Restrictions after Minimally invasive THR by Anterior Approach
Posted , 12 users are following.
I am still undecided and scared. Following lots of research I am given to understand that recovery after THR by the Anterior Approach is less restrictive,ie the 90 degree rule does not apply and risk of dislocation is lower.
Please does anyone have experience of the Anterior Approach,and can you offer any comments ?
I am terrified not only of the op. but of undoing the good work by my clumsy and awkward movements afterwards. Living alone and being old (79 years), and accident prone, I am keen to make the most sensible choices.
I have been following the forum for ages and have learned a great deal from the many hippy contributors. Thank you all for your open and generous contributions and many thanks for any answers to this post.
Love and warm regards to all of you
Joy x
1 like, 24 replies
carla66308 gloriajoy
Posted
gail2910-US-MI gloriajoy
Posted
Having said all this and feeling solid in my own choice, I have two friends who had hips done with anterior approach and they seem to be flourishing and very pleased with the results. Choose your surgeon carefully and go with what seems to make sense to you after doing your research. Best wishes.
AussieLiz gail2910-US-MI
Posted
I have been languishing with the other hip needing to be done. An operation delayed 12 months through under insurance. Having moved cities (in Australia) I needed to find a new surgeon and the person recommended comes with very high credentials. However he (aged mid 50s) does posterior ONLY and has been very strong in his criticism of the anterior which I would prefer because of the seemingly less restrictive post-operative period.
Like Gail I also have an older former orthopaedic surgeon brother who has recommended posterior (as has my young GP and my older GP brother) but I do wonder whether the reason these older men prefer the traditional approach is in part because that it what they were trained in?
On the other hand, I have read copiously on both side of the debate and my lingering doubts re anterior include:
. is the approach ultimately as durable as the posterior outcome?
. does a shorter stem potentially shorten the prosthesis fit?
. the risks of femoral nerve damage?
I would really appreciate any comments and thoughts from others about these issues thanks.
Ynlike Gail i am still in the wilderness decision making period and am going to see a local anterior person this coming week to add to my confusion.
Thanks in anticipation Eliz
mark38570 AussieLiz
Posted
If you research him you will hopefully resolve a lot of your issues.
All the best
Mark
gail2910-US-MI AussieLiz
Posted
AussieLiz mark38570
Posted
I had first hip done years ago in Syd but now in Adelaide. Am booked for posterior in 6 weeks but also going to see a young bloke whi is doing anterior on Wednesday.
AussieLiz gail2910-US-MI
Posted
christine2107 AussieLiz
Posted
i thunk you revealed the dilemma with the use of the word faith - its faith in advance of statistics. Lots of well meaning experienced surgeons used resurfacing for women as a safer less invasive solution and this has had disastrous consequences for so many that its use has shrunk in recent years. Feeling better 3 weeks sooner is nothing really -against a record of traditional hips that have shown to last 20& years. We have to play the long ball game on this procedure. In 50 years time this whole approach to hips will appear to be barbaric, hopefully - too late for us lot of crocks
cheers
chris
AussieLiz christine2107
Posted
miele55255ch gloriajoy
Posted
I am 56 and had the lateral approach 7 months ago. I had no restrictions although I took it easy for a month or so. I still have a slight limp which seems to develop after walking for any length of time. I still have some pain from the surgery but nothing like the bone on bone pain I had with my OA. I need to have the other hip done as well and will most definitely have the lateral approach again.
It wasn't as bad as I had expected.
Good luck to you!
gloriajoy miele55255ch
Posted
Could you please explain the lateral approach.Is that Posterior or Anterior?
Do you mind telling me where you are located? Also the name of your surgeon?
I am trying to establish in my own mind where in the country (I am in the UK) is the best location for the chance of an Anterior specialist.
Thank you so much for your reply to my post. All responses to my anxious enquiries are so helpful!
Best wishes to you and all the best for the second THR.
Love from
Joyx
Kikeena gloriajoy
Posted
AussieLiz Kikeena
Posted
I am interested in why, or why not, peoples' choice re posterior versus anterior particularly re longevity and nerve damage risk.
Kikeena AussieLiz
Posted
And one of my life mottos is 'Live so you don't have regrets'. The regret of a poor outcome with an anterior approach is not something I would want to bear for the rest of my life.
renee01952 gloriajoy
Posted
I didn't know about the different approaches to THR surgery and had posterior
in March 2015 on right hip - Unfortunately left hip needed to be replaced and when I asked about anterior my surgein told me he preferred the posterior approach for me ...
have you discussed this with your surgeon?
good luck and let us know what decision you'll make -
welcome to our hippies family - the most supportive, funniest and \loving friend you can have -
big warm hug
renee