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RE: Anterior Approach

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Bob,

I had the anterior approach but with a different table. Check out my

doctor's site.

I was very pleased with the results. If the anterior approah is used no

muscles are disturbed therefore your recovery is much quicker and less

painful.

I was riding horses at 6 weeks post-op.

Check out this site. Dr. Kreuzer (who did my surgery) is excellent but is

in Houston, TX.

I feel very lucky that he did my work. Check out his table.

http://www.adultjointreconstruction.com/index.cfm?fuseaction=hm.home

lee

Anterior Approach

Has anyone information or experience with the Anterior Approach for

THR using the PROfx Surgical Table (see www.hipandpelvis.com).

I would appreciate your comments.

Thanks, Bob

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  • 3 years later...

There is a renowned doctor in LA who does hip resurfacing. --

Schmalzreid or something (it's been awhile since I did research).

If you are a candidate for hip resurfacing, you could get an

appointment with him. Insurance is pretty specific in terms of a

doctor being in a network so you would have to check regarding that.

Lots of

On Oct 21, 2008, at 6:14 PM, Mike Rivas wrote:

> Since it appears you are an informed patient, did you ever consider

> hip resurfacing instead of THR? I have been debating the two

> procedures, thinking about using Dr. Gross in South Carolina, but I

> would love to treated closer to home (Southern CA).

>

>

>

> > >

>

> > > > From: jujulabeemac (DOT) com <jujulabeemac (DOT) com>

>

> > >

>

> > > > Subject: Fwd: [Total_Joint_ Replacement] Re: Questions about THR

>

> > >

>

> > > > Total_Joint_ Replacement

>

> > >

>

> > > > Date: Tuesday, October 21, 2008, 6:39 AM

>

> > >

>

> > > >

>

> > >

>

> > > > An anterior approach is through the front middle of the thigh.

>

> > >

>

> > > >

>

> > >

>

> > > > A scar on the butt would mean the approach is the posterior or a

>

> > >

>

> > > >

>

> > >

>

> > > > variant of that approach.

>

> > >

>

> > > >

>

> > >

>

> > > > I had the anterior approach which is performed on a special

> table.

>

> > > No

>

> > >

>

> > > >

>

> > >

>

> > > > muscles are cut and there are no restrictions since there is

>

> > > almost no

>

> > >

>

> > > >

>

> > >

>

> > > > risk of dislocation. The recovery is generally much easier since

>

> > the

>

> > >

>

> > > >

>

> > >

>

> > > > muscles don't have to heal.

>

> > >

>

> > > >

>

> > >

>

> > > > Begin forwarded message:

>

> > >

>

> > > >

>

> > >

>

> > > > > From: emiller_22207 <emiller_22207>

>

> > >

>

> > > >

>

> > >

>

> > > > > Date: October 21, 2008 6:28:32 AM PDT

>

> > >

>

> > > >

>

> > >

>

> > > > > Total_Joint_ Replacement

>

> > >

>

> > > >

>

> > >

>

> > > > > Subject: [Total_Joint_ Replacement] Re: Questions about THR

>

> > >

>

> > > >

>

> > >

>

> > > > > Reply-Total_Joint_ Replacement

>

> > >

>

> > > >

>

> > >

>

> > > > >

>

> > >

>

> > > >

>

> > >

>

> > > > > Anterior. Long horizontal scar along by butt cheek.

