Atlanta Bone and Joint Specialists
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  • Home
  • Our Doctors
    • Maurice Jové, M.D.
    • Nathan Jové, M.D.
    • Jeff Traub, M.D.
    • Brian Vanderhoof, D.O.
    • Physician Assistants >
      • Omid Midanaky, PA-C
      • Aidan O'Connor, MPH, PA-C
      • Elissa Ricker, PA-C
  • Locations
  • Appointments
    • Online Scheduling
    • Forms
    • Referrals
    • Independent Medical Examination
    • Telemedince and E-Visits >
      • E-Visit Scheduler
    • Saturday Clinic
    • What To Expect
    • Medical Tourism
  • Our Office
    • About Us
    • Social Media >
      • Facebook
      • Instagram
      • LinkedIN
      • Twitter
      • YouTube
    • Orthopedic Expert Witness
    • Conditions Treated
    • Payments
    • Bracing
    • Office Staff >
      • Office Manager >
        • Brian Pallone
      • Front Desk & Checkout >
        • Decatur
        • Loganville >
          • Meagan
        • Snellville >
          • Cheryl
      • Billing & Collections >
        • Maurice Jové, M.D. >
          • Buffie
        • Nathan Jové, M.D. >
          • Mayra
          • Makenzie
        • Jeff Traub, M.D. >
          • Jennifer
          • Liz
      • Scheduling >
        • Jeff Traub, M.D. >
          • Andrea
        • Maurice Jové, M.D. >
          • Rachael
        • Nathan Jové, M.D. >
          • Lindsay
        • Brian Vanderhoof, D.O. >
          • Megan
      • Radiology >
        • David
        • Rebecca
        • Carla
        • Oscar
      • Medical Records >
        • Team
    • Insurance
    • MRI
    • Medical Records >
      • Decatur
      • Loganville
      • Snellville
    • Prescription Refill Request >
      • Decatur
      • Loganville
    • Reviews
    • Affiliate Hospital Resources >
      • Emory Decatur Hospital
    • Marketing Internship
    • Job Opportunities
  • Patient Education
    • Coronavirus Update Page
    • What is an Orthopedic Doctor
    • Joint Replacement Center >
      • Arthritis Center >
        • Arthritis 101
      • Hip >
        • Anterior Hip Replacement
        • Total Hip Replacement
      • Knee >
        • Total Knee Replacement
        • Anterior Reference Knee Replacement
        • Knee Replacement Surgery Recovery
        • Partial Knee Replacement
        • Patellofemoral Replacement
        • Tourniquet-less Knee Replacement
      • Shoulder >
        • Total Shoulder Replacement
        • Reverse Total Shoulder Replacement
      • Outpatient Joint Replacement Center
      • Metal Sensitivity and Nickel Allergy
      • Revision Surgery >
        • Revision Knee Replacement
        • Revision Hip Replacement Surgery
        • Metal on Metal Hip Problems
      • Infections >
        • Hip and Knee Replacement Infections
    • Sports Medicine Program >
      • Arthroscopic Surgery
      • Shoulder >
        • Rotator Cuff Tears
        • SLAP Tears
        • Labral Tears
      • Knee >
        • Meniscus Tears
        • ACL Tears
        • Patella (Kneecap) Instability
        • Patella (Kneecap) Dislocation
      • Foot and Ankle >
        • Ankle Sprains and Instability
        • Achilles Tendon Tears
      • Concussions
    • Regenerative Medicine >
      • Stem Cell Therapy
      • Cartilage Restoration
      • PRP (Platelet-Rich Plasma) Injections
      • Hyaluronic Gel Injections
    • EMG
    • Hip Fracture Center
    • Hand Surgery >
      • Carpal Tunnel Sydnrome
      • Cubittal Tunnel Syndrome
      • Trigger Finger
    • Fracture (Broken Bone) Center >
      • Distal Radius Fracture
      • Ankle Fractures
    • Blood Clots After Orthopedic Surgery
    • Learning Center
    • Home Therapy
    • Video
    • Orthopedic Survey Center >
      • Outpatient Total Joint Replacement Survey
      • Painful Knee Replacement Survey
      • Painful Hip Replacement Survey
      • Rotator Cuff Surgery Survey
      • Meniscus Tear Survey
      • Partial Knee Replacement Survey
    • FAQ
    • How to Prepare and What to Expect Knee Surgery
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Anterior or Posterior Hip Replacement

