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Joint Replacement. Physical Therapy. Search Open. Anterior Vs. Posterior Hip Replacement. The goals of a total hip replacement done by any approach are: 1. A painless joint that functions well.
Decrease the blood transfusion rate. Decrease the length of hospitalization. The answer is not so black and white, but more of a shade of gray. Thomas West - Nashville Waverly. All Rights Reserved. Healthcare Web Design by E-dreamz. Both have been around for decades, but anterior surgery has recently grown in popularity and prevalence in the U. To help us better understand anterior hip replacement, we sought the expertise of Marc Rosen , MD, an orthopedic surgeon at Banner Health Clinic in Glendale, Arizona, who sees patients with hip and knee problems.
Rosen said. Unlike lateral side of the hip and posterior back of the hip approaches, the anterior approach uses an incision in the front of the hip while the patient is laying on their back. The manipulation of the limb can be affected outside the sterile field by adjustments of the mechanical operating room table.
For many years, experts believed the anterior approach had lower rates of hip dislocation and potential nerve damage. Research now suggests the potential is there for both approaches. Most complications associated with anterior approach hip replacement are similar to standard hip replacement complications. As long as the implant is properly installed and of modern design, you can expect a lifetime of pain-free activity after hip replacement.
Are you experiencing persistent pain in your hips? Is arthritis affecting your quality of life? Learn more about your hip and knee health by taking our free Joint Pain Test , and schedule an appointment with a surgeon skilled in total hip replacement surgery to determine if you are a good candidate for surgery.
To find a Banner Health surgeon near you, visit bannerhealth. By Regan Olsson , Contributing Writer. Aug 04, Better Me. Anterior Technique allows excellent visual exposure of hip cup, but challenging exposure of femur requiring muscle and capsule release. Higher risk of femur fracture due to more difficult exposure. Intraoperative x-rays are often used to confirm placement of the implant due to less visual exposure. Muscle Preservation Posterior The main incision goes through the gluteus maximus and will heal without repair.
Muscles that are used to externally rotate the hip are detached during the procedure and later reattached to bone and will heal without complication. Anterior This procedure is not entirely muscle sparing. Due to risk of nerve damage, the incision enters the compartment of the tensor fascia latae muscle to expose the hip safely. The indirect head of the rectus femoris is released to allow entry into hip. External rotator muscles are cut and are not reattached during this approach.
Most surgeons cut and do not repair the joint capsule. Anterior Higher risk of injury to lateral femoral cutaneous nerve, which may cause numbness in the outer thigh. Precautions Posterior Low risk of dislocation when performed by a specialty-trained surgeon with a high volume of hip replacement.
Discuss with your surgeon, some do not have post-operative precautions with this procedure. Anterior Low risk of dislocation when performed by a specialty-trained surgeon with a high volume of hip replacement.
Dislocations are usually anterior and can occur with external rotation of the leg during any activity.
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