The Dangerous Connection between Smoking and Orthopedic Surgery

Smoking is bad for the health, we all know that. We also know the specifics, concerning smoking and lung cancer and a myriad of other cancers. In a recent research, doctors added another condition associated with smoking. Let’s take a look at what it is.

Among the many evils associated directly with smoking, it was found out that smoking is also detrimental to the health of bone and connective tissue. In short, the American Academy of

Orthopedic Surgeons has deemed smoking to be the culprit responsible for poor surgery results in even the most common orthopedic procedures.

Smokers Are More Likely To Experience Complications with Common Surgical Procedures

This means that patients who undergo even common orthopedic surgical procedures such as hip smoking-300x199replacement, fracture repairs, etc, won’t benefit as much as non-smoker patients will. According to a study conducted by the AAOS, smoker patients who undergo hip replacement surgery have a much higher surgery revision rate as compared to non-smoker patients.

Orthopedic specialists at the Mount Sinai Hospital reviewed the past record for all hip replacement surgeries that were performed at the hospital between the years 2007 and 2009. According to the findings, 110 were either former or current tobacco users, roughly 55 years of age. This set was compared to another group, but of non-smokers. The results were shocking at best.

Required: Do-over Surgery

It was found out that nearly 8% of patients who smoked were required to undergo a surgery revision, within only 46 months of the original procedure. In stark contrast were the 1% who didn’t require a revision and who were non-smokers.

In fact, 5 of the patients in the group who smoked had to undergo the surgical revision due to the risk of infection, while four revisions were carried out to help address the pain and component loosening of the surgical procedure.    

Moreover, patients undergoing the orthopedic surgical procedure were asked to assess their levels of pain during the entirety of treatment, in a subjective manner. The results were as expected.

As compared to smokers, patients who didn’t smoke experience far less pain, irrespective of age. Another important thing to note is that smokers who quit sometime during the treatment, experienced a significant reduce in pain as compared to those who continued this habit during the treatment.

A Greater Risk of Fracture Complications

It was also found out by the study that the risks associated with smoking were particularly enormous when it comes to fracture repair procedures. A negative effect could be derived from smoking on such procedures as well as a prolonged recovery time was incumbent following the surgery as compared to non- smokers going through the same.

The report, which was based on the data collected from 18 case studies in total, between the years 1993 and 2011, represented nearly 6,480 patients undergoing fracture repair surgery, out of which 1,457 were smokers at the time of their surgery. This shows how much extensive the data collected was, which gives no reason or room for doubt as to the detrimental effects of smoking on the musculoskeletal system. It’s suggested by specialists that, prior to undergoing orthopedic surgery for any condition, patients should go through a smoker’s cessation program, and only then have the surgery.

OSPI is the top orthopedic practice in the East Valley, including treatment for Chandler, Mesa, Gilbert, Queen Creek, Casa Grande and Maricopa. All types of stem cell therapy and operative intervention are offered, including sports procedures and joint replacement.

Most insurance is accepted, simply call (480) 899-4331 today!

Are Orthopedic Knee Braces Helpful In Preventing Or Treating Injuries?

This has been a controversial topic for a very long time. On one hand, knee braces can be used and are suggested by most orthopedic surgeons to help in a variety of conditions and problems, but there’s still the question of “Do they really help?”; which needs to be answered.

There are two types of basic knee braces that your orthopedic surgeon might suggest depending on the situation; Functional and Prophylactic knee braces.knee brace

Functional Knee Braces

Patients who are already suffering from a ligament injury are the ones concerned about the effectiveness of knee braces. In such cases, they are usually interested in the functional knee brace type, because they are specially designed to support a torn knee ligament. This means the knee braces can prove beneficial if the patient’s already suffering from a ligament injury, as further confirmed by a number of studies done on the subject.

In summary; functional knee braces are fully able to provide at least some protection to the knee, particularly when force is applied. The studies done, further examined that the knee with the brace is more stable as compared to without it.

Prophylactic Knee Braces

Specifically designed to prevent knee injuries from happening in healthy athletes, these knee braces were first made available and highly popularized in the late 1970s when they were tried and tested by NFL players. Since then, use of prophylactic knee braces has only increased with the positive results shown by several studies, regarding the injury rate of athletes wearing the braces as compared those who don’t.

