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 merglia4281 @merglia4281

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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Having problems on left HTP since surgery in May 2025. Pain & difficulty walking.
Let me know if Joint Reconstructionist helps.

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Profile picture for lori531 @lori531

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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@lori531 Wife had STAR approach - postero-lateral hybrid. Surgery took 45 minutes!
Recovery still took a good 6 weeks and gets better with months in the rearview.
Phil

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I’m in Klamath falls Oregon , Dr Hosack just did an anterior full hip replacement on me 11 days ago , I’m 52 and otherwise healthy except osteoarthritis in various areas of my skeleton. I went home the next day but was given the option to go home same day . Day 3 indicted the walker and went to cane , day 5 I was driving and light shopping at the store , definitely must not cross my leg or turn my toes out ward and any scissors movement is out of the question until more healed , I had almost no pain by day 3 , Tylenol is my go to although first week I had 5 mg oxy codone and this week 10 mg hydrocodone . I use them occasionally but honestly it’s to erase what pain I do have not stop horrible pain . There just hasn’t been any bad pain except one time I pivoted without thinking and it was excruciating but I stopped immediately was a little extra sore for a day and then back to almost no pain . Definitely must follow directions, do your exercises and take the blood thinners for precaution but I was expecting so much worse . I have a 6 inch incision on my outer thigh that’s healing well , I’m not sure about why one surgeon chooses one way over another, but the other surgeon at our medic center does them the other way only . Dr Hosack only does anterior, all I know is I feel very lucky and blessed and if I am the norm , then you have nothing to worry about .

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Profile picture for heavyphil @heavyphil

@lori531 Wife had STAR approach - postero-lateral hybrid. Surgery took 45 minutes!
Recovery still took a good 6 weeks and gets better with months in the rearview.
Phil

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@heavyphil

STAR is a variant of the Superpath method developed by my surgeon Jimmy Chow. I think of these as the next step in the hip replacement universe.

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