My Anterior Hip Replacement Experience

Since: Oct 09

Ambler, PA

#286 Oct 22, 2009
Criteria for being a good fit for an anterior hip replacement

Would anyone know if having protrusio automatically rules out using this method? i think I read that in an article by Dr. Joel Matta (one of the most experienced surgeons using this method).
Does anyone know the answer? has anyone had this done who had acetabular protrusio too?
Charlie G

United States

#287 Oct 22, 2009
FLo, i read your comment and found a doctor here in South Florida that performs this surgery... thanks.. for writing your experience for everyone to share..
Flo Ochsenfeld wrote:
I had my left hip replacement done on August 21st and my right hip replacement done on October 22nd. I chose to have them done by an amazing new method: anterior hip replacement. I only have a 3" incision on both sides in front right above my thighs and I am doing extremely well. It is less than two weeks since the second hip was done and I can already walk with no cane and I am driving. I had hardly any pain and hardly any restrictions. There is only one doctor on the East Coast that performs this awesome surgery: Dr. Corey Burak in Hawthorne, New York. He is extremely nice and personable and did a fantastic job on my two operations. If you have any questions, let me know.
Charlie G

United States

#288 Oct 22, 2009
Somebody asked me who the surgeon was who performed my surgery.. His name is Dr. W Vince Burke.. He operates out of Broward Medical Center and he founded their Joint Center, which was a wonderful experience. He was the first surgeon on the east coast of florida to learn this technique from a doctor in Belgium in 2005.. When i asked him about all this talk about a special table.. Dr. Burke said that he had trained on the table but felt more comfortable without using it.. I have to thank Dr. Burke, his office staff, and the hospital staff for a job well done..
Kim in Newport Beach

Newport Coast, CA

#289 Oct 22, 2009
Dolores wrote:
Getting my new hip tomorrow.
Dolores - let us know how it goes for you. I know you will find the St. John's Hospital in Santa Monica to be a great one and the caregivers are terrific. You will be up and walking in no time at all (literally) and you'll be surprised how easy it is once you're walking around. Just do your physical therapy like they tell you to and you'll be bending down, tying your shoe laces before you know it!

Good luck!!
JudyH

Westminster, MD

#290 Oct 22, 2009
Anna Veronica

Dr. Ciotola at Mercy Hospital in Baltimore specializes in this approach.
Jeanne

United States

#291 Oct 23, 2009
I'm 42 and needing THR. Most people say I am too young....tell that to my hip. lol.

After careful research, I am going to Dr. Yerasimides in Louisville, KY. It is about 6 hours south of me, but will be worth the drive. My eval. was in September, and I will be having my THR in December. They said I should have no problem riding that 6 hours back in the car 2 days later. They also said if the surgery takes him an hour, it took him a long time. He has performed over 1,200 of these surgeries, so I am thinking he has it down.(They have me scheduled at 9am, but I noticed he also had surgeries at 8am and 10am). I had read where someone wrote they were on the table for hours (causing some pain afterward).

To the people who have experienced groin pain, lower back pain, knee and lower leg pain, and also pain on the outside of the upper leg, I have experienced all of these as well and find them to be a result of the arthritis of the hip. I attribute it mostly to the way in which you must hobble around to protect your hip from hurting with every step. I think it makes all those muscles tighten up. Hoping that will subside after surgery. It sounds like I can be hopeful about that.

I DO have a few questions for anyone who can help:

What sort of time have others experienced on the table?

Do they normally give you a cane at the hospital, or do you need to bring your own?(BYOC lol)

Does anyone know the difference in your results with or without cement on the adhesion of the femur stem? Any feedback to either with/without cement would be great!:)

Did you get a pain pump after surgery? Is that necessary?

Would you recommend a spinal block vs. general anes.?(more for nausia purposes)

If you can answer any of these questions, or can give me more info about your experiences with Dr. Yerasimides that would be much appreciated.

