disadvantages of superpath hip replacement disadvantages of superpath hip replacement

A modern artificial hip joint is designed to last for at least 15 years. Depending on the stability and range of motion observed at time of surgery, some doctors dont advise their patients to avoid any positions. There is less risk of neurological injury. Email us. He treats a variety of hip, knee, and shoulder conditions, and performs hip and knee total joint replacements. Clearly, he or she has earned your respect and confidence. If possible, try to get in writing any verbal promises made. Because of the restricted view provided by the anterior incision, the anterior incision is a technically demanding procedure. 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. Now 1 yr later dont have buckling/giving out but a lot of pain is there and after walking around, after about 20 minutes it hurts to lift leg forward, also good hip starting to hurt. I think it perfectly ok to discuss different approaches and ask for an opinion. 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! My advice is to focus on finding a surgeon with whom you are comfortable and have the best chance of doing well. My surgeon does the SuperPath method. Everyone is. 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 . But Im impressed with your blog and responses, so am writing to ask you about an apparently new procedure in which the surgeon uses a customised implant, utilising pre-operative 3D CT scanning. You are here: Home 1 / avia_transparency_logo 2 / News 3 / disadvantages of superpath hip replacement disadvantages of superpath hip replacementtesla floor mats, model y June 7, 2022 / kimt contest page / in are dogs allowed at schoetz park / by / kimt contest page / in are dogs allowed at schoetz park / by Your article has made it clear I made the correct decision, especially since my daughter had nerve damage from an operation years ago. Further, I would contact your insurance carrier and the hospital so you will not be surprised with any unexpected costs. Also, patients with shorter femur necks and genu varus (lower angle between the shaft of the femur and the femoral neck) are more difficult anteriorly. daniel neeleman net worth . This can be dangerous because a piece of a clot can break off and travel to the lung, heart or, rarely, the brain. No special surgical equipment is required when performing a mini posterior. Once again, I think your decision to proceed with THR is the most reasonable. 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. The risk of revision surgery after a posterior hip replacement is the most serious concern. Thanks again! Pam. Your back does need to be evaluated as well. Thanks so much for this information! What are the risks involved? Also many folks develop peripheral neuropathy in their lower legs, which also becomes more common with age. I do not want the approach to dictate the optimal construct which I hope will last 20 years and more. Gililand, our physician, explained the concept of health. Really Great. It is also important to avoid any sudden movements or twisting motions. After awhile the screws started shifting and poking up under the skin and they removed them. 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. Procedures There are various ways of doing a hip replacement. The initial recovery period typically takes six weeks or more. My doctor does not do mini posterior, therefor I have a 6 incision. Cant afford a dislocation or other complications cause Im sole caregiver for severely handicapped son. I think speaking to a patient with whom you can relate and who has been treated by the physician youre considering also is invaluable. 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. Any feedback will be appreciated. I suspect there is significant underlying osteoarthritis related to your labral pathology. I assume its something near my groin. Other preoperative guidelines, such as using a prescribed pain medication and keeping the incision clean and dry, should also be followed by patients. My problem isnt from a worn-down joint with no cartilage. Egton Medical Information Systems Limited. One thing I do not want is any muscles or tendons cut in the procedure. Each question is scored from 1-5, with 1 being no problems and 5 being severe problems. 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. My gait is off partially due to my hip but also I believe because of my body structure. This does expose the patient to more radiation but can help with component positioning and sizing. I am a 49-year-old female. The bone isn't dislocated in surgery. Such joint replacement orthopaedic surgery is generally conducted to relieve arthritis pain or in some hip fractures.A total hip replacement (total hip arthroplasty or THA . It typically requires a 4 to 5 day hospital stay, 3 to 6 month recovery period . Overall, it sounds as if youve had an excellent result and wonderful recovery following your hip replacement. Complications from infection account for approximately 10% of all cases. Try our Symptom Checker Got any other symptoms? Should I look to another approach and surgeon? It sounds as if you had a wonderful surgeon. After reading your articles, I have decided not to have anterior. I was out of bed walking around the evening of the surgery . I think it is important to define and isolate why youre doing so poorly. Enhanced soft tissue techniques also have been developed which more securely close the tissue around the newly placed prosthesis and set the stage for healing. I was told the joint lubricant had migrated into the hip bone creating the cyst, There is effusion in the joint and stress areas. I was not aware that any of the local surgeons who is doing anterior approach. Changes will take effect once you reload the page. Thank you, Lisa Blumthal. Not wanting to go through all the restrictions, I was considering anterior for my right hip, which would require not having it done locally since doctors here have been doing it for only 1 year. Following the anterior approach, we provide you with a number of precautions and positions that you should avoid if you are in danger of being discomfited. Because my husband has circulation problems in his leg and vein removed for open heart surgery last yearhis surgeon recommended the Mini posterior surgery. Sometimes, it simply isnt possible to accomplish. 