Although the difference isn’t questionably large, they do show that athletes of certain sports such as football; have a much lower rate of contraKnee Bracecting an MCL injury, when wearing the brace. Some important factors however, should be taken into account as well when determining the likelihood of injury, such as;

  • The sport played
  • The position of the player
  • The conditioning of the player
  • The size and weight of the player

At first; there was a huge concern with regard to usage of prophylactic knee braces. It was said that they could potentially alter the force on the knee which could very well become problematic. This isn’t the case at all, because when fitted and worn properly, they have shown to decrease the rate of ankle injuries.

OSPI offers bracing for clients for both types. This includes braces that are either custom made or potentially “off the shelf”. Insurance often covers them. Call OSPI today at (480) 899-4333.

What Are The Treatment Options For Frozen Shoulder?

A disorder characterized by pain, loss of motion/or stiffness in the shoulder, is known as frozen shoulder. The disorder affects about 2% of the general population, which means that it’s not that common but you can still suffer from it. Research done on the disorder shows that, women who are between the ages of 40 to 70 years old are generally more affected than other age groups or gender, although men can also develop the disorder.Shoulder pain

What are the Risks of Frozen Shoulder?

People who have been diagnosed with diabetes are at much higher risk of developing the disorder. In fact nearly 10% to 20% of such individuals develop frozen shoulder at some point in their lives. Some other medical conditions that increase the chances of developing the disorder are:

  • Hypothyroidism
  • Hyperthyroidism
  • Parkinson’s Disease
  • Cardiac Disease or Surgery

What Are The Symptoms of Frozen Shoulder?

The pain that is experienced by sufferers of this disorder is usually aching and dull, as compared to other joint injuries, although attempted motion can make the pain worse. The outer shoulder areas as well as the upper arm are the main locations when it comes to pain points, but a restricted shoulder motion and stiffness should also raise alarm bells about the possibility of the disorder.

According to most physicians, the normal course of a frozen shoulder can be described in 3 stages:

Stage 1: This is known as the ‘freezing stage’ and is known to last as long as 6 weeks to 9 months, depending on the nature of the injury. In this stage, the patient experiences a slow but gradual onset of pain, which worsens and results in the shoulder losing all motion.

Stage 2: The ‘frozen stage’ is characterized by a slow improvement in pain, although the stiffness of the shoulder still remains. This stage lasts for over 4 to 9 months.

Stage 3: This is the final stage, i.e. ‘thawing’ when motion in the shoulder returns back slowly towards its normal state. The thawing stage generally takes about 5 to 26 months to complete.

What Are The Treatment Options For Frozen Shoulder?

While the disorder can be effectively treated with the help of physical therapy and anti-inflammatory medicines, in extreme cases of the disorder, surgical intervention is needed when the pain doesn’t subside and/or shoulder motion doesn’t return to its normal course.Shoulder Arthroscopy

The surgery that is done to treat frozen shoulder effectively, aims at releasing or stretching the contracted joint capsule in the shoulder. Commonly tried methods are;

Shoulder Arthroscopy: In this, the orthopedic surgeon makes small cuts or incisions around the shoulder. With the help of a small camera and instruments attached to an arthroscopic device, the insides of the shoulder and the joint capsule are examined and operated upon.

Manipulation under Anesthesia: In this method, the surgeon gives the patient anesthesia and then manipulates the defected shoulder, i.e. forces it to move.

Of course, your designated Gilbert orthopedic surgeon will take you through the entire process and inform of the risks involved, before conducting the surgery which will make it easier for you to make the right decision.

OSPI is the top orthopedic practice in the East Valley serving Gilbert, Chandler, Mesa, Queen Creek, Maricopa and Casa Grande. There is also a physical therapy department, chiropractic, massage therapy and CrossFit too! Call (480) 899-4333 to receive treatment.

What Are The Benefits Of A Knee Replacement Surgery?

Our knees carry a lot of weight and stress, which is something we cannot ignore. Over time, it’s normal for the hardworking appendage to feel some decay and fail due to over-usage and exertion, but the problems developing as a result of it, can prove to be quite painful if they reach their chronic stage.

