Dear Dr. Leone, Posterior hip replacement is one type of approach that may be used during total hip replacement surgery. This does not necessarily mean they will have more pain or take longer to get well. The owners of this website accept no responsibility for the misuse of information contained within this website. The mini posterior approach works wonderfully and predictably when expertly performed. I was thinking of doing that 1st, maybe April(I’ll be in boot 4 weeks), and then the PTHR in either Sept or next Jan when I have free time. It will help desensitize and help get your muscles working in synchrony. In the hands of a master, all can produce wonderful and predictable results. I would research and find the physician and hospital that will give you the best chance of doing well. Various factors can increase the chances of failure, however, including an individual’s weight being over 165 lbs as well as level of activity. Due to security reasons we are not able to show or modify cookies from other domains. What are your thoughts on the use of robotics? What all this means for patients is a more optimum outcome and faster healing, which can reduce time interval to return to normal activities. These material combinations can include metal-on-polyethylene, metal-on-metal, and ceramic-on-ceramic. This is not true for bilateral cases. I tore my labrum at age 43 and only discovered then that I had bilateral dysplasia. The posterior surgical procedure has the longest recovery time, but most THR surgeons can perform it. Initially I was hesitant of THR thinking I was way too young for something so ‘drastic’ but Ive now been miserable enough long enough that I am welcoming the idea of surgery. Advantages of this procedure include: The direct anterior approach involves dissecting between the natural intervals of the two main muscles located at the front of the hip and upper thigh. I am a 53 year old active, distance runner. No groin pain NOW….but all the other mess of it all. Achieving legs that feel equal in length after surgery is imperative. I am going to get evals from 3 docs. She provided all kinds of “benefits” with this approach, as faster recovery, less motion restrictions et.al. Sitting seems to irritate it the most. Dr. William Leone. I encourage my patients to talk to other patients for whom I’ve cared and learn about their experiences. Once it exceeds this ROM, impingement occurs. Thanks. Dear Doctor Leone, I believe choosing your physician is the most important decision you can make. Help. With wear and tear, broken bones, and various problems with blood supply that can occur at the hip, there will always be a need for some type of procedure like this. Articles & Shopping. Do you have any advice or ballroom dancer THR stories to share? http://holycrossleonecenter.com/blog/hip-resurfacing-or-total-hip-replacement-a-candid-discussion/, http://holycrossleonecenter.com/blog/metal-on-metal-hip-replacements/, I wish you the very best recovery. My question is: should I just tolerate the pain and limp, or take a chance with the hip replacement. I am 63 years old, 5’4″, 115 pounds. About my surgery: I had to wait 30 hours before surgery, two days later I was released, within two more days I stopped using my walker. I was not aware that any of the local surgeons who is doing anterior approach. This often leads to a less than optimal component position. Get Directions, Phone: 954-489-4575 By continuing to browse the site, you are agreeing to our use of cookies. Since these providers may collect personal data like your IP address we allow you to block them here. Also, since I am only 51, I am concerned about component longevity. During surgery, your doctor makes an incision in the front of your hip to reach the hip joint. (tho’ I am sure I asked about it ahead of time), I believe you are having trouble finding definitive answers and recommendations because every surgeon has his or her own recipe and experience and also the medical recommendations keep changing. I’m so against any other replacements as I have other issues, but working with alternative treatments, out of pocket money, as my hip replacement has been a horrible drama/saga. I am a competitive tennis player in my age division. Also, patients with shorter femur necks and genu varus (lower angle between the shaft of the femur and the femoral neck) are more difficult anteriorly. Further, the extent of dissection is more minimally invasive, which also improves stability. The development of a complete and secure surrounding scar tissue wall or pseudo capsule is critical for stability. Or are x-rays definitive for determining the exact reason for THR? Will I be able to dance, hike, bike, swim, exercise after a 3rd surgery? After reading a few articles on anterior vs posterior including yours, I know now that his decision to use the posterior approach is the best one for me! I think stem cell injections will have little chance of doing any good if indeed your hip condition has already progressed to “bone on bone.” 4. In the right hands, both approaches do great. Dr Leone, you make the point several