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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Profile picture for hsminc @hsminc

I totally agree . I had a hip replacement done in Jan 2021 using a mini posterior approach. I had zero pain afterward.
My surgeon, Mark Pagnano from the Mayo Clinic co authored a study comparing anterior versus mini posteriorbin the hands of surgeons experienced in one or the other. There was no difference- outcomes were good with either type.
I was in horrible pain before my surgery. The femur head had broken and I had avascular necrosis.
The surgery was like a miracle. I was walking without a walker three days later.

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The research suggests that outcomes are the same whether one uses posterior, anterior. Supercap or Superpath. The difference is in the recovery process and pain during that process.

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@tb3rocketmail The best hip replacement is the one your orthopedist feels is best for you. Anterior recovery may be a few weeks quicker if you have no complications, but understand that every method is MAJOR surgery and full recovery is measured in months. My hips were badly damaged and I am small, so the surgeon said he needed a "perfect, full view" to place the implants perfectly. It worked!
Sorry I'm not familiar with surgeons near you.
Do you need one or both hips replaced?

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Profile picture for bug3 @bug3

I had both. I healed much faster with the rear/side incision. 3 yes later I had the frontal one. The incision was larger. Staples were used vice the mesh sleeve and after one year, I'm still not healed and looking at revision surgery as the implant metal contained nickel. I believe if though if I wasn't allergic to nickel, it would have been as successful. K

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I'm 3.5 years out and still have leg pain and sometimes hip pain. The leg pain is numbness, pain, can't walk far, can't stand long and the idiot surgeon says there's nothing wrong, so looking at going to Mayo trained surgeons to reattach the nerves. Found the article on the internet.

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Profile picture for daisy22 @daisy22

I'm 3.5 years out and still have leg pain and sometimes hip pain. The leg pain is numbness, pain, can't walk far, can't stand long and the idiot surgeon says there's nothing wrong, so looking at going to Mayo trained surgeons to reattach the nerves. Found the article on the internet.

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Wow, yep I have the same. I get the feeling that there isn't much expertise on how to fix me. These days all the emphasis is on sport injuries around here. It is so depressing. It shameful that doctors can do harm but not take responsibility when they do. Thank you for sharing. Anything I can learn is helpful.

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What ever your doctor suggest for your hip replacement.. I had a posterior hip replacement four months ago, and in four more weeks I will have my left hip joint replaced. Luckily, I had very little if any pain, that Tylenol would take care of and now four months later I still have no pain. It’s best to follow doctors directions. Mine said walk 100 feet a day for the first week then twice a day at 100 feet for the second week and so on. It’s very important not to overdo, or you will feel it. I did sleep a lot the first two weeks, only getting up, going to the bathroom and eating in bed and the rest of the time I slept. But then I am probably a lot older than you, I’m 86 years old so maybe that’s why I slept a lot. All that resting I feel helped in the healing process, my right hip now that Had the hip replacement is strong, and doing well and so far no pain. Also do the exercises that are given to you by the therapist. Good luck and take care!

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Profile picture for fayelouise @fayelouise

What ever your doctor suggest for your hip replacement.. I had a posterior hip replacement four months ago, and in four more weeks I will have my left hip joint replaced. Luckily, I had very little if any pain, that Tylenol would take care of and now four months later I still have no pain. It’s best to follow doctors directions. Mine said walk 100 feet a day for the first week then twice a day at 100 feet for the second week and so on. It’s very important not to overdo, or you will feel it. I did sleep a lot the first two weeks, only getting up, going to the bathroom and eating in bed and the rest of the time I slept. But then I am probably a lot older than you, I’m 86 years old so maybe that’s why I slept a lot. All that resting I feel helped in the healing process, my right hip now that Had the hip replacement is strong, and doing well and so far no pain. Also do the exercises that are given to you by the therapist. Good luck and take care!

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Good luck the second time around. Don't be surprised if recovery is slower or you are more tired! At 65 my surgeon told me full recovery from one major ortho surgery takes one year, two surgeries within one year take longer.
P,ease let us know how you are doing!

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Profile picture for daisy22 @daisy22

I'm 3.5 years out and still have leg pain and sometimes hip pain. The leg pain is numbness, pain, can't walk far, can't stand long and the idiot surgeon says there's nothing wrong, so looking at going to Mayo trained surgeons to reattach the nerves. Found the article on the internet.

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I’ll be very interested to hear what happens at the Mayo Clinic. I had a top orthopedic surgeon at the Cleveland Clinic who botched my hip replacement causing “acute femoral nerve damage” according to the EMG test 6 wks post surgery. The surgeon said he didn’t understand why I had these complications because “the surgery went perfectly “. It has been 15 mos of nerve pain, constant PT and I couldn’t move my leg for the first 3 mos. Have seen 2 neurologists and after congratulating me on my PT journey one offered that I should just learn to live with the pain and keep taking gabapentin for the rest of my life (only 71) and the other offered a nerve block and surgery on my nerve. I do not trust surgeons anymore! How do you know if it is worth trying the Mayo Clinic ?

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Profile picture for fayelouise @fayelouise

What ever your doctor suggest for your hip replacement.. I had a posterior hip replacement four months ago, and in four more weeks I will have my left hip joint replaced. Luckily, I had very little if any pain, that Tylenol would take care of and now four months later I still have no pain. It’s best to follow doctors directions. Mine said walk 100 feet a day for the first week then twice a day at 100 feet for the second week and so on. It’s very important not to overdo, or you will feel it. I did sleep a lot the first two weeks, only getting up, going to the bathroom and eating in bed and the rest of the time I slept. But then I am probably a lot older than you, I’m 86 years old so maybe that’s why I slept a lot. All that resting I feel helped in the healing process, my right hip now that Had the hip replacement is strong, and doing well and so far no pain. Also do the exercises that are given to you by the therapist. Good luck and take care!

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I'm 71. It's been over a year since THR on right hip. Pain ongoing and continue with not being able to walk. I'm jealous! I sincerely wish for your continued success.

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Profile picture for bug3 @bug3

I'm 71. It's been over a year since THR on right hip. Pain ongoing and continue with not being able to walk. I'm jealous! I sincerely wish for your continued success.

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It sounds like you may need a revision. Revision hip surgery is much more complex than the original. You need to research and find a really good revision surgeon who has had considerable successful experience doing revisions. A lot of hip and knee doctors don't do revisions.

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I had THR 2 years ago, surgeon used robotic procedure on posterior left side. Pain never let up for 15 months. Many tests to no avail. Sent me to a Joint Reconstruction specialist. He said the shaft was too small or not long enough. In March he wanted to implant a longer shaft.
When he did the posterior op., he said things were not good, so whole process was redone. Five months later still pain and difficulty in walking. More tests etc, the shaft was loose. Seems the answer is another longer shaft using the anterior approach. Am awaiting schedule for it. Really discouraging.

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