Anterior vs. Posterior Total Hip Replacements - Pros and Cons for the Patient

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  • Опубліковано 24 лют 2021
  • Watch and listen as Dr. Francis Cyran discusses the pros and cons of both Anterior and Posterior Total Hip Replacements.

КОМЕНТАРІ • 129

  • @lisacalhoun8080
    @lisacalhoun8080 2 роки тому +38

    My mom had a THR after she was misdiagnosed with back pain for years. Before the THR, she was in chronic pain and could barely walk across a room. After the THR, she has been pain-free and walks faster than I do! I am so grateful for this procedure...it gave her a new lease on life. Thank you to all the surgeons who perform this surgery well!! You are changing lives--not only for the patients but for their families as well.

    • @Mom3girls1d
      @Mom3girls1d 2 роки тому +3

      @lisa Calhoun I am so happy for you and especially your Mom!

    • @docjames1965
      @docjames1965 Рік тому

      That's great! Your mom did use the Ceremic to ceramic right? Also called big head?

    • @curbshoppin
      @curbshoppin Рік тому +5

      I had my first one done in April and my second one done two weeks ago it is amazing to me to be able to sleep without pain even though my second one isn’t completely healed the difference is outstanding , just a few months ago I was a complete invalid , such amazing work I pray for my doctors everyday

    • @bonnieferreira160
      @bonnieferreira160 Рік тому

      Did your mom have a lot of pain after her hip replacement?

    • @caroldeglau8795
      @caroldeglau8795 8 місяців тому +1

      Wow, same here. Misdiagnosed. Treated my spinal stenosis for 3 years even put in a neurostim implant...extreme pain, constantly.. found out on MRI to check my implant . At the bottom of the report it was noted that had severe degeneration of my hip. Instant relief with thr. Just had my other one replaced...I'm feeling bionic. Lol

  • @Mensan1960
    @Mensan1960 11 місяців тому +4

    I had hip AND knee replaced last year. Other than the scars, you would not be able to tell by my walking. Full movement, both anterior, and no joint pain anymore. CAD system to install knee. It’s perfect. (62)

  • @lillyandrews4618
    @lillyandrews4618 6 місяців тому +3

    I had the anterior replacement 10 days ago. I am walking with no aids and driving. Best thing I have done...Definitely get the anterior incision!!

    • @lillyandrews4618
      @lillyandrews4618 6 місяців тому +1

      and to add the doc used the robotics in my surgery... they did a CAT scan of my hip for a 3D model, which gave the right size for my hip

    • @tombryant52jumpscoach
      @tombryant52jumpscoach 2 місяці тому

      I'm glad to hear that. I go in for surgery in 27 days. The surgeon will do anterior.

  • @mikefisher8503
    @mikefisher8503 2 роки тому +23

    Had my THR Anterolateral on the right side 3 week's ago. It has been a very good experience for me. Immediate relief from the arthritis I have been suffering from for years. I am walking 1.5 miles a day. I am scheduled for the left side in 9 weeks.

    • @mikeunser753
      @mikeunser753 2 роки тому +5

      I had my left THR end of April and my right THR a few days ago. You are correct immediate relief from the osteoarthritis pain in the hip. Recovery for me for the first one was very easy. So far the recovery for second one has been a little more pain but recovery is still going very well.

    • @mikefisher8503
      @mikefisher8503 2 роки тому +5

      @@mikeunser753 good to hear. I am 7 weeks from the left side and am looking forward to it. Good luck with your recovery!

    • @Catamount19
      @Catamount19 2 роки тому +3

      I'm getting a thr in dec. I'm 40yrs old and have douple arthritis in my right hip. I hope to heal quickly cause I have 4 young kids and I ride electric skateboards, lol.

    • @mikefisher8503
      @mikefisher8503 2 роки тому +3

      @@Catamount19 I just had my THR on the left side yesterday. A bit more painful than the right side 12 weeks ago, but so far, manageable. The right side is doing very well.

    • @Catamount19
      @Catamount19 2 роки тому +1

      @@mikefisher8503 awesome to hear. I only need the right side. I hope I can heal by spring so I can enjoy being outside again and riding again. Are u walking or on cane? I'm curious to what rehab is going to look like. How long till you drove?

