We invite you to learn more about the benefits of direct anterior hip replacement surgery from the personal perspective of patients and physical therapists who have worked with patients following their surgery.
“I was good to go home the day after my surgery and was out Christmas shopping by the end of that week. I had lived with tremendous hip pain from arthritis for such a long time. When I woke up from the surgery, the pain was gone.”
“With Anterior Hip Replacement, I no longer take any pain medication, and I can do things I haven’t been able to do for years, like tie my own shoes.”
“I’m looking forward to coaching again without pain, and to getting back into the batting cage myself.”
“Both times I had hip replacement surgery, I was trying to get away from wall-to-wall, grit-your-teeth pain. My traditional hip replacement was 15 years ago with a long stay in hospital, long recovery, and long period of post-op pain — it took 3 people to get me into my house!”
“This time, with Anterior Hip Replacement, I was up the first day with a cane instead of a walker or crutches. There was a day and night difference in my mobility. I can bend from my hip in ways that make everyday tasks, like getting dressed, so much easier.”
“With this new procedure, patients are often using a cane as a light balance aid just 2 days after their surgery. One patient drove here by herself and walked right in.”
“Ultimately, this procedure is rewriting the book on physical therapy after hip replacement. Anterior hip patients are bypassing both the typical in-patient rehabilitation and post-op rehab facility stays. We can see them much sooner. They are getting back to normal function much faster. They can get back to work more quickly, especially if their job involves standing. You just don’t see that accelerated process with a traditional hip replacement.”
“It’s becoming almost predictable to us how these patients will present. They are a joy to work with because we can be a little bit more aggressive sooner due to their tremendous range of motion. We as physical therapists are free to stretch the hip without fear of dislocation. With traditional hip replacement, we work within limitations and have to take precautions not to flex the hip beyond 90 degrees.”
“Although the outcomes of both procedures may be similar, we are seeing patients get back to their normal lives — their work, their recreation, their independence — so much sooner.”
Working with patients who undergo the direct anterior total hip replacement has yielded excellent patient outcomes. We have been tracking the length of hospital stay, pain management, and discharge status for patients who are status-post direct anterior total hip replacement surgery. The information demonstrates superior results with the anterior approach compared to other minimally invasive techniques for hip replacement. Typically patients are seen for 6-8 weeks in the outpatient setting versus a 12-16 week rehab course for the traditional hip replacement. Because we don’t have to be concerned with the hip precautions due to the risk of dislocation that accompanies the traditional hip replacement procedure, we are able to focus more on aggressively progressing strength, ROM, and balance, and allow for patients to achieve a full functional return much sooner.
Seven years ago, I had my right hip replaced by way of the traditional method. Arthritis and a vigorous physical life style both on and off the job had taken its toll on me. Last year, it was determined that the left hip had deteriorated to the point where I needed that hip replaced also. With the previous (traditional) surgery, it was six weeks before I could put any weight on my right leg, or bend my knee. I needed a walker around the house for the first two weeks or so, then crutches for several weeks and then a cane. It was at least three weeks before I could leave the house to go to physical therapy.
I had recently heard of new breakthroughs in the way total hip replacement was performed. That’s when I heard of Doctor Akhil Sastry and the Direct Anterior Hip Replacement. The rest is history. Although it almost seemed too good to be true, Dr. Sastry said that with new technology and advanced medical equipment they were replacing hips without cutting into the muscles, making recovery much quicker and easier. The day after surgery, they got me out of bed and had me walking with a cane (and without). The next day I did several laps around the hospital floor, and two flights of stairs, all without the aid of the cane. I was out of the hospital within three days and walking a mile a day with my wife within five days of leaving the hospital. Two months later, I’m fully engaged in all the activities that I was accustomed to before the surgery and then some. I was also able to stop taking anti-inflamatory drugs for the first time in two years.
I am very grateful to Dr. Sastry and his staff for their professionalism, compassion and expertise.