Steve Shaner suffered from intense joint pain in his hips that severely limited his lifestyle. He went to Dr. Derek Johnson of the West Michigan Holland Bone & Joint Center who performed one of the first bilateral anterior approach total hip replacement surgeries. Now, Steve Shaner has his active lifestyle back.
The key to a “direct anterior approach” total hip replacement is the positioning of the patient during surgery and the location of the incision itself, according to Dr. E. Marc Mariani, a board certified orthopedic surgeon at St. Mark’s Hospital who with colleague Dr. Michael H. Bourne and Dr. Peter Novak of the Salt Lake Orthopaedic Center are the first three Utah surgeons using the technique…
…Combined, they have decades’ experience in hip replacement. The result for the patient, they said, “is not better. It’s spectacularly better. Some people are going home on the second day, with little or no … Read the Rest
Dr. Matthew Bong talks with the hosts of the Morning Blend about traditional hip replacement surgeries and Anterior hip replacement surgeries.
The Anterior Approach by Dr. Matta
Anterior Approach: Total Hip Replacement
MINIMIZING THE TIME FROM REPLACEMENT TO RECOVERY
Though still uncommonly used in the United States, the popularity of the anterior approach for total hip replacement is rapidly growing because of its definite advantages for patients, even those in need of bilateral procedures. Rehabilitation is simplified and accelerated, dislocation risk is reduced, leg length is more accurately controlled, and the incision is small.
Why, then, is this approach not more widely used by U.S. surgeons? There are several reasons: lack of familiarity, traditional teaching, and lack of the necessary … Read the Rest
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Just hours after Dr. Dick Wallin had his right hip replaced by Dr. E. Marc Mariani, he stood up. The next day, he used a walker to “cruise around the nurses’ station” at St. Mark’s Hospital, and shortly after that he learned to use crutches on a stair exercise machine.
When he went home on day three, he needed only one crutch, which he discarded a week later. Within a couple of weeks, he was walking down his long driveway to retrieve the newspaper and the mail. He was also driving again.
Dr. Wallin had … Read the Rest
Though uncommonly used in the United States, the anterior approach for total hip replacement provides definite advantages for patients, even those in need of bilateral procedures. Rehabilitation is simplified and accelerated, dislocation risk is reduced, leg length is more accurately controlled, and the incision is small.
Why, then, is this approach not more widely used by U.S. surgeons? There are several reasons: lack of familiarity, traditional teaching, and lack of the necessary instrumentation and equipment. The surgery is especially facilitated by a particular operating table with unique capabilities to position the leg. This procedure has been perfected and popularized … Read the Rest
Traditional hip replacement surgery involves an incision of 10-12 inches over the back side of the hip and buttock. This is called the posterior approach to hip replacement. The underlying muscles are split or cut to enable the surgeon to get to the hip joint and resurface or replace it. The comparative illustration at right shows the incision for a traditional hip replacement in red.
Anterior approach hip replacement surgery is a new development in the U.S. It is a tissue-sparing, minimally invasive technique, where the incision is made on the front of the hip, rather than the back. This … Read the Rest
Matthew Bong, MD, orthopedic surgeon, will perform the anterior hip replacement surgery, Daniel Holub, MD, orthopedic surgeon, will assist, and Scott Schneider, MD, orthopedic surgeon, will moderate. Viewers will have the opportunity to send questions directly to the operating room during the surgery.
Anterior hip replacement is one of the newest procedures available to ProHealth Care Orthopedic Center patients needing hip replacement surgery. Oconomowoc Memorial Hospital was the first in the metro-Milwaukee area to offer this minimally invasive surgery using the HANA table. The special operating table allows the surgeon to more effectively move the leg during surgery to best … Read the Rest
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Dr. Burak was the first orthopaedic surgeon in the northeast United States to use the anterior approach technique. He states that the key to truly maximizing the benefits of the less-invasive technique involves the use of the Hana table.
“Basically, the table is a positioning device,” says Dr. Burak. The table allows traction of the operative extremity, combined with hyperextension, external and internal rotation of the hip and lowering of foot to the ground during the surgery. The anterior approach with the [Hana] table allows me to perform the surgery on anybody. I’ve done patients … Read the Rest
Video About Minimally Invasive Anterior Surgery in graphic format (not a live surgery).
Learn about hip surgery with the minimally invasive anterior approach. This is a graphic video, not live surgery.