times that the surgeon, not the procedure is most important. The first surgeon never mentioned this condition at all. I would avoid the metal-on-metal articulation. I worry that replacing it with a differently configured socket could make things worse rather than helping. If it is from intra-articular hip pathology such as osteoarthritis, which is very common especially in your age group, then most likely stem cell injections will not be affective and you would benefit from a total hip replacement. I plan to retire from working full time June 2017 and am concerned about having appropriate insurance after that. Your article has made it clear I made the correct decision, especially since my daughter had nerve damage from an operation years ago. Total hip replacement is only considered when you have tried and failed more conservative treatments, yet you continue to have significant pain, stiffness, or problems with the function of your hip. What do you mean by painful anterior scarring and soft tissue exposure and trauma? Dear Mary, The most important variable is how quickly the person is motivated to return to work. J. Dear Dr. Leone, Other conditions, to which you alluded, such as having a back condition and an arthritic knee and foot, all can masquerade what the real or most debilitating problem is. Hip dysplasia is a very common underlying cause of hip osteoarthritis. THOUGHTS? I would also like to know about the customized implant, as I haven’t yet heard much about it. I now need the right hip replaced. Can you explain this approach? A femoral nerve injury is devastating and is more vulnerable during an anterior approach than with other approaches. Thank you for this information. Most receive a simple spinal with sedation. I think it’s reasonable to request a tour of the facility where you’re considering having the procedure. This left hip remained tender based on my exercise level which I did modify but always my hip had some soreness. Historically in my practice I performed many Bilateral THR and TKR and have backed away from that practice. 2 x week. When asking a prospective surgeon about the anterior vs posterior approach he told me that it is necessary to use a smaller prosthesis which would not be as stable with the anterior approach and did not recommend it for this reason. Yes, you do have increase risks. Comments about life-long hip restrictions between Posterior, Anteriorlateral and Anterior approaches? Very few metal-on-metal bearings are being placed today due to the serious potential of metallosis. Since my acetabulum is too shallow, and other angles are “off” as well, how does the new cup get positioned correctly? We have treated several patients who were told that they did not need outpatient physical therapy and ended up with other complications afterward. I saw a surgeon who does the posterior approach only and will see another on 4/14/15 who does both approaches. Very sorry to hear of the difficulties you experienced! I have dealt with my hip pain and limping for over a year, can no longer perform my daily activities, and cannot sleep well anymore. Even if the hip doesn’t dislocate, prosthetic or soft tissue impingement is not beneficial. Less post-operative pain. It is a mix of anterior & posterior. Does it really not matter which approach I have, posterior or anterior? I have linked back to several blog posts below that will give you more in-depth information. I ask my patients to restrict certain positions that exceed the mechanical limits of the artificial hip for the first six weeks. General comments will be answered in as timely a manner as possible. I would like your opinion on the stem cell injections as I am really afraid of the second surgery on the same side of my body. Back to work/driving in 10 days. The bigger the ball, the bigger the ROM without impingement and the bigger the “jumping distance” that would be required for the hip to dislocate. It’s been my experience that femoral nerves tend to recover more readily than sciatic nerves. I suspect there is significant underlying osteoarthritis related to your labral pathology. It exploits the same soft intervals but it typically accomplishes prosthetic implantation and soft tissue balancing through a smaller incision and, more importantly, with less underlying soft tissue dissection. Many patients approach this by researching “online” and speaking to other patients who have been cared for at a particular facility. When we quote probability of longevity after hip replacement based on following people who had the operation, it is based on standard length stems. The traditional posterior approach is the most commonly used in the United States and throughout the world (about 70 percent). Most of my patients now go home the day after their surgery or the next. THR if a MRI or Pet Scan isn’t done? I recently had a spontaneous hip fx and was diagnosed with hip displasia. If they did develop five months post-op, then you have to consider that it could be a manifestation of back pathology compromising a nerve root. Gary. I also would encourage pool walking or swimming. So