My Anterior Hip Replacement Experience
Adam C

Los Angeles, CA

#21 Feb 4, 2008
I just meandered into this forum and had to contribute. I live on the West Coast and I just had Bi-lateral t.h.r. with M.I.S.( minimally invasive surgery), that's "West Coast" for anterior. 3 day hospital stay, walker to cane to no help in two weeks. No restrictions, small scar, little to no pain (except for muscle atrophy)driving for a week etc.etc. Like I said both hips at once! An amazing experience. 3 weeks out today with minor pain due to muscle stiffness.
Cindy C

Waynesboro, VA

#22 Feb 13, 2008
I had an anterior hip replacement in August by Dr Carter. Everything went well. I was back to work quickly as a Speech Therapist. My problem is I still have quite a bit of muscle pain when hiking or walking up stairs anything that involves lifting my leg. I live about 4 hours from Newport News so I have been putting off another visit. Dr Carter said everything looked fine at the three months visit. I was wondering if anyone else has had this muscle problem?
m redick

Whitmore Lake, MI

#23 Mar 31, 2008
Marianne wrote:
Flo, How were you able to find a doctor that could perform this new type of hip surgery? Is there some national registry that lists doctors certified to perform the anterior hip replacement? I have had the old-time regular hip replacement where the incision is large, muscle and nerves are cut and recuperation is a miserable, painful 8 weeks. There is a strong possiblity that I will have to have my other hip replaced in the next few months so I am definitely wanting to find a doctor who can perform this miracle hip replacement to get me back on my feet in record time(and relatively painless compared to the other surgery). I am in Louisiana. If anybody knows any doctor in this or neighboring states who can perform this surgery, please let me know.
You can check the national registry for the company that makes a special surgery table used for direct anterior hips, company is called OSI and they have a surgeon locator. Then make sure the surgeon is experienced and fits you.
Cindy C

Waynesboro, VA

#24 Apr 14, 2008
You can also check www.newhipnews.com or www.hipandpelvis.com . I found my doctor from the newhipnews site. I must say it's April now and my muscle pain is much much better. The more exercise the better. Not much discomfort now lifting it in cars or hiking up hills. Actually taking the stairs up and down at a fast pace almost a run! It feels great.
Nurse

Norfolk, VA

#25 Apr 14, 2008
I am an RN on the ortho floor at Mary Immaculate Hospital in Newport News Va. I have seen the outcomes of these anterior hip replacements and it is fantastic. Speak to your ortho surgeon about becoming a candidate for this minimally invasive surgery. One of my favorite things about this surgery is standing up the patient post operatively for the first time, and seeing the look of surprise on their face when they realize the pain they had prior to surgery is gone...and that they just had that surgery 3 hrs ago.
Good luck to all.
Ed - Philadelphia PA

Quakertown, PA

#26 Apr 21, 2008
Everyone should know that Strker was required to post payments to Doctors from 2007-2009. Go to their website and check out your doctor. The monies being exchanged here are absolutely sickening. My doctors and their office has been paid millions of dollars last year alone. How can they have our best intersts at heart with so much money being involved here for individual doctors
Carol

Hattiesburg, MS

#27 Apr 28, 2008
I'd sure like to hear a follow-up from beachlover2 and Dr. Feathergill. I'm thinking about this myself and feel unsure.Thanks
pmo

Hayden, AL

#28 Apr 29, 2008
how did your hip surgery and recovery go? Did you like dr. and hospital?

I, too, am considering this type of hip replacement in Alabama. Thanks for any info.
beachlover2 wrote:
I am scheduled to have the anterior hip replacement with Dr. Featheringill in Birmingham, AL on Feb. 20. I spelled his name wrong in the earlier posts. I am really scared about the procedure but I am pretty sure this is normal.
Carol

Hattiesburg, MS

#29 May 3, 2008
beachlover2 wrote:
I am scheduled for THR on Jan. 28 with Dr. Moore at UAB hospital in Birmingham, AL. I just found out that he uses the side cut through the muscle so I decided to get a second opinion. I just made an appointment with Dr. John Feathergill at Baptist Princeton Hospital in Birmingham who is the only doctor in the city to do the anterior approach. Keep your fingers crossed that I will be a candidate for this approach. How long before you can ride in a car and can you bend? Thanks for your input.
Mr. Beachlover, did you have the anterior with Dr. Feathergill? I'm thinking of it. There are 2 in Birmingham. How did it go?
Kate

