My mom had a THR after she was misdiagnosed with back pain for years. Before the THR, she was in chronic pain and could barely walk across a room. After the THR, she has been pain-free and walks faster than I do! I am so grateful for this procedure...it gave her a new lease on life. Thank you to all the surgeons who perform this surgery well!! You are changing lives--not only for the patients but for their families as well.
I had my first one done in April and my second one done two weeks ago it is amazing to me to be able to sleep without pain even though my second one isn’t completely healed the difference is outstanding , just a few months ago I was a complete invalid , such amazing work I pray for my doctors everyday
Wow, same here. Misdiagnosed. Treated my spinal stenosis for 3 years even put in a neurostim implant...extreme pain, constantly.. found out on MRI to check my implant . At the bottom of the report it was noted that had severe degeneration of my hip. Instant relief with thr. Just had my other one replaced...I'm feeling bionic. Lol
I’ve had both & I’d NEVER allow another surgeon anywhere near me that only does the PLA. I’d just keep my old totally destroyed w OA hip before I’d endure another PLA, for a THR! My first THR was done with the PLA & it was just wretched unexplainable horrible pain for months afterwards. Way worse than the pre-op bone on bone pain I’d had for many years. My now deceased husband needed me on my feet & taking care of him a whole lot more than I needed my destroyed hips replaced. So that’s exactly what I did! The second hip, I just had done on 30 JAN 24, exactly 18 months to the day after my first one. (& I have to say I was dreading it worse than my by then really messed up entire upper femur), from continued use long after it should have been done. It had “Stove Piped” is how my surgeon described it. So much so that doc told me afterwards he had to use a LOT more bone cement to get the stem to adhere due to having to remove way more bone than the CT Scan (which was done less than 60 days prior to surgery indicated!). And this OS used the DAA w MACO CT scan and robotic assist. As a FULL disclosure I’d like to correct a comment from the video, the robot does NOT do any of the cutting on anything. At least NOT here nor in my case! The robotic assist does the grunt work of moving the patients body into the necessary positions. Ergo releasing the surgeon & other staff from manually having to move, (for me), what equated to 140 lbs of dead weight around. And I had exactly ZERO issues with that & actually appreciate the use of that type of equipment to save wear & tear on the entire OR staff! Now let me tell you the DAA vs the PLA, was like the difference of night & day, the ocean vs the desert, post op pain wise. With the DAA, I was off the bed & full weight bearing walking within 30 minutes out of the OR. (No PACU here in my lil hometown w just 39 total beds in the whole hospital. PACU is basically done in the room I was assigned, but spent very little time in.). My BP went way too low & rather than have them just start pouring meds into me needlessly, I asked to get up & walk first. Which did exactly what we needed & no BP meds were needed. Post op I drove myself to a PCP appointment on day 6 & to my OS office to get my wound pump removed on day 7. That wound pump was worth it’s weight in 24Kt gold, btw, as I had absolutely NO swelling what so ever from the DAA THR. Never even needed an ice pack! Whereas with the PLA 1st THR (I’d never even heard of a wound pump, least of all had it used.), & I was so swollen for months I had to get bigger britches as mine wouldn’t fit over that swollen hip! Now @ 2 years & 8 days later, I still have some swelling on that side! On day 10 for follow up appointment w my awesome OS doc with this last one I drove myself, had ditched my cane AND I wore my boots with 2&1/2” high heels for the first time in years & had not one drop of hip 40:37 pain from wearing them! I had so little post op pain w the DAA & robotic assist that I can 100% honestly say I’ve had worse pain from a sliver! It was amazing the difference in the 2 approaches. Further I have less than 2 MILLIMETERS difference in leg length, certainly NOT NO 1/2 INCH & have to wear a shoe lift or limp the rest of my life! Thanks but um NO THANKS. To wrap this up, my first surgeon had 37 years @ the same facility doing exclusively THR & Total Knee Replacements. He was a very kind hearted doc & very spiritual. However continuing to use the PLA for THR’s is IMO, BARBARIC in comparison to the more up to date DAA. My last OS is about the same age as my youngest son, mid 30’s & has only been fully OS Licensed w FOAOS, for less than 3 years & he does all ortho procedures not just mill operation type THR’s to get 5-6 cases done each day he has the OR like the first OS I had, plus I was 2,000 miles further SE & had the first THR done at one of the major med facilities in Chattanooga, TN. Just the ortho floor has more beds than our entire rural 39 total bed facility has.
Had my THR Anterolateral on the right side 3 week's ago. It has been a very good experience for me. Immediate relief from the arthritis I have been suffering from for years. I am walking 1.5 miles a day. I am scheduled for the left side in 9 weeks.
