These cookies are strictly necessary to provide you with services available through our website and to use some of its features. Two surgical approaches for total hip that have gained recent notoriety are the direct anterior approach and the minimally invasive or mini-posterior approach. I really like my doctor who does posterior. Patients also run a slightly higher risk of experiencing femoral and ankle fractures if the special table is used. The medical field is continually evolving and trying to improve outcomes for people who get hip replacements. Research suggests people who have anterior hip replacements stop using walkers, canes, and other assistive devices 5 to 7 days sooner than traditional hip surgery patients.1, See Total Hip Replacement Surgery Recovery, Fewer postsurgical precautions There is renewed interest in the news and medical world lately regarding surgical approaches to hip replacement, specifically anterior (through the front of the hip) versus posterior (through the back of the hip) methods. DePuy Synthes, a Johnson & … Less damage to major muscles. 520 Lake Cook Road, Suite 350, Thank you, Marion Cerrato. You are free to opt out any time or opt in for other cookies to get a better experience. Instead of replacing the hip through the back, the incision is made in the front. An anterior approach of a total hip replacement involves performing the surgery in the front of the hip. Email us. The anterior incision provides a restricted view of the hip joint, making it a technically demanding procedure. I am a belly dancer and also do weightlifting. The anterior approach can be challenging for a surgeon, and it is preferable for a surgeon to have undergone extensive training before he or she performs anterior hip replacement. Note that blocking some types of cookies may impact your experience on our websites and the services we are able to offer. Because the surgery does not require cutting major muscles, patients typically experience le… It is difficult for the surgeon to see enough of the femur to fix a fracture if it were to occur. Anterior Approach for Hip Replacement: Advantages and Disadvantages February 12, 2010 / 3 Comments / in Approaches / by Dr. William Leone There are many well-established surgical approaches to the hip. In the short-term, anterior hip replacement is less painful and leads to a quicker recovery of mobility and strength compared to a posterior or lateral approach. Anterior hip replacement is minimally invasive. Kincise™ adaptors for Anterior Approach, surgical instruments for Anterior Approach, and the Actis® femoral hip replacement prosthesis made by DePuy Synthes. This site uses cookies. Long term, this approach also is proving to provide patients with a far more stable hip replacement resulting in lower risks of future dislocation. A. Click to enable/disable essential site cookies. We fully respect if you want to refuse cookies but to avoid asking you again and again kindly allow us to store a cookie for that. Direct Anterior Approach Total Hip Replacement. It is very similar to a typical total hip replacement procedure. Anterior Approach for Hip Replacement: Advantages and Disadvantages, https://holycrossleonecenter.com/storage/2018/12/Screen-Shot-2018-12-10-at-4.21.08-PM.png, https://holycrossleonecenter.com//wp-content/uploads/2017/11/Leone-Center-Logo@2x.png, © Copyright 2018 - 2020 Holy Cross Hospital. We thank you for your readership. The anterior approach to hip surgery is generally safe, but there are always risks associated with any surgery. 60015. prime The hip dislocation rate may be lower due to the preservation of the muscles at the side and the back of the hip. If you are considering a total hip replacement, this guide will help compare the two approaches and … If you would like a personal consultation, please contact our office at 954-489-4575 or by email at LeoneCenter@Holy-cross.com. The hip socket is exposure is straight forward. Anterior approach surgeons tend to assign fewer or no postsurgical precautions. The anterior approach is a minimally invasive surgical technique used for Total Hip Replacement where Associate Professor Harvie can obtain access to the joint using intervals between muscle groups without the requirement for significant muscle detachment or splitting. This differs from a posterior hip replacement which is performed from the back. The anterior approach avoids cutting major muscles. With some femoral fractures, it would be necessary to abandon the approach and expose the femur through a different approach using a new incision. It can also lead to infection, injury to the surrounding nerves, and fractures. Fort Lauderdale, FL 33334 The anterior approach has the disadvantage of possibly injuring the lateral femoral cutaneous nerve, which can cause lateral thigh numbness. Deerfield, old, but if I can ‘t dance, I will be very unhappy. The long-term outcome is … The anterior approach (through the front of the hip) has been utilized as long as the posterior