Naperville Sun HealthAware column:
Patients in better position for hip replacement
May 21, 2012
Before anterior hip replacement surgery, Naperville resident Vicky Joseph was challenged every day to do things about which most people wouldn’t think twice.
“I was making decisions like, ‘do I really have the energy to stop at the grocery store today?’” says Joseph, 55. “The pain was critical toward the end.”
But Joseph, who had the procedure in June, had very little post-operative pain, slept in her second-story bedroom on her first night home and has returned to activities she used to enjoy years ago, including mountain climbing and cutting the grass.
“I totally forget that I have the prosthetic,” says Joseph, who sought a surgeon skilled in performing the anterior approach. “I had seen both my parents go through this the old-fashioned way. My recovery was much quicker than anyone I have known, because of my age and this new approach.”
With anterior hip replacement, patients benefit from a smaller incision (3 to 4 inches instead of 8 to 12 inches in traditional hip replacement surgery), which is made in the front of the hip and means there’s no need to detach muscles or tendons. The result is less tissue damage and blood loss, less time in surgery, a shorter hospital stay, reduced pain after surgery and faster recovery time (two to four weeks instead of six weeks to three months).
To assist in the anterior hip replacement procedure, Edward Hospital orthopedic surgeons are using the ARCH Table Extension, which helps rotate the leg and keep it in place, extend the hip and lower the foot toward the floor throughout the procedure. Doctors at Edward also use the ARCH Table Extension for some hip fracture surgeries and hip arthroscopies.
“The extension holds the leg in the desired position and allows the surgeon to do the surgery more safely and efficiently,” says Dr. Andrew Kim, an orthopedic surgeon with M&M Orthopaedics. “It also allows me to offer the anterior hip replacement option to a wider range of patients of varying sizes since an assistant doesn’t have to hold the leg.”
For patients like Joseph, who will likely need to have her other hip replaced in the future because of a genetic cartilage disorder, the anterior hip replacement procedure and Edward’s new ARCH Table Extension couldn’t have come at a better time.
“I am thrilled they have this new equipment,” Joseph says. “Having the procedure has been life-altering.”
“Vicky had an amazingly quick recovery,” Dr. Kim says. “Just two weeks after surgery, she walked into my office without a limp, doing everything as she had before and more.”
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