In the last ten years, surgeons have started favoring the anterior approach for total hip replacement over the posterior approach, because it doesn't involve standard hip precautions. However, this needs very careful consideration, as many factors need to be taken into account when deciding upon surgical anterior or posterior hip replacement approach. There are risks and benefits to each type of approach. Hip replacement surgery is a common procedure that is performed to alleviate hip pain and repair damage caused by arthritis, a sports injury, or other hip conditions. Researchers found that patients who underwent direct anterior approach (DAA) total hip arthroplasty had objectively faster recovery than patients who had mini-posterior approach. The joint is held together by ligaments and muscles. The average hip replacement lasts 20-30 years or more. Putananon C, Tuchinda H, Arirachakaran A, Wongsak S, Narinsorasak T, Kongtharvonskul J. Putananon C, et al. Dr. Salyapongse explains, "Although the basic concepts of hip replacement surgery remain the same with both the posterior and anterior approach surgery, there are some key differences." This hip resurfacing preserves much more normal bone than a standard hip replacement. Higher risk of femur fracture due to more difficult exposure. That should give you an idea of the recovery time involved. Other studies have reported that the posterior approach is the safer, less painful option for healing after hip replacement surgery. Comparison of direct anterior, lateral, posterior and posterior-2 approaches in total hip arthroplasty: network meta-analysis. Intraoperative x-rays are often used to confirm placement of the implant due to less visual exposure. Encourage normal extension/stride with gait And with traditional hip replacements, there is a moderate amount of pain with activity that prevents you from doing too much. Technique allows excellent visual exposure of hip cup, but challenging exposure of femur requiring muscle and capsule release. However, the rate limiting step in recovery from hip replacement surgery, be it via an Anterior or Posterior Approach, is the 6-8 weeks it takes the bone to “heal” to the implant. This is done by making an incision through the back of the hip while the patient lies on their side. Because of the technical difficulty associated with anterior hip replacement, adequate surgical training is essential. At 8 weeks, direct anterior patients had higher mean Harris hip scores (95 versus 89) but a lower return to work and driving with no difference in their use of gait aids, … This procedure is not entirely muscle sparing. With the anterior approach, detaching muscles is not required … 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. The Latest Procedure: Anterior Approach Total Hip Replacement Surgery – 6 weeks, Light activity (walking, stationary bike, etc.) The anterior approach presents specific challenges, though. Less commonly, the incision is made horizontally. These two approaches are the anterior approach (through the front of the hip) and the mini-posterior (just behind the top of the femur). 60015. prime A metal socket is placed in the pelvis, similar to the hip replacement procedure. The hip joint is where the top of your femur (thigh bone) sits in the socket of your pelvic bone. Anterior vs. Posterior Hip Replacement. If a patient pushes a recovery too vigorously in the early weeks post op, implant micromotion leading to loosening and further surgery can occur. Discuss with your surgeon, some do not have post-operative precautions with this procedure. During the hip resurfacing procedure, only a small amount of bone is removed from the ball-and-socket hip joint, and a metal cap is placed on top of the ball. In a posterior hip replacement, the procedure is done on the side of the hip. The large gluteus maximus muscle, which is attached to the fascia lata. To compare the outcomes of the direct anterior approach (DAA) with the lateral approach (LA) for total hip arthroplasty (THA) patients. The information is produced and reviewed by over 200 medical professionals with the goal of providing trusted, uniquely informative information for people with painful health conditions. When it comes to surgically replacing a hip joint, there are two standard methods – the anterior and posterior approach. Higher risk of injury to lateral femoral cutaneous nerve, which may cause numbness in the outer thigh. The main incision goes through the gluteus maximus and will heal without repair. © 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. All rights reserved. Anterior hip replacement surgery has lower rates of hip dislocation, but full posterior surgery has higher dislocation rates. The patient is positioned on his or her side during surgery. This is done by replacing the damaged or diseased bone with a metal or plastic implant, which is designed to replicate a healthy hip joint. Patients should find a surgeon very experienced in this approach. This approach has also been shown to be effective in arthroplasty for displaced femoral neck fractures in a few studies. Fastest recovery time, but fewer surgeons perform it fewer surgeons perform it – the anterior.... 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