anterior vs posterior approach to hip replacement surgery

Posted by elliott1953 @elliott1953, Sep 12, 2024

I've seen two surgeons who informed me that I was a good candidate for the anterior approach to hip replacement surgery (one of them only does that approach while the other does both).

However, on a visit to another surgeon (who does not do the anterior approach) and has been doing hip replacement surgery for over 25 years, I was advised to avoid the anterior approach as it had a higher complication rate and the surgeon gave me the impression that it may not be long-lasting.

I am now very confused as to what to do. Do I go with the more established posterior approach or the anterior approach? I am wondering if others faced the same decision and what they decided.

Is the anterior approach - even if one is a good candidate - have a sufficient track record?

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My first surgery on my right hip was anterior, and my second one on my left was posterior. I would never do another anterior as three and a half years after the surgery I still have numbness in the front of the leg above the knee, at times it is a slight burning sensation like a sunburn. Recovery on both was identical as was post surgery pain. I was back to work in construction after 8 weeks with both. 11 months after the left hip replacement the only time I have pain or stiffness is if I overdo it that day.

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I think these remarks show that while the method may be better or worse for some folks, probably the successful experienced surgeon on the method being used is more important than the method.

Of course, the experienced and successful surgeon using the method YOU want is the ideal solution. But it may not be feasible for many, especially those in less urban areas. For example, the method I like and have used is the minimally invasive Superpath method. But there are very few surgeons using that method although more are being trained every year. If you have ever seen a video of hip surgery, it is very complex and these days is performed with the assistance of robots. I want a surgeon who has done it many, many times so it almost like a golfer's swing -- muscle memory. If I had to choose between a surgeon newly trained on Superpath and another surgeon who has been successfully using one of the other methods for a long time with many patients, I would choose the latter although I otherwise prefer the former.

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