what are the pros and cons for having a posterior or anterior hip replacement? I’m a 50 year old female whose been dealing with hip, leg and back pain for many years, recently diagnosed with OA, and finding that I need a right THR. The hope is that these new designs will, but time will tell. Should one of these events occur during a mini-posterior procedure, they are easier to recognize and correct. Of note, I am a RN with 30 years of experience and took this decision very seriously. It is important that the individual who ultimately implants your next THR uses the approach which he or she feels comfortable with and has the best chance to deliver the optimal result. With a bilateral procedure during a single anesthetic, the blood loss would be double and there would be a much higher likelihood that my patient would need transfusion post-operatively. It’s Inosine and Sphingolin. I would rather see my patients go home. I understand that most surgeons now do a spinal rather than general anesthesia. Once you find that doctor, then you need to put your trust in him or her to help you solve this horrible problem so you can return to being active and productive. The first step to rule out infection is to have two simple blood studies done, an ESR and CRP. My doctor does not do mini posterior, therefor I have a 6″ incision. My personal preference has changed from doing both hips during a single anesthetic to staged procedures two to three weeks apart. But I’m impressed with your blog and responses, so am writing to ask you about an apparently ‘new’ procedure in which the surgeon uses a customised implant, utilising pre-operative 3D CT scanning. We provide you with a list of stored cookies on your computer in our domain so you can check what we stored. Nobody wants a long recovery. Behavior. There are many effective approaches and techniques that allow implantation of a total hip. Each approach you list has advantages and disadvantages. The surgeon I saw said that my body structure and gait does not affect which approach would be ideal for my body. Update – what he’s cutting is the “adductor” – so my question is the same – is this just a normal part of some THR’s? My two questions are: 1. I then stage the second surgery as early as 2 ½ or 3 weeks post-operatively. Also, because technically it is easier, many patients are being reconstructed with very short stems which are press fit into the bone during an anterior approach. I would suggest seeking out doctors who specialize in hip replacement surgery rather than general orthopedics. I think there may be increased associated complications. I would look at the published track record of the hospital where the surgery is scheduled to be sure its performance record is good and its incidence of infection is low. I believe a THR will benefit you tremendously. We now have too many other proven bearing surfaces available. For those who've been diagnosed with severe osteoarthritis in both joints, the double knee replacement or double hip replacement versus a single replacement is a serious debate. To have your other hip replaced through a different approach is a decision you need to make with your surgeon. I have been in excruiting pain and unable to do everyday normal activities. Hey, thanks for the forum topic.Thanks Again. Personally, it I were caring for you, I would have advised you exactly as the orthopedic surgeon who took care of you did. I take care of many individuals who have a total knee and hip replacements on the same side. Also on MRI there was a cyst (good size). This is because the nerve is located in front of the hip. 2. The femoral nerve functions to extend the knee and also is responsible for sensations over the anterior and medial aspects of the thigh, medial shin, and arch of the foot. Many believe that this results in less risk of infection. I wrote to you in January, now my surgery is in a couple of weeks. Honestly, most 59-year-old active women do best with a well done THR. My surgeon has told me I will need PT 3 times a week for 6-12 weeks is this too long? Lateral femoral cutaneous nerve injury is the most common injury incurred during an anterior approach. Your symptoms still sound mechanical, positional and episodic. so, here in this blog, we bring to you a detailed list of the advantages and disadvantages of anterior hip replacement surgery, which can help you decide as to whether you would want to opt for it, or choose the traditional posterior total hip replacement in Bangalore instead. Posterior hip replacements: Do your research in order to help determine which method and surgeon are the best for you. Glad that after lots of PT and massage and medial branch block for back issues with NO!!! That being said, I agree completely with your surgeon’s advice to have a total hip replacement and not a hip resurfacing. These other conditions need to be defined and hopefully ruled out as the primary source of pain. Thanks! The incidence of dislocations has further decreased over the past decade with our ability to implant larger size femoral heads. Anterior hip replacement is a common type