The anterior approach for total hip replacement involves going in through the front of the hip, rather than the back. However her joint never aligned right and she still walks with a cane and pain. Introduction. I know there are no promises in surgery but it sure would be nice if the docs themselves really looked at each case and brought up the various points instead of a patient having to try to remember what to ask — so they aren't surprised at the outcome. He said that because of the fusing, he would probably have to open the incision longer than normal which could lead to it opening up, etc., later which would require a visit to the wound center. The incision used in this posterolateral approach, as it is called, is about six to nine inches long and is made along the side of the hip and the upper thigh. Their consult confirmed that she was a candidate for this type of approach, and she underwent hip replacement on her right side using the anterior approach in December 2013. Las Vegas, NV 89113. I'd like to invite some Connect members who have had each type of hip replacement. I am 53 and in excellent health. Anterior is a newer procedure. A nurse friend just told us that she would never have the posterior surgery as the healing time is so much longer. “It was just night and day different,” Linda recalls. With the anterior approach there's less of those precautions. The posterior approach is what has been taught in most orthopaedic training programs across the country, because it is versatile and most problems with the hip joint can be addressed with the posterior … Some strength and flexibility work is helpful as well. My doctor did the anterior approach. The posterior approach side constantly hurts, but I get intense pain under load (walking, stair climbing, uneven ground), and the intense pain also makes it impossible to sleep at night. 2016 I had total hip replacement via posterior approach. She didn’t even need pain pills or crutches this time around. He had one THR a few years ago – posterior. In the posterior approach, the incision is placed on the side or the back (posterior) of the hip area. Watch Derick Johnson, DO, The Bone & Joint Center in Holland, Michigan and anterior approach hip replacement surgery. This is done by replacing the damaged or diseased bone with a metal or plastic implant, which is designed to replicate a healthy hip joint. A relative my age and size talked her doc into an anterior incision at that time, her initial recovery was about a month shorter than mine. In the posterior approach, the incision is placed on the side or the back (posterior) of the hip area. @khalt @happybug I was speaking to someone today who had just read up on this! Hi @edmcrae, welcome to Connect. Linda maintains it was the right method for her and thanks her providers for making the experience so positive. Author information: (1)Department of Orthopedic Surgery, Mayo Clinic, 300 First Street SW, Rochester, MN, 55905, USA, poehlingmonaghan.kirsten@mayo.edu. Intrigued and wanting to learn more, Linda made an appointment with Rusty Brand, M.D., an orthopedic surgeon in Eau Claire. It all seems so much like an "assembly line.". I had the posterior approach with all of those muscles cut, woke up with 28 staples, two drains and a lot of pain. @khalt and @smiseel recently discussed having anterior replacement. In a posterior hip replacement, the procedure is done on the side of the hip. The average hip replacement lasts 20-30 years or more. “How do you explain just getting to do life again?” the 55-year-old Eau Claire, Wis., woman says, referring to everyday activities she’s looking forward to engaging in again — things like driving, planting her garden and walking for daily exercise. There are fewer alternatives to treat joint pain in the shoulder . Home » Anterior Hip Replacement vs. Mini-Posterior Hip Replacement . Please buy it from trusted store. My buddy same age as me had the anterior approach. In 2006 I had both total hips, 3 months apart. “Everything was just superior,” she says. Anterior means front, and the incision for the anterior approach is made in the upper part of the front of the thigh. The posterior approach is the tried and true method. I moved your message to this existing...", "This will me my second THR. They recommended that when I needed surgery to consider going to him. @marysapp, @mrcapri, @melar1, @lynnd1961, @scottjeffe all discussed having the anterior approach done in this conversation, https://connect.mayoclinic.org/discussion/has-anyone-had-sharp-thigh-pain-after-hip-replacement/. Research recently presented at a meeting of orthopaedic specialists shows that patients often fare no better with minimally invasive hip replacement than those having a standard hip replacement -- and may do worse. The hip precautions below mainly apply to the posterior or posterior lateral hip replacement procedure. Small incision and little pain. Following her first two surgeries, she had a lengthy and intensive recovery — needing to take special precautions and undergo physical therapy. It appears to me that it's a matter of the age of the Doctor. The posterior surgery is a versatile approach. One of the primary differences between posterior and anterior hip replacement is the location of the incision. Proponents say it speeds up recovery time. Posterior hip joint replacement in Jacksonville, FL, is considered to be the “traditional” approach to hip surgery. In the short-term, anterior hip replacement is less painful and leads to a quicker recovery of mobility and strength compared to a posterior or lateral approach. Cartilage is a tissue that helps joints move. Print details ; Email; Share; Facebook; Twitter; Overview; Participation eligibility; Participating Mayo Clinic info; More information; Overview. Brand says the anterior approach can bring definite benefits, but he notes that it’s not for everyone, including obese patients, people who have had surgery on the hip before or those with significant hip deformities. There are several approaches to the hip joint that can be utilized for total hip replacement and these include with some variations the posterior approach (Moore or Southern), the lateral approach (Hardinge), the anterolateral approach (Watson Jones), and the direct anterior … For others considering hip replacement, Dr. The ortho doc I went to back then because I was having a problem walking took X-rays to ID the problem and told me that, since I had no pain in it, he would not replace it. Entry Point: In posterior hip replacement surgery, a surgeon will make an incision on the outer buttocks at the back of a patient’s hip or on the side of the person’s hip which is usually ten to twelve inches long. We were told that no PT is recommended last time for hip replacement. … The one who does hips also does knees — about 60 hips and 140 knees a year. 2800 East Desert Inn, Suite 100. Anterior approach seems to have a quicker heal time, but it is a limited