  • @emmasebastian8018
    @emmasebastian8018 2 роки тому +4

    This is excellent information well presented! Thank You!!

  • @user-de1lp7rs9g
    @user-de1lp7rs9g Місяць тому

    What a comprehensive explanation. I had a TKR courtesy of UK NHS hospital Rugby 8 months ago. The most painful surgery I ever had with many analgesics used in the waiting time prior to surgery, so many opiates, NS-AIDS, NEFOPAM, paracetamol, blood thinners during post surgical hospital recovery. During and up to 5 weeks after surgery strong pain was constant.... And then the pain dropped away and I was able to eliminate opiates and all the other painkillers over the next 4 months. 3 months after I drove alone from England to Southern Portugal, whilst still taking Etoricoxhib and Nefopam. A distance of 1600 miles with a stick shift manual car, using my new knee all the way continuously. Once here I stopped all painkillers to discover that they had masked deterioration in my right hip which I now know needs THR in the coming months. Bummer😂
    I am very grateful to this video for explaing so clearly all the pros, cons, choice and risk factors involved.
    Now better informed, I feel much more confident to handle what is to come.

  • @antoniahall7507
    @antoniahall7507 8 місяців тому +1

    Encouraging and informative video. I just had hip replacement 2 weeks ago. I’m looking forward to the day when I get to forget I had it!😊

  • @andreah6379
    @andreah6379 7 місяців тому

    Great video! Very comprehensive! Thank you.
    Information is power.

  • @scottgordon1721
    @scottgordon1721 3 роки тому +1

    Excellent review

  • @macker0077
    @macker0077 3 роки тому

    very educational. Thanks.

  • @ellieantar809
    @ellieantar809 Рік тому +3

    Excellent video thanks so much very informative

  • @hammersteve
    @hammersteve 3 роки тому +2

    Thank you for such comprehensive information

  • @scottkwidzinski6658
    @scottkwidzinski6658 Рік тому

    Excellent. Thanks

  • @frankb518
    @frankb518 Рік тому +8

    I've had both hips replaced.... First was two years ago. That was my left, done Posterior method..... Was back to work in six weeks. Just had my Right side done, Anterior and going into week five. I will not be ready for at least another three weeks to go back to work. If I could do it all over again I would opt the Posterior. In my opinion, the Anterior is way more risk of nerve and muscle tissue to recover from surgery. Right thy is still numb .

    • @sueamyotte2209
      @sueamyotte2209 Рік тому +1

      Exactly my same experience! With anterior I didn’t go back to work for 10 months! So much nerve pain! Posterior was so much easier! Back to work part time in 6 weeks!

    • @robertbutler8004
      @robertbutler8004 Рік тому

      @@sueamyotte2209 Krikey I hope you do not have a mortgage!

    • @annemariewheeler1404
      @annemariewheeler1404 5 місяців тому

      I don’t think u have a choice. Both my hips anterior. Longer to heal

    • @frankb518
      @frankb518 5 місяців тому

      Take the Exercise serious and You'll be fine! but to be clear, even with the Pros and Cons I am greatful for new Hips........ @@annemariewheeler1404

  • @lionheart1916
    @lionheart1916 Рік тому +4

    Iv had trh done posterior ...wondered why my recovery was so long after investigating I had some nerve damage and developed tendonopathy...4 years on and after a lot of rehab to build up that area on my part I'm in better place but have to say the rear in quite devastating and when I need the other would opt for side approach..

  • @bigoleprettygirlsbopgdesig785
    @bigoleprettygirlsbopgdesig785 5 місяців тому

    Thank you!

  • @rumcoke9123
    @rumcoke9123 9 місяців тому +3

    I had a posterior done. Went well. Im at 7 months now. Playing tennis, but still pain in the glut muscles. Do the anterior if you have a choice.

  • @xhibit4197
    @xhibit4197 3 роки тому +1

    Thank u

  • @ViperJon
    @ViperJon Місяць тому +1

    People will always say whatever method they chose was the "best". The simple truth is after a 4-6 month total recovery period neither has any documented proven better results than the other. And anterior "may" have less of a chance of dislocation but with a 1-3% chance with a posterior thats unlikely anyway. You'd have to fall or do something very stupid. For me, I chose posterior because I am in excellent physical shape and didn't want to risk the possibility of any nerve damage from the anterior approach. I didn't need any pain meds, was walking with a cane 3 days later and got out of bed myself. Everybody is different.

