At the 23rd annual meeting of the American Association of Hip and Knee Surgeons in Dallas, Texas, November 8 through 10, 2013, Dr. Mason, Et Al, described their study comparing one group of patients who underwent an anterior hip replacement with a second group who underwent a posterior hip replacement. They found that patients who had the anterior-approach hip replacement voluntarily stopped using all walking aids on average 12 days earlier than patients with a small incision posterior-approach hip replacement. This data corresponds to an article published by me in October 2013, in “The Journal of Arthroplasty.” We found that patients undergoing an anterior approach had less pain, were able to walk a greater distance, get off of their walking aids earlier when compared to a similar group who underwent a posterior-approach hip replacement. These studies emphasize the early benefits of anterior hip replacement with regard to pain relief, function, and the avoidance of postoperative precautions. In our study, after 6 to 12 months there was no difference between the 2 procedures, but patients who I have performed prior posterior hip replacement and subsequently performed an anterior hip replacement uniformly feel the anterior hip replacement allows a quicker recovery with less restrictions. For that reason, we now perform in excess of 90% of our hip replacements from an anterior approach and have noted a shorter length of stay and earlier return to activity.
- Anterior Hip Replacement Studies Show Quicker Recovery
- The Importance of Surgeon Volume in Outcomes of Unicompartmental or Partial Knee Replacement
- The Benefits of Spinal/Epidural Anesthesia for Joint Replacement
- Interpretation of “stiffness” post knee replacement surgery
- Decreasing the Risk of Infection Following Joint Replacement Surgery
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