I had my left THR end of April and my right THR a few days ago. You are correct immediate relief from the osteoarthritis pain in the hip. Recovery for me for the first one was very easy. So far the recovery for second one has been a little more pain but recovery is still going very well.
I'm getting a thr in dec. I'm 40yrs old and have douple arthritis in my right hip. I hope to heal quickly cause I have 4 young kids and I ride electric skateboards, lol.
@@Catamount19 I just had my THR on the left side yesterday. A bit more painful than the right side 12 weeks ago, but so far, manageable. The right side is doing very well.
@@mikefisher8503 awesome to hear. I only need the right side. I hope I can heal by spring so I can enjoy being outside again and riding again. Are u walking or on cane? I'm curious to what rehab is going to look like. How long till you drove?
What a comprehensive explanation. I had a TKR courtesy of UK NHS hospital Rugby 8 months ago. The most painful surgery I ever had with many analgesics used in the waiting time prior to surgery, so many opiates, NS-AIDS, NEFOPAM, paracetamol, blood thinners during post surgical hospital recovery. During and up to 5 weeks after surgery strong pain was constant.... And then the pain dropped away and I was able to eliminate opiates and all the other painkillers over the next 4 months. 3 months after I drove alone from England to Southern Portugal, whilst still taking Etoricoxhib and Nefopam. A distance of 1600 miles with a stick shift manual car, using my new knee all the way continuously. Once here I stopped all painkillers to discover that they had masked deterioration in my right hip which I now know needs THR in the coming months. Bummer😂 I am very grateful to this video for explaing so clearly all the pros, cons, choice and risk factors involved. Now better informed, I feel much more confident to handle what is to come.
I am going in early June for my left total hip replacement. I really thank you for your very informative video. I answered a ton of questions that i had! I was told that the anterior incision was the best to get (my mom) but my doc does the side to back cut. I learned from you the correct info for that. Lol, mothers! I am overweight and I’ve been trying to loose weight for my surgery. Boy is that hard! With not able to move around much,,,! Ouch! So, I have lost a total of 47 pounds! I hope it’s enough to get the surgery,,, I’m in so much pain! Anywho, Monday is the next weigh in. Sincerely, dee
I had hip AND knee replaced last year. Other than the scars, you would not be able to tell by my walking. Full movement, both anterior, and no joint pain anymore. CAD system to install knee. It’s perfect. (62)
In Canada here. I'm 36 and just had a THR Posterior Approach a week ago. It was outpatient. I went home same day. 😳 I was diagnosed with Avascular Necrosis of the Femoral Head. The recovery has been challenging so far but I know it will take a lot of time.
I just saw this video. I am 73 and scheduled for thr on Oct 28th. I also have avascular necrosis of the femoral head. My surgeon does posterior surgery. How are you doing now?
@@dianaolona2901 I'm doing well!! The bone pain/AVN pain is gone immediately. The surgical pain os temporary. The first 2 weeks were tough and I'm still doing physio. No regrets!!! You will do great!
@@dianaolona2901 I'm 6 days post Right THR and my Doctor did Warn me that these 1st 2 weeks I'm gonna feel like he beat me up🤕🤕 But like you, I feel like things will get better. I just wish I did a few years ago when I was in much better shape going in.
I've had both hips replaced.... First was two years ago. That was my left, done Posterior method..... Was back to work in six weeks. Just had my Right side done, Anterior and going into week five. I will not be ready for at least another three weeks to go back to work. If I could do it all over again I would opt the Posterior. In my opinion, the Anterior is way more risk of nerve and muscle tissue to recover from surgery. Right thy is still numb .
Exactly my same experience! With anterior I didn’t go back to work for 10 months! So much nerve pain! Posterior was so much easier! Back to work part time in 6 weeks!
Iv had trh done posterior ...wondered why my recovery was so long after investigating I had some nerve damage and developed tendonopathy...4 years on and after a lot of rehab to build up that area on my part I'm in better place but have to say the rear in quite devastating and when I need the other would opt for side approach..
I had a left THR on May27 then right THR on Oct.14. Both very painful 1st one was worse. You just have to get thru it. They do pound a new ball into the sawed off femur. How can that not hurt?
Thanks. I just hade mine a week ago. I guess lateral since 8” incision at side of my hip. I underestimated the severity of what I was getting into. 3-day hospital stay with poor pain management made it a bad experience so far. I need to get the other side done as well
@@alexdejesus62 I am home. Today is day 13 post op. The pain has decreased slightly. I start PT in 4 weeks. Right now I’m just walking around the house. I’m feeling depressed. I guess that’s normal given the circumstances. What worries me the most is the operated leg is slightly bigger now than my other leg. Doc says it will start to feel normal in 3 months. How are you doing?
