Less common with fewer "expert" surgeons who specialize in the approach. A. Patients who are active, in good physical shape and younger are often the best candidates for an anterior approach hip replacement. Knowing about the different manufacturers, styles and materials will help you work with your surgeon to select the best implant for you beforehand. Vasileff says he has used the procedure to repair the hips of patients from their 20s to 50s, but he thinks it also would work on older patients as long as they don’t already have a lot of arthritis. Total hip replacement. Only 3% of hip replacement surgeries in the US are hip resurfacing. How long does a hip replacement last? Eligibility for the Anterior Approach to Total Hip Replacement Surgery. Says Dr. Grady-Benson: “Understand that both approaches can yield excellent and equivalent results as reported by patients six months later. W. Kelton Vasileff, an orthopedic surgeon at the Ohio State University Wexner Medical Center, says the procedure originally was developed to treat ailing knees. Dr. Salyapongse touches on later recovery, sharing that "some studies show that even at 6 weeks, anterior hip surgery patients are still doing better than the posterior hip patients. Most surgeons use the posterior approach for hip replacement surgery. In saying this, like most things in life, the more you know, the better you can do. Minimally invasive hip replacement are another option for hip replacement procedures. Dr. Salyapongse is a popular orthopedist who operates out of Dublin, California and Pleasanton, California. Best Hospitals for Hip Replacement Hip replacement surgery is usually recommended when a person has extreme inflammation and arthritis in the hip joint, making it painful to do daily activities. Total hip replacement surgery involves removing the diseased portion of the hip joint and replacing it with an artificial hip, called a prosthesis. More than 300,000 patients in the U.S. have hip-replacement surgery each year, which can require grueling rehabilitation and months of recovery before they can get back to normal. In the meantime, please feel free Dr. Members save 15% on medical alert service. Without a doubt this can make for an easier "return to normal"  and underscores a possible jumpstart on recovery. This type of surgery is suitable for almost all patients. Hip replacement (total hip arthroplasty) is surgery to replace a worn-out or damaged hip joint. If a thigh-bone fracture occurs during hip resurfacing, the surgeons have no option but to continue with the total hip replacement procedure. The new procedure injects a cement-like material into the damaged hip which solidifies within minutes. Anterior hip replacement is done with the patient lying on their back on a special table that allows precise positioning of the affected leg. A hip replacement is a common type of surgery where a damaged hip joint is replaced with an artificial one (known as an implant). The goal of using shorter incisions is to reduce pain and speed recovery. New Procedure May Replace Traditional Hip Replacement Surgery Subchondroplasty involves an injection of bone substitute. Hip replacement surgery has come a long way in the past couple of decades, with faster recovery times and lower risk of complications. The procedure should relieve a painful hip joint, making walking easier. A return to full activity, including playing sports, can take six to nine months, he said. Surgeons who typically perform at least 100 hip replacement procedures per year are in the best position to adopt shorter incisions, while keeping the procedure the same. One is called the posterior approach, in which the surgeon makes an incision, or cut, through muscles on the back of the hip. For example, some surgeons believe that the best candidates for anterior hip replacement surgery are patients who are not obese or overly muscular. Then they inject the cement-like material, which solidifies within minutes. U.S. News also ranks the best hospitals for hip replacement surgery using data on patient survival, nurse staffing, volume and more. The most important factor to consider is that your surgeon should be well trained and comfortable with whichever approach they will utilise. There's more to a hip replacement surgery than meets the eye. Greater potential for post-op numbness in the upper thigh. Looking to have a hip or knee replacement surgery? In other words, Dr. Salyapongse believes that the anterior approach is superior to posterior (hehe, we rhymed!). See: 10 Questions Doctors Wish Their Patients Would Ask. ER trips often point to larger health problems for older patients, Keep Sharp: Build a Better Brain at Any Age Book. A modern artificial hip joint is designed to last for at least 15 years. Of all the joints currently replaced in the human body, the hip joint has had the most success, the quickest recovery, and is the most durable. Its not !The best method is one hat allows the surgeon to accurately implant the best prosthesis in the correct position. It replaces your hip joint with an artificial one. Robotic-assisted hip replacement can be used in patients who suffer from degenerative hip diseases such as arthritis or hip conditions caused by injury. Which approach is better? During hip replacement, a