← Return to Hip replacement surgical approaches

Discussion

Hip replacement surgical approaches

Joint Replacements | Last Active: Feb 13 8:03am | Replies (34)

Comment receiving replies
@daisy22

Oh my!! I had the anterior approach on the Hana table and I was left with a nerve in the front of the leg either being damaged or cut, the surgeon wouldn't admit to either, so now I have leg problems on that side. I do have herniated and bulging discs in the spine with a spondylolisthesis at L5-S1 and no spine surgeon will operate on the spine. My surgeon never told me what could happen. He kept telling me the leg pain would go away in a year. That didn't happen and now he told me 2 years. In April of this year it'll be 2 years and still problems. I did find a wonderful PT and she's helping me so much. I think the pulling apart of the muscles during surgery causes a lot of problems but I don't know how it would be if the muscles were cut. Make sure you get PT. I know I had to do a hip replacement, but I think I would have considered posterior or the side of the leg, not the front. Good luck.

Jump to this post


Replies to "Oh my!! I had the anterior approach on the Hana table and I was left with..."

Same here: anterior approach 13 months ago and still have pain, MRI shows tendinopathy in two tendons and a slight tear in one of the tendons. Doctor never told me about these results. He just kept telling me to give it more time. Also have lower back problems and now I have a leg that is 5mm shorter. Yes, in hindsight, I would’ve considered the posterior method. I start PT again this month.

Thank you for your response! I have heard wonderful things about the benefits of PT-- I am glad you will have that. I think it's very hopeful regarding improvements.
I was wondering if you had any worsening of your back problems with discs from the Torque of the HANA table? I guess torque is the rotation and extension used for the anterior approach.
The thing that has me so freaked out is tge way this Ortho pivoted his recommendation from anterior to posterior approach when I merely asked if it would any more difficult on the left side where most of my leg pain from the bulging discs is located...apparently bulging out and hitting nerve on that side. If my surgery had gone forward on either of the cancelled dates, it was scheduled to be bilateral anterior approach which he was saying would be so great with immediate relief of groin pain and easy recovery. He knew, saw, and discussed my MRI on the 1st preop and recommended anterior approach. Now he's recommending posterior...he says he'll do 1 or both hips, anterior or posterior, but doesn't want me to say he hurt my back if I do anterior. I am confused and more scared...I had accepted the anterior. I don't know if that HANA table is a problem or not...I liked the idea of nerve block and sedation vs general anesthesia with intubation in posterior...he says he doesn't cut muscles, but just moves tendons out of the way in either procedure...he gives no guarantee on incision lengths...just said a well placed implant is most important...either I trust him or not...if I have any apprehension, don't do it. I wish I knew more. You're right, there's more info needed in discussing options. Was your back impacted by the HANA table? Thank you again.