One thing I do not want is any muscles or tendons cut in the procedure. Dr. William Leone. 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.. As of 2020 only Dr. Leone is using the latest hip technique called the SPAIREtechnique where patients no longer have hip precautions after surgery. There are a few disadvantages to hip replacement surgery. Cons of Robotic Assisted Surgery As with any type of procedure, Mako is not without its drawbacks. 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. 3 years ago, General comments will be answered in as timely a manner as possible. Hi Frances, did you have surgery posterior Superpath? The femoral nerve functions to extend the knee and also is responsible for sensations over the anterior and medial aspects of the thigh, medial shin, and arch of the foot. Dr. Himmelwright Introduces SuperPath to OIP Thank you. I dont think one surgical approach is better or worse than the other for you to accomplish this. Hello Dr. I would rather see my patients go home. After the direct anterior approach, there is generally no hip precautions required, and motion is not restricted. I love that you take time off to reply to these messages it is commendable. I suggest you discuss your concerns with your surgeon. General Information about Hip Implants | FDA Comparison of short-term outcomes between direct anterior approach (DAA) and SuperPATH in total hip replacement: a systematic review and network meta-analysis of randomized controlled trials. Doc says once recovered I should avoid flexion with adduction and internal rotation. It will help desensitize and help get your muscles working in synchrony. If, on the other hand, the leg length difference is creating hardship and possibly discomfort in other joints such as the lower back, knee or ankle, I would consider proceeding with contralateral THR sooner rather than later. There are many effective approaches and techniques that allow implantation of a total hip. Upgrade to Patient Pro Medical Professional? Had a total hip replacement aug 2013. Because of this, when you're ready to get up and walk about again, engaging your muscles and hip flexors might be extremely tough. Im hearing no restrictions (once recovery is done) for Anterior, but always some for the other two. Yes, Im angry. Procedures The first surgeon never mentioned this condition at all. SuperPATH is a micro-invasive method of performing a standard total hip replacement where the surgeon utilizes a smaller initial incision and, more importantly, a very limited dissection in the deep tissues. Having diabetes and two organ transplants does significantly increase your risk for post-op infection as well as other complications. Lateral femoral cutaneous nerve injury is the most common injury incurred during an anterior approach. Posterior hip surgery may be the best option if your surgeon makes a larger incision at the side or back of the hip joint. To have your other hip replaced through a different approach is a decision you need to make with your surgeon. The risk of revision surgery after a posterior hip replacement is the most serious concern. Why would the doctor not have that at their finger tips? Here is his perspective based on careful observation of outcomes. How long will my hip replacement last in your opinion? I often suggest to my patients that they speak to other patients for whom Ive cared and to whom they can relate to learn about their experiences. 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. I should think that all your expectations are appropriate for the activities you look forward to, especially considering youve already done so well after your knee replacement. Ill know a lot more after we meet and I review your X-rays. The particular surgeon who did your hip is also uniquely qualified to advise you with regard to the postoperative stability of your particular hip, because he or she physically tested your hip intra-operatively. Ive come to the conclusion that perceived benefits do not outweigh the risks with the anterior approach, especially when I can achieve the same or more using the mini-posterior. Above the ankle to the thigh.Had to use leg brace to If your little voice is questioning if you are overdoing it or hurting yourself, then listen to it and ease up. With much respect I look forward to your reply. 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 There is less risk of neurological injury. Fortunately, many folks who experience back symptoms before THR report improvement or resolution after. But this blog was a nice nudge toward the posterior. Remember, what youre hoping to do is have a hip construct that will last 20 years or more. All: Since then, SuperPATH has enjoyed excellent success. disadvantages of superpath hip replacement. THR - Posterior or Superpath Decision - Joint Replacement Patient Forum I also would find out your surgeons recommendation regarding activities and restrictions. Contact Us, Approaches On July 17th, I had a left THR. I just saw a patient with a femoral neuropraxia after a anterior approach THR. Its been six months since surgery, my operating doctor keeps feeding me with lets wait another month stuff. Have you heard of something like this, and if so, is it worth it? I would consider talking to other patients who had their hips replaced by that physician and learn about their experiences. Hip Replacement | Rush System Each surgeon approaches these issues individually. The experiences will vary greatly . Dr. Leone, I am coming in to see you for an appointment for a THR to my left hip. I also have undiagnosed neuropathy in both legs from the knees down. Can you explain it to me as he didnt go into detail. With a bilateral procedure during a single anesthetic, the blood loss would be double and there would be a much higher likelihood that my patient would need transfusion post-operatively. Comparing Short-term Outcomes After Direct Anterior and SuperPATH Hip I also would encourage you to choose your surgeon first not the procedure, approach or prosthesis. Others continue to follow traditional guidelines. There are hybrids of the surgey from what I can see. Most patients after a bilateral procedure would not go home but rather a rehab unit. The art of surgery should mimic a well rehearsed ballet or symphony. After a slip and fall at work 2 1/2 years ago I need a THR on my left hip. Can You Use An Inversion Table With A Hip Replacement I understand and respect that many surgeons prefer doing them simultaneously. Thanks. Is Less-Invasive Hip Replacement Best for You? - WebMD A lot of hospitals and ambulatory surgical centers offer what's called outpatient surgery. Some of the most common considerations are age, weight, activity level, and the presence of other health conditions. Hip replacement surgery is less painful than arthritis or fracture-related pain. I do participate in competitions and showcase presentations. I wish you only the best, Thank you for this! I weigh 185 and am 54 and realize its ideal to lose weight prior to surgery (working on it as always). 