Anterior Vs Posterior Hip Replacement

[@roberttamurian4038]

Well done. I’m a joint replacement surgeon in Tacoma, Washington and have been doing both minimally invasive anterior for ten years and modified minimally invasive posterior hip replacements for over 20. With that experience I select the approaches based on the patient’s anatomy and activity situation as well as their spine arthritis status. When an experienced surgeon selects the best approach for the overall scenario the results between the two are identical. Thank you for putting together an unbiased and accurate assessment of the current two techniques. Wel done!!

[@NaturalMeAmerica]

@,robertmurian I went for a consult with a Dr here in PA. He said I have arthritis and reccomended replacement. But I was uncomfortable with his reaction when I asked him a question about my x-ray. I asked if the replacement would take care of my labrum tears,he seemed angry and abruptly replied that is nothing. He then left,what am I to do? Should I accept the replacement under these uncertain conditions

[@michaelluna1968]

@@NaturalMeAmerica Ask the same questions to other hip-replacement Drs and ask nurses too .. sometimes they are more candid.

[@NaturalMeAmerica]

How many more can I go to? Been to around 6 so far,bunch of charlataans

[@NaturalMeAmerica]

@ na Has nothing to do with doctors personality,I could care less.I care if what the Dr stated made any sense ,based on fundamental facts on amatomy it didn't. What my Dr told me cold be compared to saying a table with a loose leg is more stable.

[@rilavdoshi2728]

Hi I need ur help and guidance can u provide me your email please

[@ViperJon]

Posterior right total hip replacement done six weeks ago. Home the same day, took meds one day just because I was "supposed" to. Two days on a walker, three days on a cane and i was walking on my own with very minimal pain just took some Tylenol. For me the tried and true posterior was my choice, and I recovered so fast I'm glad I did it. Once I got the metal sutures out any lingering pain in the incision are was greatly minimized. I walk two miles every day effortlessly. Best thing I ever did my right leg was in a lot of pain beforehand. DON'T BE AFRAID.....modern surgery is so advanced. You'll never look back.

[@brendaolford8282]

I’m due to have hip replacement surgery and I found this so informative, thank you.

[@cantstartafire]

I’m 2.5 weeks out from a posterior hip replacement. I went home same day, used a walker for a week and now I get around well with a cane and I’m off of the pain meds. So much better than before surgery, glad I finally did it.

[@gr8fullife151]

You took the words right out of my mouth. I am 3 wks out of my posterior THR. The rest of the story is word for word the same. I will just add that I haven't slept this well in a year!

[@minathabit2034]

Hi. A question. My mother had posterior THR , she is now 9-days post op. She is experiencing pain along the distribution of sciatic nerve( lateral side of the leg and dorsum of the foot . Is this normal ? Did you experience similar pain ?

[@cantstartafire]

@@minathabit2034 Hi Mina. Yes, I had some sciatic pain but it was relived with NSAIDS (meloxicam). Everything seemed to calm down about 2 weeks out. Good luck and happy new year!

[@minathabit2034]

Thank you. That's a relief, this pain is normal . Good luck for you as well and enjoy the new year with the new joint 🙂

[@dddon513]

I had posterior on one side 5 years ago and anterior on the other last month. Anterior is better in every way. Cutting through the muscle is barbaric. The recovery time was much longer and more painful. I'm 5 weeks out from the anterior and I'm walking 100% normally and feel very strong. I stopped needing a cane at 3 weeks. The posterior one had me on a cane for many many weeks. I was in the hospital for 3 horrible days vs going home same day. Even 5 years on, I have weird pain and tightness in my quad muscle. I've had it looked at and it's from having my muscle cut through. It wasn't done exactly right. Yes, I don't have arthritis pain anymore but the result is still sub optimal and the recovery period was pretty awful. I made a mistake the first time in not doing more research and finding a more modern surgeon.

[@idahoolson]

Had post replacement 4 years ago at 58 ! Skier , mountain climbers, hockey player , have some problems with weakness on rotation moves! Over all ,works very good no pain unless over worked on the steep down Hills ! Life is so much better!

[@arrowheaddev]

I’m 4 months post op on my second replacement in a yr Looking forward to getting back on the ice and the ski hills next season I’m now back to cross fit , Pilates and mountain biking so far so good

[@bradhall7155]

@@arrowheaddevso you can run with new hips? Just had surgeon confirm today I need a replacement.. bit worried… can I ask, how big is the scar from these surgeries?

[@rosalieburr6436]

I had posterior total hip replacement 7 weeks ago. No pain now at all walking really well Wound healed really well. 😊

[@gailcrowe727]

Thank you doctor. I’m due for hip replacement soon and was wondering about this. You’re in formation has been very helpful.

[@estelleadamski308]

I had a THR 4 yrs ago. Posterior approach. I was born w/one leg shorter than the other so my hip was bone on bone. I was in the hospital one night and was in rehab for 16 days, which I enjoyed, and was given both PT & OT everyday. I have had no problems at all and what a joy to walk w/out pain. My other hip & both knees have full cartilage, and no significant arthritis at all.

[@gppoem3344]

Thanks for the education on a truly terrifying issue.