Thanks for helping each other on this site. It's nice to have others to turn to. This is a pretty stressful experience for us all.:)

http://www.louisvillehip.com/hip.html

This link is very informative. It explains the procedure, has information about Dr. Yerasimides and even has a picture of the special table they use.

I look forward to your replies.
Thanks.
Jeanne
Angela M

United States

#292 Oct 23, 2009
Jeanne,
Rest assured that you have made a good choice in Dr. Y. I am 36 years old and he has replaced both of my hips this year. I was completely bone on bone in both hips and couldn't put off the surgery any longer. I gave birth to my second son in January, had my first hip replaced in April and my second hip replaced in July. Since I may want to have more kids, I went with Dr. Y's recommendation of ceramic on ceramic.
My hips were in bad shape, so I was on the table for a little longer than the average,straight forward hip replacement. However, I was only in there for a couple of hours.
As far as anesthesia goes, I had different types with each surgery because different anesthesiologist were assigned to me. However, you will have to be put under. Remaining awake isn't an option. In addition to general anesthesia, you will be given an option of local anesthesia in your operative leg to help with pain control. In my first surgery, they only numbed the operative leg. It worked great. In the second surgery, the anesthesiologist refused to do this because of "complications with this procedure". He only gave me the option of a spinal block or nothing at all. In hindsight, I should have insisted on a different anesthesiologist. I went with the spinal block and ended up with a severe spinal headache that I had to diagnose myself that lasted for 2 weeks. Not a good experience.
The pain meds were different each time as well. I took oral pain meds with the first hip and had a pain pump with the second. I highly recommend the pain pump. I only needed it for the first 24 hours after surgery.
As far as equipment goes, you can BYOC or they have a company that will supply you with any necessary equipment. You will use a walker for the first few days before moving on to the cane. I also recommend getting an elevated toilet seat with arms, a shower chair and a handheld shower head.
On a lighter note, I think you will find the surgery and reconver to be much easier than you have imagined in your head. Just remember to keep it iced and on schedule with your pain meds. Ask the physcial therapy department, to either give you or you can buy in advance from a medical supply store, one of their big blue gel ice packs. The dinky little paper ones that the nurses have are useless. Regular ice isn't cold enough to penetrate and it will really help with the swelling. Ask for the ice as soon as you are awake in recovery. Also, stay on schedule with your pain meds. Playing catch up is no fun at all. Push your fluids before surgery and while in the hospital. It will help flush the anesthesia and get your bowels working again after surgery.
Good luck to you! You will love your new hips. I was able to hike a difficult trail with my husband and sons three weeks after my second hip! If you have any more questions, please let me know. Glad to help another "hippie" any time. Angela
gmk

Erie, PA

#293 Oct 23, 2009
Jeanne wrote:
I'm 42 and needing THR. Most people say I am too young....tell that to my hip. lol.
After careful research, I am going to Dr. Yerasimides in Louisville, KY. It is about 6 hours south of me, but will be worth the drive. My eval. was in September, and I will be having my THR in December. They said I should have no problem riding that 6 hours back in the car 2 days later. They also said if the surgery takes him an hour, it took him a long time. He has performed over 1,200 of these surgeries, so I am thinking he has it down.(They have me scheduled at 9am, but I noticed he also had surgeries at 8am and 10am). I had read where someone wrote they were on the table for hours (causing some pain afterward).
To the people who have experienced groin pain, lower back pain, knee and lower leg pain, and also pain on the outside of the upper leg, I have experienced all of these as well and find them to be a result of the arthritis of the hip. I attribute it mostly to the way in which you must hobble around to protect your hip from hurting with every step. I think it makes all those muscles tighten up. Hoping that will subside after surgery. It sounds like I can be hopeful about that.
I DO have a few questions for anyone who can help:
What sort of time have others experienced on the table?
Do they normally give you a cane at the hospital, or do you need to bring your own?(BYOC lol)
Does anyone know the difference in your results with or without cement on the adhesion of the femur stem? Any feedback to either with/without cement would be great!:)
Did you get a pain pump after surgery? Is that necessary?
Would you recommend a spinal block vs. general anes.?(more for nausia purposes)
If you can answer any of these questions, or can give me more info about your experiences with Dr. Yerasimides that would be much appreciated.
Thanks for helping each other on this site. It's nice to have others to turn to. This is a pretty stressful experience for us all.:)
http://www.louisvillehip.com/hip.html
This link is very informative. It explains the procedure, has information about Dr. Yerasimides and even has a picture of the special table they use.
I look forward to your replies.
Thanks.
Jeanne
Hi Jeanne. In answer to a couple of your questions, my surgery was just 6 wks. ago and it took less than an hour. I had the epidural (you will not be awake with it) and HIGHLY recommend! You wake up alert and pain free & able to move. You will not be groggy! It's heavenly and I cannot tell you how grateful I am for choosing that route! I also had the pain block and highly recommend it as well rather than taking strong pain medication. It does not go directly in the spine, but rather in a nerve near the spine that controls hip/leg pain. The pain block can be increased if need be and/or they will offer oral meds too. The pain block allows you to be alert, stand, walk & do therapy just hours after surgery. I had previous hip trauma/surgery and so my implant had a 9 inch post in the femur rather than a short one, therefore I had a lot of leg and knee pain and I'm thankful for the pain block as it worked within seconds when increased. I had absolutely no hip or back pain after the surgery. Let me know if I can answer anything else and good luck to you! ginger
Helen

