I'm doing research just now about the best options for my situation. As a 53 year old- yoga teacher and ex dancer I'm keen to go for something that gives the best outcome. Have looked into Minimally Invasive surgery both posterior with Superpath Hip and Anterior AMIS (in Germany) and now read that the McMinn BHR have bought out a new Polymotion Cup which combats the metal on metal probelms for females. Can anyone shed any light on these procedures and let me know their own experiences. Thanks...
Hi ,I cannot comment on the McMinn, but I had a RTHR 15 months ago posterior and have an uncemented ceramic ball and socket and titanium stem. The movement of this is brilliant and rotation is very good. The only thing I have been told is that I cannot cross my leg over the knee, I dance and use the gym, except rowing machine.
Mine is Corail Pinnacle. No metal on metal so no problem, I am in my 50's too.
I ahve heard the anterior approach has a quciker healing time and less risk of dislocation but you have to find the right surgeon. Good luck with whatever you decide on.
I have had both hips replaced using the anterior method with ceramic prosthetics.
My recovery seems to have been faster than the posterior approach and there are far fewer restrictions, also no need for re- education of the hip joint after.
I do live in France though and think that perhaps th be anterior approach is more common here.
I had a active implants tribofit. Fitted nine week ago recovering nicely. It has a polycarbonate-urethane (PCU) buffer to help prolong the life of the thr so hopefully will last me quite some time maybe another option to look at 😊
I also had ceramic and uncemented titanium. Minimally invasive posterior approach - absolutely no pain at all since it was done five weeks ago, and brilliant recovery. Surgically discharged in two weeks instead of the usual six.
But everyone is different. Holding a "survey" really only tells you about what happened to us - it won't tell you what will happen for you. That is best determined by some frank discussions with your surgeon(s).
I was under the impression that almost nobody doors metal on metal any more- that mix had been well discredited now.
You are aware that the polymotion cup takes several months to custom make? So it isn't going to allow you to have a hip replacement any time soon! The other issue you should consider is that new is not the same thing as better. Any newer technique or materials have no track record. They might be better. Or, like metal on metal, which was supposed to be better, they might be worse! As an absolute, with any new technique, your are only going to get a brat guess and the manufacturer claims. They are hardly likely to say that they don't know what it will really do in ten years (or five, or two, or twenty) because they can't predict that, are they? If you can afford it, and if you think it's best for you, and if you can find a surgeon comfortable with performing the procedure, then go for it. But be aware that most surgeons have their own opinions and preferences, and don't just do what you want; and they may be very resistant to trying a technique that is untested in the field. Research is one thing. But research in a lab does not walk around on your hip for 20 years. And if things go wrong, the comeback that might fall on the surgeon will make them very wary.
Hi, Clea. I don't know much about those types of hip surgeries that you mention, but from what I have read about metal-on-metal for hip replacement, the risks don't outweigh the benefits. Here in the US, anyway, I doubt you would find anyone who would recommend metal-on-metal for THR. I had mine done in July 2015 and it is titanium and ceramic. I would not have allowed MoM in my body. There are excellent alternatives.
A friend of mine in his fifties had a BHR and he is back running half marathons. Another friend was going to have one but the surgeon decided that the hip was too far gone, so she is having a THR. It does seem that surgeons have their own favourites though.
I am 4 weeks post-op after anterior LTHR November 14. I am painfree and walking wo a cane. I have had minimal movement restictions and have slept on my surgery side now for a couple of weeks.
Best of all it was an out-patient surgery, back home the same day! I was able to to shower the next morning. The incisions had "glue" and absorbable stirches which eliminate the need to go back and have stitches taken out..
Anterior THR also uses a real-time xray guidance procedure that insures the cup that receives the new femoral head is properly positioned into the acetabulum. Issues with different leg lengths are thus minimized or eliminated.
The only drawback I have experienced is a hematoma over the incision site. It is mostly gone now with compression and ice.This was caused by tissue leakage from the interior incision (the capsule). It happens about 40% of the time.
I would only reconmend the anterior THR to anyone seeking THR because it has gone so smoothly with least amount of side effects/pain. Muscles and tendons are not cut vs. accessing the joint between muscle intervals.Only the joint capsule is cut to remove the diseased joint (the same with every procedure).
My prothesis is a ceramic head in a ceramic cup fitted with a polyethelene liner. The stem is metal inserted in the femur.
Metal on metal generates metal ions over time that are toxic to the body. My surgeons had not opted to use that approach for that reason.
I can't imagine having my gluteus maximus cut to get at my hip joint for replacement This is the major cause for pain and movement restrictions that cause dislocations and the need for revision surgery.
Anyway, hope this helps. You are doing the right thing to explore and understand what is going to be done to you before it is done
You are correct regarding the "right surgeon" for the anterior approach. It requires more skill, experience and specialized equipment (HANA table).
Many surgeons who try to learn the anterior THR procedure go back to the other approaches because of the learning cure involved and access to specialized equipment.
Outstanding reply and advice! The key point is to chose the procedure (you choose not the surgeon) and select a suregeon who is good at it and has had a good sccuess track record. Tehn, as you say, go for it