The faster recovery time provided by a minimally invasive surgical approach is worth investigating when considering your hip replacement surgery options; watch this video to learn more. Candidates who are eligible for anterior hip replacement surgery can realize significant benefits, such as: more muscle spared, fewer dislocations, less need for hip precautions after surgery and less pain. Dr. Jeffrey Kliman discusses these benefits and more from a patient's perspective. He also shares observations from patients who have experienced both traditional and anterior hip surgery that the anterior approach was four to five times easier to recover from. Also covered in this video: an overview of anterior hip replacement surgery, anterior hip surgery advantages, patient recovery benefits and real-life patient experiences.
When we perform an anterior approach, the surgery is muscle-sparing. We leave all of the ligaments and muscles intact in the back, so it's a more natural way of putting the hip in. Because of that, people get up and move more freely and return to work and recreational activities much earlier.
The main difference is that the dislocation rate is at least 10 times lower. If you look at the dislocation rate when you perform the procedure through the back, through a posterior approach, it's approximately 3 to 5% nationally. If you do it through the front, an anterior approach, it runs between 0.3 to 0.8%, so it's about 10 times lower.
Another difference is that by doing the anterior approach, we don't have to do any precautions after surgery. If you do a posterior approach, for three months you have to be very careful not to sit in low chairs or on low toilet seats, not to bend over past 90 degrees at the hip, and not to cross your legs. With an anterior approach there are no hip precautions from day one.
We find that the pain people have after doing an anterior approach as compared to a posterior approach is much less. Most people go on pain pills and don't need to have morphine or other IV medications. Some go straight to Advil or Tylenol within the first 24 hours.
The return to normal activities is very different from person to person. Some people are able to return to work within two to three weeks, depending on the type of job they do. If they have a very physical job or a job where they have to stand for a long period of time, it can take up to six to eight weeks. If they're performing a desk-type job, they can usually return within two and a half to three weeks. As far as recreational activities, most of the golfers or tennis players can return within six to eight weeks but there's variation from person to person.
When patients come into my office they often ask me why we do this. One of the main things I tell them is that I've had over 40 patients where I've performed a posterior approach on one hip, and they came back years later to have the hip on the opposite side done, and we performed the procedure through an anterior approach. Those people all came back to tell us that this was anywhere from four to five times easier to recover from. It was a major force and influence in determining that this was the right thing to do for our patients.
Contact El Camino Hospital today to learn if the anterior approach to hip replacement is right for you.
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