In contemporary orthopaedic practice, a number of surgical procedures are available to address damaged hip joints. Patients and surgeons may opt to repair joint capsules or to pursue total hip arthroplasty through one of a variety of surgical approaches. Among candidates for hip replacement, there has been a surge of interest in anterior hip arthroplasty as an alternative to the more commonly employed posterior approach and a perception that the procedure might lead to faster recovery times.1 Research suggests, however, that other factors, in particular a comprehensive treatment program, may be more significant contributors to positive patient outcomes than surgical approach alone.2, 3
Total hip replacement procedures can be broadly categorized by the direction at which the orthopaedic surgeon approaches the joint: via the posterior, anterior, or lateral approach.2 Patients who underwent anterior hip arthroplasty have been shown to walk without aid sooner than those who received posterior hip arthroplasty. At 90-days postsurgery, however, patient mobility is similar across the 2 groups.2 No clinically significant difference has been found between the 2 procedures in implant alignment or general health outcomes at 6-weeks postsurgery4, and overall outcomes for each group at 90-days postprocedure have been reported to be similar.2, 5
A comprehensive treatment approach has been found to be a better predictor of good patient outcomes, regardless of the surgical approach.6, 7, 8 Patient education and the use of rapid rehabilitation and pain management protocols have been identified as important components of effective care.3, 7, 8 A comprehensive approach includes:
Through University of Minnesota Health, orthopaedic patients of all ages have access to comprehensive care for shoulder conditions, sports injuries, hip and knee replacement, spinal pathology, orthopaedic oncology, and hand and upper extremity surgery. Each patient is carefully screened for pain secondary to a degenerative condition in another joint. If the affected joint can be saved, our orthopaedic surgeons perform joint resurfacing, osteotomy, and partial arthroscopy. Our surgeons are highly skilled at all joint replacement and resurfacing procedures, including anterior, lateral, and posterior hip replacement.
Multidisciplinary, Collaborative Care
A multidisciplinary approach to treatment lays the foundation for successful outcomes for patients. University of Minnesota Health orthopaedic specialists collaborate closely with referring physicians throughout their patients’ treatment. In treating patients found to have joint pain secondary to a spine condition, we maintain strong relationships with spinal surgeons, and we work closely with rheumatologists in assisting patients suffering from degenerative joint conditions such as rheumatoid arthritis. Our anesthesiologist partners can perform non-narcotic and regional anesthesia techniques to minimize side effects and maximize recovery. Orthopaedic nurses counsel patients before and after surgery to keep them informed of what to expect from treatment and rehabilitation. Our sports medicine physicians and physical therapists are central to preparing the patient for surgery and rehabilitation. Our approach to treatment is designed to return each orthopaedic patient to full mobility with minimal pain.
To find current clinical trials available through M Health providers: studyfinder.umn.edu
Physician-patient consultations combined with surgical intervention and rapid rehabilitation achieve a decrease in pain and improvements in mobility.Continue reading
Surgeon joins M Health team and new research partnership aims to improve joint analysis and decision-making on hip repair or replacement. Read moreContinue reading