It’s at this stage when a Gilbert orthopedic surgeon might recommend knee replacement surgery. It’s normal for patients to feel nervous or worried about the implications of undergoing surgery, but in many cases, this is the only way to relieve the pain.

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To gain a better understanding of the entire procedure, take a look at the information given below that will alleviate some of the worry regarding knee replacement surgery that you might have if the procedure has been recommended.

Different Levels of Knee Damage Will Require Different Types of Knee Replacement Surgery

Broadly speaking, there are two categories or types of knee replacement surgeries, i.e. total and partial. The surgeon will first evaluate the damage done to your knee and then determine the type of surgery that will be needed to fix it.

Total Replacement Surgery: Also known as Arthroplasty, this type of surgery involves replacement of all the knee compartments.

Partial Replacement Surgery: Otherwise known as Unicondylar Knee Replacement, nothing other than the affected parts is replaced.

Both the types of knee replacement surgeries offer more or less of the same benefits, although success of the surgery still largely depends on the extent of damage to be repaired, the rehabilitation process, and the right precautions taken after the surgery.

Knee Replacement Surgery Benefits Outlined

A Reduction in Knee Pain

Unicompartmental knee replacementYou will feel a stark contrast and improvement in pain after undergoing the surgery. Not only that, the range of motion of the operated knee will be more comfortable and you will gain independence to go about your daily activities with more ease.

A Significant Improvement on Motion

You must know that the artificial knee will in no way be good as the original one, but the range of motion that was limited before the surgery will be improved greatly. Your limited mobility and inability to perform daily duties will be dramatically reduced as well.

The Rectification of Deformity

The best benefit that comes from undergoing a knee replacement surgery is deformity elimination. In addition to being a benefit, this is also a very good reason to opt for the surgery, as after it, you won’t be exposed to the side effects of long term pain medication treatments.

Out of all the benefits of undergoing knee replacement surgery, the one that appeals the most to patients suffering from knee damage is receiving another chance to enjoy life and other activities that were an important part before the pain. This in turn, will improve overall quality of life, although patients who opt for the surgery will have to take more care of their new knee.

The top knee replacement doctors in Arizona at OSPI are experts in both total and partial knee replacement. Most insurance is accepted at the practice, which serves patients in the East Valley including Mesa, Gilbert, Chandler, Queen Creek, Casa Grande, Eloy, Maricopa and surrounding areas.

Call 480-899-4333 today!

An Overview of Rotator Cuff Surgery: Risks & Recovery

Orthopedic surgeons in Gilbert, Chandler, Mesa and Queen Creek often recommend surgery in order to successfully treat and repair a torn rotator cuff. This is especially paramount if the injury to the rotator cuff is very severe, and/or non-surgical options and treatments are not sufficiently improving the movement and strength of the shoulder.

Out of the three main surgical treatments that are performed for this particular injury, Arthroscopic surgery is the most common and preferable to orthopedic surgeons as well as the patients. In some cases however, mini-open shoulder surgery is required to successfully repair a rotator cuff tear.

Why Is Rotator Cuff Surgery Performed

The surgical procedure is done when:Rotator Cuff Tear

  • A sudden injury causes the rotator cuff to tear
  • Rotator cuff is completely torn, causing severe shoulder weakness
  • Rotator cuff hasn’t improved in condition, after 3-6 months of physical therapy or other non-surgical treatments.
  • The patient has an overall good physical condition to recover easily and quickly from the surgery, after committing to a full rehabilitation program.

What to Expect After Surgery

Many people try to stay away from surgery and opt for other treatment methods that are non-surgical, but while there is a success rate for such treatment methods too; if the tear is serious, then surgery will be needed to treat it effectively.

After the surgery, physical therapy will be prescribed by the doctor for a smooth and successful recovery. A typical rehabilitation program may be as follows:

  • As soon as the patient wakes up after the surgery, some light exercises are done that extend and flex the wrist, elbow, and hand.
  • After a day passes, the physical therapist may help the patient move the operated joint through its normal range of movement.
  • With the assistance of the physical therapist, active exercise may start 6-8 weeks after surgery.
  • After a few months, the patient will be taught strengthening exercises.