[@yoohoo9842]

I had a posterior hip replacement with a trusted surgeon. I have had no problems since recovery was over except I decided to wear a heel lift of 7 mm even though the surgeon did not recommend it despite the fact that he said there was a 7 mm leg length difference. I went without for several months and got tired of limping so I added the heel lift. Now all is good. Even though my surgeon was great, there was no preparation prior to the surgery, no rehab after, we had no idea how to prepare for recovery at home. In addition, the first 2 weeks were brutal. For some reason, the burning pain I had in my buttocks made any movement very difficult. I don't know why that is. But now, I need a hip replacement on the other side and I am very interested in an anterior approach because I have spoken to several other people who had that and said the recovery was so much easier.

[@teleguy5699]

I'd find a new surgeon if I were you. They did you dirty with all the things not mentioned and having your hip that much shorter. My doctor, (who did anterior) and hospital had multiple lessons and pre op things and exercises to do and then gave me in home rehab for a month until I went to outpatient. He had done about 25,000 surgeries over his multi-decade career as an orthopedic surgeon. The surgeon is the most important part of this process for success. They are not all created equal.

[@frenzeldoodle]

I'm one of the exceptions--I had anterior a few weeks ago. Three days later my hip went out of socket. ER put it back in. 10 days later it happened again in my sleep. I'm having a second replacement in a couple of days. The incision healed well and was relatively pain free. I believe my surgeon is very capable--I'm looking forward to the revision. The pain of a dislocation is intense.

[@pamelabrooks1944]

Thank you so much. No one told me about the possible complications of anterior hip surgery - involving more blood loss and nerve pain. I had both and needed to spend 3 nights in the hospital to recover via blood transfusions and pain meds. All is better now - 4 months post op. I'm not sure why more information is not openly shared with patients prior to or after surgery. I told the PA at my last visit, "I'm not a car, I'm a human, talk to me."

[@ccook3659]

Agree 100...if this not given to me I look for another dr who will...skill and info are important components to understand and have as it prepares the mind...

[@suerodman1054]

Really appreciate this video, Doc. I am having posterior hip replacement in a month and I was hearing online and through people that anterior was better. I got all freaked out but your video put my fears to rest.

[@Sayko434]

Had anterior 6 weeks ago. NO pain afterwards. A bit of stiffness and swelling but the medication they gave me to reduce inflammation is the truth. Glad my doctor did this approach.

[@kristengrady929]

What medication were you given and did you need to take opioids?

[@beezer5623]

Had both hips done. 1, 3 years ago, the other almost 2 months ago. I used the same surgeon, he does the posterior version. I don't understand why some people do not have restrictions with this approach, some enlightenment would be nice, thank you in advance :). For me I had the same restrictions for both. No crossing the legs, no bending over past 90 degrees and no twisting the leg inward. I think the next statement is important here, I am relatively young, 48, and I am not over weight. I played hockey, sports in general so I am pretty athletic and strong overall. IMO the restrictions aren't that big of a deal, do not let them scare you, if anyone feels that way. THE NUMBER 1 by far most important piece of information i can give someone, is, make sure you use a good surgeon. This is your body, interview them. Ask them if they have any previous patients that they can talk to. Do your research. I could have very easily gone with a new doctor and done the anterior approach but NO WAY, my first replacement went so perfectly I didn't even think about using another doctor.

[@sourabhnandwana]

Hi, at what age you had your first replacement?

[@beezer5623]

@@sourabhnandwana 45

[@TheJaneathon]

I interviewed 3 surgeons at 3 practices. Then cross reference 2ith my friend whose a rheumatologist. I will follow my surgeon wherever he goes if I have to get the other hip done

[@ak47miah]

Hi, are these restrictions for life Thanks

[@beezer5623]

@@ak47miah No, subjective to many factors but overall your doctor will probably say between 2-4 months. But every patient is different so the simple answer is listen to your doctor

[@bonniemoreno7872]

I had bilateral hip replacements with in 1 and half months apart. I am doing great! Still in therapy but, doing awesome. No more pain! 🎉❤😊

[@truthseeker713]

I had anterior approach surgery 2.5 weeks ago. Came home same day not needing a walker or cane. I had no precautions or restrictions. It was my left leg and not using a narcotic I drove the next day. By day 6 I was back to walking my 10,000 steps a day. As well as doing the required exercises. I had 3 PT appointments and after that have continued the exercises on my own. After 2.5 weeks my range of motion is back close to 100 percent. While my left thigh strength is 80 percent back to its pre surgery level. I highly recommend the anterior approach for anyone who is considering hip replacement surgery.

[@kchilz32]

Im going to talk to a surgeon that specializes in anterior approach in two weeks

[@Motownusa67]

Calling shenanigans… I’m not over weight,fit and 56 am anterior total hip replacement done 12/19/23 there is no way anyone is with total hip joint replacement walking without walker assist for weeks…. Poss anterior ligament sx could be up and about but total hip joint replacement.