>

> > >

>

> > > >

>

> > >

>

> > > > >

>

> > >

>

> > > >

>

> > >

>

> > > > >

>

> > >

>

> > > >

>

> > >

>

> > > > > > >

>

> > >

>

> > > >

>

> > >

>

> > > > > > > My name is and I am 28 years old and having a total

>

> > hip

>

> > >

>

> > > >

>

> > >

>

> > > > > > > replacement on November 7th. I had a bad motercycle

> accident

>

> > > 16

>

> > >

>

> > > >

>

> > >

>

> > > > > > years

>

> > >

>

> > > >

>

> > >

>

> > > > > > > ago and it went misdiagnosed and untreated. So now I am

>

> > having

>

> > >

>

> > > >

>

> > >

>

> > > > > the

>

> > >

>

> > > >

>

> > >

>

> > > > > > > surgery. I have only seen the surgeon once and he said

> they

>

> > > now

>

> > >

>

> > > >

>

> > >

>

> > > > > do

>

> > >

>

> > > >

>

> > >

>

> > > > > > > steal on steal and it should last 100 years. Does anyone

>

> > have

>

> > >

>

> > > > any

>

> > >

>

> > > >

>

> > >

>

> > > > > > > advice on what I will be able to and not after surgery. I

>

> > > have a

>

> > >

>

> > > >

>

> > >

>

> > > > > one

>

> > >

>

> > > >

>

> > >

>

> > > > > > > year old and a four year old. My husband and I are just

>

> > >

>

> > > > wondering

>

> > >

>

> > > >

>

> > >

>

> > > > > > what

>

> > >

>

> > > >

>

> > >

>

> > > > > > > were in for. My dr told me to move back in with my parents

>

> > > for a

>

> > >

>

> > > >

>

> > >

>

> > > > > few

>

> > >

>

> > > >

>

> > >

>

> > > > > > > weeks. Thank God they have a mini suite downstairs at

> their

>

> > >

>

> > > >

>

> > >

>

> > > > > house.

>

> > >

>

> > > >

>

> > >

>

> > > > > > > But I am still wondering how bad it's going to be... any

>

> > > advice

>

> > >

>

> > > >

>

> > >

>

> > > > > for

>

> > >

>

> > > >

>

> > >

>

> > > > > > me?

>

> > >

>

> > > >

>

> > >

>

> > > > > > >

>

> > >

>

> > > >

>

> > >

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> > > > > >

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> > >

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> > > >

>

> > >

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> > > > > >

>

> > >

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> > > >

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> > >

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> > > > > >

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> > >

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> > > >

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> > >

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> > > > > >

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> > >

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> > > >

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> > >

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> > >

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> > >

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> > >

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> > >

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> > >

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> > >

>

> > > > > > ____________ _________ _________ _________ _________ __

>

> > >

>

> > > >

>

> > >

>

> > > > > >

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Metal may or may not last forever -- and there may be other issues

apart from the protheses itself that cause one to need a revision --

You had indicated you wanted to use Dr. Gross -- I can't imagine

traveling across the country when there is an equally gifted OS who

performs hip resurfacing (if that is what you opt for)

On Oct 22, 2008, at 10:32 AM, Mike Rivas wrote:

> I have already seen Dr. Amstutz, who is in the same group as Dr.

> Schmalzried , the one you mentioned. Amstutz at this point has done

> more resurfacing that anyone in the US, though Dr. Gross is catching

> up or has caught up already and Dr. Gross is over 20+ years younger.

>

> I was reading on of the posts that said the Metal on Metal hip

> replacement laboratory results are showing that they do not wear

> out. Now because they are fairly new and no one has had one over 15

> years, no one can say they will last 20, 50, 75, or 100 years. But,

> that and the less invasive approach is what is leading me to think

> maybe a replacement will last my lifetime, that is if nothing else

> comes into play, just the quality of the material and the procedure.

>

> I think I am going to make an appointment with Dr. Moon for a second

> opinion to hear what he has to say.

>

>

>

> >

>

> > > >

>

> >

>

> > > > > From: jujulabeemac (DOT) com <jujulabeemac (DOT) com>

>

> >

>

> > > >

>

> >

>

> > > > > Subject: Fwd: [Total_Joint_ Replacement] Re: Questions about

> THR

>

> >

>

> > > >

>

> >

>

> > > > > Total_Joint_ Replacement

>

> >

>

> > > >

>

> >

>

> > > > > Date: Tuesday, October 21, 2008, 6:39 AM

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > An anterior approach is through the front middle of the thigh.

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > A scar on the butt would mean the approach is the posterior

> or a

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > variant of that approach.

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > I had the anterior approach which is performed on a special

>

> > table.