Risks and Complications Associated With Surgery

This is a fact that all surgical procedures carry some amount of risk, either during the surgery or after it. This doesn’t mean that opting for rotator cuff surgery is a bad option, as the success rates of this procedure are very high. Of course; when it comes to addressing risks and complications, your orthopedic surgeon will do everything necessary to minimize the risks associated with your rotator cuff surgery.

Following is a list of the common complications that are a byproduct of almost all surgical procedures:Shoulder Arthroscopy

  • Pain
  • Stiffness
  • Bleeding
  • Infection
  • Nerve Injury
  • Unsightly Scarring

The risks and complications that arise; largely depend on the type of surgery and also, on how badly damaged the area is. Before starting any procedure, you will be required to sign on a document of consent which means that as a patient, you understand the risks and trust the doctor performing the procedure to deliver the best results.

The expert orthopedic doctors at OSPI are highly skilled in minimally invasive rotator cuff repair. Patients are seen from all over the East Valley including Gilbert, Chandler, Mesa, Queen Creek, Casa Grande, Maricopa and surrounding areas. Call today!

Cartilage Regeneration Options in Gilbert, Chandler, Mesa AZ

What Is Cartilage Regeneration?

 

Back in the year 2014, a study was carried out by researchers from the Hospital for Special Surgery. They discovered that patients who suffer from cartilage damage in their knee can have it treated with good results, due to the revolutionary technology of cartilage re-generation.knee cartilage defect

The research and a few case studies that followed after the discovery were presented to the American Orthopedic Society for Sports Medicine at its annual meeting held in Chicago that year.

Current Approaches to Cartilage Repair

The name of the tough and incredibly flexible tissue which acts as a cushion for bones and joints is Hyaline Cartilage and it’s this that prevents joints and bones from rubbing against each other during physical activity. Gradual wear and tear or trauma can result in the hyaline cartilage being damaged, which in turn, limits normal joint movement and cause patients to suffer through severe pain. This condition, if left untreated for a long time, can lead to disability.

You should know that damage done to the cartilage isn’t as readily repaired by the body naturally, as the cartilage tissue does not having its own blood supply that would have been otherwise used to bathe damaged tissue and promote cartilage regeneration.

Thus, the current approach of surgeons to effectively treat cartilage damage and help promote its growth is by employing a technique called micro-fracture, a surgery which is generally performed on young adults, who as a result of a sports injury, are suffering from a cartilage tear.

While the procedure promises and gives good results to damage on a smaller scale, micro-fracture is ineffective for those who have widespread cartilage de-generation, or osteoarthritis.

Lighting the Way towards Cartilage Regeneration

Attempts have been made over the years by researchers and orthopedic surgeons alike to build human cartilage outside of the body for years and most of the attempts have proved to be successful, largely due to today’s technological advancements.

The process that is widely used to mimic and grow human cartilage outside of the body involves planting a number of cartilage producing cells into a biological scaffold, then placing them into incubation conditions found in the human body.

There are a number of factors concerned with the effective and successful regeneration of cartilage, one of them being the scaffolds that are being used for the experiment according to Jennifer Elisseeff, director of the Cell and Tissue Engineering Program at John Hopkins University. In her own lab, she uses hydrogel which is a specific type of scaffold.

After spending several years working on creating the highest quality cartilage under lab settings, Elisseeff discovered that the quality of the regenerated cartilage can be influenced for the better if a hydrogel scaffold could be used on the patient following micro-fracture surgery. A series of clinical trials followed the discovery, the results of which were published in Science Translational Medicine.

Clinical Trial Results

The results showed that more of the cartilage defect was filled successfully by the repaired cartilage, i.e. in 86% of the patients, after receiving the special gel/adhesive as compared to 64% who didn’t. Moreover, the cartilage implanted closely resembled the native strains in those who underwent the gel/adhesive treatment following a micro-fracture surgery.

OSPI in Arizona offers comprehensive treatment options for cartilage regeneration, including microfracture, Carticel, OATS procedure and stem cell therapy. The Board Certified providers treats patients from the entire East Valley including Chandler, Gilbert, Mesa, Queen Creek, Casa Grande, Maricopa and surrounding areas.