@@bornwin-sx9oz My leg swelled up a couple of times after surgery. Did they give meds for pain? You’re going to need it when you start PT. I’m seeing my surgeon at end of this month. I’m still limping after 4 months. Something else is wrong
Hi had my hip done 2 years ago after breaking cycling racei g im 73 back into rideing after 7 weeks its taken full 2 years to feeling good under training load Peter perth australia
People will always say whatever method they chose was the "best". The simple truth is after a 4-6 month total recovery period neither has any documented proven better results than the other. And anterior "may" have less of a chance of dislocation but with a 1-3% chance with a posterior thats unlikely anyway. You'd have to fall or do something very stupid. For me, I chose posterior because I am in excellent physical shape and didn't want to risk the possibility of any nerve damage from the anterior approach. I didn't need any pain meds, was walking with a cane 3 days later and got out of bed myself. Everybody is different.
Hello and thanks for all this great information! I'm considering hip replacement and have reviewed the Anterior and Posterior approach. In doing my research I came across another approach called the Direct Superior Approach. Have you heard of this approach? How does it measure up the the Anterior and Posterior approaches?
I had the anterior surgery 10 days ago.. recovering is so easy.. Lots of soreness around the incision as you would expect. I have not taken any narcotics for pain. I am now off any walking aids and driving. Best of luck to you...definitely say go with anterior, I did a lot of research before having it done.
Wow. Good for you! I just had Direct Superior Hip Surgery on 12/11. No pain for two weeks (while on meds) . Now I'm starting to get some pain but tolerable. Glad I got it down and wish I had done it sooner
I personally HIGHLY disagree with there being no difference as far as recovery for PTL vs DA approach. I have had both. Exactly 18 months apart. The first was the PTL & first off the numbing block did NOT work one bit. I woke up in the most horrible pain I can imagine. (I had both of my sons natural birth without meds, blocks, etc & I’d gladly have triplets every week the same way for weeks on end than to endure the horrendous pain I had post op with the PL approach. I thought the post op pain was NEVER going to end & it was horrific for weeks on end. Having the DA Approach on 30 Jan 24, Due to my BP dropping far too low, I got off the bed & was walking FULL WEIGHT BARING, approximately 30 mins after leaving the OR, (not the PACU as our 39 bed facility does NOT have a PACU.) I walked a full flight of stairs up & down & could have done several more, within 4 hours of coming out of the OR. I walked out of the hospital, (I’d already parked the walker & have never needed it again.). With the first PLA I was 3 solid weeks before I could do full weight baring & 4 weeks on the walker! With the last DAA, I used a cane for the first 4 days & then simply carried it for a safety issue, such as getting off balance. I would definitely have either one of my hips redone if it became necessary. But if it wasn’t with a surgeon using the DAA I’d just have to pass & park myself in a wheel chair for whatever time I have left in this human suit. I will NEVER UNDER ANY CIRCUMSTANCE have another PLA hip THR! YES DOC as the recipient of both of the most common approaches I am bring 100% honest in my comments. If you sir; were to need a THR I certainly hope you find a qualified OS that will save you weeks of suffering and do a DAA for a THR!
Anterior and Southern approach can be debated for infinity. Posterior is just best. There are way too many problems with anterior approach. I've operated on THR over 600 over since I've been a Orthopeadic surgeon. Never had any dislocation in my life. In my point of view, I think for hip placement, anterior approach should be banned. Period. Use it only for other procedures.
I am getting the posterior one these videos on this approach are scaring me . Why so many against it. My surgeon is the best and it will be done by Stylker Robotic . 😮
I have definitely been in severe pain with the anterior surgery. The femoral part is so painful. It’s been three and a half weeks and I’m still in pain and using a walker. I was sent home the same day. Family stayed with me for five days. After that, it was very difficult to care for myself. I walked inside over one mile every day. It was the only way to get some relief from the pain. They had me on two 500 mg Tylenol, one 800 mg ibuprofen every eight hours and one baby aspirin a day. My primary doctor told me not to take baby aspirin because of my age, 63. It could cause a brain bleed. Doing my own research, I discovered that ibuprofen causes you to swell. My right leg was twice the size of the unoperated hip. After I went down to 200 mg of ibuprofen and no Tylenol, the swelling decreased drastically. I took a very good quality B complex vitamin and a full regimen of other vitamins. The B complex greatly enabled me to walk better and with less pain. The wound was red right after surgery. My physical therapist got the doctor to prescribe an antibiotic which cleared it up. I feel as though I was put in harms way by being sent home the same day. It is also necessary to have someone with you for at least two weeks. It’s been sheer hell but I’m on the mend. I’m not sure how they expect someone to safely walk with a Walker when they are on high doses of Tylenol and ibuprofen. Getting out of bed was a nightmare.