AOL

#294 Oct 23, 2009
Jeanne wrote:
I'm 42 and needing THR. Most people say I am too young....tell that to my hip. lol.
After careful research, I am going to Dr. Yerasimides in Louisville, KY. It is about 6 hours south of me, but will be worth the drive. My eval. was in September, and I will be having my THR in December. They said I should have no problem riding that 6 hours back in the car 2 days later. They also said if the surgery takes him an hour, it took him a long time. He has performed over 1,200 of these surgeries, so I am thinking he has it down.(They have me scheduled at 9am, but I noticed he also had surgeries at 8am and 10am). I had read where someone wrote they were on the table for hours (causing some pain afterward).
To the people who have experienced groin pain, lower back pain, knee and lower leg pain, and also pain on the outside of the upper leg, I have experienced all of these as well and find them to be a result of the arthritis of the hip. I attribute it mostly to the way in which you must hobble around to protect your hip from hurting with every step. I think it makes all those muscles tighten up. Hoping that will subside after surgery. It sounds like I can be hopeful about that.
I DO have a few questions for anyone who can help:
What sort of time have others experienced on the table?
Do they normally give you a cane at the hospital, or do you need to bring your own?(BYOC lol)
Does anyone know the difference in your results with or without cement on the adhesion of the femur stem? Any feedback to either with/without cement would be great!:)
Did you get a pain pump after surgery? Is that necessary?
Would you recommend a spinal block vs. general anes.?(more for nausia purposes)
If you can answer any of these questions, or can give me more info about your experiences with Dr. Yerasimides that would be much appreciated.
Thanks for helping each other on this site. It's nice to have others to turn to. This is a pretty stressful experience for us all.:)
http://www.louisvillehip.com/hip.html
This link is very informative. It explains the procedure, has information about Dr. Yerasimides and even has a picture of the special table they use.
I look forward to your replies.
Thanks.
Jeanne
Hi Jeanne,
I'm 48 and just had my first THR done by Dr. Carter in Hampton, VA.
I've had other surgeries but this was my first Orthopedic surgery & I was very nervous about this one !!!! It actually has been a pleasant experience. The Anesthesiologist & I played phone tag and never got to talk about what would be used. They didn't use a spinal block on me and I woke up in recovery. I had my surgery at 11 am.(the surgery took 1 1/2 hours) and by 8 pm I was taking my first walk to the restroom with a walker. I didn't have a pain pump & didn't need one. They gave me oral pain med's & anti-inflammatory med's. The next day I did PT twice with a walker that included going up and down stairs. After the second session I didn't even need a cane or a walker. I went home that evening & I never used a cane or a walker. I had two walker's here (one upstairs, one downstairs) but never used them. I did two weeks of PT & was released. The only problem I've had is at my 2 1/2 week check up I was still having some pain but it was due to some fluid buildup on the left side of the incision. He drained the fluid off in the office two different times that week and the pain I was having went away. I did over do it a bit on the third week going up and down the stairs to much in one day so he advised me to take it at a slower pace. It's been 6 weeks and I'm pain free.
I think you'll find it will be better than expected.
Hope this helps and good luck !
Helen
Dolores

