what approach did your surgeon use?

Posted , 20 users are following.

What approach did your surgeon use to do your hip replacement? was it the anterior or posterior approach?

My surgeon is going to use the posterior approach as its less traumatic on muscles etc and i was wondering how people on here had found it?

2 likes, 37 replies

37 Replies

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  • Posted

    I had the posterior approach and that is the only approach done here in Victoria, BC.  The surgeons here feel it is still the best.  Recovery might be a bit slower but that people end up the same at 3 months.  With the anterior approach, the surgeon doesn't get as good a look at the femur and there is a higher chance of fracturing the femur and some nerve damage too.  But you certainly hear of great success stories with both approaches.

  • Posted

    Hello:

    I had posterior done in Jan 2013, with no complications, and minimal pain.  I was back doing all my sporting activities in 3-4 months.

    Last Monday 7/25, I had the other hip done, and so far no issues to speak of, I use a cane, but if I had to I can walk without it.

    My surgeon did a great job the first time and I stuck with him !

    I had no intention of changing types of surgery.  even though recovery is usually much quicker.

    Good Luck biggrin

  • Posted

    Read up on that, because I've read the opposite.

     

  • Posted

    Hi Kel. I had THR anterior approach last Wednesday. Doing pretty darn good other than swelling on surgical leg. Ice Ice Baby ????.., leg pumps, and rest are helping. Today it is much better! Good luck. PS. I was told posterior was harder to heal from, but from what I'm reading here, it looks like 6 of one. 1/2 dozen of the other ?

  • Posted

    I had LTHR done 8 months ago. My surgeon did the posterior approach. Basically because he has been doing it that way for around 45 years. I was in the hospital for 3 days. My friend who had the anterior approach spent one night in the hospital. More cutting and perhaps more pain posterior but at around 6 weeks no difference. Get a good surgeon and go with his strength and recommendation. Still having a little start up pain but on temporarily and not that often
  • Posted

    Maybe don't go with one who says the opposite of the truth. Mine told me he was going to do the anterior, and when I woke up he had done the old posterior lateral which he had been doing forever on everyone. That's the one where he forgot to sew the tendon back and I've been limping in pain for two years now.

    • Posted

      That sounds awful, Deb (autocorrect keeps changing it!).  Maybe you have said here before but I've forgotten -- can you have surgery to sew the tendon back???  

    • Posted

      If it is done within the first few months, it is most likely to succeed. Mine was at eleven months and too late, as the tissue becomes fatty and irreparable for the use. I have just read about a synthetic material being used in ---Australia----and I am in South Carolina, US, not too likely to get there! BUT the most hopeful idea I've heard of.

    • Posted

      Well, good luck with it.  Sounds like you weren't given the best of care.  That would be so frustrating.  Australia could be a wonderful place to recuperate, I think!  Hugs, Leslie

  • Posted

    I always  say that the approach doesn't matter nearly as much as a good outcome.

    I had posterior, but sadly a bad outcome, so far two operations, and I will have to have another to correct the problems.  But at least I do not have that old OA pain any more.

    Graham

  • Posted

    Prostier approach , I sign a paper for any complication that could arise  nerve damage , death ect ... I ended up with femoral nerve damage . This is nasty ! And rare I am told with this approach . Just remember no one is exempt from complication from and approach or surgery .. I never in a Millon years thought this would happen .. I just want people to know anything can happen . Mine they said could of been from a clamp to tight , over stretching of the musscell for over a hour doing the surgery . The " spinal" as I have a bad back . The catheter they put in . Good luck 

  • Posted

    I had the posterior 5 weeks ago and I'm doing great. Hardly any pain at all, and I'm walking without a cane easily, even though one leg is now longer than the other and I'm still trying to work out my limp.

    A friend of mine had an anterior two weeks after I had my posterior. She immediately started walking(same day) and didn't have the restrictions of the 90 degree rule...this is a big deal. BUT she has had lots of pain, and has had numbness in her leg. So all in all I'd rather take the slower recovery than pain and nerve issues, so my other hip will also be a posterior with my same Doctor.

    • Posted

      MIke:

      Have you mentioned to the surgeon/Dr/PA that one leg appears longer to you ?

       If so, what was the response ?

    • Posted

      He says he measured it three times in the operating table before they finished. Also he took x rays after surgery and says everything is fine. But it's not, and I'm really trying to walk without a limp, and I'm getting close.

      I go back next week for my 6 week, and they take more X-rays. So I'll see what he says this time.

    • Posted

      Thanks for getting back to me.

      i guess, mine is not as bad as yours seems.  I go for my 2 week post op check up on Tues.

      Hopefully, as the days pass, the new hardware will settle in.

      Good Luck with your recovery !!!

    • Posted

      Thanks Rich, speedy recovery for you as well!

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