some prescribed medication wondering how long this could go on. Who new?
A few days after the follow-up blood test by Dr. Raj, I unexpectedly received a phone call from Dr. Salyapongse’s office saying that I had been approved for total hip replacement surgery and was asked if I would like to schedule a date for surgery. I was definitely in shock...expecting to have months to reconsider surgery. I was then offered a surgery date in just two weeks which had opened up due to a cancellation. If I had not secured this opening, I would have had a month wait for surgery....that is, if I had decided to go ahead.
We penciled in the date. Two weeks.
So...because I was instructed not to take NSAIDS for ten days prior to surgery, I quickly realized how those little pills were actually masking my discomfort to a reasonable degree - more than I thought. By day eight without pills, I was reaching for the walls in my home (not wanting to put weight on my left hip); and, I was also compensating for my diminished hip movements by over-using my right knee which was becoming notably over worked. It was my time. I had a choice. Show up Wednesday morning for surgery, or go shopping for a cane and hideout more at home in the future.
I showed up for surgery: Total Left Hip Replacement by Dr. Aaron Salyapongse, - Anterior Approach scheduled for September 29th, 2018; having just celebrated my 70th birthday two days before.
I would like to share my surgery experience to add to your information gathering....but always remember, we are each uniquely different.
I showed up for total hip replacement surgery with Dr. Aaron Salyapongse at six-thirty a.m. on September 29th, 2018, for admission to the Stanford Health Care / Valley Care Hospital in Pleasanton, California.
Paperwork complete, it was now time - my time. I was escorted down the hall to the pre-op section and quickly asked to take two pills. I followed instructions and swallowed. Okay, I was then given my hospital gown, toothbrush, toothpaste, non-skid yellow socks to wear, and then asked to change and go potty; also, to brush teeth. Now it was time to get comfortable on the bed. So, I did.
Three pre-op nurses were soon hovering over me -- each doing their task including the IV, asking many questions, and establishing monitors and so forth.
I froze.
What was I doing here? I questioned all my decisions in one moment.
I asked the three nurses if it was normal to get "cold feet" about this time? My sudden tears prompted a three-nurse-cheering team offering kind supportive words of encouragement. My one minute freeze was over.
Soon the medical team and my family surrounded me. Dr. Salyapongse, my surgeon, now in his light blue scrubs was asking me what procedure he was about to perform on me. I replied, "A total left hip replacement, anterior approach, 4 inch incision, then moving the muscles with your fingers giving access to the ball to be sawed off, which made way to the socket area which would be replaced with new materials; then a "test" implant (to hold the new ceramic ball) would be fitted before implanting the permanent titanium implant."
He was impressed and said I could help : )
Well, somewhere along the line, the anesthesiologist mentioned that Dr. Salyapongse preferred that his patients have a spinal. Whoa…a spinal?
I didn't have much time for debate to my amazement because the “meds” were doing their thing and a good "cocktail" was lingering in my I.V! : ) So then, after being wheeled into the operating room, I barely cared when asked to sit up and lean forward for the "dreaded" spinal. I leaned over with no cares: at some point, the anesthesiologist administered two shots. I couldn't really tell. Afterwards, I was asked to lay back and I did.
It seemed liked the next moment when I heard the words "wake up you're done." Done? I was having such a nice sleep after months and months of restlessness.
***
After surgery: No pain. No nausea. No dizziness. I took one pain pill as more of a precautionary measure by end of day one. I was up and walking shortly after surgery to go potty (using a walker primarily to prevent any falls).
Day one after surgery: No real pain. I called it my "brick leg" but no pain. I was up and walking (using a walker primarily to prevent any possible falls).
Day two after surgery: I returned home, remade my new bed downstairs, and went upstairs for a shower. Nice. No pain.
I am presently enjoying my recovery time (Day 6) and continuing to take meds for continued healing and good health. I feel amazing. No more anguish when I walk. Of course as to be expected...I will continue with healing and adjusting to my new life, my new hip, and my new ability for excellent mobility.