view surgery and therefor a bit more risky if complications arise during. That should give you an idea of the recovery time involved. "In experienced hands, DAA can provide faster functional recovery in the short term after surgery." I've also read that it is important to find a doc who does a lot of hip replacements. So the one who would do anterior hips also does shoulders — about 150 surgeries a year. I moved your message to this existing discussion so that you can connect with other members talking about anterior vs posterior approach for total hip replacement, like @happybug @khalt @mamie. Las Vegas, Nevada 89149. Research recently presented at a meeting of orthopaedic specialists shows that patients often fare no better with minimally invasive hip replacement than those having a standard hip replacement -- and may do worse. There is renewed interest in the news and medical world lately regarding surgical approaches to hip replacement, specifically anterior (through the front of the hip) versus posterior (through the back of the hip) methods. For many patients, the posterior hip surgery replacement is necessary due to complex problems or deformities. This allows him to discuss with his patients the pros and cons of each approach and pick the best treatment option for the patients individual situation. Posterior hip replacement surgery is the “traditional” approach to surgery. My original doc did both anterior and posterior, but would only consider posterior because the hips appeared to be badly eroded on xray and were pretty well frozen in the joints (I was only 55 and of very average weight – he said he expected someone over 85 based on the pics) Another advocate of the posterior approach, Miguel E. Cabanela, MD, of the Mayo Clinic, also reserves the anterior approach for some cases. The big difference in anterior vs posterior hip replacement is primarily where the incision is made and how long it is. Brand, along with his colleague Mark Herr, M.D., underwent specialized training in this approach and have completed more than 100 such surgeries since they began using it with patients in summer 2012. The one who would use the anterior approach also does do posterior and has for about 14 years. The use of a fluoroscopy unit allows real-time imaging of the hip as the procedure is done. The size and placement of the incisions will be different. I had the first one eight years ago. The one they chose to use on you will depend on their training, their experience, their personal preferences and on your condition. Skip to site navigation Skip to Content Search. Any thoughts anyone cares to share? Will be having a pre-op dr appt in a few days. Knowing a hip replacement on her right side was inevitable, she began to weigh her options and gleaned helpful insights from her daughter, Emily, a registered nurse who works with orthopedic patients. I know each doc has his/her preferences, but I would like to know what is best for MY situation. I am sure that was partly responsible for my success. Yes, maybe it is a doctor’s preference. 8402 W. Centennial Pkwy. However nowadays with a well done posterior approach or a well done anterior approach, dislocation risk is very, very low and patients can do well with both. Dear Mayo Clinic: I have severe arthritis in my hip and have been looking into hip replacement surgery. The top of your femur is shaped like a ball and covered with cartilage. Nerve damage resulting in nerve palsy can leave patients in pain and with weakness that affects their function. The direct anterior group had a higher maximum visual analog scale pain score (5.3 direct anterior; ±2, … It allows the surgeon to fully visualize the hip and perform any type of reconstruction necessary during the procedure. This technique allows patients to recover and return to activities and work quickly. Other than that it can be a superior method, speedier recovery, but if your doctor prefers posterior then you should trust him and have your THR done with method. They also wanted to know what the risk factors are to help avoid the problem in the future. My recovery time was far easier and faster. Participation eligibility. In the anterior approach, the incision is placed on the front (anterior) side of the hip. Doctors at the Mayo Clinic reviewed 27,000 cases of THR to find out how often this happens. About anterior versus posterior hip replacements, Dr. Meisles concludes, “The ‘best’ approach is not the same for every patient and depends on patient preference and surgeon experience. It replaces your hip joint with an artificial one. The incision used in this posterolateral approach, as it is called, is about six to nine inches long and is made along the side of the hip and the upper thigh. Cartilage is a tissue that helps joints move. Knowing that her incision was on top and not below her, she felt more stable and was less worried about tearing stitches or opening up her wound when moving, sitting or sleeping. Yes, maybe it is a doctor’s preference. The surgeries were done on her left side, and her surgeon used what’s called a “posterior approach” in both cases. Hello @mamie, you may notice that I moved your discussion and combined it with an existing discussion titled, "Anterior vs. Posterior hip replacement: How do you decide?" However, I do wonder if those with less-than-good outcomes just suffer in silence and are not counted. Ivy Brooke Hayes from Florida shares her thoughts about having a bilateral total hip replacement at Mayo Clinic in Arizona. If you want to buy Anterior Vs Posterior Hip Replacement Mayo Clinic 0 0 00 0 00 0 00 0 0 00. Q&A: Total hip replacement, mini-posterior vs. direct anterior surgical approaches June 10, 2019 / in Approaches , Best Practices , Hip Surgery , Most Shared , Patient Concerns , Philosophy , Procedures , Surgical Techniques / by Diana Hanford These are my personal observances and opinions, I'm sure others may have differing. Would the direct anterior approach work for someone like me? Proponents say it speeds up recovery time. This is precisely what happened to my sister who is now having numerous problems which I feel could have been avoided had she had the anterior approach. In a Grand Rounds presentation, Richard C. Daly, M.D., a cardiovascular surgeon at Mayo Clinic, discusses the robotic approach to repair of mitral valve regurgitation related to leaflet prolapse (degenerative mitral valve disease). The Anterior vs Posterior Hip Replacement Does the Surgical Approach Really Matter? This will me my second THR. What I have found is that each surgeon has a preference and usually does one or the other but not both. So basically I am nervous about how to proceed. JK. The big difference in anterior vs posterior hip replacement is primarily where the incision is made and how long it is. What I want is the approach best for me. Hi, @JustinMcClanahan Thanks for moving my post to the proper category. 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