  • @juliegonzalez1780
    @juliegonzalez1780 3 роки тому +10

    Very educational... I recently had a THP couple of weeks ago... currently recovering.

    • @lotofbitsabout
      @lotofbitsabout 3 роки тому

      Hi Julie, which approach and how are you doing?

  • @dynamicschwabee8207
    @dynamicschwabee8207 Рік тому +3

    I am going in early June for my left total hip replacement. I really thank you for your very informative video. I answered a ton of questions that i had! I was told that the anterior incision was the best to get (my mom) but my doc does the side to back cut. I learned from you the correct info for that. Lol, mothers! I am overweight and I’ve been trying to loose weight for my surgery. Boy is that hard! With not able to move around much,,,! Ouch! So, I have lost a total of 47 pounds! I hope it’s enough to get the surgery,,, I’m in so much pain! Anywho, Monday is the next weigh in. Sincerely, dee

    • @robertbutler8004
      @robertbutler8004 Рік тому

      Dynamic Schwabee good luck on your journey. On the 8/5/23 I had my hip replaced no pain in the groin or knee is fantastic.

    • @michaelluna1968
      @michaelluna1968 8 місяців тому

      Best wishes for the best of health.. Thanks for your info :)

  • @peteryork4827
    @peteryork4827 2 роки тому +5

    Hi had my hip done 2 years ago after breaking cycling racei g im 73 back into rideing after 7 weeks its taken full 2 years to feeling good under training load
    Peter perth australia

  • @docjames1965
    @docjames1965 Рік тому +9

    Anterior and Southern approach can be debated for infinity. Posterior is just best. There are way too many problems with anterior approach. I've operated on THR over 600 over since I've been a Orthopeadic surgeon. Never had any dislocation in my life. In my point of view, I think for hip placement, anterior approach should be banned. Period. Use it only for other procedures.

    • @TheAnonyy
      @TheAnonyy Рік тому +2

      Can you elaborate what problems there are with anterior please not just state that there are some, so we can have more information about it?

    • @sherrid5315
      @sherrid5315 Рік тому

      I am getting the posterior one these videos on this approach are scaring me . Why so many against it. My surgeon is the best and it will be done by Stylker Robotic . 😮

    • @onestarabove7027
      @onestarabove7027 11 місяців тому +1

      I have definitely been in severe pain with the anterior surgery. The femoral part is so painful. It’s been three and a half weeks and I’m still in pain and using a walker.
      I was sent home the same day. Family stayed with me for five days. After that, it was very difficult to care for myself.
      I walked inside over one mile every day. It was the only way to get some relief from the pain.
      They had me on two 500 mg Tylenol, one 800 mg ibuprofen every eight hours and one baby aspirin a day.
      My primary doctor told me not to take baby aspirin because of my age, 63. It could cause a brain bleed.
      Doing my own research, I discovered that ibuprofen causes you to swell. My right leg was twice the size of the unoperated hip.
      After I went down to 200 mg of ibuprofen and no Tylenol, the swelling decreased drastically.
      I took a very good quality B complex vitamin and a full regimen of other vitamins. The B complex greatly enabled me to walk better and with less pain.
      The wound was red right after surgery. My physical therapist got the doctor to prescribe an antibiotic which cleared it up.
      I feel as though I was put in harms way by being sent home the same day. It is also necessary to have someone with you for at least two weeks.
      It’s been sheer hell but I’m on the mend.
      I’m not sure how they expect someone to safely walk with a Walker when they are on high doses of Tylenol and ibuprofen.
      Getting out of bed was a nightmare.

    • @robertbutler8004
      @robertbutler8004 5 місяців тому

      @@sherrid5315 the robotic system is still only as good as the Surgeon using it.

  • @REDMAN298
    @REDMAN298 2 роки тому +6

    I had a left THR on May27 then right THR on Oct.14. Both very painful 1st one was worse. You just have to get thru it. They do pound a new ball into the sawed off femur. How can that not hurt?