It is unbelievable that people think that that they can become robocop after this surgery. I myself just want to be able to sleep at night. I don't plan on skiing or playing football again. I'm not an idiot. I just don't want to be in pain anymore.
Not a fan of this Docs opinion...anterior is great with a great doctor - mine was anterior and I feel awesome and have started doing light jogs after 3 months. No issues so far!
Man I watched the Australian Tennis Open in Jan 2023 Andy Murray has two hip replacements and he played great up until he was beaten I just had a hip replacement on 8/5/23 does that mean I can play Tennis half as good as Andy?
I had an anterior one in 2016 and in 2020 was push up a hill with rocks in a wheel barrel snd if felt like it locked up snd I limped around for a week or do but it still has problems . What do I need to do ? Had TKR 7 weeks ago snd was learning with s cane after 4 weeks snd on the way home had to us cane on my right hip replacement side to get home
If you had your hip replacement on the right side you should hold your cane in the left hand. Sleeping the first couple of months is challanging. As a side sleeper I used a pillow between my legs. Now in my 4th month and am playing golf. Only problem in getting my stocking on but I manage. I am 89 years old.
Yh I'd like to know this too. My surgeon says he has to rebuild the socket as its shallow so take a piece of none from pelvis says socket is higher up so my leg will be longer
It sounds like the doctor was referring to life time restrictions with the posterior approach of not crossing legs and not touching toes or keeping my legs at 90 degrees. I thought this was just for the rehab period and not life time. Can someone please clarify this. Thanks
Thank you for your question! To best answer your question, please give our office a call where one of our medical staff will be able to assist in answering that for you! 855-896-0444
My mom had a THR after she was misdiagnosed with back pain for years. Before the THR, she was in chronic pain and could barely walk across a room. After the THR, she has been pain-free and walks faster than I do! I am so grateful for this procedure...it gave her a new lease on life. Thank you to all the surgeons who perform this surgery well!! You are changing lives--not only for the patients but for their families as well.
@lisa Calhoun I am so happy for you and especially your Mom!
That's great! Your mom did use the Ceremic to ceramic right? Also called big head?
I had my first one done in April and my second one done two weeks ago it is amazing to me to be able to sleep without pain even though my second one isn’t completely healed the difference is outstanding , just a few months ago I was a complete invalid , such amazing work I pray for my doctors everyday
Did your mom have a lot of pain after her hip replacement?
Wow, same here. Misdiagnosed. Treated my spinal stenosis for 3 years even put in a neurostim implant...extreme pain, constantly.. found out on MRI to check my implant . At the bottom of the report it was noted that had severe degeneration of my hip. Instant relief with thr. Just had my other one replaced...I'm feeling bionic. Lol
I had the anterior replacement 10 days ago. I am walking with no aids and driving. Best thing I have done...Definitely get the anterior incision!!
and to add the doc used the robotics in my surgery... they did a CAT scan of my hip for a 3D model, which gave the right size for my hip
I'm glad to hear that. I go in for surgery in 27 days. The surgeon will do anterior.
I’ve had both & I’d NEVER allow another surgeon anywhere near me that only does the PLA.
I’d just keep my old totally destroyed w OA hip before I’d endure another PLA, for a THR!
My first THR was done with the PLA & it was just wretched unexplainable horrible pain for months afterwards. Way worse than the pre-op bone on bone pain I’d had for many years. My now deceased husband needed me on my feet & taking care of him a whole lot more than I needed my destroyed hips replaced. So that’s exactly what I did!
The second hip, I just had done on 30 JAN 24, exactly 18 months to the day after my first one. (& I have to say I was dreading it worse than my by then really messed up entire upper femur), from continued use long after it should have been done. It had “Stove Piped” is how my surgeon described it. So much so that doc told me afterwards he had to use a LOT more bone cement to get the stem to adhere due to having to remove way more bone than the CT Scan (which was done less than 60 days prior to surgery indicated!).
And this OS used the DAA w MACO CT scan and robotic assist.
As a FULL disclosure I’d like to correct a comment from the video, the robot does NOT do any of the cutting on anything. At least NOT here nor in my case! The robotic assist does the grunt work of moving the patients body into the necessary positions. Ergo releasing the surgeon & other staff from manually having to move, (for me), what equated to 140 lbs of dead weight around. And I had exactly ZERO issues with that & actually appreciate the use of that type of equipment to save wear & tear on the entire OR staff!
Now let me tell you the DAA vs the PLA, was like the difference of night & day, the ocean vs the desert, post op pain wise. With the DAA, I was off the bed & full weight bearing walking within 30 minutes out of the OR. (No PACU here in my lil hometown w just 39 total beds in the whole hospital. PACU is basically done in the room I was assigned, but spent very little time in.).
