Guest guest Posted October 21, 2008 Report Share Posted October 21, 2008 Were the parts used metal on metal? I could not find a website for Dr. Moon other than the Cedars one. How did you find him? I know Dr. Matta who is in Santa uses the special table and anterior approach as well, but he does not take insurance. Did they give you any idea how long the replacement should last? Thanks, Mike > 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? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ____________ _________ _________ _________ _________ __ > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2008 Report Share Posted October 21, 2008 Everything about THR through the anterior approach is identical to " standard " THR -- it is only the site of the incision -- and hence the lack of dissecting muscles which differs -- and of course the recovery. At the time I had the surgery, Dr. Moon offered me the choice of metal on metal or ceramic. The devices are the same -- it is only the technique of insertion that differs. No OS can say how long any replacement lasts. Dr. Moon trained under Dr. Matta (FWIW). I located him through a referral since I wanted to use a doctor affiliated with Cedar Sinai who used the anterior approach. On Oct 21, 2008, at 5:48 PM, Mike Rivas wrote: > Were the parts used metal on metal? I could not find a website for > Dr. Moon other than the Cedars one. How did you find him? I know > Dr. Matta who is in Santa uses the special table and > anterior approach as well, but he does not take insurance. Did they > give you any idea how long the replacement should last? > > Thanks, > > Mike > > > > > 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? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ____________ _________ _________ _________ _________ __ > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2008 Report Share Posted October 21, 2008 WHat I meant is that the devices used in the anterior approach are the same as for more standard approaches -- metal or ceramic depending on what the OS uses -- or in my case left up to me. Obviously there is a difference between metal and ceramic protheses. On Oct 21, 2008, at 5:51 PM, jujulabee@... wrote: > Everything about THR through the anterior approach is identical to > " standard " THR -- it is only the site of the incision -- and hence the > lack of dissecting muscles which differs -- and of course the > recovery. At the time I had the surgery, Dr. Moon offered me the > choice of metal on metal or ceramic. The devices are the same -- it is > only the technique of insertion that differs. No OS can say how long > any replacement lasts. > > Dr. Moon trained under Dr. Matta (FWIW). I located him through a > referral since I wanted to use a doctor affiliated with Cedar Sinai > who used the anterior approach. > > On Oct 21, 2008, at 5:48 PM, Mike Rivas wrote: > > > Were the parts used metal on metal? I could not find a website for > > Dr. Moon other than the Cedars one. How did you find him? I know > > Dr. Matta who is in Santa uses the special table and > > anterior approach as well, but he does not take insurance. Did they > > give you any idea how long the replacement should last? > > > > Thanks, > > > > Mike > > > > > > > > > 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? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ____________ _________ _________ _________ _________ __ > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 21, 2008 Report Share Posted October 21, 2008 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? > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ____________ _________ _________ _________ _________ __ > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2009 Report Share Posted August 24, 2009 Anterior is the only one understand, (though I admit I try not to think about some of teh details.) But when we get to terms like just " MIS " or " two incision " , it sometimes isn't clear just what they are talking about. I've read up on the two-incision, but sometimes it's MIS but just ONE incision...wish they had some clearer terms. judith In a message dated 8/24/2009 12:11:12 P.M. Eastern Daylight Time, jujulabee@... writes: It is done on a special table which provides for constant X-Rays and also one's feet are put in special boots which hold the legs completely steady and allow the leg to be stabilized and manipulated so that the very exacting procedure can be done. No muscles are cut because the anatomy at the front of the thigh has a " gap " . This is the only procedure that can be called anterior. The incision is not necessarily shorter. Recovery for most people is significantly easier because no muscles are cut. Therefore there are no restrictions because there is no risk of dislocation. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2009 Report Share Posted August 24, 2009 One problem is every time I try to Google it to see who in ton SC does it..I run into a zillion pages, because at an orthopedic conference held her e in 2003 or so...someone did a presentation on it. I think I've found ONE guy who does it here...and it seems (though I've yet to pin this down)..teh company that makes teh operating table is a ton company, so I'd think at least one of our many, big hospitals has one. Glad to know the confusion is not just mine, bot one of loose terminology regarding MIS. I do know that with back procedures, it's just used for surgery done through a smaller opening than the old ways, once they are inside...it's teh same. In a message dated 8/24/2009 12:35:32 P.M. Eastern Daylight Time, jujulabee@... writes: You are confused because the term (even in hip replacements) is used to describe many different things. 