Inglewood, CA

#295 Oct 24, 2009
Kim in Newport Beach wrote:
<quoted text>
Dolores - let us know how it goes for you. I know you will find the St. John's Hospital in Santa Monica to be a great one and the caregivers are terrific. You will be up and walking in no time at all (literally) and you'll be surprised how easy it is once you're walking around. Just do your physical therapy like they tell you to and you'll be bending down, tying your shoe laces before you know it!
Good luck!!
Hi, Kim
Surgery went well. My surgeon and his team - office and here at St. John's - are terrific. Climbed stairs today at physio. Physio is all important as you have said. Really helps. Just need the bruising to go away and all will be well. Delighted with my care. Hip Hip Hooray!
Kim in Newport Beach

Newport Coast, CA

#296 Oct 24, 2009
Dolores wrote:
<quoted text>
Hi, Kim
Surgery went well. My surgeon and his team - office and here at St. John's - are terrific. Climbed stairs today at physio. Physio is all important as you have said. Really helps. Just need the bruising to go away and all will be well. Delighted with my care. Hip Hip Hooray!
Congrats, Dolores! If you're like me, you'll be walking well, probably without a cane, long before the bruising goes away. I was really surprised at all the bruising, and I took Arnica for a few weeks to reduce the bruising! But, it will go away and all you'll be left with is a distant memory of your surgery as you will feel so much better in so little time! Yes, the PT is important! I had a physical therapist come to my home 3x/week for the first 4 weeks. It was nice to have that service. Maybe you will have that too?

Take care and good luck with your healing!
Jeanne

United States

#297 Oct 25, 2009
Thank you to all who have replied to my post.:) I have another question for anyone who can answer...

What materials were in your replacement? They are going to do ceramic and metal with me. I know this is not yet FDA approved, but they have been using the combo in Europe for quite some time. I didn't want plastic b/c I want to be active, and that would erode the plastic. I didn't want metal on metal b/c of the chance it could harm a potential fetus, should I get pregnant.

Thanks much,
Jeanne~
gmk

Erie, PA

#298 Oct 26, 2009
Jeanne wrote:
Thank you to all who have replied to my post.:) I have another question for anyone who can answer...
What materials were in your replacement? They are going to do ceramic and metal with me. I know this is not yet FDA approved, but they have been using the combo in Europe for quite some time. I didn't want plastic b/c I want to be active, and that would erode the plastic. I didn't want metal on metal b/c of the chance it could harm a potential fetus, should I get pregnant.
Thanks much,
Jeanne~
My surgeon in Pittsburgh said he's had the best results with titanium w/plastic cup, so that's what I have! I am 53 and quite active but I will not be running regularly, therefore we're hoping I get 25-30 years with this implant. I haven't found anything I can't do yet and I'm only 7 wks. post-op. I can run around & crawl around with my three year old grandson and don't seem to have a problem & I still need more time to strengthen the rest of my thigh/hip muscles that were extremely weak prior to surgery. Hope this info helps! ginger
oceanfrontcabin