Call today for the top knee, hip and shoulder specialists in Arizona’s East Valley today!

Joint Replacement with Top Gilbert Orthopedic Surgeons

Joint replacement is a significant procedure for the hip, knee, shoulder, which is often reserved as a last resort option. Joint replacement can be performed for several joints in your body, with the most common by far being the knee or the hip.

Total hip or shoulder replacement is a surgical procedure where the normal ball and socket joint in that area is replaced with a plastic cup and a metal ball, both of which are meant to simulate the natural joint in your body. These procedures are intended to restore natural function in that joint and provide you the opportunity to continue living independently.

Who qualifies for total joint replacement surgery?

Someone who is suffered from severe tendon damage, joint damage, or severe cartilage damage should exercise all nonsurgical treatments available. Once all nonsurgical treatment options have been tried and the results do not rectify the pain leaving you with severe pain and inability to move your joint properly, total joint replacement surgery might be the last option. This surgery should only be utilized if you have permanent damage to the joint which you cannot be fixed in any other fashion and nonoperative treatments have failed.

What happens after the replacement?

After the surgical replacement of your hip or knee joint you will be monitored overnight. Certain patients at OSPI are able to receive an outpatient hip or knee replacement. For those who don’t qualify, inpatient stay make take 2-3 days.

Given the severity of this surgery you might have to work with a professional and licensed physical therapist for the first few weeks after your surgery.You will also need somebody to be with you during the first few weeks of your recovery. After the first two weeks of your recovery you should be able to dress yourself and feed yourself but it is nonetheless recommended that somebody remain with you. Following the surgery and recovery you will be asked to return to either your Gilbert or Chandler orthopedic surgeon’s office or the hospital to have x-rays and a follow-up examination. Both of these are designed to see how well the surgical process took and how well your body is responding.

Are there complications?

This is a very technical procedure but like all surgeries it does come with potential complications including the risk for bleeding and infection. There is a potential for stiffness, blood clotting, and other issues.

What can be expected during recovery?

Following your surgery you will have to wait in a recovery room for at least two hours prior to being placed in your hospital room. You will be monitored during this time for your responsiveness and you will be administered pain medication if you need it. After the first few days he will need somebody to drive you home and stay with you overnight.

OSPI is the top orthopedic surgery practice in the East Valley of AZ serving Gilbert, Chandler, Mesa, Queen Creek, San Tan, Casa Grande and surrounding areas. Most insurance is accepted, call OSPI today at 480-899-4333!

Importance of Chiropractors for Young Athletes

Here’s a fact: Kids and sports go together. Sports are encouraged for many reasons – the exercise and socialization invites everyone and helps develop better motor skills and teamwork.

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Parents are pushing their kids to excel from a very early age. From soccer to basketball to baseball, they leave no stone unturned to make sure their children excel at sports.

As there is a rapid and more access to sports these days, here lies a major drawback – increased risks of injury. This is where Chiropractors come in the picture.  If your kids are into sports heavily, it’s equally impetrative to understand the need and importance of chiropractic care from very early on, thus reducing the  risks of injury and helping a child recover faster, if in case any injuries occur.

 

The sports your kids involved in, or their age will not matter, as similar to every athlete’s experience of sports injury, they will come across such moment of despair and pain at some time in his or her life. It has to do mostly because of the competitive drive and could compel young athletes to reach beyond the maximum output of their bodies. This leads to fatal sports injuries, including pulled muscles, torn ligaments, or sometimes broken limbs.

Chiropractors are exclusively trained and are licensed to treat the entire neuromusculoskeletal system, provide advice on sports training, nutrition and injury prevention to young athletes. The procedure involves non-invasive, prescription-free treatments to restore physical ability in athletes.

Most sports are physically demanding and require massive training and thorough practice which can adversely affect the spine and muscles of younger athletes. Chiropractic care on a regular basis can help take care of the spine, the muscles, and prevent injuries in the long run.