approach but its popularity has grown in the US over the past 10-15 years. Returning to belly dancing after the recommended healing time sounds fine. Hyperuricemia - High Uric Acid Levels and Gout, Dietary Supplements for Treating Arthritis, Advantages and Disadvantages of Anterior Hip Replacement. See Total Hip Replacement Surgical Procedure. In anterior hip replacement, the surgical area is located near the lateral cutaneous femoral nerve, which runs down the front of the pelvis and past the hip to supply sensation to the outer thigh (it does not affect muscle control or strength). There is a potential risk of nerve injury with any type of hip replacement approach. All rights reserved. A patient considering anterior hip replacement surgery should speak with his or her surgeon about potential advantages and disadvantages in the context of the individual's specific circumstances, such as the patient’s hip arthritis, anatomy, overall health, and lifestyle. The risks of infection, blood clot formation, bleeding, and other systemic problems have a similar level of risk. DISADVANTAGES The most common risks associated with this approach are those similar to any surgery. Best Anterior Hip Replacement … The hip is a ball-and-socket joint as well as one of the body’s largest joints. Anterior Hip Replacement Precautions . Anterior hip replacement does have a few limitations: There may be wound healing issues 4  Injury to this nerve, the lateral femoral cutaneous nerve, during surgery can lead to chronic pain and abnormal sensations along the front and side of the thigh. Potential Advantages: The anterior approach avoids cutting major muscles, meaning that there is less muscle damage. We use cookies to let us know when you visit our websites, how you interact with us, to enrich your user experience, and to customize your relationship with our website. Surgeons face a steep learning curve for this procedure. Consistently, my best results have been with a mini posterior approach. Proponents of anterior hip replacement surgery believe it offers several advantages, including: Less damage to major muscles Less post-operative pain. This has not yet been show to be true or false through scientific study. for Orthopedic Care © During this procedure an incision is made on the anterior (front) side of the hip instead of the posterior side. Anterior hip replacement is a minimally invasive type of total hip replacement surgery. Due to security reasons we are not able to show or modify cookies from other domains. We provide you with a list of stored cookies on your computer in our domain so you can check what we stored. In the following pages we will look at the four most commonly used approaches and discuss their advantages and disadvantages. The one they chose to use on you will depend on their training, their experience, their personal preferences and on your condition. We need 2 cookies to store this setting. Disadvantages of the anterior approach include: The nerve which supplies sensation to the front and side of the thigh is vulnerable. It is not related to the length of the incision, which is about the same for both approaches. Different types of hip replacement approaches are favoured by different surgeons. For many years, experts believed that people who underwent anterior hip replacement surgery had a lower rate of hip dislocation than patients who underwent lateral or posterior hip replacement surgeries. Traditionally, orthopedic surgeons have approached the hip joint from the side and back when doing total replacement surgery. Check to enable permanent hiding of message bar and refuse all cookies if you do not opt in. This numbness usually does not bother patients much. This condition is rare and happens in less than 1% of patients.4, See Total Hip Replacement Surgery Risks and Complications. What Is Arthrocentesis (Joint Aspiration)? The anterior approach has the initial advantage of being more stable posteriorly. Anterior hip replacement refers to a particular approach to putting in a hip replacement. Since these providers may collect personal data like your IP address we allow you to block them here. Although this healing process is progressive, I advise patients to avoid certain positions for the first several months. See Indications and Eligibility for Total Hip Replacement Surgery, Total Hip Replacement Surgery Risks and Complications. Remove all set cookies in our domain substitute for professional medical advice special operating table or specialized retractors specific!: the anterior approach has the disadvantage of the anterior incision provides a restricted view of the side... Office at 954-489-4575 or by email at LeoneCenter @ Holy-cross.com with any.... Browser security settings traditional surgery. ) the mini-posterior approach, advantages and disadvantages of the anterior approach the. Where the top of your femur ( thigh bone ) sits in the socket is formed by the acetabulum which. 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