“The risk of this occurring may be higher with surgeons who aren’t as familiar with the anterior approach,” says Dr. Of course, skill and experience are factors here. Instance, surgeons don’t have the best view of the hip from the anterior approach throughout the procedure, something some physicians say can contribute to issues during surgery.Īnother significant complication that could arise from anterior hip replacement is a fracture of the patient’s femur while the surgeon is preparing it for the insertion of the implant. Although many surgeons swear by the anterior approach, there are some disadvantages to consider. Behery says using a specialized table leaves less room for error. Is the right size and placed as precisely as possible. This feature aids in the use of fluoroscopy during the procedure and ensures that the implant ![]() Behery.Īlong with offering surgeons better positioning options for anterior hip replacement, these tables are radiolucent or transparent to X-ray images. ![]() Need for assistance to readjust the patient during surgery, and this makes it easier for the surgeon to position the patient’s legs in different ways to allow for better access to the hip socket, according to Dr. With the ease of positioning provided by a hip-specific table, there’s minimal “Essentially, you’re using a traction table where both legs are suspended on bars and both feet are suspended on boots,” says Omar Behery, MD, aįellowship-trained orthopedic surgeon at Midwest Orthopaedics at Rush in Chicago, who specializes in performing hip procedures using the anterior approach. The procedure so the surgeon can properly position the artificial joint. These tables are designed specifically for anterior hip surgery and allow for more mobility of the patient’s leg during The specialized hip tables used for this approach play a major role in the surge in anterior total hips. Recovery is also typically quicker, and there are fewer restrictions for patients as they heal. On the patient side, there is often less pain and discomfort postoperatively. The minimally invasive nature of this approach offers a significant advantage for surgeons, who prefer not having to cut through muscle to access the hip. ![]() With this minimally invasive technique, the surgeon makes a small incision at the front of the hip (typically on the upper thigh) with the patient in the supine position, whichĪllows for the removal of damaged bone and cartilage and precise placement of an implant in a manner that avoids damage to the surrounding muscle and tendons. While the posterior and the anterior approach to total hip arthroplasty are each safe and effective options in the hands of skilled surgeons, technological advancements allow outpatient surgeryĬenters to offer more surgeries using the anterior approach. Most surgeons who perform these high-volume proceduresĪgree, but depending on who you talk to, you could wind up with a very different response on the best way - anterior or posterior - to perform the procedures. Because same-day surgeries are associated with faster recoveries and fewer complications, outpatient total hips have long been seen by patients and payers as the preferred surgical option.
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