United States

#299 Nov 5, 2009
Jeanne: The hospital gives (sells) you all the walking aids you need. I needed only a cane, although I was talked into a walker also. You will have a spinal or epidural depending on your anesthesiologist. You want this rather than a general because it helps prevent blood clots. I was awake during my surgery and loved it. I had watched on the Internet Joel Matta's clip
of the surgery several times, so I was prepared for the blood and noise and knew I could handle it. I was on the table about 50 minutes. I did not have a pain pump. It worked well for me to just take pain tablets. I needed narcotics at night for just 3 days before turning to Tylenol alone at night only. Good luck to you. Be sure you're in as good a condition physically prior to surgery as you can "cook-up." Do hip exercises.
Jeanne wrote:
I'm 42 and needing THR. Most people say I am too young....tell that to my hip. lol.
After careful research, I am going to Dr. Yerasimides in Louisville, KY. It is about 6 hours south of me, but will be worth the drive. My eval. was in September, and I will be having my THR in December. They said I should have no problem riding that 6 hours back in the car 2 days later. They also said if the surgery takes him an hour, it took him a long time. He has performed over 1,200 of these surgeries, so I am thinking he has it down.(They have me scheduled at 9am, but I noticed he also had surgeries at 8am and 10am). I had read where someone wrote they were on the table for hours (causing some pain afterward).
To the people who have experienced groin pain, lower back pain, knee and lower leg pain, and also pain on the outside of the upper leg, I have experienced all of these as well and find them to be a result of the arthritis of the hip. I attribute it mostly to the way in which you must hobble around to protect your hip from hurting with every step. I think it makes all those muscles tighten up. Hoping that will subside after surgery. It sounds like I can be hopeful about that.
I DO have a few questions for anyone who can help:
What sort of time have others experienced on the table?
Do they normally give you a cane at the hospital, or do you need to bring your own?(BYOC lol)
Does anyone know the difference in your results with or without cement on the adhesion of the femur stem? Any feedback to either with/without cement would be great!:)
Did you get a pain pump after surgery? Is that necessary?
Would you recommend a spinal block vs. general anes.?(more for nausia purposes)
If you can answer any of these questions, or can give me more info about your experiences with Dr. Yerasimides that would be much appreciated.
Thanks for helping each other on this site. It's nice to have others to turn to. This is a pretty stressful experience for us all.:)
http://www.louisvillehip.com/hip.html
This link is very informative. It explains the procedure, has information about Dr. Yerasimides and even has a picture of the special table they use.
I look forward to your replies.
Thanks.
Jeanne

Since: Nov 09

Atlanta, GA

#300 Nov 6, 2009
I am a male, 69 and on 11-2-09 had a total anterior right hip replacement at Mary Immaculate Hosp. in Newport News, VA performed by Dr. Anthony Carter. Couldn't be happier!

I stayed two nights in the hosp. because I live 65 miles away and didn't want a long distance problem. I was in really good shape prior. Have had little pain since the operation. Be happy to answer any questions for someone. Anterior is the way to go. My 'old fashioned' hip replacement friends are jealous. I am guessing full recovery will take 6 months, but I will be driving and doing virtually anything I want within several weeks. This is called the jiffy-hip and I believe it.
Travis

San Juan Capistrano, CA

#301 Nov 6, 2009
Hello Hip people. Well I'm 46 and have worn down my hip after 14 years of Jiu Jitsu and soccer. Does anyone know of an excellent Hip surgeon that does the Birmingham Hip procedure, located here in Orange County CA?

Also, how long do these hip replacements last? I'm 46 so I'm thinking I will need another.

The pain is at the point where I can't sleep well and walk with a limp...bummer.

I truly appreciate any feed back from my post. I'm of course a bit nervous but am looking forward to No pain...
Kim in Newport Beach

Newport Coast, CA

#302 Nov 6, 2009
Travis wrote:
Hello Hip people. Well I'm 46 and have worn down my hip after 14 years of Jiu Jitsu and soccer. Does anyone know of an excellent Hip surgeon that does the Birmingham Hip procedure, located here in Orange County CA?
Also, how long do these hip replacements last? I'm 46 so I'm thinking I will need another.
The pain is at the point where I can't sleep well and walk with a limp...bummer.
I truly appreciate any feed back from my post. I'm of course a bit nervous but am looking forward to No pain...
Hi Travis,

I'm also in Orange County (CdM). I'm not familiar with the name, "Birmingham" Hip procedure, but if that is the anterior hip replacement procedure, I looked high and low for a doctor in Orange County to do my anterior hip replacement. There are only two doctors in O.C. that do this surgery - they are in the city of Orange, I believe. However, if you are using insurance for your surgery, they won't be your best choice. They don't take insurance for their fees. I think only the facility where they operate will honor your insurance.