surgeon removes the damaged sections of your hip joint and replaces them with parts usually constructed of metal, ceramic and very hard plastic. The size and placement of the incisions will be different. Read on, mate. In this surgery, worn-out or damaged sections of your hip are replaced with artificial implants. The patient is typically lying on his or her side, and the hip is approached on the side and then around the front (anterior) portion of the hip. I just recently, three months ago had a total hip replacement by the anterior method, My surgery was at 7:30 and I was home by lunchtime, I walked out of the “hospital” actually outpatient facility with my walker. Since each implant is very di… Get matched to a top surgeon near you or book a free consultation with Dr. Salyapongse. Learn more. More than 300,000 patients in the U.S. have hip-replacement surgery each year, which can require grueling rehabilitation and months of recovery before they can get back to normal. Ways to reduce blood loss during hip replacement surgery; Strategies to reduce the risk of the prosthesis becoming infected; Nationally recognized expertise . In addition to the anterior approach being "more accurate" and "leaving more muscles attached and unaffected", Dr. Salyapongse pointed out other benefits. Osteoarthritis is painful as joints become stiff and inflamed when the smooth lining between the joints gets damaged or wears away. 3  In saying this, having a replacement done by an experienced surgeon you're comfortable with is the top priority. How to Determine Which Hip Replacement Surgery Method is Best for You. More than 300,000 patients in the U.S. have hip-replacement surgery each year, which can require grueling rehabilitation and months of recovery before they can get back to normal. “Usually, you’re up walking quickly and pretty normally within a month, without crutches or a walker,” he said of the new procedure. The surgeon replaces the old joint with an artificial joint (prosthesis). You can also manage your communication preferences by updating your account at anytime. The hip joint is exposed and the damaged part is removed and replaced with the prosthesis. Let's sum it up: anterior approach shows some serious pros when it comes to a faster "return to normal" in early recovery. A variation of this approach is a minimally invasive procedure in which one or two shorter incisions are used. Are you in the California-area? It usually is done when all other treatment options have failed to provide adequate pain relief. The decision to undergo a total hip replacement involves a number of considerations, including choosing the surgical approach that is best for you. Advocates say it’s easier, less invasive, and has a … However, the most critical factor to the success of an anterior hip replacement is having a surgeon who you're comfortable with, has performed a high-volume of anterior replacements, and matches your individual needs. This type of surgery is just as safe and effective as traditional hip surgery, but with quicker recovery times. Learn more about 'how to choose the right surgeon for your joint replacement surgery.'. The most common type of hip replacement surgery is called a total hip replacement (also called total hip arthroplasty). Another con that Dr. Salyapongse points out is  "the occasional sense of numbness over the side of the thigh after surgery." The traditional surgical approach to total hip replacement uses a single, long incision to view and access the hip joint. The use of a fluoroscopy unit allows real-time imaging of the hip as the procedure is done. When asked whether or not most patients should go for anterior, Dr. Salyapongse said "in my opinion, yes." Various types of arthritis may affect the hip joint: Osteoarthritis. When it comes to total hip replacements (THR), there is a lot of debate about the relative risks and benefits between two popular surgical techniques – the anterior approach versus the posterior approach. The hip joint is where the head of the thigh bone or femur meets the pelvis. You will be given a general anaesthetic, which makes you fully unconscious, or a spinal anaesthetic, which numbs the lower half of your body. To replicate the action of your natural joint, a total hip replacement has 4 parts: a socket (cup), liner, ball (head) and stem. In other words, in cases of patients who've had bilateral hip replacements (whether staggered by weeks or years, or done at the same time), notable feedback is that they preferred the anterior replacement. We love telling people about what we're doing! Metal-on-metal hip resurfacing is done in a similar way, however this is rarely done now because of possible complications and a higher "failure rate". This artificial joint (prosthesis) helps reduce pain and improve function. Hip replacement surgery is a procedure in which a surgeon makes an incision over the side of the thigh, removes the diseased parts of the hip joint, and replaces them with new, artificial parts. As such, trust in your preferred surgeon is the top priority. Traditionally, orthopedic surgeons have approached the hip joint from the side and back when doing total replacement surgery. Both surgeons point out that the most important determining factor actually lies in your