What is the difference between anterior and posterior hip precautions?
With an anterior approach, you are pushing the muscles to the side and not really cutting through any tendons or any muscles in order to access the hip. For the posterior approach, there are some muscles that you do need to detach in order to get down to the hip joint itself.
Are there hip precautions with anterior approach?
There are generally no hip precautions necessary after the direct anterior approach, so motion is not restricted. Patients can return to work when they feel comfortable, although this typically takes 2 weeks or more.
What’s better posterior or anterior hip replacement?
The anterior approach to hip replacement tends to provide the surgeon with a more limited view of the hip joint during surgery, making the surgery technically challenging, especially for less experienced surgeons. The posterior and direct lateral approaches provide the surgeon with a better view of the hip joint.
What is posterior hip precautions?
slide 2 of 3, Hip Replacement (Posterior) Precautions: Don’t bend your hip too far, Don’t lean forward while you sit down or stand up, and don’t bend past 90 degrees (like the angle in a letter “L”). This means you can’t try to pick up something off the floor or bend down to tie your shoes.
What is the difference between posterior and anterior?
The difference between anterior and posterior is simple: anterior means near or towards the front of something and posterior means near or towards the back.
What are the 3 hip precautions?
Hip precautions encourage patients to avoid bending at the hip past 90°, twisting their leg in or out, and crossing their legs. Patients are also encouraged to sit with their hips higher than their knees, sit in a chair with armrests, and sleep on their back with a pillow between their legs.
What are the disadvantages of posterior hip replacement?
Disadvantages
- Not everyone is a good candidate. The surgery might not be appropriate for the very obese.
- It is a longer procedure. The surgery takes about 90-100 minutes versus 60-70 minutes for a posterior hip replacement.
- The surgery has a steep learning curve.
Are posterior hip precautions necessary?
Conclusion: Preliminary analysis suggests that removal of hip precautions after primary THA using a posterior approach was not associated with early dislocation and facilitated return to daily functions. Investigation to appropriate power is warranted.
Which approach is best for hip replacement?
The posterior approach to total hip replacement is the most commonly used method and allows the surgeon excellent visibility of the joint, more precise placement of implants and is minimally invasive.
Is posterior hip replacement more painful than anterior?
Advantages of anterior hip replacement: Less pain. Less chance of hip dislocation. Less chance of long-term limping.