[@teleguy5699]

@@Motownusa67 I'm calling BS too. I am on week 8 and i know everyone is different, and I am in my mid 60's, but I call theses stories hero stories. The kind your wife tells you about some random guy she met at the supermarket. "I sprung off the surgery table and my doctor asked me if I wanted to be a sub for his pro soccer team that night. I told him no because I decided to take up running and am going to the Olympic qualifying meet tomorrow." Child please! I know guys want to be that alpha male in their mind, but everybody's journey is different, but there is no way he just walked out of the hospital with a THR.

[@tinasyoga]

wow

[@steventhompson4220]

@@Motownusa67I’m 70 had anterior hip replacement I needed the walker for a couple of days and came.it’s been 7 days I can walk unaided

[@bluejay3945]

After discussing both approaches with my surgeon, the head of orthopedic surgery at a major hospital, there was no way I wanted the anterior approach. Success is dictated by ur body and the skill of the surgeon so it’s futile relying on someone else’s experience. My only issue is that I did not ask enough questions about sex. My surgeon recommended standing which I hate and the only peer reviewed studies were done in the 70s so surgeons cannot give u definitive information. The overall advice I was given by my surgeon was to chill and rest for the first 8 weeks. No PT until he clears me. Walk as much as I want. Drive when u are comfortable. Work out at the gym but avoid any hip exercises. No swimming until he clears me at 8 weeks. So everyone is different. Listen to ur body and surgeon. What sucked were the opioids. I got off them on day 3. They made me anxious, disconnected, and constipated. I’m a side sleeper so sleeping is still crappy. What I love is all the pre opt pain is gone including back pain. Absolutely worth while. Do not be an idiot like me and put off ur THR for years. The new technology is amazing

[@bluejay3945]

@@NA-nr1sx ur not an idiot! My fear was so debilitating. I actually got an anxiety coach to help me deal with everything. They basically sucked but I learned how to self regulate. Believe me I feel a million times better 6 weeks after the surgery. My team was amazing and they knew going in I was a train wreck of fear. U can do this! I know u can because it’s basically an unfounded belief that is holding I back. There’s a YT on stoicism u should look up. A guy does a bunch of shorts about stoic thought. His take on fear really helped me self analyze why I felt the way I do U and I deserve to be the best we can be. I was in so much pain for 7 years I missed out on so many family activities. I was a fool. Please make the effort to find exactly what is holding u off. The surgery is a breeze. Having zero pain after 7 years is like being reborn

[@caroldeglau8795]

Total replacement 3 yrs ago, posterior..no problems. Having other one done in 2 months. Same surgeon..asked why posterior over anterior. He said small bone structure and surgeon preference...

[@teleguy5699]

That's the point. My doctor, who has done thousands of surgeries, says that's the way he does it, (anterior) and he's had great success. I was free to go find someone else, but i liked his resume'. So far so good 8 weeks later.

[@SteveHuffMedia]

Thank you for this video. I am in need of a full hip replacement. Friends and even my primary care doctor suggested I find someone who does the Anterior approach. Everyone said, faster recovery, less complications, less restrictions. My primary referred me to a surgeon, who as it turns out, only does the posterior approach. He shared some of the same information you presented here but not as in depth. I had already decided to trust him and his approach but your video has given me additional reassurance that I am well served to go this route. Thank you.

[@tracytb8869]

Going in for a modern posterior, outpatient full hip replacement in a week. I'm a 50 y/o nervous wreck. Haven't been able to walk, stretch or cycle without severe pain/limitations for a year. The solitude of the pain has made my world smaller while my family and friends are out having fun. I'm sitting on the sidelines. This video has eased my nerves.

[@beezer5623]

@@tracytb8869 OMG yes, it sucks. I'm 48, just had my 2nd one done 2 months ago, 1st was 3 years ago. My life changed for like 3 months then my right hip went bad faster than i thought it would. If you have a good Dr. I 100% guarantee once you start to feel better afterwards, you will tell everyone you know, 'I should have done this sooner". Be patient with recovery, PT is key. Do the exorcises everyday then transition to outside PT. Walk and get on your feet as much as you can. do not lay about everyday, keep it moving, it helps alot. If you have a stationary bike, you are golden once you can get on it. Listen to your Dr. Also ICE ICE BABY lol, get like 3 nice size gel packs makes things easier. Keep it elevated all the time when not standing, especially when you sleep. I used a bean bag, it kept it elevated and prevented leg from moving around

[@tracytb8869]

@@beezer5623 Hi there! It's been 3 months since my left THR. Such an amazing experience. Easy recovery. I was on the trainer 3 days post op. I've been running and biking with ease. Going in on Sept. 1st for my right. I'm beyond greatful for team of medical professionals that fixed me up.

[@beezer5623]

@@tracytb8869 awesome, glad to here that. Good luck with the 2nd one :)

[@tracytb8869]

@@beezer5623 Much appreciated 🙂

[@pcmolloy]

Thanks so much for putting out such a balanced and informative review of the two THR methods. I’m a very active 59 year old but have been persevering with increasing levels of pain and restricted ranges of movement over the last 10 years, so the time has finally come to replace the hip. Living in Singapore, approx 90% of surgeons seem to opt for the posterior method, and given my goal is to get back to an active state, the number of articles advising against the posterior approach due to risks around dislocation and slower recovery have been quite concerning. Your review has really calmed my nerves because your comments about the relative outcomes and risks associated with modern posterior approach v’s the anterior method, balanced against the experience and preference of the chosen surgeon is exactly what my referring physician suggested is most relevant. So, looks like I’ll be proceeding with a Makoplasty (robotic option) posterior approach - Much appreciated!

