The staff is very friendly. Having your surgery done this way may have other advantages. After your initial recovery, you will go to your hospital room. Direct anterior hip replacement is a minimally invasive surgical technique. Make an appointment! Because of the additional soft tissue, it can make it more challenging to access the hip joint. The surgeon separates your muscles to see your hip joint. Dr. Greiner is very knowledgeable, takes time with his patients and listens to patient concerns. The average hip replacement lasts 20-30 years or more. The hip joint is a ball-and-socket joint and during a replacement at the ball end of the thigh bone (femoral head) is replaced with a metal stem and a ceramic ball that is secured to the top of the stem. Even though posterior hip replacement surgery and the anterior approach to hip replacement differ in several key ways, the goal of both procedures is the same. Hip replacement surgery is one of the most successful procedures in medicine. When the doctor performs this procedure through smaller incisions, […] Some people may benefit — and have better results — with the traditional posterior approach. The cut is in the front of the hip rather than in the side or back, like in traditional hip replacements. Your healthcare provider can tell you what to expect. Johns Hopkins Medicine Virtual Advisors (Virtual Advisors) is a group of individuals who share their insights about the Johns Hopkins care experience. This office is so upbeat. X-ray is used during surgery to make sure the implants are put in the correct position and your legs are the same length. Dr Greiner is very caring and thorough. Anterior hip replacement surgery has a lower risk of dislocation post-operatively and since it is a muscle-sparing technique, it ensures a faster recovery with less post-operative pain. The anterior approach hip replacement is a muscle-splitting approach, meaning that the surgeon gets to the hip between two muscles, rather than by removing and then reattaching a muscle. Anterior Total Hip Replacement- Minimally Invasive Hip Replacement Great bedside manor! a surgical procedure in which damaged bones in your hip joint are replaced with an artificial hip (total hip arthroplasty). Anterior total hip replacement surgery entails removing your damaged bone and cartilage in the hip joint and replacing each part with an implant. I can't say enough positive things about Dr. Greiner and his office staff. Him and his staff took amazing care of me and I will never go to another Orthopedic Dr. Will definitely recommend Dr. Greiner to all of my family and friends. The overall care here is awesome. Would not go anywhere else for treatment. You may get antibiotics to help prevent infection. Depending on how you are feeling, you may go home in a day or so. With the anterior hip replacement approach, the procedure is done on the front of the hip. You may have other surgical choices, such as total hip resurfacing. In the medical field it is called total hip arthroplasty. With the anterior total hip replacement surgery your orthopaedic surgeon will access the hip joint by choosing to enter through the front of your hip by going between the hip muscles that help hold the hip joint in place.. He's got great bedside manner and a wonderful nurse! The anterior approach lets your surgeon operate using a small incision in the front instead of the larger cuts in the side or back. Cartilage is a tissue that helps joints move. Total hip replacement with anterior approach refers to surgeries done from in front of the hip. I would definitely recommend this place. Anterior Hip Replacement. Sign up for newsletter to receive all the news offers and discounts from Greiner Orthopedics clinic. They made me feel right at home and had me laughing the whole time while still educating me and working out my issues. Many patients are feeling good at 6 weeks. . Salyapongse explains what he has seen first hand: "patients who have had anterior hip surgery on one side and posterior hip surgery on the other, most often prefer the anterior hip side." The anterior approach for hip replacement Traditionally, the surgery has been performed from behind known as the posterior approach or from the side known as the lateral approach. Highly recommend Dr. Greiner and his staff. Ask if you need to stop taking any before your surgery. Dr. Greiner gives exceptional individual care, as does his staff. This approach involves a 3 to 4 inch incision on the front of the hip that allows the joint to be replaced by moving muscles aside along their natural tissue planes, without detaching any tendons. Joe B. Dr.Greiner and his entire staff are the best, most of family see's Dr. Greiner.I'm so happy he has his own practice! I would recommend anyone to this practice for orthopedic care, I've even sent my mother to see him. Total hip replacement with anterior approach refers to surgeries done from in front of the hip. The posterior approach for hip replacement surgery is by far the most common surgical technique used in the United States and throughout the world. The top of your femur is shaped like a ball and covered with cartilage. In addition, muscle is avoided as the procedure is completed. Dr. Greener is the best. A number of factors may be preventing you from getting the best results after your surgery. The surgery also eases pain and helps improve movement. Extremely clean facility. Total hip replacements or arthroplasties (THA) are one of the most commonly performed joint replacement surgeries. Your muscles and ligaments (strong fibrous tissues) hold the joint together. The purpose of most hip replacements is to treat pain and damage from arthritis. I would recommend Dr. Greiner to anyone! Degenerative Joint Disease (Osteoarthritis of the Hip). Mayo Clinic has orthopedic surgeons with expertise in both anterior and posterior hip replacement. I always get in on time. They can reduce the risk of infection to your new hip. It may have a lining made of plastic, metal, or ceramic. Anterior … New office staff very friendly and knowledgeable. Total hip replacement with anterior approach is not an option for everyone. That includes over-the-counter