My biggest lesson learned - let others help you when you can. Trust in the positive side of things. Accept blessings when they are right before you....and always give thanks.
Dr. Salyapongse, I thank you for your excellent skills and for your dedication to help others, providing them an opportunity for a second change of continued mobility and healthy living.
***
Footnotes:
-- Thank you to my dear family and friends for good thoughts and sweet prayers.
-- Thank you to the medical staff and all related personnel who cared and helped so graciously.
-- Mostly, I thank my Father God who clearly urged me to trust others and let others help me because He does care about everything we encounter.
-- Recommendations:
Dr. Calvin Kyaw Soe M. Lei (General at Stanford Health Care in Pleasanton)
Dr. Aaron Salyapongse (Orthopedic Surgeon/Webster Orthopedics Dublin)
Dr. Kavitha P. Raj (Oncologist / Valley Medical Oncology Consultants)
Stanford Health Care - Valley Care, Pleasanton, California
I had an anterior hip replacement. The physio in my exersize class gave me floor bridge exersises but said i can do it it bed. Also leg extentions going back. As I have seen your warning i wont do them. Dont want to create dislocations. I am doing the others 3 x a day and walking around. Its 2 weeks since my operation today.
Good information. 👍
Is hip extension not advised in general or just during the healing time? e.g., 2 year post-surgery and person wants to include hip extension in an exercise regimen.
Just had (2mos.ago) my 2nd anterior total hip replacement, 6mos. apart, wow. I have a life again. Years of real pain. This week-no cane. The scar is a thin line, 6"long. The table,I heard cost 100K. My DR. is well known for this. This last time I healed using Advil for pain for 2 wks. I can walk miles, swim for hours, ride a bike. 6'3", 220lbs, 60yrs old.Bob and Brad- the very best. I avoided surgery until I learned of a jockey that was able to race again and win. If you have pain 24hrs aday,unable to sleep-DO IT. 70K bill, my share $2500
Mr. H IM A DAV IN A WHEELCHAIR N CANT WALK N BECAUSE OF A BAD VA DR NEGELANCE N IM IN A LOT OF CHRONIC PAIN I NEED THR SURGERY BOTH SIDES N COULD YOU SEND ME MORE INFORMATION THANK YOU N GOD BLESS
THANK YOU
HEY EITHER YOUR VERY LUCKY OR YOUR LIEING I HAD THR SURGERY LEFT SIDE 5 MOS AGO N IM STILL HAVING PROBLEMS WALKING N IM IN ALOT OF CHRONIC PAIN
Hmmmmmm????
Richard Hudak )
What about restrictions for the Lateral Approach (that is in the middle of the other two approaches)?
I saw a video where they said the operating table is around $85,000. The success for the anterior is having the right tools for the job.
Is it normal to have some knee pain after anterior THR surgery?
Hi guys. I had my replacement 4 yes ago. I have had no real problems exception I do get soreness on that side if I sleep on that side too many consecutive nights also I do have limited range in my groin area which affects my ability to reach my feet. Do need left replaced but hoping for stem cell injection. Love watching.
frogie011
Think b&b have some good health enhancing exercise for the leg in general.
Functional the hip can't be seperates from the leg and as you already said most of the time one sides also effects the other.
Furthermore my clients, a physio myself tough not on a level with our dear duo her,sometimes experience problems in the (lower) back - without inspection / assessment it's hard to say if the back or the hip or even both are the problem.
If there is already a arthrosis in the hip(s) it tends toward that but wrong allingement of the joints/bad posture might affect the back.
What happens if you forget and accidentally pivot on the affected leg?
Nice job. F y I. The surgery for anterior approach is done on a Hana table that costs 90 000 dollars 💵. I’m going to have my rt hip done in 4 days. I’m nervous about the surgery so I did a lot of research Having anterior done by a dr who specializes in this approach and came highly recommended to me by other doctors 🥼 who know of his great reputation as a hip surgeon. I’m 63 and have been in severe pain a long time and can no longer walk so my wife a sons talked me in to it. Still very nervous about it. Your videos are awesome. Keep up the great work. Have a nice day sirs 🇺🇸
THE SONG yes!!!
