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  1. #1
    Join Date
    Sep 2001
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    The Cone of Uncertainty
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    47,352

    Anterior vs. Posterior Hip Replacement?

    Just got back from the Doc. Hip replacement on the left as soon as I get it scheduled. I knew it was coming, it hurts all the damn time. It's the side where I broke my pelvis in December of '17. He only does posterior. I've known this guy since college, he's a friend, and he's well-respected, for example he was the team ortho for the NBA Wizards and NHL Capitals. It's a busy practice, he does a lot of surgeries. He did surgery on my daughter's badly-broken shoulder about 10 years ago and there's been no issues.

    He made the point that I should make up my own mind and that he will refer me to another Doc if I decide to go anterior. He said he does only posterior because he's more certain of the outcome and that essentially the difference to me would be 2 additional weeks of recovery.

    The other hip is going to need it too but he thinks it will be okay for a couple years yet. Anybody have input for me on the anterior/posterior deal? Thanks.

  2. #2
    Join Date
    Sep 2005
    Location
    Wasatch Back: 7000'
    Posts
    8,975
    There is a lot about this on-line.
    I found this, and much more.
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    https://www.arthritis-health.com/sur...ment-surgeries
    https://www.mayoclinic.org/medical-p...y/mac-20429796
    https://www.health.harvard.edu/newsl...acement-better
    I think that it is sixes. The Harvard article seems telling, and somewhat disagrees with the photo that I posted. Read them. They are short.

    Personally, I'd rather have the scar on the outer thigh, than the interior pelvis
    A society that puts equality before freedom will get neither. A society that puts freedom before equality will get a high degree of both.
    ― Milton Friedman

  3. #3
    Join Date
    Sep 2001
    Location
    The Cone of Uncertainty
    Posts
    47,352
    Thanks C. Yeah I spent some time googling and reading since the appointment, I was mainly wondering if anybody had any personal experience. Any chance you could cut-and-paste that Harvard article, I'd rather not have to subscribe just to read one article.

  4. #4
    Join Date
    Sep 2005
    Location
    Wasatch Back: 7000'
    Posts
    8,975
    One other thing, if you are looking for a second opinion, look up Dr. Richard A. Berger. He is an MIT and Tufts grad. He did both of my brother in laws hips. Right now, his practice is in Chicago, and he is supposed to be the "gold standard" of the anterior approach.
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    A society that puts equality before freedom will get neither. A society that puts freedom before equality will get a high degree of both.
    ― Milton Friedman

  5. #5
    Join Date
    Nov 2003
    Location
    none
    Posts
    6,361
    Im really muscular. That made it more difficult to do the anterior approach and the surgeon chipped off my greater trochanter. Negating the benefit of faster recovery.

    Id find the best surgeon and let him do the procedure hes most comfortable with.

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