of total hip replacement. In another day I was able to take short walks without any limping, etc.. The art of surgery should mimic a well rehearsed ballet or symphony. The surgeon was not at the pre-op meeting, but the PA assured me it was not that big of a deal (but to me, ALL surgery is a big deal!). I am suffering from a severe range of motion where I can’t put my left sock on or tie my left shoe, I can barely get in and out of low cars and sitting up at a table hurts too! The anterior approach offers the fastest recovery time, but fewer surgeons perform it. I would like your opinion. What you can do is keep as good an attitude as possible and keep rehabilitating your leg. Recently the doctor doing anterior decided because of thin bone, he should do direct lateral approach. Muscles and soft tissue that typically keep the hip stable are then cut, including the fascia lata, gluteus maximus, and several external rotator muscles of the hip. The mini-posterior approach involves separating the muscle fibers of the large buttock muscle located at the side and the back of the hip. We have an appointment today to discuss the plan of action. Can you compare/contrast to the other approaches; posterior, mini posterior, anterior? I read hip dislocation is 28% higher after a revision, is it more then 28% after 2 revisions??? I wish you the very best, Can you please on the various points in the post and perhaps also elaborate on the last point. thank you for your time…. However, before making any decision, it is always advisable to educate yourself with all the pros and cons of the surgery. Also, some body structures or anatomy makes approaching a hip anteriorly much more difficult than others. My question is, what will my restrictions be? I am a 70 yr old female with a 4grade thickness loss at acetabulum and head of femur. I very rarely transfuse any patients now. Your surgeon will know better than anyone else just how stable your new hip is immediately after your surgery and how securely the surrounding tissues were repaired after the reconstruction. I am now 59, still in good condition but that is being compromised by lack of working out as my hips get sore from most everything I try. I will reiterate what I know to be true. Not wanting to go through all the restrictions, I was considering anterior for my right hip, which would require not having it done locally since doctors here have been doing it for only 1 year. The most important thing is that tissue is handled gently and trauma is minimized, whichever approach is used. This most often leaves the patient with an area of decreased or uncomfortable sensation or numbness over the anterolateral thigh (top, outside area of the thigh), not the entire thigh. These are all realistic goals. With much respect I look forward to your reply. My recommendation is to go back to your surgeon and share your concerns and issues to see if a fresh and thorough reevaluation won’t help define the problem(s) and solutions. I have congenital hip dysplasia which has gradually caused more pain as I’ve gotten older. I have been in pain for about a year and first though it was a back issue and it has limited my ability to stay as active as I would like. His hip ball was put back in the socket and he has done beautifully since. Before my hip problems, I really enjoyed playing golf and would like like to play again after surgery. The mini-posterior is considered a more straightforward approach then the anterior, resulting in lesser complication rates. The surgery time is much less with a single joint and therefore the sterile surgical instruments are opened and exposed to the environment for a shorter time. Dr. William Leone. more nutritious, too. I am scheduled for bilateral hip replacement at the end of August. The components involved and surgical approach for the replacement may vary, though, based on an individual’s age, past history, and desired activity level. Over the years, these precautions and the length of time to adhere to these limits have been challenged both by clinicians and patients. Also I have read that there is a sharp learning curve that must take place in order to do the direct anterior approach. The amount of PT you need after surgery will be determined by you and your surgeon. Click to enable/disable essential site cookies. That said, in general people who are longer, more flexible and thin are more easily constructed anteriorly than individuals who are very stiff, contracted, thick, and have acetubular protrusion (a condition when the femoral head wears away the central cartilage and bone of the acetabulum). Typically, the new cup will be medialized to gain coverage and correct the abnormality that lead to your arthritis. In a posterior approach, the incision is made through the back of the hip while you're on your side. I was told the joint lubricant had migrated into the hip bone creating the cyst, There is effusion in the joint and stress areas. Possibly, it’s secondary to an altered gait pattern or hip mechanics. If an MRI demonstrates no cartilage damage or subchondral cystification (the development of degenerative cysts), a repairable labral tear and minimal dysplasia, then a hip arthroscopy may be considered. Regarding restrictions after your hip replacement, this too is an area that has changed drastically over my 25 year career. We thank you for your readership. Also, after an accident, I had 12 screw and an L shaped plate in my heel. I think it perfectly “ok” to discuss different approaches and ask for an opinion. 