Presentation on theme: "Vahan Cepkinian, M.D. Orthopaedic Surgery"— Presentation transcript:
1Vahan Cepkinian, M.D. Orthopaedic Surgery Anterior Approach Total Hip Replacement: Cutting Edge Treatment for the Relief of Hip PainVahan Cepkinian, M.D.Orthopaedic Surgery
2IntroductionHip arthritis affects hundreds of thousands of people each yearMany people suffering from arthritis alter their lives to deal with pain.
3Introduction Non-surgical treatment Medications Physical Therapy Assistive DevicesIf these do not work then hip replacement may be the solution
4Total Hip ReplacementThe 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.
5Anatomy 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.
6Anatomy of the HipThe arthritic hip has worn down cartilage and rough bone which cause pain
7Total Hip ReplacementInvolves surgically removing the arthritic parts of the joint (cartilage and bone), and replacing the ball and socket part of the joint with artificial components
8Total Hip ReplacementAcetabular component - consists of two componentsCup - usually made of titaniumLiner - can be medical grade plastic, metal or ceramic
9Total Hip ReplacementThe 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.
10Total Hip ReplacementOne of the most successful adult reconstructive procedures performed in orthopaedicsWith newer materials, hip replacements can last up to (and sometimes beyond) years!
11Total Hip Replacement The Traditional approach The hip is approached from the backDisrupts the tissue and muscles important for the stability of the hipInvolves detachment of muscles from boneLarge incision (12-18 inches)
12Total Hip Replacement Traditional Approach Disrupts the tissue and muscles important for the stability of the hip
13Total Hip Replacement Traditional Approach There is the risk of hip dislocationLimitations on hip motion and positionsThere is the risk of a persistent limpGreater reliance on assistive devices (walker, cane) post-operativelyOver 6 weeksGreater need for pain medication
14Total Hip Replacement Traditional Approach All of these factors make people hesitant to proceed with a hip replacement…..and they continue to live in pain!
15Total Hip Replacement Anterior Approach The Anterior ApproachApproach the hip from the frontNO DISRUPTION of MUSCLEMINIMAL TRAUMA to the TISSUESMUSCLE SPARING APPROACHMUCH SMALLER INCISION (4-5 inches)
16Total Hip Replacement Anterior Approach The hip is exposed by going in between the muscles WITHOUT DISRUPTING THEMMuscle Sparing
17Total Hip Replacement Anterior Approach Compare the depth of muscle and tissue one has to go through
18Total 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
19Total 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 implantsThis ensures that all of the hip components are in the perfect place and that the leg lengths are equal
20Total Hip Replacement Anterior Approach Essentially NO risk of dislocationNO limitation of hip range of motion and positionsLess Reliance on Assistive DevicesUsually 2 weeksLess pain!FASTER RECOVERY!
21Total Hip Replacement Anterior Approach These advantages when compared to the traditional approach can eliminate apprehensionQUICKER RECOVERY TO AN IMPROVED QUALITY OF LIFE !