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. What reasons would there be to use the regular over the mini? My surgeon uses the posterior approach. I worry that replacing it with a differently configured socket could make things worse rather than helping. I would suggest seeking out doctors who specialize in hip replacement surgery rather than general orthopedics. I again suggest you concentrate on finding a surgeon in whom you have faith and then trust that doctor. I wish you the best of luck. Long-term outcomes of SuperPATH approach need to be investigated. Possible Infections Dr. Sutphen: A minimal number of surgery patients (roughly around 1%) can develop an infection around their hip replacement. 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. As of 2020 only Dr. Leone is using the latest hip technique called the. My second question relates to something you mentioned earlier regarding checking the published track record of the surgical team if I use an HMO, how do I find that information, and how do I know it hasnt been skewed to give more favorable results (lying with statistics)? Call (919) 781-5600 to find out if you need total shoulder replacement in Raleigh, Cary, North Raleigh, Garner, or Holly Springs. It is not acceptable to lean forward while sitting down or standing up, and it is not acceptable to bend past 90 degrees (as shown in the angle in the letter L). Glad that after lots of PT and massage and medial branch block for back issues with NO!!! We can help you make the best decision for your knee replacement, and our friendly staff is available to answer any questions you may have. Which approach did the doctor take? 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 . I think there may be increased associated complications. Fortunately, if the components are stable (bone-in grown or cemented) and optimally positioned, and the surrounding tissues has fully healed and matured, then that risk is very small. I am so sorry to learn that you have had such a bad experience after THR. When people loose independence and mobility, not only does the quality of life suffer, they are much more likely to develop a myriad of medical problems requiring even more-expensive and/or long-term care, including loss of independent living. The hope is that your nerve injury will recover with time. Gary. Your article lacks the pros of the AMIS and the cons of min invasive posterior. Your frustration is completely understandable. 3. 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. Since my acetabulum is too shallow, and other angles are off as well, how does the new cup get positioned correctly? As for doctors, the surgeon I had came highly recommended. Extensive release of the posterior capsule including . The surgeon was not at the pre-op meeting, but the PA assured me it was not that big of a deal (but to me, ALL surgery is a big deal!). Thank-you. . I have had both hips replaced about 13 months apart, one anterior and one posterior, and there is no doubt that I would recommend anterior. From what Ive seen, most THR patients dont need very much PT, although I do encourage exercising in a pool. Ann Transl Med. DAA and SuperPATH were equal in functional outcome and acetabular cup positioning. I dont know if this stems from the knee surgery but I do not believe so because I was well for about a year and a half. When studying the hospital credentials, try and learn how many joint replacements are performed at that hospital each year, their infection rate and their 30-day readmission rate. Dr. Tom Miller gives you the five best options for hip replacement surgery. Spring 2014 had trouble playing tennis, hip kept feeling like it was popping out of joint, groin pain, aching. Is AL better than P for this? To have your other hip replaced through a different approach is a decision you need to make with your surgeon. There is a chance of nerve injury with any type of hip replacement. Thank you for sharing with others the nerve supplements that youre finding affective. I deal with major nerve damage on front of thigh, almost whole thigh. Its also reasonable to ask to speak to other patients who have undergone THR using this technique to learn about their experiences and results. Because of the straightforward exposure of the femur, there is less risk of femoral fracture or poor implant positioning. General comments will be answered in as timely a manner as possible, Hip & Knee Surgery General comments will be answered in as timely a manner as possible. In 2010, more than 310,000 hip replacements were performed in the United States. I also would encourage pool walking or swimming. Minimally invasive versus standard incision anterolateral hip replacement: a comparative study. This is not true for bilateral cases. Anterior hip replacement has the potential to cause complications and pose some risks. In my practice, I cement an Exeter stem in a significant percentage of my patients who undergo THR . Nobody wants a long recovery. You can resume your active lifestyle as soon as possible thanks to a new prosthetic hip. Click to enable/disable Google reCaptcha. Avascular Necrosis AVN of the femoral head happens when part of the ball at the top of your thigh bone loses blood supply, causing that segment of bone to die. I wish you luck on your journey. Original Medicare (Part A and Part B) will typically cover hip replacement surgery if it's medically necessary. I feel that at 10 weeks with profuse denervation