Is Anterior hip replacement the best type for hip replacement?

Posted by tb3rocketmail @tb3rocketmail, May 4, 2024

I am hoping to get a hip replacement. Ia anterior hip replacement the best option. Can anyone recommend a good orthopedic doctor in Madison, Wisc??

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I had this approach done and after 2 years, still have leg problems with tingling and pain if I do too much. The hip is great though. I just got an article from my clinic, Allina Health, about a Dr. Heller who does a new approach with two small incisions, one in the front and one in the back of the leg. The surgery is called minimally invasive hip surgery and patients go home the same or next day. Dr. Mark Heller is in St. Paul, MN and operates at United Hospital. I was supposed to go home the next day and instead was not discharged for 7 days because of problems with the surgery. Good luck.

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I had anterior on my hip two years ago. Surgery went fine. Had some complications after (blood clots in lungs, etc etc) but the hip is just fine. I will never be as I was before. The left leg is stiff, painful at times, but the anterior approach worked well for me.

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@tb3rocketmail Sometimes the answer is "it depends". My VERY experienced ortho still prefers the posterior but is studying the new robotic method. It was said that anterior was faster healing and better, but several retrospective studies have shown they are about equal overall. If you have any special situations like fracture, necrotic bone, deformity, etc the posterior approach gives the surgeon a better view of the entire field.
I had 2 replacements and 3 major revisions by posterior approach. My recovery time was about the same as my brother's anterior surgery, and both of us were home after 36 hours.

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I am still trying to decide which approach is better. I went to a younger doctor who only does the anterior approach, which takes longer, and I went for a second opinion to an older, more experienced orthopedic surgeon, who says he does the posterior and it's better, easier and takes only about an hour as opposed to a 3-hour anterior approach. He said he tried the anterior approach and likes the posterior better. I have friends who've had both and both are happy with the results. The posterior doctor said I could have it in a month's time and be good enough to travel for Thanksgiving if I have it in the middle of October. The anterior younger doctor says no traveling for 3 months. It's a big decision for me, of course I'd rather have it be done with so I can travel across the country to be with family for thanksgiving, then go 3 weeks later to travel for Christmas, but I want the one that is best for me.

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