[@staceyfinnegan3576]

This was a very insightful video. I had posterior hip replacement a week and a half ago. I'm using a walker and hoping to get on a cane within the next few days. I am having some pain (actually, more like pressure than pain) weight bearing on the hip that was replaced but after talking with my PT it seems to be a normal response this far out from surgery. Looking forward to getting back to my normal daily routine.

[@bridgeteisler9934]

Thank you so much for your video. This was very helpful. I wanted to let you know that you addressed my concerns, regarding my Mother's upcoming procedure. Great job!

[@EileenDavies-f2k]

thank you i have a hip replacement in 3 days this video helped a lot

[@teleguy5699]

How you doing? I'm 2 months post op too.

[@nicholasntuli7496]

Thank you for that information. I am five days after a posterior total hip replacement surgery. Was discharged after 3 days and recovering well from home.

[@nicholasntuli7496]

Am now six weeks after a posterior total heap replacement, the incision healed very quickly after about three weeks. I experienced two dislocations. However, after the last dislocation which happened early after the operation, my joint is now very stable although still using my walker.

[@nicholasntuli7496]

HIP

[@toddsharp4245]

I’m headed to my 3rd replacement. The first 2 were posterior approach with screws (Broke the first one in less than five yrs) mostly my fault. Having the other one replaced in Jan with an Anterior approach. Outpatient surgery. After both of the posterior surgeries,about 3-4 weeks after, muscles “Snapped” back into place, which is quite painful for a day or two. From my understanding, the anterior approach goes between the muscles that will eliminate that issue. For those of you that have never gone through this before. Just follow your DR instructions. Life will be much better

[@intensivemanagement]

I’m in so much pain scared my doc only does posterior

[@aprilapril2]

What do you mean snapped into place? I’ve never ever heard of this .

[@aprilapril2]

@@intensivemanagement I had posterior three weeks ago.. I had very little discomfort, walking with cane since week two, scar is totally healed

[@intensivemanagement]

@@aprilapril2 so happy for you & thankful for the motivation for my future surgery

[@chrisbevier7900]

I had total hip replacement posterior. -Good Surgeon and team -One night in hospital -No restrictions ( I sometimes over did things) -it’s been 9 weeks, I’m doing good. Therapy is important. -

[@jungleful]

What kind of therapy?

[@hoosierbaddy3052]

@@jungleful physiotherapy

[@maryannmd8331]

Woww ,no restrictions ? Not even the 90 degree restriction ? Thanks

[@minathabit2034]

When did you stop the pain killers?

[@jungleful]

That was amazing! I was torn between the 2 approaches and I am so happy and so relieved to hear your advice. Find a doctor I believe in. That says everything

[@judydoyle1124]

I had a posterior replacement a year ago. I feel great. I’m back at the gym and stronger than before. You do have to relearn the correct way to walk after compensating for the bad joint for years. Luckily, there are good trainers and KZbin videos!

[@georgegravette1132]

Sorry, I just can't believe hip replacement has progressed to the point that neither the anterior approach nor the modern posterior approach have NO restrictions. Even if that were true, who's to say that the surgeon performing the procedure isn't still using methods from ten years ago? Still, a very good, detailed video.

[@mairenared]

I am 70 and had a posterior THR on 11 December 2023. I had pre-op tests (including blood and ECG) and was given an epidural and a sedative for the operation. The surgeon said all went well and that I didn't lose much blood during the operation but I had an internal hemorrhage post-op and my hemoglobin count dropped from 15 to 7 so they put a couple of bags of blood into me. I was also on iron and folic acid medication for a couple of months post-op. Due to the hemorrhage and transfusion, I ended up staying in hospital for a week and had difficulty sleeping as I'm not used to sleeping on my back and had to share a ward with two loud snorers (!), but once I got home, things improved greatly. My main concern is the slowness of my recovery. My surgeon said physio would not be necessary and recommended some exercises and just walking. I moved fairly quickly from a walker to crutches and by the time I had my first revision (which included an X-ray) on 26 January 2024, my surgeon recommended that I move to one crutch. However, it is now nearly 5 months since my operation and I still have a lot of stiffness in the joint and cannot walk unaided without a limp. Is this normal?

[@Lehmann108]

You need physical therapy on a regular basis to strengthen all the major and minor muscles around the hip.

[@marystevens8359]

ten years ago I had to have a hip replacement and a friend recommend the SuperPath method so I went in search for a doc who did this as her doctor had moved out west!! The closest to me was a doctor in Nashville, Tn, which is 300 miles from me! I printed info out for my doctor to read he called me the next say and said it's a no brainer so he set an appointment for me. Had it done and 4 weeks later was as good as new and since then no problems at all!! in oct OF2021 I fell and broke my other hip didn't think I could get 300 miles in pain so I went to a local hospital which had a truma center the doc who did my hip replacement said he did the anterior approch. In that hospital for a week then transfer to hospital closer to me for therapy now 1 1/2 years later still struggleing with this wish I had gone to Nashville!!