United States

#30 May 11, 2008
Nurse wrote:
I am an RN on the ortho floor at Mary Immaculate Hospital in Newport News Va. I have seen the outcomes of these anterior hip replacements and it is fantastic. Speak to your ortho surgeon about becoming a candidate for this minimally invasive surgery. One of my favorite things about this surgery is standing up the patient post operatively for the first time, and seeing the look of surprise on their face when they realize the pain they had prior to surgery is gone...and that they just had that surgery 3 hrs ago.
Good luck to all.
I am very interested to hear from an ortho nurse's point of view, because the "go to" surgeon here in Atlanta only does laterals, and HIS nurse told me that he used to do anteriors but stopped because he thought they were too dangerous. But 2 physical therapists have urged me to have an anterior, and a friend who recently had a lateral told me that her therapist said the same thing. I am hoping that the new OSI table no longer makes anterior THR "too dangerous." In your experience, is there more danger with anteriors? Thanks so much -- I am in such a quandary right now, and my hip is killing me!
Kate

United States

#31 May 11, 2008
Ed - Philadelphia PA wrote:
Everyone should know that Strker was required to post payments to Doctors from 2007-2009. Go to their website and check out your doctor. The monies being exchanged here are absolutely sickening. My doctors and their office has been paid millions of dollars last year alone. How can they have our best intersts at heart with so much money being involved here for individual doctors
Ed, I don't understand. Does Stryker make the OSI table? Do you think the anterior approach is NOT a good/safe surgery? Why is Stryker paying doctors? Please explain -- I need a THR and am trying desperately to figure out whether to go with lateral (which I can do easily in my home town) or anterior, which will cause me to have surgery 4 hours away. Thanks!
Ed - Philadelphia PA

Quakertown, PA

#32 May 11, 2008
Kate wrote:
<quoted text>
Ed, I don't understand. Does Stryker make the OSI table? Do you think the anterior approach is NOT a good/safe surgery? Why is Stryker paying doctors? Please explain -- I need a THR and am trying desperately to figure out whether to go with lateral (which I can do easily in my home town) or anterior, which will cause me to have surgery 4 hours away. Thanks!
The problems that I am posting about concern Stryker's Trident Hip System and the ongoing problems they are having with these hips, the anterior surgery is simply a differnt procedure as to how they gain access to the hip (go in from front and not side). My understanding is that this procedure allows for quicker recovery because they are not cutting through major muscles and tendons. I am not sure I understand what the OSI table is.

I would strongly suggest that you look into hip resurfacing (this seems to be the newest thing if you are a candidate).

Personally, I think that I'd stay away from Stryker's Ceramic Hips until they figure out what this problem really is with them. The squeaking and grinding and failure problems seem (from my research) to be linked specifically to Stryker's product. You might want to consider Zimmer or some other hip manufacturer.
Ed - Philadelphia PA

Quakertown, PA

#33 May 11, 2008
Kate,

Also, whoever you decide to have surgery with, I would strongly suggest that you look up that surgeon on the website of the hip manufacturer to see of you feel there are any conflicts of interest that your surgeon may have with the hip they are implanting in you.
Kate

United States

#34 May 12, 2008
Ed - Philadelphia PA wrote:
Kate,
Also, whoever you decide to have surgery with, I would strongly suggest that you look up that surgeon on the website of the hip manufacturer to see of you feel there are any conflicts of interest that your surgeon may have with the hip they are implanting in you.
Thanks, Ed. I plan to do just that!
Kate
Jean

United States

#35 May 31, 2008
I'm 75 years old and live alone (oops, my dachshund would not like me to say that). I'm scheduled for a THR on 6/12, just waiting for the O.K. from my heart doctor (I have AF). I will probably go into rehab from the hospital. My main concern is if I will be able to manage at home without having to have someone stay with me. Has anyone had a similar situation? I sure could use some suggestions/assurances.
Surgeon consultant

United States

#36 Jun 3, 2008
Ed and others,

I certainly agree that some of the dollars you see on the websites are excessive and I agree in some cases may be a conflict of interest. However to generalize that to all surgical consultants or even the majority is a big mistake. The fact is that these consultants are involved with basic and clinical research to study outcomes of using certain products. A lot of the money you see goes to fund these efforts. Furthermore the surgeons who find problems with an implant are typically the own companies consulting surgeons. I have seen this multilple times where the study conclusion is not exactly what the company would like to see, but it's the truth and it leads to changes and improvements. I sit in many meetings which are essentially "think tanks". The surgeons are almost all consultants of the company sponsoring the meeting, usually 8-20 in attendace. You would be surprised the variance in implant usage. Good, smart surgeons use the implant which solves the problem at hand, and each company has their own niche of specialty. Some companies have great bearing surface options, some have great revision products, some have unique implants useful for certain surgical approaches, but they all have good basic primary replacement implants. Many surgeon consultants become consultants after using the companies products and becoming especially experienced with them. A lot of the paid monies you see are reimbursements to consulting surgeons for teaching courses to other surgoen on implant use, surgical technique, computer navigation, etc. All this is to improve knowledge, skill and patient outcome.

