What are the Three Approaches for Total Hip Replacement Surgery? скачать в хорошем качестве

What are the Three Approaches for Total Hip Replacement Surgery?

Dr. Dan Albright, orthopedic surgeon discusses the three approaches to hip replacement surgery: anterior, lateral and posterior and which approach he feels has the quickest recovery. Transcript of video: What are the three approaches for hip surgery for hip replacement operation? Three approaches. My name is Doctor Dan Albright. I'm an orthopedic surgeon in Raleigh, North Carolina. I specialize in hip replacements. I did a fellowship in hips and devote a large part of my practice to replacing the hip. There are three approaches to the hip and as a surgeon we're, of course, focused on anatomy. That's one reason we all became surgeons because we love anatomy. Anatomy is crucial to what we do and doing it well. This is a model of the hip. This plastic outside is the skin. We'll take that out - it represents the skin. And then there are three parts of the hip that we explore with surgery. We go from the front which is my preferred way. From the front, I'll tell you why in a minute. We also go from the side which I do sometimes with tougher surgery, revision surgery. If someone's had three, four, five surgeries, cancer or just some unusual situation, I'll go lateral. It's a good way. And then there's posterior and that's what most of the country does. Our whole culture opens the gludeus maximus, your buttock muscle and that muscle is split with the posterior approach and that's what our culture is centered around - the posterior approach to the hip. That's what's most common. That's what you'll hear about and it works. I have a lot of colleagues across the country that do the posterior approach. It's a good operation. There's controversy amongst us surgeons we all think that the way we do it is the best. In my hands, and I've done all three approaches, in my hands, the anterior approach is what I believe works the best. One reason is you split muscle (in the other approaches) and you don't stitch muscle back to the bone and it's my belief that there's less dislocations after. There's some debate on that topic, but I have no restrictions after surgery. That's a real big deal with a hip replacement operation. You could tie your shoes first day, if you want. With posterior approach there are some real restrictions for some surgeons and that's held true over decades. Though not dislocating is a big deal, less muscle damage is a big deal, in my opinion. I don't sew anything back. I just close the skin that's pretty much what I do, and the fascia, which is the covering over the muscle. So it's a very, pretty quick procedure going from the front and quicker recovery, in my opinion. Patients are out of bed within a couple hours, usually, and then home by the next day, most times. So one night in the hospital. It's possible to go home same day, but that's not something I'm trying to encourage right now, but one night in the hospital, home the next day is the norm. That's pretty good, especially compared to the old days. Years ago when I trained, people were in the hospital for a week, ten days - in traction. It was quite different. So we made a lot of really nice gains with technology. The evolution of hip replacement surgery has been very good. I encourage you to Google "anterior hip replacements." There is a lot of good information out there. I trained at Yale years ago and we were a center for anterior hips and really got some good training. Did a fellowship at Harvard in hips, so I really like to focus on it because people are happy after they get this operation. They have a better life, a healthier life. So I'm happy to talk to you about anterior hips, why it's better than, I think, than any other approach. My website is danalbrightmd.com. The appointment line phone number is 919-863-6808. I'd be happy to see you any time. Thanks.