medicines and supplements. During hip replacement, a surgeon removes the damaged sections of your hip joint and replaces them with parts usually constructed of metal, ceramic and very hard plastic. These surgeries may also be called mini, modified, minimally invasive, or muscle-sparing surgeries. Great friendly doctor. However, for anterior hip replacement patients, hip precautions are not necessary as no muscles are cut. Anterior vs. Posterior Hip Replacements For patients with osteoarthritis or that have experienced trauma to their hip, a total hip replacement can restore function and decrease pain. Total hip replacement through the anterior approach is a relatively safe surgery. You will get medicine to ease pain. I have never met a Dr. who genuinely cares for patients as much as Dr. Greiner. Let your healthcare provider know if you have any drug allergies. I'm came in here for a second opinion, the service I received here all the way around was better than my last Drs appointment elsewhere. I recommend him without hesitation. It is a longer procedure. Your artificial hip may wear out or loosen over time. This incision typically starts at the top of the pelvic bone (iliac crest) and extends down toward the top of the thigh. Since the tendons aren’t detached from the hip during direct anterior hip replacement procedure, normal hip precautions are generally are not necessary. However, hip replacement has also been associated with a relatively long recovery and post-operative restrictions. If you keep on having pain and have a hard time getting around, hip replacement surgery may be an option. An anterior total hip replacement is also known as a total hip arthroplasty and is a surgical procedure that replaces a damaged hip joint to allow patients to function without hip pain. Quick recovery. Posterior hip replacement is a minimally invasive hip surgery performed to replace the hip joint. Normally, after a traditional hip replacement, your surgeon would give you instructions on hip precautions to allow the cut muscles to heal. I am not left waiting long for my scheduled appointments. The purpose of the anterior approach is to perform a total hip replacement with less disruption of the surrounding soft-tissues and muscles. But it does carry some risks. Participants in the study were initially seen by one of four Mayo Clinic surgeons. Anterior hip replacement accounts for only 15 to 20 percent of THR surgeries in the U.S. Anterior hip surgeries are relatively new, and although they provide excellent outcomes, most surgeons still use the traditional posterior method. Dr. Greiner replaced both of my hips which ended 15 years of agonizing pain. Kansas City Orthopedic Surgeon | Greiner Orthopedics. And if you don’t have your knees life isn’t as much fun! The anterior hip replacement consistently allows for a quicker recovery. Traditional hip replacement involves cutting major muscles to access the hip joint. Dr.Greiner is very professional and also funny. Dr Greiner is the best! You should be able to start eating and drinking again slowly. You will be able to ask questions and meet many of the staff who will be caring for you in the hospital. Your thighbone (femur) bends inward near the hip. The advantage is thought to be that rehabilitation can proceed more quickly by … Some people may benefit — and have better results — with the traditional posterior approach. In anterior hip replacement, the surgical area is located near the lateral cutaneous femoral nerve, which runs down the front of the pelvis and past the hip to supply sensation to the outer thigh (it does not affect muscle control). Their willing to help their patients with all their needs and went the extra mile. Dr. Greiner of Greiner Orthopedics is one of only a few orthopedics in Kansas City that do anterior approach hip replacements. Less commonly, the incision is made horizontally. Is anterior hip replacement a good choice for you? The artificial hip can be metal or ceramic, or a combination of these. I have a severely arthritic hip. Because of the additional soft tissue, it can make it more challenging to access the hip joint. Hip prostheses are designed to mimic the ball-and-socket action of your hip joint. The surgeon may take an X-ray to make sure the joint is in the right place. A hip replacement is a common type of surgery where a damaged hip joint is replaced with an artificial one (known as an implant). Unfortunately, this means we are unable to accept phone calls to schedule COVID-19 vaccinations at this time. After your surgery, you will go to a room to be watched while your anesthesia wears off. Great staff and you don't have to wait to schedule an appointment. Dr. Greiner is the best doctor I’ve been to. It is also referred to as muscle sparing surgery because no muscles are cut to access the hip joint, enabling a quicker return to normal activity. If you are having problems with your hip, your healthcare provider may first recommend other treatments. When I looked on the Internet, there were a lot of Web sites promoting anterior hip replacement. The advantages of anterior hip replacement are: The office is warm and relaxing, and the staff is attentive and detailed. An anterior total hip replacement is also known as a total hip arthroplasty and is a surgical procedure that replaces a damaged hip joint to allow patients to function without hip pain. You may be able to extend the life of your implant by exercising regularly and taking precautions to avoid falls. Hip replacement surgery is one of the most successful procedures in medicine. An alternative approach to traditional hip replacement surgery, the procedure involves a small incision in front of the hip, instead of on the side or back of the hip. I’m an APRN, old infection control nurse, his nosocomial infection rate is nonexistent- you just can’t beat those odds, wouldn’t consider anyone else!! These surgeries are sometimes called modified, muscle-sparing or minimally-invasive procedures. Total hip replacements or arthroplasties (THA) are one of the most commonly performed joint replacement surgeries. An anesthesiologist will make sure you don't feel any pain during