Guest guest Posted April 13, 2011 Report Share Posted April 13, 2011 I had the anterior approach and your OS is not correct in terms of the parameters observed by other surgeons. Because the anterior approach goes directly through the front of the thigh, it is less likely to have issues relating to fat or musculature. Does your OS perform both anterior approach and other approaches. I ask because the anterior approach is done on a special table and an OS must learn the new procedure. If your OS doesn't routinely perform the surgery on his patients, he is most likely rationalizing why he doesn't do so. The table is extremely expensive and so a hospital needs a high number of replacements to justify the cost. It also requires a high degree of proficiency in the OS - I would not feel comfortable if the OS had not performed at least 100 and also I would want to know (and asked) how many surgeries the OS performed each week. As with anything - the more often the better. On Apr 13, 2011, at 1:59 PM, Bill G. wrote: > , > > Glad to hear you are doing well in your recovery... > > I noticed you had the direct anterior approach.. Can I ask what your height and weight is?? > > My OS says I am to muscular of a guy to have this approach.. > > Thanks, Bill in Indiana > > > > > > It was two weeks ago today I had my left hip replaced via direct anterior approach. Amazing how quickly time flies. I'm still taking my muscle relaxers and pain meds. It seems that I have some good days and not so good days, and even sometimes its broken down into moments. I really had no idea how my body would respond to this surgery, and looking back I think I'm sort of in the middle in terms of pain and healing. Initially my doctor told me I could return to work next week, but there is just no way I feel ready for it. I get my stitches out on Friday and I'm going to ask him to write me a note that gives me one more week at least. My incision looks clean, but my IT band and quadriceps are still tight and sore. I still have alot of tingling burning feelings and my skin is numb which I assume is normal. I have to say without this group I would have been totally lost and scared. Everyone's support and feedback have made this journey much easier than doing it alone. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 13, 2011 Report Share Posted April 13, 2011 Hi I have posted before etc. Nov. 1st 2010 had anterior approach on my left hip Dec 20 had posterior approach on my right hip; I am now getting around really well I think. when I went to the Doc. 3rd of March he said he expected me to have pain as my hips had been horrible. Posterior approach was the normal opening down the side of the butt, but also across the top also as this hip was fusing to the bone. He did a wonderful job from what I can tell. My pain is not that which needs pain pills I use Excedrin. Some days it is just a dull feeling that bothers me, but there is No pain after surgery. The anterior appr Anyway.... my Doc. when he first began doing Anterior approaches he wanted a person who was a ideal weight, and height this is what his nurse told me, but he Now and has been for some time, does the Anterior approach on anyone does not matter the size. He does very few posterior approaches unless there is an issue. From the research I have done some Doctors will only do a Posterior approach as they are not trained in the Anterior approach. So if a Doc. was telling me, (knowing what I know now) that a person is too muscular for the anterior approach I would check out other Doctors in the area to find one who is good doing an anterior approach. From what I know most athletics have the Anterior approach as they have NO restrictions and can get back to working out etc. faster. I have no restrictions on my left hip, but I do on my right... but I can do a lot now just in the last week compared to a month ago I was on crutches and a walker for a year before I got my hips done,,, had to get on medicare... as I had no insurance.... anyway other then weak muscles I was in pretty good health. So Bill I would check around, my Doc was 100 miles from me. Anterior was so easy. I would say most people having one hip done in a month you would be almost back to normal. 5'6 " and 180 lbs. Hope this helps.. Barbara. ________________________________ From: Bill G. <absofbeer2001@...> Joint Replacement Sent: Wed, April 13, 2011 2:59:58 PM Subject: Re: Two Week Anniversary THR , Glad to hear you are doing well in your recovery... I noticed you had the direct anterior approach.. Can I ask what your height and weight is?? My OS says I am to muscular of a guy to have this approach.. Thanks, Bill in Indiana > > It was two weeks ago today I had my left hip replaced via direct anterior >approach. Amazing how quickly time flies. I'm still taking my muscle relaxers >and pain meds. It seems that I have some good days and not so good days, and >even sometimes its broken down into moments. I really had no idea how my body >would respond to this surgery, and looking back I think I'm sort of in the >middle in terms of pain and healing. Initially my doctor told me I could return >to work next week, but there is just no way I feel ready for it. I get my >stitches out on Friday and I'm going to ask him to write me a note that gives me >one more week at least. My incision looks clean, but my IT band and quadriceps >are still tight and sore. I still have alot of tingling burning feelings and my >skin is numb which I assume is normal. I have to say without this group I would >have been totally lost and scared. Everyone's support and feedback have made >this journey much easier than doing it alone. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 13, 2011 Report Share Posted April 13, 2011 I'm 5'9 " tall and weigh about 170 lbs. I can ask my surgeon this Friday if there are certain restrictions. It sort of makes sense because when I had surgery on my arm back in the day when I was 12% body fat, they had to cut through the triceps because it was too solid to move the muscles aside. I never thought about that though with a leg. On Apr 13, 2011, at 3:59 PM, Bill G. wrote: > , > > Glad to hear you are doing well in your recovery... > > I noticed you had the direct anterior approach.. Can I ask what your height and weight is?? > > My OS says I am to muscular of a guy to have this approach.. > > Thanks, Bill in Indiana > > > > > > It was two weeks ago today I had my left hip replaced via direct anterior approach. Amazing how quickly time flies. I'm still taking my muscle relaxers and pain meds. It seems that I have some good days and not so good days, and even sometimes its broken down into moments. I really had no idea how my body would respond to this surgery, and looking back I think I'm sort of in the middle in terms of pain and healing. Initially my doctor told me I could return to work next week, but there is just no way I feel ready for it. I get my stitches out on Friday and I'm going to ask him to write me a note that gives me one more week at least. My incision looks clean, but my IT band and quadriceps are still tight and sore. I still have alot of tingling burning feelings and my skin is numb which I assume is normal. I have to say without this group I would have been totally lost and scared. Everyone's support and feedback have made this journey much easier than doing it alone. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 13, 2011 Report Share Posted April 13, 2011 That sounds correct. My surgeon only does the direct anterior approach and the table is really incredible. I was half put under and I remember telling myself to make sure and look at the table before I was out completely. I remember them strapping my legs into some sort of contraption and then strapped on the table which had a small area for the torso then an open area and some sort of cuffs or something for the feet. I'm sure my memory is off, but none the less I remember how different it was. Most surgeons would direct their patients to have surgery where they felt they had the best expertise. On Apr 13, 2011, at 4:07 PM, jujulabee@... wrote: > I had the anterior approach and your OS is not correct in terms of the parameters observed by other surgeons. > > Because the anterior approach goes directly through the front of the thigh, it is less likely to have issues relating to fat or musculature. > > Does your OS perform both anterior approach and other approaches. > > I ask because the anterior approach is done on a special table and an OS must learn the new procedure. If your OS doesn't routinely perform the surgery on his patients, he is most likely rationalizing why he doesn't do so. > > The table is extremely expensive and so a hospital needs a high number of replacements to justify the cost. It also requires a high degree of proficiency in the OS - I would not feel comfortable if the OS had not performed at least 100 and also I would want to know (and asked) how many surgeries the OS performed each week. As with anything - the more often the better. > > On Apr 13, 2011, at 1:59 PM, Bill G. wrote: > >> , >> >> Glad to hear you are doing well in your recovery... >> >> I noticed you had the direct anterior approach.. Can I ask what your height and weight is?? >> >> My OS says I am to muscular of a guy to have this approach.. >> >> Thanks, Bill in Indiana >> >> >>> >>> It was two weeks ago today I had my left hip replaced via direct anterior approach. Amazing how quickly time flies. I'm still taking my muscle relaxers and pain meds. It seems that I have some good days and not so good days, and even sometimes its broken down into moments. I really had no idea how my body would respond to this surgery, and looking back I think I'm sort of in the middle in terms of pain and healing. Initially my doctor told me I could return to work next week, but there is just no way I feel ready for it. I get my stitches out on Friday and I'm going to ask him to write me a note that gives me one more week at least. My incision looks clean, but my IT band and quadriceps are still tight and sore. I still have alot of tingling burning feelings and my skin is numb which I assume is normal. I have to say without this group I would have been totally lost and scared. Everyone's support and feedback have made this journey much easier than doing it alone. >>> >>> >>> >> >> > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 13, 2011 Report Share Posted April 13, 2011 Yes - one is strapped into what I called " moon boots " This is because the leg has to be absolutely stabilized. In other procedures, the leg is manipulated and stabilized by humans - the moon boots enable the leg to be precisely positioned and stabilized. There is a " hole " in the table to enable constant " x-rays " to be taken - An ordinary operating table would not have this capability. I would highly recommend someone to seek out an OS who does this - and does it in high volume to at least get a " second opinion " . There are no restrictions after surgery which makes life significantly easier as I didn't have the restrictions - plus the " fear " of doing something that would cause my hip to dislocate. On Apr 13, 2011, at 3:11 PM, Weal wrote: > That sounds correct. My surgeon only does the direct anterior approach and the table is really incredible. I was half put under and I remember telling myself to make sure and look at the table before I was out completely. I remember them strapping my legs into some sort of contraption and then strapped on the table which had a small area for the torso then an open area and some sort of cuffs or something for the feet. I'm sure my memory is off, but none the less I remember how different it was. Most surgeons would direct their patients to have surgery where they felt they had the best expertise. > > > > On Apr 13, 2011, at 4:07 PM, jujulabee@... wrote: > > > I had the anterior approach and your OS is not correct in terms of the parameters observed by other surgeons. > > > > Because the anterior approach goes directly through the front of the thigh, it is less likely to have issues relating to fat or musculature. > > > > Does your OS perform both anterior approach and other approaches. > > > > I ask because the anterior approach is done on a special