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. It's not described as MIS generally -- it's described as " anterior approach " because that is a more concise and clear explanation of exactly what the OS does in his OR. If you want it -- accept no substitutes LOL. Personally I highly recommend it. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2009 Report Share Posted August 24, 2009 The anterior approach is done through the middle of the FRONT (anterior) of the thigh. It is done on a special table which provides for constant X-Rays and also one's feet are put in special boots which hold the legs completely steady and allow the leg to be stabilized and manipulated so that the very exacting procedure can be done. No muscles are cut because the anatomy at the front of the thigh has a " gap " . This is the only procedure that can be called anterior. The incision is not necessarily shorter. Recovery for most people is significantly easier because no muscles are cut. Therefore there are no restrictions because there is no risk of dislocation. On Aug 24, 2009, at 9:00 AM, jarcher107@... wrote: > Thanks Betsy. > > Was this an anterior approach? I'm still trying to sort all the > options > out and understand what they are...been reading a lot but still not > sure I > completely understand them all. > > > In a message dated 8/24/2009 11:04:27 A.M. Eastern Daylight Time, > elizlwil@... writes: > > I am very happy with my recovery. And that's my " MIS " story. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2009 Report Share Posted August 24, 2009 MIS literally means minimally invasive surgery -- it's meaningless unless you ask the OS exactly what he means by MIS in terms of how he/ she does the specific procedure -- and of course MIS means different things for different procedures -- for example my friend had an MIS appendectomy -- they went through her belly button -- no incision and she was discharged the next day -- but I digress. You are confused because the term (even in hip replacements) is used to describe many different things. 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. It's not described as MIS generally -- it's described as " anterior approach " because that is a more concise and clear explanation of exactly what the OS does in his OR. If you want it -- accept no substitutes LOL. Personally I highly recommend it. On Aug 24, 2009, at 9:26 AM, jarcher107@... wrote: > Anterior is the only one understand, (though I admit I try not to > think > about some of teh details.) But when we get to terms like just " MIS " > or > " two incision " , it sometimes isn't clear just what they are talking > about. > I've read up on the two-incision, but sometimes it's MIS but just ONE > incision...wish they had some clearer terms. > > judith > > > In a message dated 8/24/2009 12:11:12 P.M. Eastern Daylight Time, > jujulabee@... writes: > > It is done on a special table which provides for constant X-Rays and > also one's feet are put in special boots which hold the legs > completely steady and allow the leg to be stabilized and manipulated > so that the very exacting procedure can be done. > > No muscles are cut because the anatomy at the front of the thigh has a > " gap " . > > This is the only procedure that can be called anterior. The incision > is not necessarily shorter. > > Recovery for most people is significantly easier because no muscles > are cut. Therefore there are no restrictions because there is no risk > of dislocation. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2009 Report Share Posted August 24, 2009 It is hard to track down solid leads through google because there is so much crap littering cyberspace -- try this link which has a physician locator -- or call the Profx/Hana company to track down a hospital in your area. Anterior Hip Replacement I used this link to locate a surgeon after I had read about the technique. I would NOT have just gone blindly to any OS of course. I checked his credentials - he had a very strong educational and vocational background (had performed his residency under Dr. Matta) and was the Director of Ortho Surgery at Cedar Sinai in Los Angeles which is where I wanted to have my surgery anyway. I set up an appointment and was impressed with him as well as by the number of surgeries he had performed in total and the number of surgeries he performed each week. I don't see any problem with deciding one rationally wants to have the anterior approach and then locating a skilled OS to do it. On Aug 24, 2009, at 9:39 AM, jarcher107@... wrote: > One problem is every time I try to Google it to see who in > ton SC > does it..I run into a zillion pages, because at an orthopedic > conference > held her e in 2003 or so...someone did a presentation on it. I think > I've > found ONE guy who does it here...and it seems (though I've yet to > pin this > down)..teh company that makes teh operating table is a ton > company, so > I'd think at least one of our many, big hospitals has one. > > Glad to know the confusion is not just mine, bot one of loose > terminology > regarding MIS. I do know that with back procedures, it's just used for > surgery done through a smaller opening than the old ways, once they > are > inside...it's teh same. > > In a message dated 8/24/2009 12:35:32 P.M. Eastern Daylight Time, > jujulabee@... writes: > > You are confused because the term (even in hip replacements) is used > to describe many different things. > > 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. It's not described as MIS generally -- it's described as > " anterior approach " because that is a more concise and clear > explanation of exactly what the OS does in his OR. > > If you want it -- accept no substitutes LOL. Personally I highly > recommend it. