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

Should you have an anterior approach or a posterior approach. Which is better?

__________________________________________________________
OTHER VIDEOS TO WATCH

__________________________________________________________
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

IS ANTERIOR APPROACH BETTER FOR HIP REPLACEMENT? WHAT IS THE ANTERIOR APPROACH and how is it similar and different from the POSTERIOR APPROACH FOR HIP REPLACEMENT. In this video I cover all of that and more. WHAT IS THE DIFFERENCE BETWEEN ANTERIOR AND POSTERIOR APPROACH.

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

[dradamrosen]

What approach did you have? How was your recovery?

[bajajudy]

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.

[cindysanford]

Doctors like you, who take the time to educate us, are a treasure. Health care today is often rushed, and most surgeons don’t take or have the time to go over all the things you did. Thank you so much for your kindness. ❤

[cheries]

Thank you for your very helpful explanation. I'm preparing for hip replacement within 2 weeks.

[kittyg]

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.

[MiriamAndrade-wp]

Thank you for posting this informative and interesting video!

[pwabbit]

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

[cpp]

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

[alwas]

great info. the Dr. i found is very positive and claims i'll do well. his attitude towards me imo is half the battle! plus people i have met gave him great reviews and positive outcomes. goin' for it on 9/16/24... i can not wait to have the excruciating pain gone! thanks for the one vs the other. i am having the posterior. just in case there are other problems. 😊

[arrowheaddev]

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

[SaltyKayak]

I will be heading to the table in a few months for a right hip replacement. One question I have and not seen an answer to, is the anterior vs posterior operation better or worse for when you have to go to the toilet?

[TimFitzhenry]

Thank you doctor for your thoughts. The healing might also take longer as I had a heart transplant 6 years ago.
Thanks again

[PetPrepRadioShow]

@Dr Adam Rosen -Knee Pain & Arthritis Information
Shalom! Thank you DOC for your info! I'm seeing a surgeon this morning to discuss the anterior approach. I got a lot out of your video! My goal is to return to riding/training horses again. I'm very curious which type of material you recommend for the replacement as I need both hips done and not crazy about plastic. I'm severely arthritic. Originally, I was scheduled to have surgery, posterior approach on the 24th of this month, but I didn't have enough info or feel comfortable enough to move forward. After watching your video, maybe the posterior approach is best, after hearing your thoughts about tendons, muscles; mine are most likely torn and spasming; and repair would mean relief! Severe Chronic Pain is NO fun! I hope you will answer my comment as I'm anxious to make a decision to schedule surgery! Thank you AGAIN! Shalom!

[karihall]

I was told my surgeon is doing anterior lateral? I have an anterior approach done on the other side. Any worries with that?

[TimFitzhenry]

Good info, I recently had a broken hip replaced that the cement fell apart and was infected. In replacing that they put in a temp with an antibiotic block in it which then was replaced in 6 weeks with the permanent one. Now it dislocated once and attempts to dislocate again. Did the number of replacements weaken the socket ?

[SLAMINGKICKS]

I have been booked in for a posterior approach bilateral (both) hip replacement in January 2025. I'm relatively fit 41 year old weighing under 90kg but been living with diminishing hip pain for as long i can remember. Not sure how I'm going to be able to get up from a chair or move about in the first 2-3 weeks, most the videos i have seen people are recovering from just one hip and they are at least 10-20yrs older then me. I did consider the anterior approach but my doctor is well experienced with the posterior.
any advice in terms of post operative therapies would be helpful.

[sorrell]

Would love to hear more about male patients vs female in re: recovery
It makes sense that the athletic would do better than couch potatoes, but what about those in between…..active but not athletic???

[junehelligrath]

Showing the two approaches with a visual.

[routmaster]

I was advised to have posteria hip replacement because anteria procedure takes TOO LONG>

[roberttamurian]

Thank you for this review and I think it will help our patients. As a joint replacement specialist, who does both approaches I have found the literature supports the fact that there is more symptomatic extra bone formation, iliopsoas bursitis, tendonitis, greater troch bursitis/gluteus tendonitis and of course 40% of patients will have lateral femoral cutaneous nerve compromise after surgery with 11% that do not resolve by 5 years after surgery, all of which are much lower or avoided completely with a tissue sparing mini posterior approach. As such, after 25 years of orthopedic surgical practice, I have gone back to mini-posterior approach.