Kimberly Brown – Anterior Approach Hip Replacement Success Story
‘I’m ready to dance!’ – Kimberly Brown – anterior approach hip replacement success story
Since beating breast cancer, strong-willed Kimberly Brown, 44, has been determined to live life to its fullest. But until recently, hip pain barred the mother of two from enjoying even simple pleasures, like climbing bleacher steps to see her children compete in athletics or standing to fix her daughter’s hair for prom night.
Direct Anterior Hip Replacement is a technique in which hip replacement surgery is performed through an alternative approach compared to conventional hip replacement surgery. Historically, hip replacement surgery was performed utilizing traditional posterior or lateral approaches. This necessitates that certain muscles or tendons are cut in order to access the hip joint and perform the surgery.
The direct anterior approach utilizes a muscle interval in front of the hip joint in which muscles and tendons are not cut for exposure of the joint. Because exposure can be more challenging, special instruments and a custom operating table are used to assist in performing the surgery.
Patients who have undergone Direct Anterior Hip Replacement surgery report that the post operative pain and discomfort is markedly less than traditional approaches. In addition, their recover is expedited. My average length of stay is 1.2 days. This means that the vast majority of patients go home the next day. Most patients are able to to drive at two weeks & are off walking aids in 3-4wks.However, in most cases I recommend continuing a cane for the entire four weeks for safety. Return to work: in general, I recommend four weeks for desk/sedentary work & eight-ten weeks for manual labor-type job descriptions. However, a personalized recovery & return to work plan is tailored to each patient's unique situation.
In my hands, the Direct Anterior Approach can be safely applied to almost all my patients. Even patients who have hip deformities, either from childhood or injury, may also be candidates for the Direct Anterior Approach. Also, most patients who are undergoing Revision Total Hip Arthroplasty can be candidates for the Direct Anterior Approach. However, my team will work together with our patients to tailor a personalized operative plan that best serves their needs.