7/15/2018

5 Comments

 
Picture
Image showing general meaning of anterior and posterior relative to the hip joint. Anterior means in front of the hip while posterior means in back of the hip.
Picture
This picture shows the non muscle splitting approach from the anterior hip replacement and the posterior incision which goes directly through the muscle (gluteus maximus(

Why we go anterior for hip replacements.

A hot topic for discussion over the last few years in Orthopedics has been whether to do an anterior or posterior hip replacement.  We break it down for you so you know what the best approach is.
In the United States, estimates show that greater than 75% of surgeons use the posterior approach even though it has a dislocation rate that is SIGNIFICANTLY higher than anterior based approaches. 
Says who?  Reviews of literature show that in all studies posterior hip replacements have higher rates of dislocations.
Why do some surgeons go "posterior" then?  It is an interesting question and one that seems to be completely ignored with respect to the data.  It is in our professional opinion that posterior approaches are technically easier, thus less skill level is needed to do the surgery. 
Why do they dislocate from the posterior approach?
The reason for dislocations from posterior approaches is many fold.  The posterior capsule, meaning, the tissue that keeps the hip in the socket in the back of the hip, is not as strong as the muscles in the front.  A repair must be done of the hip capsule when doing posterior surgery which leads to postoperative restrictions like don't bend past 90 degrees, don't bring the leg across the body while internally rotating the foot.  All of these restrictions scare patients, and it is very difficult to comply with. 
Our surgeons at Atlanta Bone and Joint do not use the posterior approach for these reasons.  Why argue with evidence based medicine when the anterior approaches have been performed safely and with minimal dislocation rates since the 1950's?  We don't know why the practice of posterior approaches continues.
As you continue to read about approaches to your hip, make sure it's an anterior based approach.  We can't, based on evidence based medicine, give support to posterior approaches.  We want our patients to have no restrictions after surgery except to enjoy their new hip.  How can you do that if you are being restricted in what you can do!
Learn more about our approaches to minimally invasive hip surgery on our website at www.atlantaboneandjoint.com/hipreplacement.html
Learn even more about going home the same day after hip replacemement at
www.atlantaboneandjoint.com/outpatientjointreplacement.html

5 Comments
Richmond Hip Doctor link
1/4/2021 04:22:39 am


True, Posterior surgery leads to postoperative restrictions where as Anterior hip replacements is less painful and has fewer restrictions on activity after surgery. Thanks For Sharing Your Details. Getting to know about both pro and cons of anterior hip replacements Before the surgery is Absolutely is very important.

Reply
Carpal Tunnel Richmond VA link
4/9/2021 07:13:15 am

Most hard thing to do is hip replacement, you have explained everything beautifully. Thank you for this share.

Reply
Mia Evans link
8/21/2021 01:09:49 am

It's great to know that the procedure done regarding bone issues has been proven since the 1950s. This would give my friend confidence that he will be fine in any case that he might need a joint replacement treatment. It's for his foot that got injured after trying some tricks on his skateboard.

Reply
Millie Hue link
11/20/2021 09:06:31 am

Thanks for pointing out that it is technically easier for professionals to handle posterior joint replacement procedures since less skill level is needed to do the surgery. However, I still think that every surgeon actually has high skill levels even if they think it is already low for them. I just admire how they are able to work with the human body for the better and recovery of an individual in order to help them walk again. So I hope I find a reputable orthopedist if ever I would need this kind of treatment when I am older.

Reply
Jeff Carbine link
1/26/2022 06:09:21 am

I found it interesting when you said the question of whether to undertake an anterior or posterior hip replacement has been a major subject in Orthopedics for the past few years. What you said about a joint replacement was really interesting to me.

Reply



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