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anterior vs posterior recovery time

Discussion in 'Hip Replacement Pre-Op Area' started by UNI4MER, Feb 18, 2014.

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  1. UNI4MER

    UNI4MER new member
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    I am a new candidate for a THR through Kaiser in Northern Ca. Trying to decide between the 2. I see horror stories on recovery on both and would like some real consistent comment on the average recovery time of both.
     
  2. Jamie

    Jamie ADMINISTRATOR Administrator

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    Hi, and welcome to BoneSmart. Frankly you are much better off picking a surgeon than an approach. You want a doctor who is well experienced and successful in what he does. That means he should be doing at least 150-200 hip replacements a year. He should be primarily a hip guy and possibly also do knee replacements as opposed to a general orthopedic surgeon or one that also "specializes" in hands, feet, and/or arthroscopic procedures.

    People who get an anterior approach may have a few weeks at the beginning of the recovery period where they advance faster, but the overall outcome is the same after that. We have also had BoneSmarties who had the posterior approach and had a fairly rapid recovery. There just is no guarantee of a specific amount of time in recovery for either approach.

    I don't know where you've been reading to get "horror stories" for recovery on both approaches. If you pick an excellent an experienced surgeon, you outlook for recovery for either approach should be excellent.
     
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  3. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    I agree with Jamie! Recovery is recovery - and the time frame not necessarily based on the approach. We have plenty of people here who have had anterior and they are following the same model as the posterior folks. I had mini posterior. 6 weeks of restrictions that were really not a big deal. My recovery was longer because I waited too long for my THR.

    Find someone you feel confident working with and let them do what they have the experience to do.
     
  4. tashia

    tashia Sr Bonesmartie

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    Everyone has a story and how long they take to recover. Make sure you do your homework and you will do fine. Tashia
     
  5. ARHip

    ARHip senior

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    I agree with the above. The KEY is the surgeon! Horror stories are few and far between. But they always shout the LOUDEST.
     
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  6. Sailfreeordie

    Sailfreeordie junior member

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    Hello @UNI4MER

    You will find a lot of valuable information and advice on this forum. You have already been given some of the best advice above, in my humble opinion--- "The key is to get the best surgeon available to perform the proceedure"! I live in the Virgin Islands and we have a couple of Orthopedic Surgeons (OS) here that have pretty good reputations (depending on who you talk to). That being said, I wanted to get the "best" and most experienced OS (hip replacement specialist) I could find for my hip replacement. I ended up traveling to Boyonton Beach Florida to have my hip replacement surgery. I am not a wealthy person and it cost me some extra travel expense, but I do not regret my decision in the least! It was worth every penny and then some. My operation utilized a less well known micro-invasive proceedure called SuperPATH, and my doctor is IMHO a rock star! He has performed over 600 SuperPATH THR's and is a true master of his craft. (and one of the nicest people you will ever meet) I have been blessed with excellent results beyond my greatest expectations, no post-op restrictions, very fast recovery and as an added bonus, a minimal scar. I am not that concerned about the size of the scar, but hey, it is nice that it is small. Do your homework and find the doctor that is right for you. If you have to travel to get what you need, well that has been successfully done by me and others, and greatly increases your options. If having your operation done close to home is a major concern, then find the best doc in your area. I hope my opinions are helpful, and you will have to figure out the alternative that best meets your needs and the one that makes you most comfortable and confident going into surgery. Best of luck and welcome to BoneSmart.

    Left THR SuperPATH, December 11, 2013
    Dr. Elvis Grandic, Boynton Beach, FL
     
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  7. AlanInAZ

    AlanInAZ junior member

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    People who post on this site are really not the typical hip replacement patient. They are younger and tend to have more severe cases. The average age in the UK registry for hip replacement is 67(male) and 69(female). I know people who have had direct anterior, 2-MIS and posterior approaches. The muscle sparing procedures tend to show more function sooner, at least for the first year. Everyone is happy they are pain free but I must say that people my age who I know or have met do better with the muscle sparing procedures. There are good surgeons who do muscle sparing - so why not?
     
