+-

Advertisements

Author Topic: I would Benefit from the Anterior Approach  (Read 2074 times)

0 Members and 1 Guest are viewing this topic.

Pat Walter

  • Patricia Walter
  • Administrator
  • Hero Member
  • *****
  • Posts: 3687
  • Owner/Webmaster of Surface Hippy
    • Surface Hippy
I would Benefit from the Anterior Approach
« on: June 22, 2007, 11:00:40 AM »
hello pat,

i have read all dr. bose and de smet and others articles about
the approaches used with  BHR. I have located a surgeon that says he can do either approach but that i  would benefit from the anterior approach. I am also having bilat. done within the same procedure.

(the doctor)  he states anterior will allow more stability resulting in higher activity levels for me. this contradicts all the articles i've read regarding approach used. apparently most surgeon are approaching posteriorly. can you shed some light on this for me???? this issue seems  worrisome to me. would you say i am worrying about needlessly??? should i just trust the surgeon????

thank you--F

Webmaster/Owner of Surface Hippy
3/15/06 LBHR De Smet

Pat Walter

  • Patricia Walter
  • Administrator
  • Hero Member
  • *****
  • Posts: 3687
  • Owner/Webmaster of Surface Hippy
    • Surface Hippy
Re: I would Benefit from the Anterior Approach
« Reply #1 on: June 22, 2007, 11:03:28 AM »
Hi F

I am not much of a medical expert.  After doing all the reading that I did,
I felt the posterior approach seemed better since it was safer to my
reasoning.  I think that is why so many doctors use it.

I have a handful of articles about the posterior vs anterior approach on this page
http://www.surfacehippy.info/surgicalapproaches.php

Who is your doctor?  How many hip resurfacings have they done?

I realize anterior lets you bend forward without the 90 degree rule, but
there is more of a possiblity of nerve damage from what I read.  If your
doctor is well experieinced in hip resurfacing and wants to use that
approach, I guess you will have to go with it.

Personally, I would stick with a surgeon who had done a whole lot of hip
resurfacings if I were to be a bilat - and normally those doctors use the
posterior approach.

I think it really depends on your own confidence in the surgeon. I am old
fashioned and nothing less than a De Smet or Bose would do for me since they
have so much experience.  I would be very leary of using the newer surgeons.
But that is just my feelings.  I know that the hip resurfacing is almost as
much of an art as a science and the ball on the femur has to be placed just
right.  I will say that there seems to be a lot more problems with people
using the newer doctors.  There was the recent revision for the lady at 8
months.  There was the lady with the slipped acetabular cup and had to have
her 3rd revision.  There has been a lot more swelling, pain and problems as
I read about the newer people using the newer doctors.

I can only go by my own experience.  All the De Smet patients usually have
very few problems and no swelling.  The bi lats have a little more difficult
time.  I imagine you have been reading about Michelle and the other fellow
that recently had their bi lats done with De Smet.

If you are not worried and don't have nagging thoughts about the surgeon and
his/her approach  - then go with it.  If you seem to be questioning it too
much in your own mind - then I would listen to that message and look for
another doctor.  I always have found in my 62 years that I listen to my own
thoughts and I usually don't go wrong.  If you are completely comfortable
with it - go for it.  If you have nagging questions and don't feel
comfortable - look for another surgeon.

This is very serious and important surgery.  You whole future, active life
depends on it.  You only have 2 hips and you don't get many chances to
operate on them.

I don't know if that helped you at all.   I am just old fashioned and like
very experienced people doing very serious procedures to me.

Pat
Webmaster/Owner of Surface Hippy
3/15/06 LBHR De Smet

Vicky

  • Full Member
  • ***
  • Posts: 149
Re: I would Benefit from the Anterior Approach
« Reply #2 on: July 02, 2007, 09:07:42 PM »
Personally I would never have an anterior approach.  From what I understand it benefits the surgeon since it is easier for him and makes for a nmuch more difficult recovery for the patient.  The posterior approach is the muscle sparing approach and the patient returns to normal activities a lot sooner than when they get the anterior approach at least from what I understand.  Basically the big muscles are cut with the anterior approach (the ones that move the hip sideways) and it takes a lot more work to get those back into shape.  Who is your doctor?  Most of the top docs that I know of use the posterior approach.  Mr. McMinn who is one of the inventors of the BHR device found that there was a higher occurence of ectopic bone formation using the anterior approach and he switched to using the posterior only. 

Vicky

 

Mission Statement
Surface Hippy presents information about hip resurfacing. It does not provide medical advice.
It is designed to support, not to replace, the relationship between patient and clinician.
Advertising - Revenue from this site is derived from commercial advertising and individual donations. Any advertisement is distinguished by the word "advertisement"
Privacy - Surface Hippy does not share email addresses or personal information with any group or organization.
Content - Surface Hippy is not controlled or influenced by any medical companies, doctors or hospitals.
All content is controlled by Patricia Walter - Joint Health Sites LLC 2005 - 2018 Web design by Patricia Walter.

Hip TalkModeration

Authority

The Hip Talk Discussion Group or forum is moderated on a Daily basis by Patricia Walter.

The moderator and forum members are not regarded as health professionals.

Complementarity

The information provided on this forum is designed to support, not replace, the direct relationship between patients and health professionals.

Privacy

We remind you that this forum is public and any message can be read, used, reproduced and cited by all.
You do have the option to delete your messages. However, under exceptional circumstances, you can contact the moderator to do so. Thus, please take care regarding the information that you post.

Messages

The moderator and members should conduct themselves at all times with respect and honesty.

By using our forums, you agree to post information that is true and correct to the best of your knowledge and is of your personal experience. If the information you post is not personal experience, we request you to provide sources (references, links, etc..) whenever it is relevant and possible.

You are not allowed to post advertisements, whether in the form of text links or banners, for example.

Please keep your comments positive and polite. If you have a disagreement with another forum member, moderator or the site owner; please use the the private message feature of this forum or email the member. We try to avoid emotional conflicts on the discussion group and we will do so by removing posts and banning those that cause problems.

The moderator reserves the right to delete any messages deemed inappropriate without notifying the author. In cases of abuse, the moderator reserve the right to ban a member of the forum. In both instances, an explanation will be provided if user requests.

Recent Posts

Re: Groin pain???? by ahausheer
Today at 07:44:41 AM

Re: Andy Murray by jimbone
Today at 12:53:42 AM

Re: THR yesterday by Saddlepal3
Today at 12:11:50 AM

Re: Andy Murray by catfriend
Yesterday at 10:35:05 PM

Re: Andy Murray by Saf57
Yesterday at 06:32:43 PM

Re: Andy Murray by Granton
Yesterday at 03:04:03 PM

Re: THR yesterday by Pat Walter
Yesterday at 02:24:36 PM

Re: Andy Murray by moe
Yesterday at 11:33:55 AM

Donate Thru Pay Pal

Surface Hippy Gear

Advertisements



Powered by EzPortal