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 . I am a 70 yr old female with a 4grade thickness loss at acetabulum and head of femur. Over time, some patients may acquire sensitivity or an allergy to the metal particles produced by the metal ball and socket. I had to cut some strength exercises out leg lifts, hip sled. The intended interval between the front thigh muscles can be difficult to recognize and there has been an associated increase in injury to the femoral nerve or vessels. SuperPath Hip Replacement (Surgery) : 3D Animation - YouTube Supercapsular Percutaneously-Assisted Total Hip surgery or SuperPATH surgery is a novel method of hip replacement where your surgeon can perform total hip replacement through 2-3 inch incision into the tip of the hip and without dislocating the hip or damaging the surrounding soft-tissue (muscles and tendons). I try not to let it get to me, but it causing me to feel handicapped. I have two questions one, how realistic would it be to try to have both hips done at the same time? Rush joint replacement surgeons are leaders in hip replacement surgery and research. Many of these stems have very little if any long term follow-up, although some appear to be doing well in the short term. Dr. Parsons has extensive experience in the posterior, anterior and superior (SuperPATH) approach to total hip replacement having performed hundreds of each. If your surgeon cant answer your questions about hip replacement or provides unsatisfactory answers, you may need to consult another surgeon. Also, is it immoral for an 80 year old to have THR and cost the nations health care system $25 $35k? The doctor used the posterior procedure. Thanks! 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. You should keep in mind that the vast majority of hip replacement pain reduction surgery patients are satisfied with their final results. Will I still be able to do the things I like to do? Dear Dr. Leone, I am having Makoplasty ( robotic imaging) to my right hip in February. I also regularly receive Rolfing treatments which has helped me manage pain and maintain what mobility I have. I have linked back to several blog posts below that will give you more in-depth information. (Of course, I do.) July played my last match when I buckled. If was 3 weeks after discharge Patient Resources It typically requires a 4 to 5 day hospital stay, 3 to 6 month recovery period . I have since read that hips with this condition might get worse after labrum repair due to this structural defect. Dear Mary, Fort Lauderdale, FL 33334 1. 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. The anterior approach, as opposed to the lateral or posterior approach, uses a small incision in the front of the hip. With degenerative osteoarthritis of the hip developing secondary to a severe slipped capital femoral epiphysis (scfe), recreating normal hip mechanics after THR may have necessitated lengthening the first hip. Almost all bilateral THR or TKR patients go to a rehabilitation facility after their acute stay, not home. I have seen 2 doctors one doing posterior, the other anterior. Is it really as good as it sounds? Thank-you. Dear Dr. Leone, Choose your surgeon. Does my prothesis not last as long since I am now doing a 3rd surgery? When the stem is placed in the femur, it still destroys the same amount of bone for implantation, regardless of which approach is used. 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!). I had an MRI by a different hip doctor (a preservationist) who diagnosed me with a birth defect (hip dysplasia). In May of 2015, I had a Labial tear repaired. How would a hip replacement be done? Other health issues include congenital heart ASD corrected about 12 yrs ago with an amplatzer occluder implant by the right femoral approach resulting in possible femoral nerve compression, Lateral right leg numbness and leg discomfort since the implant, Groin pain and restriction in extending the right leg back has been a problem for some time and masked the fact that at least a portion of my increasing pain was from my hip. Brian Tinsley. surgeons certainly do not go out of their way to cut anything, they move stuff about, if tendons do get damaged, it's more likely from the anterior approach as they have less 'sight' of the procedure due to the smaller incision. There has been an increase in the range of motion. I believe choosing your physician is the most important decision you can make. It helps the surgeon implant the acetabular component in a very precise position. The anterior approach exploits an interval between muscles that cross the front of your hip and thigh. Often, as the labrum is torn, it leads to a lifting off of hyaline articular cartilage where these two tissues meet, called delamination. He strongly recommends the anterior approach as the only way to go. I didnt spend time on boards talking for eons about peoples outcomes.probably a good thing I didnt. Today, everything from tools to techniques has improved. superpath total hip replacement animation - YouTube Surgical Approaches in Total Hip Replacement Im a 50 year old female whose been dealing with hip, leg and back pain for many years, recently diagnosed with OA, and finding that I need a right THR. But I am now in chronic low grade pain thats getting worse and dont know what I should do. The surgeon does about 200 a year and people say he has a good reputation. 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. Good question. It sounds as if you had a wonderful surgeon. Further, the extent of dissection is more minimally invasive, which also improves stability. Thank you for sharing. Being cared for in a hospital that specializes in joint replacement and has an extensive specialty medical staff also is key. THOUGHTS? Posterior, mini posterior or anterior? These are some of the most grateful patients in my practice. SuperPath Hip Replacement Baton Rouge | SuperPath Surgeons Baton Rouge This treatment is commonly recommended for patients suffering from osteoarthritis of the hip. He also used the term anterolateral. My surgeon does the SuperPath method. A less stringent set of precautions is required with the anterior approach. What are your thoughts on the use of robotics? 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. In anterior and posterior surgeries, the outcome is essentially the same a new hip. SUPERPATH Hip Replacement | Bethesda Orthopaedic Institute Extensive release of the posterior capsule including . In my 25 years of practice, the variable that seems to have changed the most is how quickly people recover from this surgery when done well.
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