  • @Daniellebella6
    @Daniellebella6 2 роки тому +5

    In Canada here. I'm 36 and just had a THR Posterior Approach a week ago. It was outpatient. I went home same day. 😳 I was diagnosed with Avascular Necrosis of the Femoral Head.
    The recovery has been challenging so far but I know it will take a lot of time.

    • @dianaolona2901
      @dianaolona2901 2 роки тому +2

      I just saw this video. I am 73 and scheduled for thr on Oct 28th. I also have avascular necrosis of the femoral head. My surgeon does posterior surgery. How are you doing now?

    • @Daniellebella6
      @Daniellebella6 2 роки тому +2

      @@dianaolona2901 I'm doing well!! The bone pain/AVN pain is gone immediately. The surgical pain os temporary. The first 2 weeks were tough and I'm still doing physio. No regrets!!! You will do great!

    • @dianaolona2901
      @dianaolona2901 2 роки тому

      So glad to hear you're doing well. To say that this is a challenge is putting it mildly. It's tough but it is slowly getting better. Thank you.

    • @SRJ2832
      @SRJ2832 2 роки тому

      @@dianaolona2901 I'm 6 days post Right THR and my Doctor did Warn me that these 1st 2 weeks I'm gonna feel like he beat me up🤕🤕 But like you, I feel like things will get better. I just wish I did a few years ago when I was in much better shape going in.

    • @jontaylor5858
      @jontaylor5858 2 роки тому +3

      im 38 had the anterior approach done and i was up and walking and driving back to work in 1 week with no walking aids nor pain relief. very happy

  • @BelleRiverHeating
    @BelleRiverHeating Рік тому +7

    It is unbelievable that people think that that they can become robocop after this surgery. I myself just want to be able to sleep at night. I don't plan on skiing or playing football again. I'm not an idiot. I just don't want to be in pain anymore.

    • @TheAnonyy
      @TheAnonyy Рік тому

      Agree. I've heard people doing martial arts I would steer clear from anything like that.

    • @robertbutler8004
      @robertbutler8004 Рік тому

      @@TheAnonyy did you watch any of the Australian Open tennis in Jan 2023 Andy Murray played brilliantly with two hip replacements?

  • @BoxOfficeVegasLLC
    @BoxOfficeVegasLLC 3 роки тому +7

    Thanks. I just hade mine a week ago. I guess lateral since 8” incision at side of my hip. I underestimated the severity of what I was getting into. 3-day hospital stay with poor pain management made it a bad experience so far. I need to get the other side done as well

    • @BoxOfficeVegasLLC
      @BoxOfficeVegasLLC 3 роки тому +1

      To clarify - my surgery was in Las Vegas. Different doctor

    • @bornwin-sx9oz
      @bornwin-sx9oz 2 роки тому

      How are you doing? I had mine done 12 days ago. I am in a lot of pain.

    • @BoxOfficeVegasLLC
      @BoxOfficeVegasLLC 2 роки тому

      @@bornwin-sx9oz Sorry for your pain. Are you home? Started PT yet?

    • @bornwin-sx9oz
      @bornwin-sx9oz 2 роки тому +1

      @@BoxOfficeVegasLLC I am home. Today is day 13 post op. The pain has decreased slightly. I start PT in 4 weeks. Right now I’m just walking around the house. I’m feeling depressed. I guess that’s normal given the circumstances. What worries me the most is the operated leg is slightly bigger now than my other leg. Doc says it will start to feel normal in 3 months. How are you doing?

    • @BoxOfficeVegasLLC
      @BoxOfficeVegasLLC 2 роки тому

      @@bornwin-sx9oz My leg swelled up a couple of times after surgery. Did they give meds for pain? You’re going to need it when you start PT.
      I’m seeing my surgeon at end of this month. I’m still limping after 4 months. Something else is wrong

  • @ojoyful1
    @ojoyful1 8 місяців тому +2

    For a person with osteoporosis, is there an added danger with the stem going down a hollow femor?

    • @carolchapman4813
      @carolchapman4813 Місяць тому

      Did you have surgery yet? I have osteoporosis, my surgeon is going to cement mine. I'm having mine done May 8th.

  • @lynnchasan6339
    @lynnchasan6339 3 роки тому +3

    Thank you for the information - I am due for a THR and have limped for 15 years, how do I deal with my limp post surgery?

