Any adults Anterior Approach THP after LCPD?

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I had Perthes as a five-year-old which resulted in an osteotomy. I'm now 42 and am looking at total hip replacement. It seems that to due to the deformities, I may be a candidate for the posterior approach only. I would like to see if anyone has had an anterior approach?

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  • Posted

    Hi Carrie, I just experienced the Anterior replacement 4 weesk ago. So far, so good! No pain, just numbness inflamation and muscle tightness in the incision area of the joint. I used a walker a few hours after the surgery, moved to crutches after 2 or 3 days and then to a cane after a week to ten days. Was driving after 2 weeks, walked stairs unassisted after 3 weeks and have been walking frequently without cane after 3 weeks. Doctors say my experience is ahead of the curve but I stayed really fit prior to surgery and was dedicated to my exercises post surgery. Let me know if you need any further information. Will be glad to help. Thanks & good luck! Lou
    • Posted

      Hi Lou, thanks for the reply!

      Did you have an osteotomy as a child? As a child they literally lobbed off a section of my iliac crest and rebuilt the socket somehow.

      I am also quite fit and I'm hoping for a speedier than average recovery. Just not sure if my hip is too deformed for an anterior and the posterior approach seems to come with a higher level of pain and longer recoveryrolleyes

      So far, I've only seen a doctor who does not perform anteriors. I plan on going for a second opinion with someone who does.

      I'm concerned because everything I read says people in my condition aren't usually candidates for anterior. I guess I'm just looking for other people who were in a similar situation that have had success with the anterior approach. But the fact is every situation is different and mine will present it's own complications.

    • Posted

      Carrie, I did not have an osteotomy and don't know if you are a candidate for an anterior but I would be glad to give you my surgeon's name and contact info. He has performed hundreds of these anterior replacements and is highly regarded! I am confident he can answer all of your surgical questions. Lou
  • Posted

    Hi Carrie, i was the same age when i found out i had the disease. As a kid the only treatment i had was physio and the shoe raiser. I am now 30, the doctor i am seeing is facinated (not in a weirdway) about the way my condition has effected my hip. Tomorrow i am taking part in a ceminar he is doing with other ortho drs.

    ‚ÄčI am due to go in for a total hip replacement in 4 weeks time, he said it's going to be different from other hip replacemnt due to the way my hip has been grinding bone on bone. Living with this a child and now finally having something done is exciting for me.

    • Posted

      Thanks for your reply smile

      I wish you the best of luck on your surgery! Sounds like your surgeon is a great one!

      My surgery is March 17th (maybe I'll get a green gown wink

      I'm not bone on bone but am in quite a bit of pain and my activities are limited. Doc says the hip is definitely more challenging due to the deformity, but he is very experienced and is much sought after. I'm having a posterior approach with a ceramic ball and plastic socket. My long term recovery is one year sad

      All the Best!



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