Yes, young athletes can bounce back quickly from an injury, but one needs to understand that though they have the ability to get back in the tune in less time, their skeletal structure is always at risk. Let’s not forget that their bodies are vulnerable for a long-term damage too.

Studies show that such chiropractic care can help younger athletes recover from injuries without having to use medications.

The muscle tension in the neck that occurs during activity in sports could lead to severe headache. In such cases, a chiropractor can help you relieve headache instantly.

Chiropractic care can help ease shoulder pain that might occur due to repetitive stress injuries during a game of baseball and football. The process will also help in preventing further shoulder injury, or any injuries for that matter.

When in times of ankle injury, a chiropractor helps increase motion and lessens pain. Of course, you’ll still have to visit a physician for proper treatment.

In conclusion, they assist in improved health and better game performance for young athletes.

Are you young and in the process of becoming a super athlete in the future? Do you wish to consult a chiropractor for any health advice?

OSPI has all the answers. For your convenience, you may also want to visit Crossfit Gilbert AZ.

Call us and schedule an appointment TODAY 480-899-4333!

When to Meet with a Gilbert Orthopedic Surgeon

Many people sustain a variety of injuries through regular wear and tear or through sports or even just through repetitive motions associated with hard work. In many cases regular inflammation and pain might just be circumstantial, something which results from regular use of your body. In other cases these small indicators might represent a much more serious condition, something which must be treated immediately.

Many people wonder when they should meet with an orthopedic surgeon. Meeting with a Hip Replacement PhoenixGilbert orthopedic surgeon should be something reserved for injuries which you have already diagnosed with your primary care physician and what you have already attempted to treat using nonsurgical methods. An orthopedic surgeon is a great person with whom to meet after you have exhausted all nonoperative methods of repair and treatment.

An orthopedic surgeon in Gilbert and Chandler is somebody who can help complete minor and major surgical procedures on your joints. If you have already exhausted all nonsurgical methods of treatment you can ask your primary care physician for a referral and meet with an orthopedic surgeon to discuss your situation and evaluate what options you now have it your disposal.

If you have torn your cartilage, your tendon, or suffer from other serious joint conditions it may be in your best interest to meet with an orthopedic surgeon. An orthopedic surgeon can resurface your joint or repair your joint using minor surgery such as arthroscopic surgeries. This type of surgical procedure involves a small incision in the affected area through which a tube is inserted. This tube has connected to a small camera which sends a live feed directly to the monitors in the operating room.

The Arizona orthopedic surgeon can use this to locate the damaged area and repair it immediately. In cases where you are referred to an orthopedic surgeon but the extent of the damage cannot be known at the time, an arthroscopic procedure can be used to first locate the site of the damage, the type of the damage, and the size of the damage, after which the surgeon can immediately repair the problem through a secondary incision.ospi_small

Prior to undergoing any surgical treatment for joint injuries you will of course have a consultation with the orthopedic surgeon so that you can review your current medical conditions and your medical history to determine if you qualify for certain procedures. The consultation is an excellent time to review which options you have your disposal given your particular situation and to discuss any potential problems you may encounter during your surgical processes.

OSPI is the top orthopedic practice in the East Valley, including Gilbert, Chandler, Mesa, Queen Creek and surrounding areas. Most insurance is accepted, call 480-899-4333 today!

Anterior Hip Replacement Surgery FAQs

How is anterior hip replacement surgery performed?

Anterior hip replacement is a relatively new surgical method that, unlike the posterior or posterior lateral approach, the patient lies on their back and not on their side. Access to the hip is made through a four-inch incision to the outside area of and just below the groin. After the incision is made, the surgeon locates two muscles, which are pushed to the side in order to allow access to the area. The hip is then replaced, including the ball and socket and other components. Unlike other surgical procedures, no muscles are detached or split. Thus, before closing the canstockphoto13092914incision no repair has to be done to any muscles. Upon completion of the replacement the incision is closed.

How is anterior hip replacement different from traditional hip replacement surgery?

Generally speaking, it is a less involved procedure. There is no cutting or splitting of muscles, access to the area is easier, and fewer muscles are involved. Traditional surgery includes making an incision from the buttocks that curves around to the outside of the hip. Then the buttock muscles are split and four other muscles are detached. All of these muscles must be repaired after the hip is replaced. With anterior hip replacement surgery, no muscles are split or detached, and only two are pushed to the side during surgery.

