Hip And Knee Doc

Dr. Ronald S Labutti, Hip and Knee Doc logo
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Month: August 2015

Surgery may not be the answer. Second opinions welcome!

If you’ve been told you need a hip or knee replacement consider getting a second opinion. My approach to patient care is exhausting all non-surgical options like physical therapy, injections and non-steroidal. If pain persists and/or you bone on bone or nearly bone on bone, I will recommend surgery.

My clinic starts at 7:30am and I see patients on Monday, Wednesday and Friday. Please call 918-514-3009 to make an appointment or request on online!

Benefits of Anterior Approach Hip Replacement Surgery

Potential Benefits of Anterior Approach Hip Replacement Surgery

  • Decreased hospital stay and quicker mobilization.
  • Quicker rehabilitation.
  • Smaller incision and reduced muscle disruption resulting in a shorter recovery time.
  • Reduced risk of dislocation.
  • Potentially less blood loss and reduced pain post operatively.

 

Disadvantages and Risks of Anterior Approach Hip Replacement Surgery

  • Requires specialized retractors and tools.
  • Slightly increased risk of femur and ankle fractures.
  • Risk of numb, tingling or burning sensation on front of thigh due to nerve injury.

 

Relative Contraindications to Anterior Approach Hip Replacement Surgery

  • Patients with implants or metal hardware from prior surgery.
  • Very heavy or obese patients.
  • Very muscular male patients (may require a longer incision).

 

 

Call 918-514-3009 for a personal consultation to see if you are a candidate for this surgery.

Precautions in Traditional vs. Direct Anterior Approach for Hip Replacement.

In traditional hip replacement surgery the following precautions are recommended:
  • Do not cross legs.
  • Do not turn feet excessively inward or outward.
  • Do not bend hip more than a right angle.
In direct anterior approach hip replacement surgery the following are possible:
  • May potentially avoid restrictions associated with traditional hip replacement surgery.
  • Under doctor’s supervision the patient may be immediately allowed to move their hips.
For a personal consultation call 918-514-3009 or request an appointment online.

Anterior Approach in Hip Replacement Surgery.

Potential For Less pain. Faster recovery. Improved mobility!  The Anterior Approach for total hip replacement is a tissue-sparing alternative to traditional hip replacement surgery that provides the potential for less pain, faster recovery and improved mobility because the muscle tissues are spared during the surgical procedure. The technique allows the surgeon to work between your muscles and tissues without detaching them from either the hip or thighbones – sparing the tissue from trauma. Keeping the muscles intact may also help to prevent dislocations. With the Anterior Approach, the surgeon uses one small incision on the front (anterior) of your hip as opposed to the side or back. Since the incision is in front, you’ll avoid the pain of sitting on the incision site.
Anterior Approach Incision The Anterior Approach procedure for total hip replacement has been gaining popularity recently due to its potential benefits:
  • Possible accelerated recovery time because key muscles are not detached during the operation. (Some other procedures require cutting or disturbing the important muscles at the side or back of the leg.) The Anterior Approach is known as a tissue-sparing procedure because it avoids cutting these key muscles and tissues and therefore minimizes muscle damage.
  • Possible reduced scarring because the technique allows for one relatively small incision.
  • Potential for fewer restrictions during recovery. Although each patient responds differently, this procedure seeks to help patients more freely bend their hip and bear their full weight immediately or soon after surgery.
The Anterior Approach differs in multiple ways from other surgery techniques: The hip is exposed in a way that does not detach muscles or tendons from the bone. Intraoperative x-ray or computer navigation may be used to confirm implant position and leg length. The Anterior Approach enters the body closer to the hip joint, with far less tissue between the skin and the bones of the hip, so more patients may be candidates. For your personal consultation call 918-514-3009 or request an appointment online.