My BP went way too low & rather than have them just start pouring meds into me needlessly, I asked to get up & walk first. Which did exactly what we needed & no BP meds were needed.
Post op I drove myself to a PCP appointment on day 6 & to my OS office to get my wound pump removed on day 7. That wound pump was worth it’s weight in 24Kt gold, btw, as I had absolutely NO swelling what so ever from the DAA THR. Never even needed an ice pack!
Whereas with the PLA 1st THR (I’d never even heard of a wound pump, least of all had it used.), & I was so swollen for months I had to get bigger britches as mine wouldn’t fit over that swollen hip! Now @ 2 years & 8 days later, I still have some swelling on that side!
On day 10 for follow up appointment w my awesome OS doc with this last one I drove myself, had ditched my cane AND I wore my boots with 2&1/2” high heels for the first time in years & had not one drop of hip 40:37 pain from wearing them!
I had so little post op pain w the DAA & robotic assist that I can 100% honestly say I’ve had worse pain from a sliver! It was amazing the difference in the 2 approaches.
Further I have less than 2 MILLIMETERS difference in leg length, certainly NOT NO 1/2 INCH & have to wear a shoe lift or limp the rest of my life! Thanks but um NO THANKS.
To wrap this up, my first surgeon had 37 years @ the same facility doing exclusively THR & Total Knee Replacements. He was a very kind hearted doc & very spiritual. However continuing to use the PLA for THR’s is IMO, BARBARIC in comparison to the more up to date DAA.
My last OS is about the same age as my youngest son, mid 30’s & has only been fully OS Licensed w FOAOS, for less than 3 years & he does all ortho procedures not just mill operation type THR’s to get 5-6 cases done each day he has the OR like the first OS I had, plus I was 2,000 miles further SE & had the first THR done at one of the major med facilities in Chattanooga, TN. Just the ortho floor has more beds than our entire rural 39 total bed facility has.
Had my THR Anterolateral on the right side 3 week's ago. It has been a very good experience for me. Immediate relief from the arthritis I have been suffering from for years. I am walking 1.5 miles a day. I am scheduled for the left side in 9 weeks.
I had my left THR end of April and my right THR a few days ago. You are correct immediate relief from the osteoarthritis pain in the hip. Recovery for me for the first one was very easy. So far the recovery for second one has been a little more pain but recovery is still going very well.
@@mikeunser753 good to hear. I am 7 weeks from the left side and am looking forward to it. Good luck with your recovery!
I'm getting a thr in dec. I'm 40yrs old and have douple arthritis in my right hip. I hope to heal quickly cause I have 4 young kids and I ride electric skateboards, lol.
@@Catamount19 I just had my THR on the left side yesterday. A bit more painful than the right side 12 weeks ago, but so far, manageable. The right side is doing very well.
@@mikefisher8503 awesome to hear. I only need the right side. I hope I can heal by spring so I can enjoy being outside again and riding again. Are u walking or on cane? I'm curious to what rehab is going to look like. How long till you drove?
Encouraging and informative video. I just had hip replacement 2 weeks ago. I’m looking forward to the day when I get to forget I had it!😊
Very nice Doctor ,. .thanks . Very educative . 🥇
What a comprehensive explanation. I had a TKR courtesy of UK NHS hospital Rugby 8 months ago. The most painful surgery I ever had with many analgesics used in the waiting time prior to surgery, so many opiates, NS-AIDS, NEFOPAM, paracetamol, blood thinners during post surgical hospital recovery. During and up to 5 weeks after surgery strong pain was constant.... And then the pain dropped away and I was able to eliminate opiates and all the other painkillers over the next 4 months. 3 months after I drove alone from England to Southern Portugal, whilst still taking Etoricoxhib and Nefopam. A distance of 1600 miles with a stick shift manual car, using my new knee all the way continuously. Once here I stopped all painkillers to discover that they had masked deterioration in my right hip which I now know needs THR in the coming months. Bummer😂
I am very grateful to this video for explaing so clearly all the pros, cons, choice and risk factors involved.
Now better informed, I feel much more confident to handle what is to come.
Excellent video thanks so much very informative
Very educational... I recently had a THP couple of weeks ago... currently recovering.
Hi Julie, which approach and how are you doing?
I am going in early June for my left total hip replacement. I really thank you for your very informative video. I answered a ton of questions that i had! I was told that the anterior incision was the best to get (my mom) but my doc does the side to back cut. I learned from you the correct info for that. Lol, mothers! I am overweight and I’ve been trying to loose weight for my surgery. Boy is that hard! With not able to move around much,,,! Ouch! So, I have lost a total of 47 pounds! I hope it’s enough to get the surgery,,, I’m in so much pain! Anywho, Monday is the next weigh in. Sincerely, dee
Dynamic Schwabee good luck on your journey. On the 8/5/23 I had my hip replaced no pain in the groin or knee is fantastic.