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2009 Report Share Posted August 24, 2009 jujulabee@... wrote: > The anterior approach is done through the middle of the FRONT > (anterior) of the thigh. > > It is done on a special table which provides for constant X-Rays and > also one's feet are put in special boots which hold the legs > completely steady and allow the leg to be stabilized and manipulated > so that the very exacting procedure can be done. > > No muscles are cut because the anatomy at the front of the thigh has a > " gap " . > > This is the only procedure that can be called anterior. The incision > is not necessarily shorter. > > Recovery for most people is significantly easier because no muscles > are cut. Therefore there are no restrictions because there is no risk > of dislocation. > I wouldn't doubt the direct benefits of having no muscles/tendons cut - and possibly a shorter incision, but just can't help wondering if this type of surgery could result in 'sub-standard' work in terms of the rest of the joint replacement - due to the surgeon having insufficient access to relevant bones. Mick. -- ***************************************************** 'Be not forgetful to entertain strangers; for thereby some have entertained angels unawares!' ***************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2009 Report Share Posted August 24, 2009 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!' ***************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2009 Report Share Posted August 24, 2009 No -- why would that be so. There is the same access except they are coming at it from a different direction. The anterior approach doesn't use a shorter incision -- which is a red herring. You are correct that the studies have found that smaller incisions don't necessarily yield better results and often there are more complications in the placement of the prothesis because of the lack of access. The length of the incision is the last thing I was concerned about because all of the " invasion " is happening below the surface anyway. The anterior approach is a different " skill " set than the standard posterior approach which is why many OS don't do it as it requires learning the new procedure. And of course, it's standard " wisdom " that true skill begins after 100 procedures so one would want to use an OS who has performed many of them and does them often. The special table is very expensive and so many hospitals would not be willing to invest in it since realistically the hospital has to be guaranteed that it will have enough patients to amortize the expense. On Aug 24, 2009, at 12:29 PM, Mick Armitage wrote: > jujulabee@... wrote: > > The anterior approach is done through the middle of the FRONT > > (anterior) of the thigh. > > > > It is done on a special table which provides for constant X-Rays and > > also one's feet are put in special boots which hold the legs > > completely steady and allow the leg to be stabilized and manipulated > > so that the very exacting procedure can be done. > > > > No muscles are cut because the anatomy at the front of the thigh > has a > > " gap " . > > > > This is the only procedure that can be called anterior. The incision > > is not necessarily shorter. > > > > Recovery for most people is significantly easier because no muscles > > are cut. Therefore there are no restrictions because there is no > risk > > of dislocation. > > > I wouldn't doubt the direct benefits of having no muscles/tendons > cut - > and possibly a shorter incision, but just can't help wondering if this > type of surgery could result in 'sub-standard' work in terms of the > rest > of the joint replacement - due to the surgeon having insufficient > access > to relevant bones. > > Mick. > > -- > ***************************************************** > 'Be not forgetful to entertain strangers; for thereby > some have entertained angels unawares!' > ***************************************************** > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2009 Report Share Posted August 24, 2009 Mick - as I understand it, the restrictions also relate to the type of prosthesis. The anterior approach sounds great. I didn't have that but did have a no muscle cutting MIS posterior procedure using a large head metal on metal prosthesis. With that type the " ball " is almost the same size as the original femoral head (I believe mine is 45 or 47mm diameter as opposed to the typical 28mm with a plastic acetabulum component. I had no restrictions after 6 weeks, subject to " listening to my body " and by 6 weeks I had naturally relaxed some of the restrictions. I don't do stupid things and as healing has progressed (been 14 months now), I am totally comfortable crossing my legs, getting down on the floor etc. My 2 cents. Betsy -------------------------------------------------- From: " Mick Armitage " <m.armitage@...