Talking With Docs Published on July 24, 2018 – Dr. Paul Zalzal and Dr. Brad Weening discuss different surgical approaches to hip replacement surgery. There has been a lot of interest in the anterior hip approach recently. This video compares anterior approach to lateral and posterior approaches.
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Medical emergency
Do NOT use the Video for medical emergencies. If you have a medical emergency, call a physician … Read the rest
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Note by Patricia Walter: Sometimes hip resurfacing surgeons are not specific when they are talking about the “anterior approach to surgery” since this can include the Direct Anterior Approach, the Anterolateral Approach and other variations. The surgeons using the posterior approach often refer to the “anterior approach” incorrectly to include all types of anterior approaches. Dr. Matta has written a comprehensive explanation of the Anterior Approach to explain the misinformation often presented. The postings |
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Hi Pat, Computerized navigation has been around for a long time, in This is what I think about computerized navigation: It is a |
Surgical Description and Early Review 200
Link
Michael A. Jacobs, MD1,
Robin N. Goytia, MD1 and Tarun
Bhargava, MD1
1 5601 Loch Raven Boulevard,
Russell Morgan Building, Suite 402, Baltimore, MD 21239
Background: Recently, metal-on-metal hip resurfacing has
enjoyed a resurgence as an alternative to hip
arthroplasty in properly selected patients. The
purpose of the present study was to report the
early results of hip resurfacing through an anterolateral
approach and … Read the rest
| Obtained by Freelance Patient Advocate Volunteer Vicky Marlow 8/22/08 |
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Dr. Su’s Article The NCP approach, at least the way that we mean it, is a different With the NCP approach in hip resurfacing, we cut the |
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What are the differences between the posterior and anterior surgical approaches? Recovery is quicker with the posterior approach because no To improve stability and reduce the incidence of dislocation |
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5/1/08 Yes, it is true that minimally invasive approach has been proven not to have great benefits over a conventional incision in terms of blood loss, pain , or speed of recovery in the same surgeons hands. It is only of cosmetic value. All studies to investigate this have been done on two groups of patients in which a single surgeon employs the two approaches in the diff groups. When a surgeon who is capable |
Dr. Bose
The NCP (Neck Capsule Preserving) Approach which is increasingly being adopted by surgeons world wide was developed at ARCH by Dr. Bose. This facilitates a faster recovery due to the repair of the capsule. The vascularity of the critical regions of the head and neck is also preserved in the NCP Approach.
Dr. De Smet
Do you preserve the hip capsule during your hip resurfacing surgeries?
[Koen De Smet ANSWER/] YES AND I … Read the rest
Approaches in hip resurfacing by Dr. Gross
The path that surgeons choose to arrive at the hip joint is called the
“approach”. There are many different basic approaches used for hip resurfacing.
None has been proven to be superior to others based on valid scientific
research. Basically, I recommend that a surgeon use the method that he/she is
already most comfortable with when performing standard total hip replacement and
modify it as needed for the … Read the rest
| The post approach which I employ is traditionally known as the muscle sparing approach and the anterior and anterolateral approaches which is very popular in the U.S and some parts of Europe are the muscle compromising approaches. The muscle here refers to the Abductor group or the muscles which lift your leg sideways and is the most important muscle of the hip. The post approach spares this completely.However some muscle have to be cut in |
The choice of approach to use for resurfacing has received much attention and I believe extra “hype.” In multiple studies now published, there are no reported clinical differences in the short term and up to ten years of follow-up between anterior and posterior approaches. I believe that any approach can be used and the surgeon should use what they feel most comfortable.
Short-term differences that patients may report with either approach have to do with … Read the rest
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Dear Pat, There is some data indicating that navigation can improve |
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What Surgical Approach do you Use? I like the posterior approach for the excellent exposure that it provides (which is critical for the positioning of the implants) and the ease of recovery for the patient. There are some who believe a trochanteric flip (Ganz osteotomy) or anterolateral approach are better for the blood supply, but we saw from Mr. Treacy’s data that there wasn’t any difference in outcomes between the posterior and anterolateral approaches. Also, |
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Dear Pat, Thank you for the work you do, it helps so many. Computer aided navigation is an One way to conceptulize this is that the experienced |
| DEAR PAT
WHAT ABOUT NAVIGATION Today navigation is still a tool that is not easy to use and So it is not a useful tool today for resurfacing beginners, So can somebody with experience use it or should they use It is |
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The anterolateral approach leads to less disruption of the femoral head-neck blood supply than the posterior approach during hip resurfacing 2007 R. Steffen, MRCS, Clinical Research Fellow1; K. O’Rourke, FRCS, Consultant Orthopaedic Surgeon2; H. S. Gill, DPhil, University Research Lecturer1; and D. W. Murray, FRCS, Consultant Orthopaedic Surgeon1 1 Nuffield Department of Orthopaedic Surgery, University of Oxford, Nuffield Orthopaedic Centre, Windmill Road, Oxford OX3 7LD, UK. 2 Cappagh |