choice surgeon. Replacing the hip joint with an implant or "prosthesis" relieves pain and improves mobility so that you … This post is part of the Ultimate Guide to Total Hip Replacement. Here's what he had to say:  "If you have a good relationship with your surgeon, I would trust them to perform the procedure for you with which they have the most experience (anterior OR posterior)." The surgeon replaces the old joint with an artificial joint (prosthesis). An orthopedic surgeon can do these procedures from behind the hip, to the side of the hip, or from in front of the hip. If you're preparing for a hip replacement surgery, you've probably asked yourself these very questions. Read on for this and other useful info like how to prehab for hip and knee replacements. The cup is typically made of metal and fits into the natural hip socket. So, which hip replacement approach should you request from your orthopedic surgeon? A systematic review and meta-analysis of case series and national registry reports with more than 15 years of follow-up. Best Hospitals for Hip Replacement Hip replacement surgery is usually recommended when a person has extreme inflammation and arthritis in the hip joint, making it painful to do daily activities. You are leaving AARP.org and going to the website of our trusted provider. In our conversation with Dr. Salyapongse, we wanted to understand the difference between anterior and posterior. One is called the posterior approach, in which the surgeon makes an incision, or cut, through muscles on the back of the hip. What is hip replacement? Different Hip Replacement Approaches. This method is prevailing because of its advantages, such as less blood loss and pain, less healing time and less stay at hospital duration. Please enable Javascript in your browser and try The provider’s terms, conditions and policies apply. Please return to AARP.org to learn more about other benefits. While there are many ways to access the hip joint to perform a total hip replacement, this method is one of the safest and most efficient ways to preserve and protect all the important structures around the hip joint and to facilitate both early recovery and long-term function. Other reasons for hip replacement include injury, infection, and brittle bones. Nowadays, another common technique known as a minimally invasive method is used by surgeons, in which 1 or 2 cuts are given, 2 to 5 inches long. Dr. Salyapongse explains, "Although the basic concepts of hip replacement surgery remain the same with both the posterior and anterior approach surgery, there are some key differences." In many cases, well-trained surgeons using special instruments can shorten the incision of a standard hip replacement to about 4 inches. to search for ways to make a difference in your community at The procedure is intended to give you restored mobility and to reduce painful bone-on-bone contact. Longer procedure (this increases risks associated with surgery, like "blood loss".). Eventually, after a couple of years, the patient’s body will replace the material by growing new bone, he says. But now, orthopedic surgeons are employing a new, easier alternative called subchondroplasty, in which a damaged hip is strengthened by injecting a cement-like material. Hip replacement method 'unacceptable' for women. He adds that "not all patients experience this, but when they do, it can last for a year or so.". This artificial joint (prosthesis) helps reduce pain and improve function.Also called total hip arthroplasty, hip replacement surgery may be an option for you if your hip pain interferes with daily activities and more-conservative treatments haven't helped or are no longer ef… This approach is considered the "traditional", "tried and true" method. In addition, not having as many restrictive "hip precautions" after surgery is a massive bonus for many patients. The Lancet. An anterior hip replacement is a surgical procedure in which damaged bones in your hip joint are replaced with an artificial hip (total hip arthroplasty). The liner is most commonly made of a medical grade plastic called polyethylene. But now, orthopedic surgeons are employing a new, easier alternative called subchondroplasty, in which a damaged hip is strengthened by injecting a cement-like material. During hip replacement surgery, the damaged bone and cartilage are removed from the hip joint. As Dr. Salyapongse (and friend of PeerWell, Dr. Trevor North) explains, it may not be such a simple, clear-cut answer. He adds to this by saying, "however, there's one caveat: patients should seek out a surgeon who is well-trained and experienced with the anterior hip surgery. The hip joint can be damaged by osteoarthritis, other forms of arthritis, and other traumatic or degenerative conditions. In a posterior approach, the incision is made through the back of the hip while you're on your side. Become part of the PeerWell community on social media. You may remember me from such titles as: "Diabetes & Joint Replacement 101" & "Sex After a Joint Replacement". Some of the commonly cited downsides to the anterior approach is that it is less common and hasn't been done for as long as the posterior. What is minimally invasive hip replacement surgery? 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