    • @izzonj
      @izzonj 2 роки тому +3

      Physical therapy to strengthen the muscles and restore range of motion after years of limping.

    • @robertbutler8004
      @robertbutler8004 Рік тому

      @@izzonjyou could have also said and a lot of money as well

  • @nadirbutt6028
    @nadirbutt6028 2 роки тому

    I need this ...also 😭

  • @eddiecoates4045
    @eddiecoates4045 2 роки тому +3

    I had an anterior one in 2016 and in 2020 was push up a hill with rocks in a wheel barrel snd if felt like it locked up snd I limped around for a week or do but it still has problems . What do I need to do ? Had TKR 7 weeks ago snd was learning with s cane after 4 weeks snd on the way home had to us cane on my right hip replacement side to get home

    • @louiseswartzendruber5499
      @louiseswartzendruber5499 8 місяців тому

      27:25 27:25 27:39

    • @MrJoseph1227
      @MrJoseph1227 6 місяців тому

      If you had your hip replacement on the right side you should hold your cane in the left hand. Sleeping the first couple of months is challanging. As a side sleeper I used a pillow between my legs. Now in my 4th month and am playing golf. Only problem in getting my stocking on but I manage. I am 89 years old.

  • @earlejames8475
    @earlejames8475 6 місяців тому +1

    Hello and thanks for all this great information! I'm considering hip replacement and have reviewed the Anterior and Posterior approach. In doing my research I came across another approach called the Direct Superior Approach. Have you heard of this approach? How does it measure up the the Anterior and Posterior approaches?

    • @lillyandrews4618
      @lillyandrews4618 6 місяців тому +1

      I had the anterior surgery 10 days ago.. recovering is so easy.. Lots of soreness around the incision as you would expect. I have not taken any narcotics for pain. I am now off any walking aids and driving. Best of luck to you...definitely say go with anterior, I did a lot of research before having it done.

    • @earlejames8475
      @earlejames8475 6 місяців тому

      Wow. Good for you! I just had Direct Superior Hip Surgery on 12/11. No pain for two weeks (while on meds) . Now I'm starting to get some pain but tolerable. Glad I got it down and wish I had done it sooner

    • @robertbutler8004
      @robertbutler8004 5 місяців тому

      @@earlejames8475 I don't know where you are getting the Superior approach from what country are you living in?

    • @robertbutler8004
      @robertbutler8004 5 місяців тому

      2earlejames8475 there are 3 approaches only (1) Anterior FRONT (2) Posterior BACK and (3) Lateral SIDE.

  • @veroniqueeldridge-smith9193
    @veroniqueeldridge-smith9193 2 роки тому +3

    He said posterior restrictions are life long but they are only for 6 weeks!

    • @grannyhorsetraining878
      @grannyhorsetraining878 2 роки тому +2

      Yeah, how come this is the first surgeon to say that the restrictions are permanent?

  • @johndienhoffer2707
    @johndienhoffer2707 2 роки тому +1

    If you have dysplasia and have a hip replacement, is there an effect on what and how much you exercise? What are the limitations?

    • @TheAnonyy
      @TheAnonyy Рік тому

      Yh I'd like to know this too. My surgeon says he has to rebuild the socket as its shallow so take a piece of none from pelvis says socket is higher up so my leg will be longer

    • @johndienhoffer2707
      @johndienhoffer2707 Рік тому

      @@TheAnonyy I think i'd get a secound opinon.

  • @nutans86
    @nutans86 2 роки тому +5

    How much physio do you need after anterior hip replacement?

    • @izzonj
      @izzonj 2 роки тому +1

      It will depend on your condition and how much you do your exercises.

    • @Lisa_BisaRN
      @Lisa_BisaRN 2 роки тому +1

      I had a right hip replacement 3 weeks ago. I attend PT 2x/week & will for 6 weeks total.

  • @neoanderson4840
    @neoanderson4840 6 місяців тому

    Have to undergo a surgery 😊 wondering if i can have any children ..... like that gentleman did .... after 9 months..... man he sure did recover

    • @robertbutler8004
      @robertbutler8004 5 місяців тому

      @neoanderson4840 it would depend on if you are a male or female 😝

  • @amazoncare8731
    @amazoncare8731 Рік тому

    can total hip replacement surgery be done on clients with Atrial Flutter?

