DIRECT ANTERIOR vs POSTERIOR approach to the hip l Total Hip Replacement lon-table vs off-table /DAA

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  • čas pƙidĂĄn 4. 01. 2024
  • In this video I will share information about the direct anterior and the posterior approach to the hip when performing total hip replacement. I will touch on on-table versus off-table anterior approaches to the hip. In the video I will share current scientific studies regarding function, dislocation and time to discharge from the facility for both the posterior approach and the anterior approach to hip replacement.
    00:06 Intro
    00:28 opening statements
    01:00 anatomy anterior and posterior
    03:05 gluteal tendon tears
    04:03 on-table vs off-table
    04:57 dislocation
    06:02 recovery
    06:50 forgotten joint score
    07:35 learning curve of the direct anterior
    08:31 discharge from hospital/surgery center
    09:00 wrap-up
    🔗 Video on Leg Length: ‱ LEG LENGTH DISCREPANCY...
    🔗 Information about Total Hip Surgery: ‱ Total Hip Replacement ...
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    Find more information about total hip replacements from the AAOS here: orthoinfo.aaos.org/en/treatme...
    📙 Be sure to check out my book - 'The Knee Book - A Guide to the Aging Knee'
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    Disclaimer: The information found in this media presentation represents my own views and opinions. This has been produced for educational and informational purposes only. This does not qualify as medical advice. This in no way should take the place of professional medical advice. You should always talk with your physician, doctor, surgeon, therapist or other health care provider regarding your specific questions, complaints, diagnosis, and treatment. Do not delay seeking care based on what you find in these informational videos. Use this information at your own risk. No doctor-patient relationship is formed through watching these videos.
    #hipreplacementrecovery #totalhipreplacement #arthritis #surgeryrecovery #surgerysuccess #surgeryday #health

Komentáƙe • 9

  • @cpp263
    @cpp263 Pƙed 8 hodinami

    very informative I am facing surgery soon and you have helped me narrow the issues I will discuss with my surgeon.

  • @arrowheaddev
    @arrowheaddev Pƙed 17 dny

    Great video , I have had 2 hips done in the past the last year both anterior
    Both have turned out great . I am 59 and had really bad arthritis
    First one had zero issues walking unaided in first week , riding the bike week 3 and in the gym every day till back to work at week 12
    I’m now 16 weeks post op on the second one
    This one had a nerve complication , my femoral nerve was injured / compressed during surgery and I had almost total quad palsy
    I worked crazy hard at getting things moving again and by week 5 ish I was able to start Pilates which really helped
    Now I’m still in the gym 5 days a week , lots of hiking in the mountains , back to cross fit , Mtn biking .
    Strength is almost back to normal , doing 400 lb leg press , Bulgarian split squats , box jumps , dead lifts and almost a pistol squat with my first hip
    I had very little pain , more pain from the arthritis than the surgery , tramadol for 4 days then Tylenol and Advil for 3 weeks
    Looking forward to skiing and hockey this coming winter !
    Other than the nerve issue the anterior was great
    I forget I’ve had them done
    Extremely grateful to have my life back

    • @dradamrosen
      @dradamrosen  Pƙed 16 dny

      Yes, the femoral nerve palsy is a real but low risk of the anterior. Glad to hear you recovered. Enjoy the slopes and the rink.

  • @kittyg2718
    @kittyg2718 Pƙed 2 měsĂ­ci +1

    just come across your channel. I had posterior surgery five weeks ago, I know people who have had anterior and seemed to have less pain, I have had pain off and on, I spoke with the surgeon and he arranged an appointment to see him last week and to also have a X-ray, everything was fine with the implant, I was told my pain was inflammation, I am hopeful that I will soon be 100% In truth I chose the surgeon myself I travelled three hours to allow this surgeon to operate on my hip, when I could have travelled 15 min to another hospital, why because I felt comfortable with my choice of surgeon, I read his bio and I was impressed, but the big factor was I liked the man he was, he did not rush me into surgery and I felt he cared about my future plans once I was fully recovered, I never asked why he chose the posterior approach.

    • @dradamrosen
      @dradamrosen  Pƙed 2 měsĂ­ci +2

      A good relationship with your doctor is always important. Wishing you a speedy recovery.

  • @bajajudy8003
    @bajajudy8003 Pƙed 3 měsĂ­ci +1

    Thank you very much!! I was worried about getting the posterior approach. Everyone is saying anterior, anterior but I have selected based on my surgeon and he performs posterior. This helps to put my mind at ease.

  • @pwabbit
    @pwabbit Pƙed 3 měsĂ­ci +1

    Great information. It's hard to know which approach is not just better, but better for my hip anatomy.