Tag Archives: Hip replacement surgery

New York Orthopedist Explains Benefits of Anterior Approach to Hip Replacement

Posted on: July 3, 2012

Benefits of Anterior Approach to Hip Replacement

by Dr. Eric Grossman

Dr. Eric Grossman Orthopedic Surgeon New YorkTypically after patients have a hip replaced with the conventional approach, they go to inpatient rehab following 3 to 4 days in the hospital.  When patients eventually return home, they are given strict “hip precautions” because of increased risk of dislocation during the first 6 -8 weeks after surgery.  These precautions include no bending more than 90 degrees from the waist and no crossing of the legs, and they must sleep with a pillow between their legs for 6 weeks.  Because the anterior approach spares major muscles and tendons, patients are at low risk for hip dislocation and therefore do not need to follow “hip precautions.”  This allows them to have a more natural & “comfortable” recovery without worrying about “hip precautions.” Another major benefit of the anterior approach is that due to the fact that muscles and tendons are not detached, the patient returns to a more normal walking pattern more quickly. After undergoing an anterior approach hip replacement, patients typically return home after 1- or 2-day hospital stay, and do not require inpatient rehab.

Patients are typically up and walking with a cane, if needed, the day after surgery and typically stand and walk the same day as surgery.  Another benefit of this approach is decreased pain.

The anterior surgery approach may not be appropriate for all patients, including those who have extra abdominal fat, which could interfere with incision healing and lead to postsurgical infection.

It’s vital that physicians consider their patients on a case-by-case basis.  Whether or not a patient receives this type of surgery also depends on the surgeon’s comfort level and experience with the procedure.

Editor’s Note:  Eric Grossman, MD, FAAOS, Co-Director, Joint Replacement at Northern Westchester Hospital’s Orthopedic and Spine Institute, www.nwhOrthoandSpine.org

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Westchester Orthopedist Dr. Eric Grossman Explains the Anterior Approach to Hip Replacement

Posted on: June 11, 2012

An Effective Approach to Hip Replacement

by Dr. Eric Grossman

Dr. Eric Grossman orthopedic surgeon new yorkFor patients needing hip replacement, I utilize an anterior approach to ensure patients receive the most appropriate care possible.

While there are three main approaches to hip replacement—lateral, anterior and posterior—the anterior approach has become more popular over the last decade.  The anterior approach focuses on replacing the hip through 3- to 4-inch incisions in the front of the joint, which has many advantages during and after the procedure.

The major advantage of this procedure is the fact that muscular tendons are not detached.  Tendon detachment and splitting are unavoidable in other approaches.  This approach also doesn’t affect the gluteal muscles that are instrumental with walking, which allows patients to recover more quickly.

Once the initial incision is made, the old femoral head and neck are removed, and an artificial femoral implant is inserted to stabilize the hip before closing the incision.

During the procedure, I use intraoperative imaging to ensure I get a definitive view of the implants’ position.  Using this supplemental technology allows me to have absolute confidence that when I leave the operating room, the implants are ideally positioned.

While there are two different methods of performing the anterior approach—using a standard operating table or a specialized operating table, such as the hana or PROfx table—learning this technique takes specialized training.

Editor’s Note:  Eric Grossman, MD, FAAOS, is Co-Director of Joint Replacement at Northern Westchester Hospital’s Orthopedic and Spine Institute.

Visit the Orthopedic and Spine Institute at Northern Westchester Hospital.