[@madsaqua2350]

Sorry, I have had both and I would ABSOLUTELY say posterior was the most non invasive and no precautions. I have had both hips done and I cannot tell you how seamless the posterior approach was. I am struggling with a huge wound 33 clips later and still suffering. This is not the way forward posterior is much more acceptable. and the least bloody painful. I lost over a lite of blood, none in the previous procedure. I have a scar on my right hip 4 Inches long... great recovery. My recent hip replacement has been torture, different surgeon different approach. My scar is like I have been in a fight with a great white. I do not understand why we cannot receive the best and least invasive of treatment. Oh I forgot surgeons have their own way of doing.

[@cathyb5759]

I'm confused you had both done and both done on the back ?

[@jodychilds3731]

As a Massage Therapist of 27yrs… I specialize in acute and chronic pain. Everyone of my clients that have had your anterior approach have had problems… Mostly a scar tissue restriction and build up.. Scar tissue heals randomly… different in everyone. Seek out a Massage Therapist that works on scar tissue… Hopefully that will help! Myself… I would only agree to a posterior approach… jmo

[@jodychilds3731]

He’s had both anterior and posterior approaches… Problem with the anterior approach.

[@ccook3659]

​@@jodychilds3731 Thank you for your valuable share!

[@Aviation_Professional]

I Just had my right hip done in Ft Myers Florida. Played hockey for over 40 years and it was certainly time. Surgeon said that due to the thick muscle he would not recommend Anterior. This incision looks to be right down the TFL and pretty much LATERAL. SO not anterior and not Posterior. 17 days out and slow going but some improvement for sure.

[@idahoolson]

Are you still playing! I am four years into my hip replacement surgery still have problems with rotation backwards to forward skateing! Had post surgery! At 62 still playing just not as hard or as fast !

[@Aviation_Professional]

@@idahoolson yes I am. The hip is cooperating well.

[@rfchip9686]

Great information. I am still able to get relief from injections, but I know replacement is in the near future.

[@fscottgray9784]

I had posterior hip replacement 1 year ago. Took about 6 weeks to get where I could walk well without aids. My wife needed both hips replaced this year. She had anterior approach done on the first one. Her progress at 2 weeks post surgery was equal to mine at 6 weeks. Unfortunately she tripped and the femur fractured at 2 weeks and had to have major repair work done that will set her back 3 months or more. I have a friend who had anterior approach and his femur fractured at 6 weeks. My brother and his wife both had double hip replacement posterior and have had no complications.

[@katherinegaskins6579]

Nice job, explaining and teaching!

[@Domspun]

Thank you for your videos. I had NO communication with my doctor between the request for surgery and my surgery ( in 2 days!). All the answers from my questions were answered. Thanks again.

[@CamberleyCidReloaded]

I had posterior surgery with great results...the hardest part was sleeping on my back for 12 weeks.

[@teleguy5699]

Anterior, and they said i could sleep on my surgery side once the pain subsided, which was about 3 to 4 weeks.

[@rockbay79]

I dislocated my right hip way back in 1980. Now, 41 years later, I really need a hip replacement. My only concern is who will perform the surgery. My only choice on the matter is it must be performed by the V.A. Hospital located in Little Rock Arkansas. I have used this Hospital since 2002, when I retiired after 20 years from the U.S. Air Force. As it stands right now, I just wish I had some more information on this procedure performed at this hospital. I welcome any and all comments. Thank you all.

[@Aviation_Professional]

Your concern really is valid. Frankly I would look for recommendations within the community and ask your local docs and PT folks WHO THEY WOULD USE if they needed a new hip. I played ice hockey for most of my life. At 57 it was time for my right hip to be replaced. I actually chose a surgeon that I skated with for a few years. He really had a great resume', trained in a practice with a physician that is always number 1/2 in the state of Florida annually as to number procedures performed. Then I spoke to a fellow player who was back on the ice after 6 months with fabulous results. All in all I am happy with my choice 17 days post op. The incision however is a lateral incision from what I see. Not anterior and not posterior. About 5" in length. No magic rehab to report yet. All going well but still pain down the leg through the knee and tibia sometimes throughout the day but slowly improving. As a vet... I would want to know the experience of the VA surgeon. 100 hips a years seems like a nice place to start to make sure they are very well experienced.

[@rockbay79]

@@Aviation_Professional Thank you for this insight.

[@teleguy5699]

Try to avoid the VA is my advice. I can use the VA, but my Medicare/Tricare covers civilian doctors. My surgeon was so experienced. The VA, the doctors leave for private practice after they become good.

[@rockbay79]

@@teleguy5699 Thank you for your input. I do feel I should provide you with an update. I had the Total Hip Replacement performed on 31 May 2022. It was performed at the John L. McClellan Memorial Veterans Hospital located in Little Rock Arkansas. My surgeon was a Dr. Jagadell. The operation and follow-up care were excellent! No problems at all and now I can walk properly again. Granted, it has taken me longer than expected to regain my strength. I lost a lot of muscle in my legs prior to surgery. I was on a cane or walker, and it was either hip replacement or wheelchair. My life is much better now. I thank all the staff at the hospital for all your skills and care. I guess Little Rock has a really good staff. I would rate them A+.