>

> >

>

> > > > No

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > muscles are cut and there are no restrictions since there is

>

> >

>

> > > > almost no

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > risk of dislocation. The recovery is generally much easier

> since

>

> >

>

> > > the

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > muscles don't have to heal.

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > Begin forwarded message:

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > From: emiller_22207 <emiller_22207>

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > Date: October 21, 2008 6:28:32 AM PDT

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > Total_Joint_ Replacement

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > Subject: [Total_Joint_ Replacement] Re: Questions about THR

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > Reply-Total_Joint_ Replacement

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > >

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > Anterior. Long horizontal scar along by butt cheek.

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > >

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > >

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > >

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > > My name is and I am 28 years old and having a

> total

>

> >

>

> > > hip

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > > replacement on November 7th. I had a bad motercycle

>

> > accident

>

> >

>

> > > > 16

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > years

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > > ago and it went misdiagnosed and untreated. So now I am

>

> >

>

> > > having

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > the

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > > surgery. I have only seen the surgeon once and he said

>

> > they

>

> >

>

> > > > now

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > do

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > > steal on steal and it should last 100 years. Does anyone

>

> >

>

> > > have

>

> >

>

> > > >

>

> >

>

> > > > > any

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > > advice on what I will be able to and not after

> surgery. I

>

> >

>

> > > > have a

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > one

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > > year old and a four year old. My husband and I are just

>

> >

>

> > > >

>

> >

>

> > > > > wondering

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > what

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > > were in for. My dr told me to move back in with my

> parents

>

> >

>

> > > > for a

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > few

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > > weeks. Thank God they have a mini suite downstairs at

>

> > their

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > house.

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > > But I am still wondering how bad it's going to be... any

>

> >

>

> > > > advice

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > for

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > me?

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

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> > > >

>

> >

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> > > > > > > >

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> >

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> >

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> >

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> >

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> >

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> >

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> >

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> >

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> >

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> >

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> >

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> >

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> >

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> >

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> >

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> >

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> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > > ____________ _________ _________ _________ _________ __

>

> >

>

> > > >

>

> >

>

> > > > >

>

> >

>

> > > >

>

> >

>

> > > > > > >

Link to comment
Share on other sites

  • 10 months later...

Well I've finally found a surgeon in ton SC who does teh anterior

approach, so I'll be talking to him. I'm all in favor of not cutting any

more muscles if it can be avoided.

In a message dated 8/24/2009 3:41:06 P.M. Eastern Daylight Time,

m.armitage@... writes:

jujulabee@... wrote:

> As far as I know anterior is the only hip replacement technique in

> which no muscles are cut and for which there are no restrictions

> after.

I understood that the 'restrictions after' were, for the most part, due

to the new (artificial) femoral head being (generally) smaller than the

original one, in which case the type of surgery used to fit the said head

is irrelevant (apart from in the short term - while healing is taking

place). If what you say is true, surely there will be 'no restrictions'

for those who have had normal (posterior?) surgery, once everything has

healed up, yes? But that doesn't seem to be the case. Many

hip-replacement people seem to have 'restrictions' for life.

Actually, I have a question, relating to my own situation, on this

matter, but will leave that for another day.

Regards,

Mick.

--

*****************************************************

'Be not forgetful to entertain strangers; for thereby

some have entertained angels unawares!'

*****************************************************

------------------------------------

Be your own advocate! The best patient is an informed patient!

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Well again, the " minimally invasive " term seems to just mean " smaller

scar' and at 63, while I'm in decent shape, it's not as if I'm checking out the

latest in bikinis anyway..:).

I just have to avoid looking at that rack..errr.. " operating table " that is.

judith

In a message dated 8/31/2009 10:53:52 A.M. Eastern Daylight Time,

seastar@... writes:

Thanks! That's my thinking as well. Apparently there is a minimally

invasive lateral procedure as well but I haven't got the details on that yet.

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Thanks! That's my thinking as well. Apparently there is a minimally invasive

lateral procedure as well but I haven't got the details on that yet.