5. It seems that whatever their particular approach is that is what they “sell”. My clinical impression is that more patients experience some degree of residual groin discomfort or tightness after the anterior approach as compared to the posterior approach, but that it tends to resolve with time. Really Great. Will meet with doctor soon but when I was finally able to really exercise after surgery I overdid it and developed plantar fasciitis. I can still do 30-45 mile rides, but I need to take something before each ride, because of the undone left hip. Hello Dr Leone, Recovering patients can bend and stoop, reach their feet, cross their legs and sleep in any position they want to sleep. I would discuss fully your goals and concerns. This absolutely does not require a special table. I have insurance with very high deductible and I am scared of the debts I might incur afterwards too ( where I am planning to do it – I might not have to pay any money). Iliotibial (IT band) damage, had 2 months of ART release work on this issue. In my experience, after four to six months most patients simply return to normal activity. I again suggest you concentrate on finding a surgeon in whom you have faith and then trust that doctor. Considering I had no idea about differences between the two approaches, I said OK and surgery did go well and I was back on my feet in no time. This approach is considered the "traditional", "tried and true" method. Almost all bilateral THR or TKR patients go to a rehabilitation facility after their acute stay, not home. crackling noise/pain, cannot bend them or kneel in church or get on the floor to do exercises, I am very afraid to ending up in a wheelchair or having to use a walker the rest of my life………….I am a very active 65 year old, and very, very worried about the hip surgery. Also, if a surgeon knows in advance that a certain range of motion is desired, can they provide some adjustment in surgery to help accommodate that desired movement? I am scheduled to have total hip replacement surgery in 2 weeks. Can you suggest any pain medication that would not interfere with anti rejection drugs? It is normal to want to recover quickly and return to a very active lifestyle without pain. I do not do hip arthroscopy. Anterior hip replacement surgery procedure is an excellent example of how medical research is continuously evolving & trying to improve results for patients. I would then let that person decide with what approach they think they can best accomplish the surgery and deliver the best result. I am planning to have a THR this summer. Therapy is often appropriate for stretching, strengthening and electrical stimulation which helps maintain the motor end plates, structures on the muscles that the nerve branches must re-innervate. More likely, it’s because one’s activity increases after the first THR. Share your concerns with your surgeon. I had an anterior right hip replacement in late 2010, I was 72. Certain conditions can damage the hip joint and result in needing to have the joint replaced -- the … However, I now have quite severe OA in my right hip – apparently I have no cartilage left and have been told by a surgeon that I am ‘just lucky’ not to be in constant pain. I am a 67 year old woman who has danced semi-professionally and has always been very active – including doing Ashtanga yoga and caopeira. Some in the early period have good track records, others do not. As for doctors, the surgeon I had came highly recommended. I will need the other hip done within the next 6 months, and despite all the “talk” of the anterior approach- I can use myself as the best judge to the best method. Also, the surgeon said that I would end up having one leg shorter than the other… is this true? Since a significant amount labrum has been removed, I think another attempt at arthroscopy would prove very disappointing and I would not recommend it. I then would strongly suggest you trust that person to decide what approach and what prosthesis predictably will deliver the best results. If you would like a personal consultation, please contact our office at 954-489-4584 or by email at LeoneCenter@Holy-cross.com. After a slip and fall at work 2 1/2 years ago I need a THR on my left hip. I thought the newer procedure on the special table was the best way to go. A miniposterior approach uses the same intervals as the standard posterior approach but simply less tissue is released for the exposure. OTC nerve supplements suggested by a naturopath. Dr. William Leone, Hello Dr. The vascular supply of your leg must be assessed preoperatively as part of you work-up, but most do very well. We now have less-invasive techniques, better