[@teleguy5699]

@@rockbay79 Great to hear! Thanks for the update. I, like you had muscle deterioration before my surgery and I'm sure that has something to do with my slow recover. My surgeon and hospital was great too and besides the longish rehab, things are going well. Cheers, fellow Airman!

[@tonylegge7261]

Anterior Approach in France - Great Operation. Anterior was invented in France and involves no cutting of tendons and muscles. Make sure you get a good prosthesis - X-linked polyethylene for the liner.

[@ccook3659]

Where and who in France?..as I am considering same..ty

[@tonylegge7261]

@@ccook3659 Mulhouse Diaconat - My surgeon had a heart attack shortly after my op but he has a partner. Docteurs Leyder & Bajard. My surgeon was Dr Bernhard

[@arrowheaddev]

I’m not a runner but I’ve been doing sprint training Still working on finding my top gear but feels really good My incision is about 5-6 inches on the front of my quad from the hip crease down the slightly to the out side on the front of my quad

[@jodychilds3731]

As a Massage Therapist of 27 yrs The clients that have the anterior approach have more complications (pain/scar tissue/longer recovery time). I have clients that have had both approaches… posterior first… still anterior approach was more challenging with a longer recovery…

[@marksnyder8697]

Anterior out same day, walking and driving next day, back to work 2 days later, and played 12 holes of golf 12 days after, not recommended but no issues.

[@artryan5330]

I’ll take a post any day. Just be careful of the restrictions and you’re fine

[@colinlewiss4870]

I had a left thr 7 weeks ago the surgeon had arranged to do the more modern antheiror operation but just as I was about to go into theatre he looked at my left leg as I lay on the operating table and said your leg is noticeable shorter.he then said I've decided to do the procedure from the back ie posterior approach.he told me that to get my legs the same length it would give him more room for this.i said whatever is the best way considering my circumstance I will accept it. I am very happy with the results and at the end of the day if the operation is successful your not going to quibble about having a bigger scar.

[@ritasanders7499]

I have been watching so many of these videos. I need a hip replacement and am scared to death. I keep praying God tells me what to do.

[@rockbay79]

I sort of felt the same way before my surgery. However, after surgery, now 2 years later, I'm so happy I had it done. No more pain and I can walk without a limp, cane or walker. All I can tell you is; it was worth it to me. I wish you the best.

[@maggielewis1439]

I'm the same, but must do it as I'm in so much pain.

[@robertbutler8004]

Why have you not included the Lateral Approach as the third option?

[@micahdowns5808]

Very informative. Thanks for the info!

[@robertbutler8004]

Earlier this year 2023 in Australia a lot of these procedures are done as an outpatient.

[@MiriamAndrade-w1p]

Thanks, very helpful!

[@chemlabgal7564]

Would you be able to comment on the super path approach without hip dislocation

[@malditaako9060]

Can someone explain how antero lateral approach is done?

[@ccook3659]

This is an Aesome video..thank you Sir!!!

[@tccell212]

Going in for total replacement on my left hip in 11 days. Posterior approach. I've been working with this ortho DR/surgeon for almost two years on my arthritis, and I finally made the decision to do surgery. He told me a year ago that even though he can't force me to decide to have surgery, that he would "Schedule it next week" based on the X-Rays. There are days I cannot walk now due to pain and the fact that it floats around in the socket, and I don't always have control of it. I can't imagine any amount of post op pain could compete with how it is currently. I work in the restaurant biz and am on my feet for 8-12 hours a day even with my femoral head so flat the x-ray looks like you could set a drink on it... My surgeon has 35 years experience doing joint replacements, so I am going to trust him on this and not seek one who does the anterior method. I hope that is the right call.

[@TheJaneathon]

Good luck. You will feel great. I am two post op left hip. No more hip pain. I had a shallow socket and way to much arthritis but I am in the mend and looking forward to getting back to my sports. I tried to eat a lot of clean protein and hydrated the pants of myself. You got this.

[@cathybestlercurtis]

​@Jane Metcalf so happy you mentioned a shallow hip socket. I probably have an extremely shallow hip socket since birth. My hip doesn't hurt but my ankleS, knees and feet hurt. I'm done with that shallow socket but I've only begun researching.

[@luisnegron8844]

Thanks for the clarifications doctor. ❤❤❤

[@Kayla-g1b]

I'm having my left hip replaced in 3 days, I'm a 200 lb woman with that glorious front flap. So which is a better choice posterior or anterior. Or does it even make a difference?

[@TeeTee4ever]

Kris Jenner brought me here. That woman is brave !!!! Kudos to these surgeons

[@98849]

How to contact you? I had posterior hip replacement in 2011 - my sciatic nerve was sutured during closure - awful nerve pain foot drop - needed knee replacement after five years on opposite side due to gait - now I need a a new hip on some side as knee and am terrified. !