    • @mercer-bucksorthopaedics1873
      @mercer-bucksorthopaedics1873  Рік тому

      Thank you for your question! To best answer your question, please give our office a call where one of our medical staff will be able to assist in answering that for you! 855-896-0444

  • @ericaferrell4735
    @ericaferrell4735 2 роки тому +1

    Can you get MRIs with the metal parts

    • @paulretlewski8068
      @paulretlewski8068 Рік тому +1

      Yes, there are protocols for taking MRIs but the results aren't always good.

  • @maxsmart8954
    @maxsmart8954 Рік тому +2

    Why posterior??? 5” scar or 16” scar? Plus recoveries are 50% quicker with anterior

  • @kevindavies7265
    @kevindavies7265 2 роки тому +1

    It sounds like the doctor was referring to life time restrictions with the posterior approach of not crossing legs and not touching toes or keeping my legs at 90 degrees. I thought this was just for the rehab period and not life time. Can someone please clarify this. Thanks

    • @izzonj
      @izzonj 2 роки тому

      I had a 2-incision THR and have no restrictions. From the day of surgery, no restrictions on range of movement.

    • @grannyhorsetraining878
      @grannyhorsetraining878 2 роки тому +1

      @Kevin Davies I thought those restrictions were only during recovery too. Am very surprised this Dr. Says they are forever ? ?

    • @kevindavies7265
      @kevindavies7265 2 роки тому +2

      @@grannyhorsetraining878 they are not forever. I can cross my legs and do just about everything. It is just during rehab. I am nowmatm6 months.

    • @TheAnonyy
      @TheAnonyy Рік тому +1

      Yh the restrictions for posterior during the recover is temporary. This video should be corrected

    • @robertbutler8004
      @robertbutler8004 Рік тому +2

      Kevin Davies, I asked my Physio just recently after my hip replacement and he told me min of 6 weeks nobody in their right mind would say forever.

  • @robertbutler8004
    @robertbutler8004 Рік тому

    Man I watched the Australian Tennis Open in Jan 2023 Andy Murray has two hip replacements and he played great up until he was beaten I just had a hip replacement on 8/5/23 does that mean I can play Tennis half as good as Andy?

    • @tedshep
      @tedshep 10 місяців тому

      I think Andy Murray had hip resurfacing. Similar to a hip replacement, but a bit different.

    • @robertbutler8004
      @robertbutler8004 7 місяців тому +2

      @@tedshep I know that Andy had hip resurfacing I just made the comment with tongue and cheek!!

    • @robertbutler8004
      @robertbutler8004 5 місяців тому

      😅

  • @nutans86
    @nutans86 2 роки тому +1

    What is the probability of leg length issues with THR?

    • @mikefisher8503
      @mikefisher8503 2 роки тому +1

      My surgeon added 3/8 of an inch to my right leg, noticeable right away, I have got rid of my limp that I have had for more than 10 years.

  • @The1royboy
    @The1royboy Рік тому +1

    any leg length descrepancy

  • @robertbutler8004
    @robertbutler8004 7 місяців тому +1

    7/11/23 26 weeks after hip replacement and my hip is fantastic but now I'm waiting for my other hip to be replaced.

    • @robertbutler8004
      @robertbutler8004 2 місяці тому

      Today 5/4/24 I'm 3 weeks out from having my second hip replaced I can't wait.

  • @sandeeforeshee3567
    @sandeeforeshee3567 2 роки тому +3

    Wtf …one gentlemen had a kid after hip surgery? Nobody else caught that?

  • @mast3rmin3
    @mast3rmin3 2 роки тому +6

    Wow I can’t believe a guy could have a baby nine months after the surgery you’re amazing I bet you charge a little extra for that,😉

    • @ebocaner
      @ebocaner 2 роки тому +1

      Glad somebody called that out! 🤣🤣🤣😆

    • @angelacarberry4744
      @angelacarberry4744 5 місяців тому

      Well maybe he was in too much pain prior to make out.😅

  • @jimh527
    @jimh527 8 місяців тому

    Absolutely no evidence smoking one cigar a week was even remotely connected to that gentlemans infection.