Author Topic: Anterior HR  (Read 1059 times)

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Anterior HR
« on: November 25, 2014, 09:18:44 AM »
From what I read on this site this is a sensitive subject, but since this site is all about information I wanted to relate my recent experience.

My right hip was resurfaced 2.5 years ago by Dr. Callendar in San Francisco, using a posterior approach. Recovery was fairly quick and, to date, I have no complaints.

My left hip was done 3 weeks ago by Dr. Raterman in Tampa. He offered me the option of an anterior approach, which I took, as it offered a slightly quicker recovery. He explained that he can only do the anterior approach for certain patients. The criteria was a reasonably large bone structure, muscular but not too muscular, and fairly lean. I'm certain that evaluation is done on a patient by patient approach.

The surgery went fine. I transitioned from a walker to a cane as soon as I got home, and went off the cane at 7 days post op. I was on an exercise bike at 10 days post op, and on my bicycle at 11 days post op. The 90 degree restriction was lifted at 14 days. The range of motion increases, and the pain decreases, daily.

The best way I can think off to describe the recovery is that it was like starting at day 8 on my recovery from the other hip. I was able to sleep in my bed immediately, where I slept in a chair for 8 days before. I was off the walking aids about a week sooner, and on my bicycle about a week sooner.

There are no real negatives that I can report. The skin over my quad is a little sensitive, and the amount of feeling when I touch the skin is ever so slightly less than the other leg, although it is still early days. While waiting for the doctor at the 2 week followup I studied the x-ray showing both of my hips at length. As closely as I can tell, the angle of the cap to the cup is the same, the pin from the cap is inserted at exactly the same place in the femur and at exactly the same angle. The doctor said the x-ray looked terrific.

This is just my experience and YMMV.
RBHR Dr. Callander 3/27/12


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Re: Anterior HR
« Reply #1 on: November 25, 2014, 09:41:42 AM »
Fair play to you. To be honest personally if I was seeing one of the top surgeons  I'd just let them do what they feel is right. They are the experts
Train hard fight easy
LBHR 10/11/2011 Mr Ronan Treacy Birmingham England
60mm cup 54mm head
Rbhr 54mm head 60mm cup 12/02/15 Ronan Treacy ROH Birmingham England

Pat Walter

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Re: Anterior HR
« Reply #2 on: November 25, 2014, 11:42:04 AM »
Thank You for your post.  It is great to hear all different ways of surgical approaches and devices.

It is an excellent comparison since you had both approaches. 

I have not ever said the anterior approach is wrong or bad, it is just another way of doing a THR or BHR.  There can be nerve problems if a surgeon is not really experienced.  Same rule as choosing a surgeon.  Pick a surgeon that does a lot of surgeries via anterior approach and you should not have any problems.

Thanks again.  Will look forward to your future posts.  Good Luck.

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3/15/06 LBHR De Smet


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Re: Anterior HR
« Reply #3 on: November 25, 2014, 06:48:46 PM »
I think the lesson here is that you worked closely with your surgeon to determine what was best for you. I have always believed we are equal partners in this process. Dr. Raterman was my surgeon and I was very impressed with his entire team and as I approach one year post-op, I couldn't be happier.
RBHR, Dr. Raterman, 1-8-14


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