[@tonypazos5030]

Medical illustrator RTH post 40 days and hear both sides of proceedures re dislocation percentaages I want to play handball again and need the left hip done. can't deceide if ant or post approach next time araound which maybe a yr or two depending how fast he remnant labrum wears.. Which approach has a more reliable stable non dislocation factor?? I have ill ustrated both approaches for surgical textbooks. comments from surgeons wellcome a handball buddy has bilateral replacements going on 15 yrs still playing handball.

[@NavyDadProductions]

What is your opinion on same day bilateral hip replacement on 55 year old male with arthritis that is moderate but pain that is at a level that keeps me from walking more than 1/4 mile or activity beyond 30 to 45 minutes that keeps you on your feet. Cant get socks on. Pain is also transient with moderate discomfort to sudden sharp pain that almost takes me down.

[@rhondapayne3283]

I had this done 11 days ago, posterior, in New Zealand. Apart from difficulty of getting in and out of bed initially and some muscle spasms when my body wanted to stretch on waking ( and because of back sleeping) I am amazed at the result, and progress in healing my body has made. No pain on weight bearing. I'm 54.

[@TG-om2vh]

The approach on my THR (in December 2021)was neither anterior nor posterior. It was a side approach with a 10 inch incision. I was in the hospital for 4 days and had 12 weeks of non weight bearing. I know that was atypical. What say you?

[@robertbutler8004]

That side operation is called the Lateral Approach. I had the same on 8/5/23 and things are great I will need the same for my other hip soon.

[@lisahaywood3698]

I had my first in 1981. Just had my 5th.

[@michaelvanbuskirk8845]

Thanks for telling the truth about this surgery and the approaches. It never seizes to amaze me how many keyboard orthopedic surgeons come on here and tell you the "best" way. 😂😂😂

[@juliafisher5844]

In England mine was don laterally

[@aprilapril2]

I just had posterior and have restrictions 6 to 12 weeks…. Why would these restrictions be in place

[@margiejacoby8770]

I am shocked to hear "No restrictions" after anterior and posterior hip replacement surgery. What about "No bending" post op?

[@bevtooth]

I had all the usual restrictions and I only had mine done 4 months ago. It was posterior and I had numbness under my bum cheek and just at the very top of the leg. I had a terrible recovery. I was in agony with nerve pain going down my front thigh into my knee. I hurt with such deep dull throbbihg I could've cut my own leg off. I'd say I was on 2 crutches for 3 weeks then 1 crutch up to 6 weeks. I dread it if my other hip gets worse and I have to have that done. We don't get to choose our surgeons I the UK as we get free operations.

[@teleguy5699]

@@bevtooth They should have had you use a walker, then cane. Crutches suck.

[@christinewilliams7005]

Thank you!

[@georgehibbs5063]

How long Will Replacements last if u go to gym regularly

[@lilybecerra2035]

Ty!!

[@leslieengel262]

what about the 90 degree percautions for posterior with robotic

[@seligseligabc123]

Hi, I ASSUMED POSTERIOR MEANS A 12 INCH INCISION COMPARED TO 3CM FOR ANTERIOR SUPERPATH.?:-)

[@jodychilds3731]

Not in today’s posterior approach… I’ve seen them at about 5inch after healing… Massage Therapist of 27 yrs. The last anterior approach I’ve seen… (this wk) was approximately 5 in too…

[@JasmineDev]

I don’t understand how people had no pain. To me, only childbirth was more painful.

[@teleguy5699]

Bunch of internet heroes. I don't believe them. They cut your damn femur off! And then pound a metal spike into it. How could that not hurt?

[@jamesobleton6450]

I had mine in 2013 with foot drop. Has it changed much

[@dsciarrino3663]

Good Job

[@mrmr314]

Surely cutting muscles and tendons and reattaching them is NOT the go (as in posterior and side). Especially for sportsmen (and women). Surely anterior is the only way. Regional anaesthetic for a hip replacement? No thanks.

[@teleguy5699]

I was freaking out about only a spinal too. Best decision I made afterwards. They give you, relaxing meds, then the needle, put you out with some sleepy meds, and when you come to, no post anesthesia fog for days. I was pretty alert and relatively pain free. When the spinal wore off, they gave me opioids, Tylenol, and Celebrex. As I have had over a dozen general anesthesia surgeries, I highly recommend this route.

[@SafiaNova2483]

Cut the background music.

[@alexdejesus62]

I had posterior lateral hip replacement 2weeks ago. 8” incision. It was rough. 3 nights hospital stay. Lots of pain. Leg swollen and numb. Just now I am feeling better but need a walker. I have to get the other side done. Should I be okay with the same approach or should I ask for more minimal invasive? I looked up briefly the different approaches to surgery before, and everything I read seemed to say that it was pretty to recover from either way. But did I choose a surgeon who is ‘old school’? Should I have been in hospital for three nights when everyone else seems to go home the next day?

[@Aviation_Professional]

Seems excessive. Just did mine and due to C19 they asked if it was ok for me to go home same day. I accepted and completed the surgery. Lateral incision 5" long. Surgeon used the Zimmer Biomet G7 implant. While I am by no means PAIN FREE at day 17, I am improving slowly but still use a walker and ice. I think these guys and gals riding bikes and returning to normal activities after 3-4 weeks is simply very RARE. Pick your surgeon wisely for sure. There are some folks we all need to stay away from out there. Ask your local docs and PTs who they would use.