Given that I wanted my insurance to cover my surgery, I did more research and found Dr. Andrew Yun, who has offices in Marina del Rey and in Santa Monica. He was the ONLY doctor in all of the O.C/L.A. area who takes insurance. So, I had him do my surgery in April of this year. I have nothing but great things to say about him, St. John's Hospital where he operates and the outcome of my surgery. If you scroll up in these various messages, you will find more comments that I've written about my experience with this surgery. Bottom line, I would highly recommend Dr. Yun to anyone considering to have this anterior hip replacement surgery done. I don't even think about the fact that I had hip surgery, or that I had things I couldn't do just 7 months ago. Everything is as normal as can be now!

Good luck!

Since: Oct 09

Ormond Beach, FL

#303 Nov 7, 2009
Travis wrote:
Hello Hip people. Well I'm 46 and have worn down my hip after 14 years of Jiu Jitsu and soccer. Does anyone know of an excellent Hip surgeon that does the Birmingham Hip procedure, located here in Orange County CA?
Also, how long do these hip replacements last? I'm 46 so I'm thinking I will need another.
The pain is at the point where I can't sleep well and walk with a limp...bummer.
I truly appreciate any feed back from my post. I'm of course a bit nervous but am looking forward to No pain...
Hi, Travis...
From what I've heard, the Birmingham procedure is not a total hip replacement but rather a resurfacing of the cartilage that has worn away from the ball and socket of the hip. The doctor I consulted about it said that if I was going to have surgery at all it makes sense to do total joint replacement. The resurfacing would be simply putting a band-aid on the problem and it would be a temporary fix at best. Also, if your hip is bone-on-bone (as mine is) this may not be an option at all.

After doing my research and reading all the posts on this site, I am scheduled for ASI (anterior supine intermuscular) total hip replacement in 5 days. I will be traveling 3 hours to go to Sarasota, FL where Dr. Ed Stolarki will perform the surgery. He says the surgery will take about 45 minutes, and I will be in the hospital 2 days (or 1 day if I prefer - I don't). A friend of mine who is an orthopedic surgeon in Alabama performing the ASI claims that one of the biggest problems he has with patients is keeping them in bed after the surgery. People feel so good they tend to want to do too much too soon.

Like you and so many others I have had enough of the pain and limitations that accompany it. I am nervous but anxious to get this over with and get back to my normal (very active) lifestyle.

Good luck to you. Be glad you know about this anterior approach.
Arlene
Sue Fillager

AOL

#304 Nov 7, 2009
I am to see Dr Kirk in Cicinnati ohio about my hip, I am scared to death, I have been told i need a hip replacement, is ther alot of pain with this??? I hope I can have anterior approach, have back pain also, very stiff walking witha limp... Help would appreciate any info on all this

Since: Nov 09

Atlanta, GA

#305 Nov 7, 2009
Sue Fillager wrote:
I am to see Dr Kirk in Cicinnati ohio about my hip, I am scared to death, I have been told i need a hip replacement, is ther alot of pain with this??? I hope I can have anterior approach, have back pain also, very stiff walking witha limp... Help would appreciate any info on all this
Sue,

I also have (had) back pain. Can't even play nine holes of golf any longer. Anyway, it has only been 6 days past my surgery and AS OF NOW I have no back pain. I don't know if that will continue, but I am currently happy about that.

Additioinally, my after surgery pain has been minimal. Down to two percocets/day. I truly might not need any, but I am not willing to find out now.

The key to successful anterior hip surgery is the operating table. My doc used what is called the HANA table. I think there are others, but they all do the same thing. They kind of look like your legs are on skis from the hip down. You can research this on the net. Anterior is the ONLY way to go IMHO if your doc uses the correct table. Good Luck.

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