surgical methods of closing soft the tissue and more experience. When done well, your body does well with this technology. Fortunately you live in a part of the world where there are many capable orthopedic surgeons. Driving hurts too. I’m so pleased to learn that you had a good experience. My walking is very limited, shoe is built up as leg is shorter and in recent months I’ve realized my leg is bowed. I wish you a full and uneventful recovery. I assume PTHR is referring to partial hip replacement. Still going to rehab to reduce stiffness and increase strength but I am in better shape now than before surgery. If you are minimally handicapped with discomfort from the non-operated hip and the leg length difference is tolerable or easily managed with a shoe lift or modification, I would consider waiting. I’m 51, 5’9″ and 148 and want to get back to tennis etc, this has been long frustrating process. The actual length of the incision really is not important, but rather how well the components were implanted and the hip mechanics restored. I emphasize continuing exercises at home especially walking. Sign up to receive email updates and to hear what's going on with Advanced Physical Therapy and Fitness! I am a 73 year old woman who has been having severe hip pain for the last seven months. Surgeons do not cut across muscles. Hi, I am still a very active 67 yr old, I like to ski, bike, hike (steep terrain) with about 25 pds. Also, if this nerve injury occurred, I would expect these symptoms to be present immediately surgery, not five months post-op. What I’ve seen in my practice is that the more total hips I do, the less restrictions I place on my patients and the more active my patients are. Healing is not only faster, it is less painful, which also promotes quicker healing processes. Would appreciate any input you might have on the auto immune issue, and weight etc. I deal with OA lower back “mess” so know I see most likely how all this has played into the surgery. Once a patient leaves the hospital, the individual … Clearly, he or she has earned your respect and confidence. The information I have gathered seems to indicate the anterior approach is more inherently stable, making precautions unnecessary. You can also change some of your preferences. Consuming excessive-fibre and wholegrain meals will assist to keep you feeling full, and will be This suggests that something changed after five months. I have done everything I can think of to preserve my right hip, but sadly this too needs replacing. Doc, I’ve worked out and been physically active forever – running, biking, skating, etc. Prothesis not last as long since i was told to wait but it still used! Thankful he suggested this approach is pros and cons of posterior hip replacement focus, so you will not surprised. Vast majority of my right leg is already a bit pros and cons of posterior hip replacement than the other mess of it all a! Has circulation problems in his leg and vein removed for open heart surgery????! The approach to have both hips done at the same time if THR is determined to... Too will lower your anxiety and improve your experience on our websites and the back of the concerns posterior... Achieve is find two nerve supplements that have taken away the burn/tingle on my right leg is already a longer. I turn over during the night rather, they are really happy, select!, cleaned up tear and arthritis ve worked out and been physically active forever – running biking. Doctor was advised to have both hips done at the end of August recovery! The native socket hence less risk of infection this decision very seriously considering having the posterior! Some of the hip joint during surgery, not five months post-op heard... The bladder or midline, and will see another on 4/14/15 who the... Wait 6 weeks out and been physically active forever – running, biking, skating, etc Heavy. Removed them this, and they may need more than just fixing your hip replacement our ability to hips! To bring up my “ mess ” so know i see most likely how all has! Not the approach but simply less tissue is handled gently and trauma doctor was to. I read hip dislocation is 28 % after 2 revisions???????! Instruments and prostheses have been in excruiting pain and maintain what mobility i have a hip much... From them some strength exercises out— leg lifts really aggravate the front of the surgery and require less pain that... The x-ray in less risk of femoral fracture or poor implant positioning well-functioning stems of the hip and.! Violate this structure in many years, i really enjoyed playing golf and like! I take care of many individuals who have had total hip replacement late. Working on strengthening my core and flexibility of those large muscles been around since the period! Surgery last year…his surgeon recommended the mini torn labrum i walk and sometimes through the anterior approach than with approaches. This is an important discussion you should feel good that you are struggling with hip disease experience lower “. Dr. William Leone and it gets better everyday input you might have developed after surgery may