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  8. UNI4MER

    UNI4MER new member
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    Thank you all for your great advice as I am new with this and like to find out as much as I can. I met with my Kaiser OS yesterday for the first time and it was kind of a shock when he told me about the recovery time which concerned me as I have a business to run. I think he does the lateral approach and I asked him how many surgeries he has done and he said he does not know for sure but he has 3 to do tomorrow and has been with Kaiser for 20+ years. He does not do the anterior approach as that is not his training and he is not totally sold on it. He offered me, if I wanted to, a referral in the Kaiser system to a OS that does. Sounds like to me this OS has the experience and based on what you all are saying it sounds like he would be the best choice. Your comments?
     
  9. AlanInAZ

    AlanInAZ junior member

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    I would never tell someone else which surgeon to go with. I had a very good experience with the anterior approach by a surgeon who is mid career. My neighbor about my age had hip replacement about 14 months ago. She went with a surgeon her GP liked. Both are near retirement. He does the posterior, has done it for decades and saw no need to switch. She went with him. Her first several months were tough, she is now happy and pain free but with a limp and a huge scar. I am pleased I did not know her GP and receive his advice. I did my own research and reached my own conclusions. In any case, I am sure your surgery will improve your quality of life regardless of the approach.
     
  10. I'm finally gonna do it!!

    I'm finally gonna do it!! member

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    My husband and I researched the surgeons in our area for quite some time. We had heard so many great things about the anterior approach and found an OS who did this and was highly recommended. We felt very comfortable with him and told him we understood he did the anterior approach. He explained that with my protusio he would be unable to do the anterior approach. He needed to see what he was doing!! Ok...good answer, enough said! I had the anterolateral approach (4 inch incisions on my sides). I have come out of both surgeries great...after PT and time. Everybody is different in their complexities and I just feel that once you find a surgeon you like and trust they will do what is needed to give you the best outcome. I agree with AlanInAZ, no matter what approach it is you will get a pain free life back!
     
  11. Josephine

    Josephine FORUM ADMIN, NURSE DIRECTOR Administrator

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  12. Butterfly

    Butterfly post-grad

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    I had the posterio-lateral approach because that was what my very well-recommended, well-credentialed surgeon recommended for me. One of my hips was such mess that he said the anterior was out of the question becaue it didn't allow him the room he needed to properly fix it. I had the posterio-lateral for both hips. Since I've never had the other approach, I really can't compare them, but my recovery for both hips was just fine and pretty much uneventful, The only problem I had was some back issues (long history of them) which I think I caused for myself by trying to do too much too soon. The back stuff resolved with rest, heat, and some acupuncture, just like it always does. The posterior restrictions were not a problem for me -- not really that big of a deal. I'd do the posterio-lateral again without a qualm.

    I was TERRIFIED before the first surgery (no previous surgeries except tonsils about 60 years ago), but it was nowhere near as bad as I feared. I was kept quite comfortable and was out of the hospital in two days flat.

    I strongly agree with others above who say success depends more on the skill and expeience of the surgeon, not the approach. I went to the OS I did because he was very strongly recommended to me by all of my medical professionals and several friends as being the best. I trusted his judgment about the approach and am doing just fine now. WOW, what a difference from before! I can walk and do most everything I could do before the hip trouble started. I'm still working on recovery, but it gets better by the day. As an extra added bonus, he evened up my lifelong leg-length discrepancy and now I don't have to wear a lift or buit-up shoes anymore.

    Find the best surgeon and trust his judgment about the approach; be sure he has lots of experience at what he does. My surgeon only does hips and knees, nothing else. And do talk to him prior to sugery about pain management, so you'll know what to expect. I actually had very little post op pain with the appropriate pain management plan.

    You'll be so glad you did this!

    Peace and love to you.
     
  13. Jaycey

    Jaycey SUPER MODERATOR Moderator

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    This sounds like good new to me. After all you wouldn't want your OS to practice something new on you. He sounds confident in his method and does this everyday. Also sounds like you can talk things over with him. That is key!
     
  14. M1ke

    M1ke senior

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    I also fall in the camp of going with the procedure that your surgeon prefers. This just sounds like good solid advice to me. As for me, I will be getting the anterior approach and I am kinda glad for it.
     
  15. AlanInAZ

    AlanInAZ junior member

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    I knew the approach I wanted and sought an experienced surgeon in that approach. This avoided the problem of finding a surgeon I "liked" who practiced a different approach. The ease of recovery during the first few weeks/months does impact on mental well being and makes things easier for everyone. It is not unimportant.
     
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  16. tollertwins

    tollertwins member

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    Um? he should at LEAST be able to tell you how many hips he does a year.....
     
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