← Return to Total hip replacement - What to expect for recovery

Discussion

Total hip replacement - What to expect for recovery

Joint Replacements | Last Active: Feb 21 8:18pm | Replies (152)

Comment receiving replies
@sueinmn

I am going to chime in once again. Not every case is appropriate for the anterior approach. I needed two hips in my 50's - I am very small (one of the components used was pediatric) had extensive damage on both the femoral heads and acetabulae, and a possibly misaligned femur. The very experienced ortho surgeon said he could deal with one of these issues with the anterior approach, but not all four. When I had revision several years later, the second ortho, who has done thousands of hips and revisions, agreed that I needed a posterior approach (he does about 50% of each.)

In medicine, we can love our results, but need to be careful about insisting there is a one-size-fits-all method for any procedure. One need only look at the incredible variation in body types to understand this. When you add the unseen - existing damage, bone issues, etc, it makes it even more imperative that the surgeon choose the correct procedure for each patient - and have the humility to refer onward any person whose needs are outside their skill set.
Just another point of view - 18 years later I am still up and doing fine. I wish the rest of the body was doing as well as the hips.
Sue

Jump to this post


Replies to "I am going to chime in once again. Not every case is appropriate for the anterior..."

Sue,
Thank you so very much for your comments. Very interesting and most helpful.

"One need only look at the incredible variation in body types to understand this. When you add the unseen – existing damage, bone issues, etc, it makes it even more imperative that the surgeon choose the correct procedure for each patient – and have the humility to refer onward any person whose needs are outside their skill set."

THRs are complex surgeries and I, for one, would only want one done by an experienced surgeon using the same approach. I understand the responder's comment about sometimes needing a different approach but I would not want a surgeon who claims to do multiple approaches. If, for example, Anterior and Superpath wouldn't work for someone, I would prefer to find a surgeon who uses Posterior as her chosen method and uses it all the time. I want muscle memory to assist my surgeon.