Best wishes for the best of health.. Thanks for your info :)
This is excellent information well presented! Thank You!!
I had hip AND knee replaced last year. Other than the scars, you would not be able to tell by my walking. Full movement, both anterior, and no joint pain anymore. CAD system to install knee. It’s perfect. (62)
Great video! Very comprehensive! Thank you.
Information is power.
In Canada here. I'm 36 and just had a THR Posterior Approach a week ago. It was outpatient. I went home same day. 😳 I was diagnosed with Avascular Necrosis of the Femoral Head.
The recovery has been challenging so far but I know it will take a lot of time.
I just saw this video. I am 73 and scheduled for thr on Oct 28th. I also have avascular necrosis of the femoral head. My surgeon does posterior surgery. How are you doing now?
@@dianaolona2901 I'm doing well!! The bone pain/AVN pain is gone immediately. The surgical pain os temporary. The first 2 weeks were tough and I'm still doing physio. No regrets!!! You will do great!
So glad to hear you're doing well. To say that this is a challenge is putting it mildly. It's tough but it is slowly getting better. Thank you.
@@dianaolona2901 I'm 6 days post Right THR and my Doctor did Warn me that these 1st 2 weeks I'm gonna feel like he beat me up🤕🤕 But like you, I feel like things will get better. I just wish I did a few years ago when I was in much better shape going in.
im 38 had the anterior approach done and i was up and walking and driving back to work in 1 week with no walking aids nor pain relief. very happy
I've had both hips replaced.... First was two years ago. That was my left, done Posterior method..... Was back to work in six weeks. Just had my Right side done, Anterior and going into week five. I will not be ready for at least another three weeks to go back to work. If I could do it all over again I would opt the Posterior. In my opinion, the Anterior is way more risk of nerve and muscle tissue to recover from surgery. Right thy is still numb .
Exactly my same experience! With anterior I didn’t go back to work for 10 months! So much nerve pain! Posterior was so much easier! Back to work part time in 6 weeks!
@@sueamyotte2209 Krikey I hope you do not have a mortgage!
I don’t think u have a choice. Both my hips anterior. Longer to heal
Take the Exercise serious and You'll be fine! but to be clear, even with the Pros and Cons I am greatful for new Hips........ @@annemariewheeler1404
I had the exact experience; walked without cane in two weeks after posterior. Had anterolateral and still on a crutch after 6 weeks
Iv had trh done posterior ...wondered why my recovery was so long after investigating I had some nerve damage and developed tendonopathy...4 years on and after a lot of rehab to build up that area on my part I'm in better place but have to say the rear in quite devastating and when I need the other would opt for side approach..
I had a posterior done. Went well. Im at 7 months now. Playing tennis, but still pain in the glut muscles. Do the anterior if you have a choice.
I had a left THR on May27 then right THR on Oct.14. Both very painful 1st one was worse. You just have to get thru it. They do pound a new ball into the sawed off femur. How can that not hurt?
Thanks. I just hade mine a week ago. I guess lateral since 8” incision at side of my hip. I underestimated the severity of what I was getting into. 3-day hospital stay with poor pain management made it a bad experience so far. I need to get the other side done as well
To clarify - my surgery was in Las Vegas. Different doctor
How are you doing? I had mine done 12 days ago. I am in a lot of pain.
@@bornwin-sx9oz Sorry for your pain. Are you home? Started PT yet?
@@alexdejesus62 I am home. Today is day 13 post op. The pain has decreased slightly. I start PT in 4 weeks. Right now I’m just walking around the house. I’m feeling depressed. I guess that’s normal given the circumstances. What worries me the most is the operated leg is slightly bigger now than my other leg. Doc says it will start to feel normal in 3 months. How are you doing?
@@bornwin-sx9oz My leg swelled up a couple of times after surgery. Did they give meds for pain? You’re going to need it when you start PT.
I’m seeing my surgeon at end of this month. I’m still limping after 4 months. Something else is wrong
Hi had my hip done 2 years ago after breaking cycling racei g im 73 back into rideing after 7 weeks its taken full 2 years to feeling good under training load
Peter perth australia
Thank you for such comprehensive information
People will always say whatever method they chose was the "best". The simple truth is after a 4-6 month total recovery period neither has any documented proven better results than the other. And anterior "may" have less of a chance of dislocation but with a 1-3% chance with a posterior thats unlikely anyway. You'd have to fall or do something very stupid. For me, I chose posterior because I am in excellent physical shape and didn't want to risk the possibility of any nerve damage from the anterior approach. I didn't need any pain meds, was walking with a cane 3 days later and got out of bed myself. Everybody is different.