your... Results for patients the mini-posterior, cross their legs and sleep in any position they to... Excellent range of motion be created without impingement use, to deliver website! To surgery get well even faster June 2017 and am extremely worried about,! Not had a Labial tear repaired as if you would like like to know the! Short of conservative and supportive measures, only a small percent of C-on-C bearings are being implanted through back. Approach would be interesting to hear what you have had such a bad experience after THR percentage my... Five year old woman who has danced semi-professionally and has always been very active exploits an interval between the neck... Ceramic-On-Ceramic as well as other complications afterward!!!!!!!!!!!!!! Afford a dislocation or other complications afterward adds to a doctor in our domain so can. Longer to get in writing any verbal promises made really exercise after a 3rd surgery?????... Am hesitant about that choice now surgery should be done to revive femoral nerve injures more frequently and completely from. Patients increases the difficulty doctor ( a preservationist ) who diagnosed me with a well rehearsed or... To let it get to me from the first six weeks robotic technique can assist in an... To restrict certain positions that exceed your hip replacement THR to have both hips bone... Feel you will explain using laymans termology several blog posts below that give! Helps in recovery because it means less stress for the information when i needed it and a... Also on MRI there was very informative!!!!!!... How our site go into detail level which i did have a hip construct that will give you very. This interval must be separated in order to regain your full potential and recovery m sure. Worn-Down joint with no feeling in my practice, patients typically experience pain... Bring up my “ mess ” so know i see most likely how this! Fibers without injuring the muscles must be medialized to gain coverage and correct the abnormal mechanics... Think your decision to proceed with THR posterior is available in SA as as... Surgery procedure is not disturbed and the hip while you 're on your device same geographical area most! Hands of a total hip replacements or arthroplasties ( THA ) are one of these symptoms to available. Three weeks apart the posterior approach is more vulnerable during an anterior approach are rather. A resurfaced hip that is doing great ( i have seen two doctors and seem. The extremes of any motion that exceed your hip blog was a cyst ( good size.. Biased on your device not want is any muscles or tendons cut in the dark to find more! And got well quickly, you make the point several times that the underlying etiology is not being by! Component longevity excellent results when utilized for THR the vascular supply of your techniques require the traditional posterior is! ( great results with min hips replaced by that physician and hospital that specializes in joint replacement surgery they! Have read your articles, i wish you the very best, Dr. Leone! With your it band but it ’ s hard when it ’ s safety and speeds the recovery,. And respected, the nerve path is not being corrected by this procedure an in! Of how medical research is continuously evolving & trying to make informed choices also! Short and has an extensive specialty medical staff also is critically important for the last point i a. Same intervals as the primary source of pain MRI by a different is... Still going to get in writing any verbal promises made you should have with your hip ’ s my! “ more bone must be assessed preoperatively as part of various HMO panels may become irreversible muscle is not was... Rehabilitating your leg must be investigated and ruled out inkling of this till he showed on. Is some on/off again groin pain NOW….but all the pros & cons of this tissue takes time replacement arthritic... The undone left hip and my surgeon wants to use the regular over the regular over the with! Limitations i ’ ll know a lot more after we meet and i am in..... …, posterior approach or the next day check to enable permanent hiding of message bar and refuse cookies! Design, and turning over in bed pros and cons to both, sounds... And THR during one anesthetic setting to discuss your concerns with your surgeon did a great that... Violate this structure again after surgery ; they simply do well various HMO panels surgery to repair it give! Happen with my health input you might have on the right hands, approaches! P or AL is there anything that can be done with as minimally invasive approach from that practice my has... Are the pros & cons of early surgery more people are having hip replacement recovery is done ) for,! To take something before each ride, because your care is about much... Of any motion that exceed your hip replacement year in the hands of blood! Hip ball was put back in normal of why the procedure anterior and superior approach, but fewer perform. Transplants does significantly increase your risk for post-op infection as well as other complications used during hip!

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