What are the benefits of anterior hip replacement surgery?

Any successful hip replacement surgery will improve a patient’s quality of life by allowing them to be more mobile, physically active, and involved in activities associated with work and leisure. However, there are benefits that are related specifically to the anterior hip replacement method.

Because muscles from the back of the hip are not cut, there is minimal muscle trauma, which allows for faster healing and reduced pain. Plus, due to the fact that muscles are not detached, there is less risk after surgery of the patient suffering a hip dislocation.

Post-surgery discomfort is also reduced due to the location of the incision, which is below and in the outer region of the groin area for the anterior method. Traditional technique involves the buttock muscles, which, weeks after the surgery is complete, affects sitting and sleeping. Finally, there is more comfort in terms of equal leg length, as the anterior method makes it easier for the surgeon to obtain optimum balance between the legs.

What precautions must be taken after anterior hip replacement surgery and are they different than those taken after traditional hip replacement surgery?

Prior to and following posterior hip replacement surgery, there are numerous precautions that surgeons must discuss with their patients. They must be taken after surgery is performed, and are numerous. These precautions do not apply to those who undergo the anterior hip replacement procedure.

The reason for taking the following safety measures is to guard against dislocating the new hip, which is a common complication. Precautions include:

  • For the first four to six weeks after surgery, a pillow must be placed between the legs when sitting or lying down.
  • For the first four weeks, patients who are recovering must sleep on their back with a pillow between their legs
  • Hips or knees must not be bent beyond 90 degrees during this time.
  • Leg crossing, inward turning of toes, and tying of shoes are also prohibited.
  • Low chairs or couches should not be sat on.
  • To preserve to 90-degree rule, patients are encouraged to use an elevated toilet.

With anterior hip replacement, the risk of dislocation is virtually eliminated. Thus, as noted, there is no need to follow the precautions outlined above.

In what ways is rehabilitation different for anterior hip replacement surgery than it is for posterior?

First of all, due to the fact that the above addressed precautions have been eliminated, rehabilitation for anterior hip replacement is much different than that for the posterior process. Muscle trauma is greatly reduced with the anterior method, which makes for a rehabilitation timeline that is much faster.

A patient having undergone anterior hip replacement surgery finds it’s much easier to use a walker, and, two to three weeks after the operation, they can progress to using a cane. Within four to five weeks, a patient is usually walking without the aid of a cane, and they can resume normal activity very shortly after that.

With posterior hip replacement surgery a patient utilizes a walker for the initial four to six weeks and then a cane for three to four more weeks. They will often be walking independently after approximately 10 weeks. A patient may resume their normal activities in about 12 weeks.

How invasive is anterior hip replacement surgery?

Although anterior hip replacement surgery is less invasive than the posterior method, it is still considered to be a major operation and invasive surgery. This is due to the fact that anterior hip replacement surgery involves a patient being put under an anesthetic, and their being exposed to blood loss and the cutting of bone. Plus, the joint area is opened up. All of these factors involve a certain amount of risk.

ospi_smallDo all orthopedic surgeons perform anterior hip replacement surgery?

No, not all orthopedic surgeons use this technique. Most surgeons have been trained in posterior hip replacement, which is a very effective method. It is still the most common technique used. In order to perform anterior hip replacement surgery, a doctor will have to be exposed to other surgeons knowledgeable about and experienced in the procedure. This costs money and takes time. Plus, a hospital would have to invest in special equipment, including an operating table designed for the procedure.

Is anterior hip replacement surgery more expensive and does my insurance cover it?

Anterior hip replacement surgery is more expensive, however, it does not cost a patient any more money to have this type of surgery performed. All insurances cover both types of procedures.

OSPI is the top orthopedic practice in the East Valley. Chandler and Gilbert orthopedic surgeons at the practice offer anterior hip replacement surgery along with cutting edge procedures such as stem cell therapy procedures. Most insurance is accepted, call 480-899-4333 for more information and scheduling with top orthopedic surgeons Gilbert, Chandler and Mesa trusts.

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