[@kandiseschnoor9378]

Personally, I had #1 posterior & #2 anterior. Difference of day and night. Much easier time with anterior with healing. But choosing surgeon with experience and successful outcomes is paramount

[@debbieallen8496]

I had my 1st surgery when i was 35 ,that lasted 2 years while i was still in pain ,walker ,i told the surgeons they said everything looked good ,pat me on the back i go on like this for 2 years ,the surgeons decide to do another surgery after 2 years,si onto my second surgery,same results,so at some point they broke off a drill bit in my hip,after surgery i and my husband was told they left it in there because it would do more harm than good ,i didnt know any different,after 2 years of that hip replacement i switched dr and he said the problem was that they needed to customise the piece to fit my body,i didnt know this was a thing but it worked fabulous .i got my life back and felt so good after 14 years of that replacement i had begun to have issues ,back to my surgeon he said its time for another hip replacement so i go ,had that hip put in and 2 years later ,working as a cashier i would go home and could barely make it out of the store with so much pain,,limping,i get home and couldnt wait to get in my recliner,food wasnt really an option nor was anything else ,i continued like this working and then my hip after months started to lock up so i decided then that something was going on ,after emergency room visit ,dr said there is something going on we are going to refer you to an orthopedic and spine dr ,ok i went they said i was way more than they could handle,referred me to a dr in little rock ,he right away said you need surgery,i am in tears a month later i had the surgery,after surgery the dr told me when he got in there he said it look like a bomb went off in there,he said i had so much metallosis in my hip,he cleaned it out ,also said the surgeon before that should have did the same approach because i had metallosis,i wasnt told about that,anyway to make things worse ,this dr in little rock said he cleaned out all of the metallosis,that there was dead tissue ,bone damage ,surgeon put in a new liner and antibiotic spacers ,said you will need to come back for another surgery to put the foreign parts in ,no telling when that will be ,its been 8 months and i still have pain ,cane assisted ,i go back soon to see my surgeon to see what is next so if he says surgery that will be my 6th surgery posterior .i am not thrilled ,i am older now snd i dont recover fast ,i need to get my life back ,oh i was also told i have part or parts that were recalled ,.i have depression and anxiety from all this .dont be discouraged because if you get the right hip replacement ,its the best thing i just happen to have gone on a rollercoaster of events ...sorry my phone isnt automatically putting punctuation marks where they should be .before my last hip following up to what would be my next hip i just thought i was doing alot at work as we stay really busy at work so thats was just part of it why i was in pain ,exhausted ,limping ,so just pay attention to

[@josebarretto7023]

Thnk.u

[@christyrussell913]

Let me sum it up,, posterior is easier on the doctor anterior is easier on the patient. Chose anterior.

[@Blanco83]

Spot on!

[@michaelvanbuskirk8845]

Depends on the surgeon. This surgeon is spot on, it doesn't matter.

[@beezer5623]

This is crap, sorry it is. Who gives a shit if its easier for the DR? That also means its easier to do the surgery. There are way more variables than just slightly quicker recovery which is debatable. The bottom line is whatever one you get, FIND A GOOD DOCTOR FIRST!!!! By your logic you would pass up a Dr who did 10,000 old school replacements and pick the Dr who did 1 of the modern technique. Good Luck with that logic.

[@mrmr314]

Thanks for your info buddy but you could have said it in half the time. You lose your audience if you drone on with long intros etc. It took you 4 minutes to get to the point. Local anaesthetic for a hip replacement? Er, no thanks. Some orthopaedic surgeons disagree with what you are saying re nerve damage and dislocation - most notably those who specialise in the posterior approach. They say the anterior approach has a greater risk of dislocation and ill-fitting from the outset. They agree with the possibility of front skin nerve damage with the anterior approach. The risk of blood loss and transfusion they didn't mention at all.

[@teleguy5699]

Local anesthetics was great. I was freaking out about it too. They talked me off the ledge and it was the best I felt post op for brain fog.

[@Blanco83]

Believe me there is no comparisons Anterior is the ONLY way to go, hands down. Posterior is easier for the surgeon and dates back to the 1940's. Plus he can do three posterior surgeries in a day as compared to one Anterior.$$$$$$$$$$$$$. If your surgeon does not offer the Anterior find yourself one that does.

[@michaelvanbuskirk8845]

What a load of crap. 😂

[@locosuave5211]

You have no idea what you are talking about.

[@billburkle215]

So true!

[@michaelvanbuskirk8845]

As my surgeon presented to a group of doctors at Stanford University, anterior is the new sales pitch. My surgeon does posterior and he's good at it. Dont buy into the BS.

[@leemecham9633]

Oh wow ????? You wouldn’t even ask them what approach they would use Cmon man Who wouldn’t want to know What a lie That just made your whole video look terrible Wow

[@RichardRobbins-jt5bt]

Get rid of hat invasive background music!!!!!!!!!!!!!!!!!!!!!!!!!

[@kcampbell4098]

useless. oB