Remember, these activities are done during the week, away from the consulting surgeons practice, usually involving 1-2 days out of the office where meanwhile all the typical office overhead continues to add up, while the surgeon is out of town teaching.

The advent of the anterior approach for hip replacement using specialized surgical tables is not something dreamed up by your government or some other "watchdog" looking out for your best interest. It is a grass roots type of movement, demanded by patients after the benefits were not just promised but delivered by Dr. Matta out of LA in 1996. Now consulting surgeons are teaching this approach countrywide, trying to improve techniques and patient outcomes. The only reason you see this activity occurring is because surgeons and implant companies collaborate to improve the status quo.

In the end I agree there are some interesting royalty payment arrangements which you have seen on websites. But the vast majority of the consulting done by surgeons is to further advance the practice of orthopedic surgery by teaching fellow surgeons new techniques and about new implants, and the monies paid go towrad travel expenses, reimbursement for lost office time and to pay for the service of teaching on extra time away from the office and away from their families.

The fact is most implants are fairly comparable, some differences exist as mentioned previously, especially in the bearing surfaces offered for each implant, but all from the major 6-7 companies are excellent. These companies are in the business of making money, but the side effect of this capitalistic behavior is that innovation leads to new implants and new techniques and eventually better performance of the whole procedure for you.
Anterior FAN

United States

#37 Jun 3, 2008
Kate wrote:
<quoted text>
Ed, I don't understand. Does Stryker make the OSI table? Do you think the anterior approach is NOT a good/safe surgery? Why is Stryker paying doctors? Please explain -- I need a THR and am trying desperately to figure out whether to go with lateral (which I can do easily in my home town) or anterior, which will cause me to have surgery 4 hours away. Thanks!
EVeryone...
Please make sure your surgeon is talking about the REAL Anterior Approach. This approach that some have talked about on this blog from surgeons like Dr. Carter is the true Anterior Approach using the OSI HANA or PROFx table. There is a big difference and it seems as if Ed is talking about a entirely different Anterior Approach. My relative had this approach done using a PROFx table and she was 89 years old. Within 9 days, she was walking with no cane, bending over to tie her shoes and had minimal pain. My other relative had anterior approach more like an (Anterlateral approach) and he was 65. Walked with a limp forever and never recovered as fast as my 89 year old relative. Wierd thing is both surgeons called their approach Anterior Approach.
Stephen Gorgey

Los Angeles, CA

#38 Jun 7, 2008
Hi:

I had a hip replaced by Dr. Matta inLos Angeles.
He used the anterior approach and after just two days I could walk with a cane. I did not do any rehab. I just walked and I got better fast. After just one week that pain subsided by 70%. After two weeks to 80% and after three weeks to 90%. It's been three months now and I can't feel any pain at all. I am hiking again and running up and down the stairs.
K Symington-Beaufo rtSC

Beaufort, SC

#39 Jul 3, 2008
On 6/9 I had a right hip replacement perfomed by Marc Hungerford, Chief of Orthopedic Sugery at John Hopkins. He is a fabulous and kind surgeon, and Good Samaritan (Joint Experience floor) was a great, patient-oriented hospital. I had mild physical therapy inpatient, and was discharged 3 and a half days later. I was walking easily without cane or other support and climbing stairs less than a week post op. The PT who visited me post discharge said I could do the recommended exercises easily, and could continue on my own - without further visits.
I stayed in the Baltimore area 2 weeks, then was cleared to fly back to Savannah. I had a easy post op course with no need for big gun pain meds, only tylenol.
Today I'm feeling almost normal, although still tire more easily and was slightly anemic; which I don't think is typical for this surgery, but is my own response. Ferrous sulfate has helped tremendously. I think that the only thing I have to add is that I had to make myself slow down, and remember that walking easily does not automatically mean you can do your usual pre op routines (cleaning, grocery shopping, driving, partying) at your same pace for the same interval with previous energy. This may be partially due to my anemia and stubborn temperament, but in general I thought it good to throw in.
This is a miraculous procedure, long overdue in this county!!!!!!
[email protected]
Lois

Wilton, CT

#40 Jul 3, 2008
[QUHi Flo, I am considering having the anterior approach at Phelps with Dr. Burak, would love to talk to you about it.

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