Anterior Approach Total Hip Replacement: Cutting Edge Treatment for the Relief of Hip Pain - PowerPoint PPT Presentation

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Anterior Approach Total Hip Replacement: Cutting Edge Treatment for the Relief of Hip Pain

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Anatomy of the Hip Ball and socket joint Femoral head or ball is at the end of thighbone or femur. ... Hip Replacement: Cutting Edge Treatment for the Relief of Hip Pain – PowerPoint PPT presentation

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Title: Anterior Approach Total Hip Replacement: Cutting Edge Treatment for the Relief of Hip Pain


1
Anterior Approach Total Hip Replacement Cutting
Edge Treatment for the Relief of Hip Pain
  • Vahan Cepkinian, M.D.
  • Orthopaedic Surgery

2
Introduction
  • Hip arthritis affects hundreds of thousands of
    people each year
  • Many people suffering from arthritis alter their
    lives to deal with pain.

3
Introduction
  • Non-surgical treatment
  • Medications
  • Physical Therapy
  • Assistive Devices
  • If these do not work then hip replacement may be
    the solution

4
Total Hip Replacement
  • The goal is to reduce hip pain and improve the
    motion in your hip.
  • More than 345,000 people in the United States
    annually undergo hip replacement surgery.

5
Anatomy of the Hip
  • Ball and socket joint
  • Femoral head or ball is at the end of thighbone
    or femur.
  • Socket or acetabulum holds the ball.

6
Anatomy of the Hip
  • The arthritic hip has worn down cartilage and
    rough bone which cause pain

7
Total Hip Replacement
  • Involves surgically removing the arthritic parts
    of the joint (cartilage and bone), and replacing
    the ball and socket part of the joint with
    artificial components

8
Total Hip Replacement
  • Acetabular component - consists of two components
  • Cup - usually made of titanium
  • Liner - can be medical grade plastic, metal or
    ceramic

9
Total Hip Replacement
  • The femoral component (stem and neck portion), is
    made of metal.
  • Femoral head is made either of metal or ceramic.
  • Stem is shaped to fit into the bone and support
    the new joint.

10
Total Hip Replacement
  • One of the most successful adult reconstructive
    procedures performed in orthopaedics
  • With newer materials, hip replacements can last
    up to (and sometimes beyond) 20 years!

11
Total Hip Replacement
  • The Traditional approach
  • The hip is approached from the back
  • Disrupts the tissue and muscles important for the
    stability of the hip
  • Involves detachment of muscles from bone
  • Large incision (12-18 inches)

12
Total Hip Replacement Traditional Approach
  • Disrupts the tissue and muscles important for the
    stability of the hip

13
Total Hip Replacement Traditional Approach
  • There is the risk of hip dislocation
  • Limitations on hip motion and positions
  • There is the risk of a persistent limp
  • Greater reliance on assistive devices (walker,
    cane) post-operatively
  • Over 6 weeks
  • Greater need for pain medication

14
Total Hip Replacement Traditional Approach
  • All of these factors make people hesitant to
    proceed with a hip replacement..and they
    continue to live in pain!

15
Total Hip Replacement Anterior Approach
  • The Anterior Approach
  • Approach the hip from the front
  • NO DISRUPTION of MUSCLE
  • MINIMAL TRAUMA to the TISSUES
  • MUSCLE SPARING APPROACH
  • MUCH SMALLER INCISION (4-5 inches)

16
Total Hip Replacement Anterior Approach
  • The hip is exposed by going in between the
    muscles WITHOUT DISRUPTING THEM
  • Muscle Sparing

17
Total Hip Replacement Anterior Approach
  • Compare the depth of muscle and tissue one has to
    go through

18
Total Hip Replacement Anterior Approach
  • This approach is made possible with the use of a
    special orthopaedic table called the HANA table
    which is found at Glendale Memorial Hospital

19
Total Hip Replacement Anterior Approach
  • A small amount of X-ray is also used during the
    surgery to get an exact picture of the position
    of the implants
  • This ensures that all of the hip components are
    in the perfect place and that the leg lengths are
    equal

20
Total Hip Replacement Anterior Approach
  • Essentially NO risk of dislocation
  • NO limitation of hip range of motion and
    positions
  • Less Reliance on Assistive Devices
  • Usually 2 weeks
  • Less pain!
  • FASTER RECOVERY!

21
Total Hip Replacement Anterior Approach
  • These advantages when compared to the traditional
    approach can eliminate apprehension
  • QUICKER RECOVERY TO AN IMPROVED QUALITY OF LIFE !

22
THANK YOU
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