it. Is anterior hip replacement a good choice for you? Posterior hip replacement and anterior hip replacement are the most common approaches, and each has its own benefits and risks. In fact, sometimes, the pain you experience is even worse than what you were experiencing before undergoing the surgery. Total hip replacement with anterior approach refers to surgeries done from in front of the hip. Rarely people develop new pain or have less mobility after surgery. My life has been changed and blessed because he said "Yes" to the call of becoming an orthopedist. He was very detailed about everything that was going on with my knee! An anterior hip replacement is performed from the front of your hip. You may need to wear stockings or plastic devices to help prevent blood pooling in your legs. Hip replacement is widely considered one of the most successful operations ever developed. Anterior vs. Posterior Hip Replacements For patients with osteoarthritis or that have experienced trauma to their hip, a total hip replacement can restore function and decrease pain. Comparison of direct anterior, lateral, posterior and posterior-2 approaches in total hip arthroplasty: network meta-analysis Eur J Orthop Surg Traumatol . There may be other risks based on your age and health problems. With wear and tear, broken bones, and various problems with blood supply that can occur at the hip, there will always be a need for some type of procedure like this. Also let him or her know if you have a more recent problem, like a sudden fever. You will likely also need to work with a physical therapist to regain your mobility and strength. Possible problems are: There is also a slight risk that the surgery will not get rid of your pain or that it will not improve your mobility. picture courtesy of MIZUHOSI Eventually, you may need another surgery. There is renewed interest in the news and medical world lately regarding surgical approaches to hip replacement, specifically anterior (through the front of the hip) versus posterior (through the back of the hip) methods. The skin around the surgical site will be cleaned. From the medical assistant to the dr they are fantastic! Anterior Hip Replacement is a minimally invasive hip surgery to replace the hip joint without cutting through any muscles. Talk with your healthcare provider to see what makes sense for you. During this time, you may want to have extra help. Your healthcare provider may decide to get an X-ray or another imaging test to look at your hip. Anterior hip replacement (AHR) is surgery to replace a hip joint damaged by wear, injury, or disease. Thank you Dr. Greiner for having my personal needs attended to as well as great healthcare. The surgery might not be appropriate for the very obese. Total hip replacement surgery is regarded as among the most valued developments in the history of orthopedics. Normally, after a traditional hip replacement, your surgeon would give you instructions on hip precautions to allow the cut muscles to heal. Many patients are feeling good at 6 weeks. The average hip replacement lasts 20-30 years or more. What to expect after having an Anterior Total Hip Replacement. Medical staff will closely watch your heart rate, blood pressure, and other vital signs before, during, and after the operation. At Appalachian Orthopedics, we offer the full breadth of treatment—from nonoperative to operative—for hip arthritis, and our surgeons offer the mini-posterior approach, anterior approach, and revision surgery. Adults of any age can be considered for a hip replacement, although most are done on people between the ages of 60 and 80. Expertise in Young Adult Hip Pain. Johns Hopkins offers in-person educational sessions to help you prepare for hip replacement surgery. Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. The anterior hip replacement consistently allows for a quicker recovery. Anterior Approach Hip Replacement involves a 3 to 4 inch incision on the front of the hip allowing the joint to be replaced by moving muscles aside along their natural tissue planes, while not detaching any tendons. The surgery may take a few hours. As a minimally invasive surgical technique, anterior hip replacement surgery can offer the patient several benefits over traditional hip replacement surgery. While there are several approaches to enter the hip joint to remove arthritic cartilage and diseased bone, there are primarily two approaches that involve minimal trauma to the hip abductors—muscles that are critical for a normal walk and speedy recover. Anterior Hip Replacement. The anterior approach to total hip replacement (sometimes called the \"mini-anterior approach\" or \"muscle-sparing hip replacement\") has emerged recently as a viable alternative to the more popular posterior approach. Using the anterior approach may allow your surgeon to do the surgery through a smaller surgical cut (incision). • Sleep on your surgical side when side lying. A modern artificial hip … There is a potential risk of nerve injury with any type of hip replacement approach. • Do not cross your legs. Even though posterior hip replacement surgery and the anterior approach to hip replacement differ in several key ways, the goal of both procedures is the same. Use a pillow between legs when rolling. I am very grateful to him for his professional and kind bedside manner. During the surgery, the surgeon will replace parts of your hip joint with artificial parts. Dr. Greiner has done wonders for my shoulder recovery. This surgical procedure is performed with a patient lying on their side, and a surgical incision made along the outside of the hip. The surgeon removes the upper part of your femur and the damaged cartilage and bone from your pelvis. Be sure to follow all your healthcare provider’s instructions. Very knowledgeable! It's pretty clear that I'm a candidate for hip replacement. https://www.hopkinsmedicine.org/.../total-hip-replacement-anterior-approach Tell him or her if you are pregnant or think you might be pregnant. Protective tissue called the cartilage helps your bones slide easily against each other 28 ( 2 ):255-267.:! 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