________________________________

From: " jarcher107@... " <jarcher107@...>

Joint Replacement

Sent: Monday, August 31, 2009 2:08:42 AM

Subject: Re: Anterior Approach

 

Well I've finally found a surgeon in ton SC who does teh anterior

approach, so I'll be talking to him. I'm all in favor of not cutting any

more muscles if it can be avoided.

In a message dated 8/24/2009 3:41:06 P.M. Eastern Daylight Time,

m.armitage@sheffiel d.ac.uk writes:

jujulabeemac (DOT) com wrote:

> As far as I know anterior is the only hip replacement technique in

> which no muscles are cut and for which there are no restrictions

> after.

I understood that the 'restrictions after' were, for the most part, due

to the new (artificial) femoral head being (generally) smaller than the

original one, in which case the type of surgery used to fit the said head

is irrelevant (apart from in the short term - while healing is taking

place). If what you say is true, surely there will be 'no restrictions'

for those who have had normal (posterior?) surgery, once everything has

healed up, yes? But that doesn't seem to be the case. Many

hip-replacement people seem to have 'restrictions' for life.

Actually, I have a question, relating to my own situation, on this

matter, but will leave that for another day.

Regards,

Mick.

--

************ ********* ********* ********* ********* *****

'Be not forgetful to entertain strangers; for thereby

some have entertained angels unawares!'

************ ********* ********* ********* ********* *****

------------ --------- --------- ------

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Regarding restrictions, there doesn't seem to be any rhyme or reason

in terms of why some people have restrictions for a long (or

indefinite) period of time.

However, keep in mind that the muscles being cut in any hip

replacement are those which keep the hip in place. Once cut, it would

seem possible that incomplete healing might occur or that the muscles

might never again return to their original condition -- even with

physical therapy which doesn't affect internal tissue growth.

If one can avoid any muscle being cut, why not opt for a method that

guarantees this.

As for short term recovery -- For many people the ability to be able

to avoid all the post operative issues is certainly a major

consideration. Sleeping, sitting on normal chairs (having read about

people who had issues with being away from home); getting in and out

of cars; being able to bend down to perform acts of normal daily life;

not needing a cane, walker or crutches after about the first week.

The large head prothesis are a wash since they are used by almost all

doctors at this point.

On Aug 31, 2009, at 7:32 AM, BOB ZIEGELAAR wrote:

> Thanks! That's my thinking as well. Apparently there is a minimally

> invasive lateral procedure as well but I haven't got the details on

> that yet.

>

> ________________________________

> From: " jarcher107@... " <jarcher107@...>

> Joint Replacement

> Sent: Monday, August 31, 2009 2:08:42 AM

> Subject: Re: Anterior Approach

>

>

> Well I've finally found a surgeon in ton SC who does teh

> anterior

> approach, so I'll be talking to him. I'm all in favor of not cutting

> any

> more muscles if it can be avoided.

>

> In a message dated 8/24/2009 3:41:06 P.M. Eastern Daylight Time,

> m.armitage@sheffiel d.ac.uk writes:

>

> jujulabeemac (DOT) com wrote:

> > As far as I know anterior is the only hip replacement technique in

> > which no muscles are cut and for which there are no restrictions

> > after.

> I understood that the 'restrictions after' were, for the most part,

> due

> to the new (artificial) femoral head being (generally) smaller than

> the

> original one, in which case the type of surgery used to fit the said

> head

> is irrelevant (apart from in the short term - while healing is taking

> place). If what you say is true, surely there will be 'no

> restrictions'

> for those who have had normal (posterior?) surgery, once everything

> has

> healed up, yes? But that doesn't seem to be the case. Many

> hip-replacement people seem to have 'restrictions' for life.

>

> Actually, I have a question, relating to my own situation, on this

> matter, but will leave that for another day.

>

> Regards,

>

> Mick.

>

> --

> ************ ********* ********* ********* ********* *****

> 'Be not forgetful to entertain strangers; for thereby

> some have entertained angels unawares!'

> ************ ********* ********* ********* ********* *****

>

> ------------ --------- --------- ------

>

>

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