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Research suggests that people who undergo anterior hip replacement may be more likely to have a problem with wound healing particularly infection.
Hip surgery anterior or posterior. The kennedy center at ascension mercy specializes in both the posterior and anterior approach to hip replacement. Total hip arthroplasty is a common surgery with more than 330 000 procedures performed in the united states every year. Patients who have had anterior hip surgery on one side and posterior hip surgery on the other most often prefer the anterior hip side in other words in cases of patients who ve had bilateral hip replacements whether staggered by weeks or years or done at the same time notable feedback. However there is significant controversy over the optimal muscle sparing approach.
The two most common surgical approaches in hip replacement are the posterior approach and anterior approach sometimes called the mini anterior approach or muscle sparing hip replacement. Anterior hip replacement ahr is surgery to replace a hip joint damaged by wear injury or disease. Then they replace the joint with. The average hip replacement lasts 20 30 years or more.
During surgery your doctor makes an incision in the front of your hip to reach the hip joint. The top of your femur is shaped like a ball and covered with cartilage. Less risk of dislocation. The hip joint is where the top of your femur thigh bone sits in the socket of your pelvic bone.
Anterior hip surgery patients can sit cross legged or bend over without worrying about hip dislocations. Posterior hip surgery patients must avoid sitting cross legged bending at the hip or internally rotating the hip for up to two months depending on their medical condition and their doctor s preference. Mini posterior approach mpa or direct anterior approach daa. The joint is held together by ligaments and muscles.
There is renewed interest in the news and medical world lately regarding surgical approaches to hip replacement specifically anterior through the front of the hip versus posterior through the back of the hip methods. For example a study of 505 anterior hip replacements and 1288 posterior hip replacements found that 7 1 4 of the anterior hip patients had wound healing problems compared to 5 0 2 of the. Posterior hip replacement surgery uses a curved incision on the side and back of the hip. This incision typically starts at the top of the pelvic bone iliac crest and extends down toward the top of the thigh.
To begin the operation the hip replacement surgeon will make incisions on either. When considering a hip replacement surgery you ll want to discuss with your surgeon whether an anterior or posterior hip replacement is the best option for you. Less commonly the incision is made horizontally. Posterior and anterior hip replacement surgery.
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