They may have a certain cut-off criteria (for example, a BMI of less than 35). I had an MRI by a different hip doctor (a preservationist) who diagnosed me with a birth defect (hip dysplasia). 2. First, I am a little bit scared. Anterior vs. Posterior, Posterior vs Mini-posterior. I am a 55 year old with a labral tear and moderate arthritis. This site uses cookies. Sometimes, it simply isnt possible to accomplish. And does A really have none. In my practice, I cement an Exeter stem in a significant percentage of my patients who undergo THR . Also, patients with shorter femur necks and genu varus (lower angle between the shaft of the femur and the femoral neck) are more difficult anteriorly. Im an avid skier and just found out I did not have full Anterior but rather AL. Tossed the cane at three weeks and went back to work. The SuperPATH technique is arguably the least invasive hip replacement technique. Had a total hip replacement aug 2013. Its been 8 months now. I seem to be able to hike just fine up hill and down but not always on the flat. Because the gluteus medius and minimus lie over the anterior capsule and insert into the greater trochanter, it does require greater trochanter osteotomy or more commonly a partial elevation of these muscles from their insertion, which can lead to damage. Dr. Parsons has extensive experience in the posterior, anterior and superior (SuperPATH) approach to total hip replacement having performed hundreds of each. During the hip replacement procedure, the surgeon makes a small incision near the front of the hip to allow for the removal of damaged anterior bone and cartilage, as well as the implantation of an artificial hip without damaging the surrounding muscles and tendons. Thanks. Having a hip replacement using SuperPath keyhole surgery The anterior approach, as opposed to the lateral or posterior approach, uses a small incision in the front of the hip. Because the patient is lying on his back during the procedure, fluoroscopy or moving x-rays are used to aid in the examination. Some hospitals and surgery centers are promoting one method of hip replacement over another. With a bilateral procedure during a single anesthetic, the blood loss would be double and there would be a much higher likelihood that my patient would need transfusion post-operatively. Remain upright . In my experience, usually releasing the ileopsoas tendon insertion onto to lessor trochanter and medial hip joint capsule, and then manually stretching the leg into an abducted position after THR reconstruction, obviates the need for formal release.

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