Does it matter what approach your THR is?

Posted , 7 users are following.

Hi , I'm waiting on a left THR.  To summarise I was born with hip dysplasia (dislocated hip) it was missed until I was three, then fixed  I think by an pelvic osteotomy.  I believe they took bone from my pelvis and grafted it onto the cup to make the joint stay in place though I'm not sure of the details.  Anyway all was fine until about 5/6 years ago then my joint went downhill rapidly, I,m bone on bone now, limp and can't walk far at all, I'm 49 .. 

My consultant said he will do the lateral approach..  I read of many having posterior approach and some a anterior but have not read much about the lateral approach.  

I know they cut through different muscles or less muscles in some cases with the anterior I'm just curious as to the difference .  He did say he favours this as there is less chance of dislocation but that's all he said and at the time I didn't think to ask more 

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  • Posted

    Hi. I have hip dysplasia in both hips. I am 52. Have had right hip done last May. Lateral approach also with a bone graft.

    Everything went well. Exercised before and really worked hard afterwards. No limp except on my other leg at times. Leg length is the same now. No pain and doing everything I used to do but doing it better.

    Watch the restrictions and you'll be fine.

    Good luck. 👍

    • Posted

      Hi Denise,  great to hear your doing well.  Interesting to read you have the same condition as me.  Yes that is some of the things that worry me about after my operation such as leg length being different and limping, great to hear that this has been a success for you and these things improved  I've not read much about the lateral approach, so it's reassuring to read your post.

      thanks very much for your reply 

      Lizbet x 

  • Posted

    The approach is usually what is best for your particular needs and requirements damage and the experience the doc has . You can ask about different approaches your doc can help you decopide in your particular case. 

    There are many on utube videos on anterior approach and bilateral. I have had both and seen very little difference, and a new approach called SuperPATH . Only SuperPATH has been around since 2008. Do some research on your own everyone is different each individual has different bone structure and damage from OA. Reasearch will help you have the best questions for your doc to decide. They usually have a team that does a case study on each hip implant and a plan for components from xray and make the best decisions from their experience and there are so many variables to consider. 

    Wish you the best. 

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