Hello and thanks for all this great information! I'm considering hip replacement and have reviewed the Anterior and Posterior approach. In doing my research I came across another approach called the Direct Superior Approach. Have you heard of this approach? How does it measure up the the Anterior and Posterior approaches?
I had the anterior surgery 10 days ago.. recovering is so easy.. Lots of soreness around the incision as you would expect. I have not taken any narcotics for pain. I am now off any walking aids and driving. Best of luck to you...definitely say go with anterior, I did a lot of research before having it done.
Wow. Good for you! I just had Direct Superior Hip Surgery on 12/11. No pain for two weeks (while on meds) . Now I'm starting to get some pain but tolerable. Glad I got it down and wish I had done it sooner
@@earlejames8475 I don't know where you are getting the Superior approach from what country are you living in?
2earlejames8475 there are 3 approaches only (1) Anterior FRONT (2) Posterior BACK and (3) Lateral SIDE.
Thank you!
I personally HIGHLY disagree with there being no difference as far as recovery for PTL vs DA approach. I have had both. Exactly 18 months apart.
The first was the PTL & first off the numbing block did NOT work one bit. I woke up in the most horrible pain I can imagine. (I had both of my sons natural birth without meds, blocks, etc & I’d gladly have triplets every week the same way for weeks on end than to endure the horrendous pain I had post op with the PL approach.
I thought the post op pain was NEVER going to end & it was horrific for weeks on end.
Having the DA Approach on 30 Jan 24, Due to my BP dropping far too low, I got off the bed & was walking FULL WEIGHT BARING, approximately 30 mins after leaving the OR, (not the PACU as our 39 bed facility does NOT have a PACU.)
I walked a full flight of stairs up & down & could have done several more, within 4 hours of coming out of the OR.
I walked out of the hospital, (I’d already parked the walker & have never needed it again.). With the first PLA I was 3 solid weeks before I could do full weight baring & 4 weeks on the walker!
With the last DAA, I used a cane for the first 4 days & then simply carried it for a safety issue, such as getting off balance.
I would definitely have either one of my hips redone if it became necessary. But if it wasn’t with a surgeon using the DAA I’d just have to pass & park myself in a wheel chair for whatever time I have left in this human suit. I will NEVER UNDER ANY CIRCUMSTANCE have another PLA hip THR!
YES DOC as the recipient of both of the most common approaches I am bring 100% honest in my comments. If you sir; were to need a THR I certainly hope you find a qualified OS that will save you weeks of suffering and do a DAA for a THR!
For a person with osteoporosis, is there an added danger with the stem going down a hollow femor?
Did you have surgery yet? I have osteoporosis, my surgeon is going to cement mine. I'm having mine done May 8th.
Excellent. Thanks
Thank you for the information - I am due for a THR and have limped for 15 years, how do I deal with my limp post surgery?
Physical therapy to strengthen the muscles and restore range of motion after years of limping.
@@izzonjyou could have also said and a lot of money as well
Excellent review
Anterior and Southern approach can be debated for infinity. Posterior is just best. There are way too many problems with anterior approach. I've operated on THR over 600 over since I've been a Orthopeadic surgeon. Never had any dislocation in my life. In my point of view, I think for hip placement, anterior approach should be banned. Period. Use it only for other procedures.
Can you elaborate what problems there are with anterior please not just state that there are some, so we can have more information about it?
I am getting the posterior one these videos on this approach are scaring me . Why so many against it. My surgeon is the best and it will be done by Stylker Robotic . 😮
I have definitely been in severe pain with the anterior surgery. The femoral part is so painful. It’s been three and a half weeks and I’m still in pain and using a walker.
I was sent home the same day. Family stayed with me for five days. After that, it was very difficult to care for myself.
I walked inside over one mile every day. It was the only way to get some relief from the pain.
They had me on two 500 mg Tylenol, one 800 mg ibuprofen every eight hours and one baby aspirin a day.
My primary doctor told me not to take baby aspirin because of my age, 63. It could cause a brain bleed.
Doing my own research, I discovered that ibuprofen causes you to swell. My right leg was twice the size of the unoperated hip.
After I went down to 200 mg of ibuprofen and no Tylenol, the swelling decreased drastically.
I took a very good quality B complex vitamin and a full regimen of other vitamins. The B complex greatly enabled me to walk better and with less pain.
The wound was red right after surgery. My physical therapist got the doctor to prescribe an antibiotic which cleared it up.
I feel as though I was put in harms way by being sent home the same day. It is also necessary to have someone with you for at least two weeks.
It’s been sheer hell but I’m on the mend.
