DIRECT ANTERIOR vs POSTERIOR approach to the hip l Total Hip Replacement lon-table vs off-table /DAA
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- Опубликовано: 4 сен 2024
- In this video I will share information about the direct anterior and the posterior approach to the hip when performing total hip replacement. I will touch on on-table versus off-table anterior approaches to the hip. In the video I will share current scientific studies regarding function, dislocation and time to discharge from the facility for both the posterior approach and the anterior approach to hip replacement.
00:06 Intro
00:28 opening statements
01:00 anatomy anterior and posterior
03:05 gluteal tendon tears
04:03 on-table vs off-table
04:57 dislocation
06:02 recovery
06:50 forgotten joint score
07:35 learning curve of the direct anterior
08:31 discharge from hospital/surgery center
09:00 wrap-up
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Disclaimer: The information found in this media presentation represents my own views and opinions. This has been produced for educational and informational purposes only. This does not qualify as medical advice. This in no way should take the place of professional medical advice. You should always talk with your physician, doctor, surgeon, therapist or other health care provider regarding your specific questions, complaints, diagnosis, and treatment. Do not delay seeking care based on what you find in these informational videos. Use this information at your own risk. No doctor-patient relationship is formed through watching these videos.
#hipreplacementrecovery #totalhipreplacement #arthritis #surgeryrecovery #surgerysuccess #surgeryday #health
Thank you very much!! I was worried about getting the posterior approach. Everyone is saying anterior, anterior but I have selected based on my surgeon and he performs posterior. This helps to put my mind at ease.
Glad it helped!
just come across your channel. I had posterior surgery five weeks ago, I know people who have had anterior and seemed to have less pain, I have had pain off and on, I spoke with the surgeon and he arranged an appointment to see him last week and to also have a X-ray, everything was fine with the implant, I was told my pain was inflammation, I am hopeful that I will soon be 100% In truth I chose the surgeon myself I travelled three hours to allow this surgeon to operate on my hip, when I could have travelled 15 min to another hospital, why because I felt comfortable with my choice of surgeon, I read his bio and I was impressed, but the big factor was I liked the man he was, he did not rush me into surgery and I felt he cared about my future plans once I was fully recovered, I never asked why he chose the posterior approach.
A good relationship with your doctor is always important. Wishing you a speedy recovery.
I have a stomach pouch so surgeon will use posteral approach for my operation.
@@dradamrosen since I wrote this post two months ago, I have been in pain, recently I had a MRI, the outcome was that my hip replacement is perfect no problems, however I have 9cm x 3cm of fluid adjacent to the right greater trochanter, suggesting a distended trochanteric bursa/bursitis with minor heterogeneity in the short rotator tendon/tendinopathy, there is also minor heterogeneity in the distal psoas tendon, do I have a clue what all this means, NO! all I know is that it is painful and I am doing all I can to recover, seeing the physio twice a week, doing my rehab exercises, I am a glass half full person, the good news is there is nothing wrong with my hip replacement, I have never regretted my surgeon choice he did a great job, I feel I have been unlucky, but I will find a way to recover and get back to full fitness!
@@edgaracevedo9658 Good luck with your surgery, I wish you well
@kittyg2718 Thanks. Weird but the pain goes away after a 10 minute cold bath. I have pain on the side of hip.
Thank you doctor for your thoughts. The healing might also take longer as I had a heart transplant 6 years ago.
Thanks again
Great information. It's hard to know which approach is not just better, but better for my hip anatomy.
Glad it was helpful!
Great video , I have had 2 hips done in the past the last year both anterior
Both have turned out great . I am 59 and had really bad arthritis
First one had zero issues walking unaided in first week , riding the bike week 3 and in the gym every day till back to work at week 12
I’m now 16 weeks post op on the second one
This one had a nerve complication , my femoral nerve was injured / compressed during surgery and I had almost total quad palsy
I worked crazy hard at getting things moving again and by week 5 ish I was able to start Pilates which really helped
Now I’m still in the gym 5 days a week , lots of hiking in the mountains , back to cross fit , Mtn biking .
Strength is almost back to normal , doing 400 lb leg press , Bulgarian split squats , box jumps , dead lifts and almost a pistol squat with my first hip
I had very little pain , more pain from the arthritis than the surgery , tramadol for 4 days then Tylenol and Advil for 3 weeks
Looking forward to skiing and hockey this coming winter !
Other than the nerve issue the anterior was great
I forget I’ve had them done
Extremely grateful to have my life back
Yes, the femoral nerve palsy is a real but low risk of the anterior. Glad to hear you recovered. Enjoy the slopes and the rink.
very informative I am facing surgery soon and you have helped me narrow the issues I will discuss with my surgeon.
Glad it was helpful
Well said..... Approach is not everything .....😊
Couldn't agree more.
Good info, I recently had a broken hip replaced that the cement fell apart and was infected. In replacing that they put in a temp with an antibiotic block in it which then was replaced in 6 weeks with the permanent one. Now it dislocated once and attempts to dislocate again. Did the number of replacements weaken the socket ?
It probably is not a weakening of the socket but due to the inadequate soft tissues after an infection and multiple surgeries. The quoted number for a dislocation after a routine total hip hovers around 2% but for each surgery after that, and it sounds like you had two, the dislocation rate climbs. Sometimes a second opinion is a good idea to make sure there is nothing else wrong that could be contributing to an unstable hip.