THR Surgeon research / advice

Posted by leidemer @leidemer, 1 day ago

Hi all –

(All names have been changed.)

I've been told I need a hip replacement. My physical therapist referred me to Dr. Davis, a general orthopedic surgeon, who confirmed that I need a total hip replacement. Given my medical history, however, Dr. Davis wants me to see a surgeon who specializes in the procedure, and has given me two names: Dr. Smith and Dr. Williams. Dr. Davis's office will submit a referral to whichever surgeon I choose.

I'm in the early stages of researching both doctors. In my search, I keep coming across lists of recommended questions to ask a surgeon when making this decision — things like annual procedure volume, implant type, and infection rates. My concern is that these seem like questions a surgeon's office would only discuss with an existing patient, rather than with the general public. Am I wrong about that? (Wouldn't be the first time!) Would it be appropriate to simply email the surgeon's office and ask directly, or is there a better approach?

The questions I'm most hoping to get answered – some my own, others drawn from various online resources – are:
* How many THRs do you perform per year?
* What type(s) of implant(s) do you use, and why?
* What is your preferred surgical approach, and why?
* What is your complication rate following surgery?
* How long is the typical hospital stay?
* What does the initial recovery period at home look like?
* What is the expected long-term recovery timeline?

Any input or advice is greatly appreciated — thanks in advance!

Interested in more discussions like this? Go to the Joint Replacements Support Group.

My questions for you are what kind of activity level do you wish to have after surgery? Are you a man or woman? How old are you? I would advise you to look into hip resurfacing if you are a man, under 70, and want to keep a very active lifestyle. Even if you have 2 of these 3 I’d consider it. Don’t chop off the head head of your femur if you don’t have to. Good luck!
https://www.arthroplastyjournal.org/article/S0883-5403(25)00250-5/fulltext

REPLY

@closer0043 raises some excellent questions.

Resurfacing is a good option for some but not for all.

You posted a lot of questions but no answers. It is not helpful to ask these questions if you don't know what answer you desire.

Here are mine:

Volume: at least a hundred, preferably hundreds or thousands of the exact procedure you would do on me.

Method: Superpath or STAR as first choice; Anterior as second choice.

Material: Titanium or oxidized zirconium would be my choice.

Return home; Most go home same day after outpatient surgery.

REPLY
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