potentials on the quad muscles, the prognosis is not good, even at 6 months. About this injury to me. Your article is the first Ive read in which no muscle or tendons are cut in any approach other than the direct anterior approach. The activity that I wish to have the most success with after the surgery is ballroom dancing. Do I have a risk of fractures during a posterior right hip revision due to my prior complications already? Both have valid cons against the others methods and pros on their method. The earlier the recovery begins, the better chance for a more-complete recovery. I didnt spend time on boards talking for eons about peoples outcomes.probably a good thing I didnt. Historically, higher dislocation rates were reported with the posterior approach, but it still was used for its many other advantages. In my practice, patients who undergo a THR using a mini posterior or posterior approach: 1. Patients can also have as little as a 3-inch incision. All have advantages and disadvantages. Soon my right hip started bothering me. How the soft tissues are handled and respected, the patients expectations before the surgery and the surgeons experience do. The experiences will vary greatly . The doc I saw yesterday said 4 weeks. Is it really as good as it sounds? but it was more torn than they thought and they had to cut out about 1/4 of it. It all comes down to the surgeons comfort as well as the patients. You should consult with your doctor before deciding to have an anterior total hip replacement. I am wondering if having mild hip dysplasia is a factor in which approach is used. Also, since I am only 51, I am concerned about component longevity. It is highly recommended that you avoid bending your hips and turning your feet together as part of hip precautions. 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. Studying a hospital and physicians track record before you commit is important. Because the muscle fibers are separated, not cut, the nerve path is not disturbed and the muscle is not injured. Hip replacements might keep you out of action for a considerable period. Some of the most common considerations are age, weight, activity level, and the presence of other health conditions. That being said, in order to meet your goals, if need to leave your area and consult with surgeons in other areas, I think that is reasonable also. This often leads to a less than optimal component position. Sometimes during surgery it is necessary to release particularly tight structures to expose the joint for reconstruction or to better balance surrounding soft tissues after reconstruction. 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. An anterior approach to hip replacement allows the surgeon to perform more limited views of the hip joint during the surgery, making the procedure technically challenging for less experienced surgeons. Im 51, 59 and 148 and want to get back to tennis etc, this has been long frustrating process. The healing and maturation of this tissue takes time. 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. The impingement can lead to a levering out of the ball from the socket. The posterior approach is used frequently again, in large part due to the fact that it is an extensile approach. Diagnosed possible labral tear. Hip replacement currently consists of two major approaches: direct anterior and anterior approaches. There is no way that you can recover fast from having bones cut and shaped and large metal objects inserted into them. Types of Hip Replacement (Approach) Hip replacements can be preformed through a direct anterior approach, an anterior lateral approach, a lateral approach, a posterior approach, and a superior approach. Celle said: Superpath may give you a faster early recovery, but whatever method is used, recovery is still going to take a long time. I am 63 years old, 54, 115 pounds. The rest is marketing. Most receive a simple spinal with sedation. Notes on SuperPath experiences good or bad, https://patient.info/forums/discuss/superpath-experiences-good-or-bad-718788. 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. 3 years ago, No one tells me the same thing? I dont think there is one best prosthetic. Some have features that are more suited to one persons anatomy and needs than others. The doctor used the posterior procedure. Does anyone ever attempt to do both at the same time if THR is determined? One advantage the ceramic-on-polyethylene carries is the lack of . Yes, Im angry. I don't think there's a one size fits all when it comes to hip surgery. Once it exceeds this ROM, impingement occurs. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. In my experience, almost all patients who have bilateral THRs go to rehabs and not home. Dear Dr. Leone, This is because the nerve is located in front of the hip. While new techniques, instruments and prostheses have been developed specifically for minimally invasive surgeries, there are many well-established approaches to hip replacement. No specifics were given to me from the orthopedist . I'm so encouraged to hear your successful story. An anterior hip replacement does not have any limitations based on comfort. It helps the surgeon implant the acetabular component in a very precise position. Both approaches have been shown to have potential in research. I definitely would not recommend a hip scope and THR during one anesthetic setting. Everything does point to posterior being the better of the two, but first i wasnt given a choice, and much easier said to shop for surgeon, than to do it, when only one in this area takes my insurance. When the anterior approach is used, the soft tissues in the hip stay intact, allowing for better hip alignment. My recommendation is for you to discuss this with your surgeon if you have further concerns. Can you suggest any pain medication that would not interfere with anti rejection drugs? He is well known as a top doc for 20 yrs & I was persuaded because the mini posterior has less chance of nerve damage & the surgeon has more options for types of spikes, which your article explains well. I am now bracing myself for THR surgery within the next year and am wondering if there is any big advantage in trying to have this done by a surgeon who offers the customised implant, as above. After reading your article on disadvantages of anterior approach and also doing extensive online search about this subject, I came to realize that anterior approach was definitely a wrong choice considering my physical build short, muscular, overweight. bible teaching churches near me. I then would strongly suggest you trust that person to decide what approach and what prosthesis predictably will deliver the best results. I dont think one surgical approach is better or worse than the other for you to accomplish this. Just getting your thoughts I will discuss it more with my surgeon at the pre-op meeting. Still going to rehab to reduce stiffness and increase strength but I am in better shape now than before surgery. I furniture surfed in the house and used a stick outside.I was hopeless with crutches, but I think it is recommended we should use them, particularly to ensure we don't get a limp and build our leg up properly. I would recommend having an honest discussion with the surgeons you are considering. Some patients report that symptoms increase in the not-yet reconstructed hip because of the leg length inequality. And does A really have none. Dear DR Leone, I wish you a full and speedy recovery. I really dont know where to go from here. With mild dysplasia, positioning and implanting the new cup usually is not more difficult than with other conditions. Would not make eye contact. It also is more difficult for patients with some patterns of arthritis such as protrusio, which causes the worn out ball to migrate inward rather than upward into the socket. Very slow recovery. Having diabetes and two organ transplants does significantly increase your risk for post-op infection as well as other complications. I, too, am struggling which approach to have. Introduction What is most important is choosing your surgeon. The most common type of total hip replacement is done in the anterior anterior part of the hip. The hope is that these new designs will, but time will tell. Dear Jo Anna, This treatment is commonly recommended for patients suffering from osteoarthritis of the hip. Start your day off right, with a Dayspring Coffee I can still do 30-45 mile rides, but I need to take something before each ride, because of the undone left hip. Part of those possibilities includes a better and more comfortable sex life. 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. Will I still be able to do the things I like to do? If a patient has abnormal anatomy (such as dysplasia, posttraumatic arthritis, or morbid obesity), or if their body mass index is higher than 35, it may be impossible for them to be considered for direct anterior surgery. They may have a certain cut-off criteria (for example, a BMI of less than 35). 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. I choose to do them in a staged fashion because it is a significantly shorter procedure (more than half time-wise) and some think this lessens the risk of infection. This too will lower your anxiety and improve your experience. I also would encourage you to choose your surgeon first not the procedure, approach or prosthesis. Also, after an accident, I had 12 screw and an L shaped plate in my heel. There is some concern that this weakens the abductor and leads to a limp. If I can put you on the spot. Additionally, people with certain health conditions such as diabetes or heart disease may also not be good candidates. This procedure differs from traditional hip replacements in the following ways: There is no surgical dislocation of the hip. Typically, the new cup will be medialized to gain coverage and correct the abnormality that lead to your arthritis. I prefer spinal anesthesia when possible because fewer drugs are used and often the experience is gentler. What are your thoughts on the use of robotics? appropriate medical assistance immediately. Common conditions that often lead people to have either posterior or anterior hip replacement surgery include the following: Osteoarthritis Rheumatoid Arthritis Osteonecrosis, also known as Avascular Necrosis Injury Fracture Bone Tumors 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. 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. My surgeon mentioned also cutting something to free me up at the same time he will be doing the posterior approach surgery. I am planning to have a THR this summer. If you are minimally handicapped with discomfort from the non-operated hip and the leg length difference is tolerable or easily managed with a shoe lift or modification, I would consider waiting. Six weeks or longer is the exception. The surgeon I saw said that my body structure and gait does not affect which approach would be ideal for my body. July played my last match when I buckled. Not putting you on the spot, but would it be advantageous for me to drive 200 miles to have a consultation done by you? I would then let that person decide with what approach they think they can best accomplish the surgery and deliver the best result. We have an appointment today to discuss the plan of action. Please comment. Also there are concerns about disruption of blood supply to femoral head with this operation. A metal or plastic implant is used to replace a damaged or diseased hipbone. There are several positions to avoid after anterior hip replacement, as they can put unnecessary stress on the new hip joint and lead to dislocation. There are risks and recovery times associated with surgery. A ball and socket are used to connect the new joint to the thigh bone (femoral bone), which is made of metal, plastic, and ceramic.