There isn’t even a question as to whether it’s better it’s the GOLD standard method!
have you guys heard of the new "superior" or superpath approach? I'd recommend checking it out. There's a few surgeons out west performing it. Might be the next step
I had the superpath approach done in 2016 no problems since. Could have come home the next day but chose to stay an extra day due to having to travel 300 miles home. I have never regreted have that type done off and running in 4 weeks!! 2021 in Oct. fell and broke my right hip and didn't think I could make a 300 mile trip so I went locally and the doctor who did the surgery was a friend of the doctor who did my other hip and he said he did the arterior approach and would be simular to the other but no way I was in bed for a week with a numb upper leg and then went to a closer hosptial for 1 week more and came home and was not able to do anything. He left my right leg shorter than my right and now I lose my balance all the time and have a limp and it doesn't feel right when I walk so needless to say I don't recomend the anterior approach! Wish I had went 300 miles for the other. Mine was done in Nashville, Tn. now theirs one in St. Louis and several other places!!
I'm sorry it's been 11/2 years since my surgery and I still have numbness in my upper legs and don't feel like I have recovered!!!!!!!!!!!!!!!!!!!!!!!!
The operating table they use for the anterior method is a 3 part table. The body is on one part and the legs each get their own table so the surgeon can move the legs around as necessary.
I have had the privilege (not really!!) of having both methods. All on one leg. The first time, I had the anterior. I was back to work in 5 weeks. Because I received the recalled hip replacement joint, I had to have it removed and that had to be done with the posterior approach. It's been 4 months and I'm still in pain. I will probably be out of work for another 2 months.
With the anterior method, they just part the muscles. With the posterior, they cut through all those butt muscles. The incision is bigger too. The first time, I was out of the hospital on the third day. The second one, I was transferred to an acute pain treatment hospital and was there for 11 days. I should mention that I'm relatively young so age hasn't had a lot to do with my healing. I was 46 when I had the first operation and 55 with the posterior.
I would recommend the anterior to anyone that can get it. Hands down. Unfortunately, the revision can't be done the anterior method. Trust me, I tried to find a doctor that would do it. But, because of the need to get into the socket/cup, the anterior way was all they could do.
so how many yr u have gone for revision of the surgery
means only 11 year was the life of implant
So abduction is fine with an anterior approach?
My great aunt has her hips replaced, at least 25 years ago and her scar is on the side. Would that be anterior?
Kirsty Macfarlane Scar on side of hip is probably an indication of lateral approach in surgery. It usually is the most difficult on the patient.
My husband can’t lay down on his back so he has to be on the side
No choice
Can he still recover ok🤔
You should revise, since there are many more surgeons who have over 15 years of experience doing this. Here in Los Angeles for example, the younger surgeons in their 40's and 50's prefer this method and its what I had done.
how was the pain
Can you never bring your foot backwards or point your toes outwards even after a year? Or are these precautions just during recovery?
JB weld.
IM A DAV IN A WHEELCHAIR AND CANT WALK N BECAUSE OF A BAD VA DR NEGELANCE N ABUSE N IM IN ALOT OF CHRONIC PAIN I NOW NEED THR SURGERY BOTH SIDES N IM HAVING A CIVILIAN DR NOT A BAD VA DR DO MY SURGERY I FEEL THE BAD VA DRS THAT DROPPED THE BALL ON MY INJURY SHOULD BE FIRED N HELD ACCOUNTABLE FOR MY PAIN N SUFFERING HELP ME GET JUSTICE BEFORE
Thank you for your service to our country! THR surgeries have a very high success rate and typically need little relative therapy afterwards . I wish you well.
.
So sorry. I hear VA drs are typically the worst. Our veterans deserve so much more!
⁰
No, titanium is actually not a metal. It’s an Asian vegetable. C’mon, PT-men,...what does it look like?!
But you both aren't orthopaedic surgeons. So you guys don't do this.