> Sent: Monday, August 24, 2009 3:40 PM <Joint Replacement > Subject: Re: Anterior Approach > 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!' > ***************************************************** > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2009 Report Share Posted August 31, 2009 Yes, I've not seen any references to the anterior approach requiring a different prosthesis. (Not claiming there are none, just that i " ve read pretty extensively at this point, and not found any.) In a message dated 8/31/2009 11:06:24 A.M. Eastern Daylight Time, jujulabee@... writes: The large head prothesis are a wash since they are used by almost all doctors at this point. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2009 Report Share Posted August 31, 2009 That's what appeals to me, not just chopping through muscles that are in teh way. I " m 63, and while I'm in " good shape for my age " I'm not out there contemplating bikinis.... With my back surgery, teh incision healed fast and well, the cut muscles...those took a long time to mend. (I didn't have to worry about not being " allowed " to bend over to the floor..no way I could, I was just incredibly stiff.) In a message dated 8/31/2009 1:51:31 P.M. Eastern Daylight Time, sbentley@... writes: My understanding is that besides the smaller incision, no muscles are cut - faster recovery. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2009 Report Share Posted August 31, 2009 Everything EXCEPT the site of the incision is the same -- same prothesis are used which are always large head for younger active patients. One should confirm of course and then flee if an OS says they will use anything but a large head. Regarding minimally invasive -- again, there term is MEANINGLESS since it is a marketing term and is used by different OS to mean different things. It is almost always used to describe the length of the incision which is meaningless for all practical purposes since 1) all incisions are fairly small now barring an issue during surgery 2) most of the " trauma " is below the skin so the length of the incision doesn't reflect internal trauma - does one care about the superficial (i.e. length of incision) or does one want to find out what is going on below the surface in terms of " minimizing " the impact on the body 3) I personally would be more concerned about confirming that the OS had an adequate " space " in which to correctly perform the procedure On Aug 31, 2009, at 8:14 AM, jarcher107@... wrote: > Yes, I've not seen any references to the anterior approach requiring a > different prosthesis. (Not claiming there are none, just that i " ve > read > pretty extensively at this point, and not found any.) > > > In a message dated 8/31/2009 11:06:24 A.M. Eastern Daylight Time, > jujulabee@... writes: > > The large head prothesis are a wash since they are used by almost all > doctors at this point. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2009 Report Share Posted August 31, 2009 My understanding is that besides the smaller incision, no muscles are cut - faster recovery. Re: Anterior Approach 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 31, 2009 Report Share Posted August 31, 2009 Check with the OS about the size of the incision. Mine was about 7 " long or more with 32 staples, posterior approach - but even so, I am not having hip pain so I am happy with the results so far. The scar is more on my butt cheek with only about 1-2 " below the bikini line. I am about six weeks out. Re: Anterior Approach Everything EXCEPT the site of the incision is the same -- same prothesis are used which are always large head for younger active patients. One should confirm of course and then flee if an OS says they will use anything but a large head. Regarding minimally invasive -- again, there term is MEANINGLESS since it is a marketing term and is used by different OS to mean different things. It is almost always used to describe the length of the incision which is meaningless for all practical purposes since 1) all incisions are fairly small now barring an issue during surgery 2) most of the " trauma " is below the skin so the length of the incision doesn't reflect internal trauma - does one care about the superficial (i.e. length of incision) or does one want to find out what is going on below the surface in terms of " minimizing " the impact on the body 3) I personally would be more concerned about confirming that the OS had an adequate " space " in which to correctly perform the procedure On Aug 31, 2009, at 8:14 AM, jarcher107@... wrote: > Yes, I've not seen any references to the anterior approach requiring a > different prosthesis. (Not claiming there are none, just that i " ve > read > pretty extensively at this point, and not found any.) > > > In a message dated 8/31/2009 11:06:24 A.M. Eastern Daylight Time, > jujulabee@... writes: > > The large head prothesis are a wash since they are used by almost all > doctors at this point. > > Quote Link to comment Share on other sites More sharing options...
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