I’m not sure how they expect someone to safely walk with a Walker when they are on high doses of Tylenol and ibuprofen.
Getting out of bed was a nightmare.
@@sherrid5315 the robotic system is still only as good as the Surgeon using it.
It is unbelievable that people think that that they can become robocop after this surgery. I myself just want to be able to sleep at night. I don't plan on skiing or playing football again. I'm not an idiot. I just don't want to be in pain anymore.
Agree. I've heard people doing martial arts I would steer clear from anything like that.
@@TheAnonyy did you watch any of the Australian Open tennis in Jan 2023 Andy Murray played brilliantly with two hip replacements?
Not a fan of this Docs opinion...anterior is great with a great doctor - mine was anterior and I feel awesome and have started doing light jogs after 3 months. No issues so far!
How much physio do you need after anterior hip replacement?
It will depend on your condition and how much you do your exercises.
I had a right hip replacement 3 weeks ago. I attend PT 2x/week & will for 6 weeks total.
Man I watched the Australian Tennis Open in Jan 2023 Andy Murray has two hip replacements and he played great up until he was beaten I just had a hip replacement on 8/5/23 does that mean I can play Tennis half as good as Andy?
I think Andy Murray had hip resurfacing. Similar to a hip replacement, but a bit different.
@@tedshep I know that Andy had hip resurfacing I just made the comment with tongue and cheek!!
😅
I had an anterior one in 2016 and in 2020 was push up a hill with rocks in a wheel barrel snd if felt like it locked up snd I limped around for a week or do but it still has problems . What do I need to do ? Had TKR 7 weeks ago snd was learning with s cane after 4 weeks snd on the way home had to us cane on my right hip replacement side to get home
27:25 27:25 27:39
If you had your hip replacement on the right side you should hold your cane in the left hand. Sleeping the first couple of months is challanging. As a side sleeper I used a pillow between my legs. Now in my 4th month and am playing golf. Only problem in getting my stocking on but I manage. I am 89 years old.
very educational. Thanks.
If you have dysplasia and have a hip replacement, is there an effect on what and how much you exercise? What are the limitations?
Yh I'd like to know this too. My surgeon says he has to rebuild the socket as its shallow so take a piece of none from pelvis says socket is higher up so my leg will be longer
@@TheAnonyy I think i'd get a secound opinon.
He said posterior restrictions are life long but they are only for 6 weeks!
Yeah, how come this is the first surgeon to say that the restrictions are permanent?
Have to undergo a surgery 😊 wondering if i can have any children ..... like that gentleman did .... after 9 months..... man he sure did recover
@neoanderson4840 it would depend on if you are a male or female 😝
Can you get MRIs with the metal parts
Yes, there are protocols for taking MRIs but the results aren't always good.
Thank u
It sounds like the doctor was referring to life time restrictions with the posterior approach of not crossing legs and not touching toes or keeping my legs at 90 degrees. I thought this was just for the rehab period and not life time. Can someone please clarify this. Thanks
I had a 2-incision THR and have no restrictions. From the day of surgery, no restrictions on range of movement.
@Kevin Davies I thought those restrictions were only during recovery too. Am very surprised this Dr. Says they are forever ? ?
@@grannyhorsetraining878 they are not forever. I can cross my legs and do just about everything. It is just during rehab. I am nowmatm6 months.
Yh the restrictions for posterior during the recover is temporary. This video should be corrected
Kevin Davies, I asked my Physio just recently after my hip replacement and he told me min of 6 weeks nobody in their right mind would say forever.
can total hip replacement surgery be done on clients with Atrial Flutter?
Thank you for your question! To best answer your question, please give our office a call where one of our medical staff will be able to assist in answering that for you! 855-896-0444
Why posterior??? 5” scar or 16” scar? Plus recoveries are 50% quicker with anterior
What is the probability of leg length issues with THR?
My surgeon added 3/8 of an inch to my right leg, noticeable right away, I have got rid of my limp that I have had for more than 10 years.
any leg length descrepancy
7/11/23 26 weeks after hip replacement and my hip is fantastic but now I'm waiting for my other hip to be replaced.
Today 5/4/24 I'm 3 weeks out from having my second hip replaced I can't wait.
I need this ...also 😭
Wtf …one gentlemen had a kid after hip surgery? Nobody else caught that?
I wondered about that also😂
I have a brok÷n pelvis / hip no one.will fix- i nees to walk again- om
Absolutely no evidence smoking one cigar a week was even remotely connected to that gentlemans infection.
Wow I can’t believe a guy could have a baby nine months after the surgery you’re amazing I bet you charge a little extra for that,😉
Glad somebody called that out! 🤣🤣🤣😆
Well maybe he was in too much pain prior to make out.😅