table and an OS must learn the new procedure. If your OS doesn't routinely perform the surgery on his patients, he is most likely rationalizing why he doesn't do so. > > > > The table is extremely expensive and so a hospital needs a high number of replacements to justify the cost. It also requires a high degree of proficiency in the OS - I would not feel comfortable if the OS had not performed at least 100 and also I would want to know (and asked) how many surgeries the OS performed each week. As with anything - the more often the better. > > > > On Apr 13, 2011, at 1:59 PM, Bill G. wrote: > > > >> , > >> > >> Glad to hear you are doing well in your recovery... > >> > >> I noticed you had the direct anterior approach.. Can I ask what your height and weight is?? > >> > >> My OS says I am to muscular of a guy to have this approach.. > >> > >> Thanks, Bill in Indiana > >> > >> > >>> > >>> It was two weeks ago today I had my left hip replaced via direct anterior approach. Amazing how quickly time flies. I'm still taking my muscle relaxers and pain meds. It seems that I have some good days and not so good days, and even sometimes its broken down into moments. I really had no idea how my body would respond to this surgery, and looking back I think I'm sort of in the middle in terms of pain and healing. Initially my doctor told me I could return to work next week, but there is just no way I feel ready for it. I get my stitches out on Friday and I'm going to ask him to write me a note that gives me one more week at least. My incision looks clean, but my IT band and quadriceps are still tight and sore. I still have alot of tingling burning feelings and my skin is numb which I assume is normal. I have to say without this group I would have been totally lost and scared. Everyone's support and feedback have made this journey much easier than doing it alone. > >>> > >>> > >>> > >> > >> > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 14, 2011 Report Share Posted April 14, 2011 That is exactly what they used with me and I have to say the recovery from what I am hearing from my PT is the quickest and easiest. It's been two weeks and I'm not ready to go back to work yet, but I am very mobile. On Apr 13, 2011, at 5:15 PM, jujulabee@... wrote: > Yes - one is strapped into what I called " moon boots " > > This is because the leg has to be absolutely stabilized. In other procedures, the leg is manipulated and stabilized by humans - the moon boots enable the leg to be precisely positioned and stabilized. > > There is a " hole " in the table to enable constant " x-rays " to be taken - An ordinary operating table would not have this capability. > > I would highly recommend someone to seek out an OS who does this - and does it in high volume to at least get a " second opinion " . > > There are no restrictions after surgery which makes life significantly easier as I didn't have the restrictions - plus the " fear " of doing something that would cause my hip to dislocate. > > On Apr 13, 2011, at 3:11 PM, Weal wrote: > >> That sounds correct. My surgeon only does the direct anterior approach and the table is really incredible. I was half put under and I remember telling myself to make sure and look at the table before I was out completely. I remember them strapping my legs into some sort of contraption and then strapped on the table which had a small area for the torso then an open area and some sort of cuffs or something for the feet. I'm sure my memory is off, but none the less I remember how different it was. Most surgeons would direct their patients to have surgery where they felt they had the best expertise. >> >> >> >> On Apr 13, 2011, at 4:07 PM, jujulabee@... wrote: >> >>> I had the anterior approach and your OS is not correct in terms of the parameters observed by other surgeons. >>> >>> Because the anterior approach goes directly through the front of the thigh, it is less likely to have issues relating to fat or musculature. >>> >>> Does your OS perform both anterior approach and other approaches. >>> >>> I ask because the anterior approach is done on a special table and an OS must learn the new procedure. If your OS doesn't routinely perform the surgery on his patients, he is most likely rationalizing why he doesn't do so. >>> >>> The table is extremely expensive and so a hospital needs a high number of replacements to justify the cost. It also requires a high degree of proficiency in the OS - I would not feel comfortable if the OS had not performed at least 100 and also I would want to know (and asked) how many surgeries the OS performed each week. As with anything - the more often the better. >>> >>> On Apr 13, 2011, at 1:59 PM, Bill G. wrote: >>> >>>> , >>>> >>>> Glad to hear you are doing well in your recovery... >>>> >>>> I noticed you had the direct anterior approach.. Can I ask what your height and weight is?? >>>> >>>> My OS says I am to muscular of a guy to have this approach.. >>>> >>>> Thanks, Bill in Indiana >>>> >>>> >>>>> >>>>> It was two weeks ago today I had my left hip replaced via direct anterior approach. Amazing how quickly time flies. I'm still taking my muscle relaxers and pain meds. It seems that I have some good days and not so good days, and even sometimes its broken down into moments. I really had no idea how my body would respond to this surgery, and looking back I think I'm sort of in the middle in terms of pain and healing. Initially my doctor told me I could return to work next week, but there is just no way I feel ready for it. I get my stitches out on Friday and I'm going to ask him to write me a note that gives me one more week at least. My incision looks clean, but my IT band and quadriceps are still tight and sore. I still have alot of tingling burning feelings and my skin is numb which I assume is normal. I have to say without this group I would have been totally lost and scared. Everyone's support and feedback have made this journey much easier than doing it alone. >>>>> >>>>> >>>>> >>>> >>>> >>> >>> >>> >>> Quote Link to comment Share on other sites More sharing options...
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