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Patient information from Nicholas H. Mast MD
- Anterior Approach Hip Replacement Information
Anterior Approach Hip Replacement at S.O.A.R. San Francisco
Patient education library
Orthopaedic information you can trust from Your Orthopaedic Connection, a service provided by the American Academy of Orthopaedic Surgeons.
Recommended Web sites
- Academy technology overview on hip resurfacing
The American Academy of Orthopedic Surgeons weigh in on the data behind hip resurfacing arthroplasty. - Anterior Approach as Mentioned in the New York Times
Article on the Anterior Approach Hip Replacement as mentioned in the New York Times. - Golf Digest: Coming Back From Injury
Coming Back From Injury Four case studies of tour players demonstrate that, yes, you can play golf again. Tom Watson describing his experience with the Anterior Approach Hip Replacement. - KFOR - Oklahoma news anchor's personal experience with the Anterior Approach
KFOR - Oklahoma News Station, Anchorwoman's Blog on her personal experience with the Anterior Approach for Hip Replacement. - ORLive - Podcast of the Anterior Approach Hip Replacement Performed Live in March 2007
Podcast: Anterior Approach to THA: Performed by Joel Matta, MDMy "Academy Award" winning performance as assisting surgeon to Dr. Matta during my fellowship. Watch a Live surgery performed by Dr. Matta (and watch for me mid clip)
In a live Internet webcast on October 9, 2007, at 5:00 p.m. Eastern Time, Joel M. Matta, M.D., will perform a tissue sparing surgical procedure called the Anterior Approach to total hip replacement with a specially designed surgical table and the Corail® Hip implant from DePuy Orthopaedics, Inc. at the Hip & Pelvic Institute at Saint John's Health Center in Santa Monica, California. DePuy Orthopaedics, Inc., a company that has taken a leading role in training surgeons in this procedure, is making the broadcast available for free via www.OR-Live.com.
The Anterior Approach is a proven technique for total hip replacement that can help people who have suffered for decades from painful osteoarthritis in their hip. The Anterior Approach makes small-incision surgery an option for patients who were traditionally not candidates because of weight or build. The procedure allows for immediate post-operative stability, less pain and a faster patient recovery.(1-3)
The surgery will be performed by Dr. Joel M. Matta, who brought the Anterior Approach to the United States from Europe. Dr. Matta has advanced the technique further by co-designing a specialized surgical table, a hip prosthesis and surgical instruments, as well as improving protocols for the hip replacement procedure. Having performed over 1,500 Anterior Approach hip replacements himself, Dr. Matta has also been instrumental in the training of many orthopaedic surgeons in this technique.
"Using the Anterior Approach allows surgeons to work between the muscles, without detaching them from the hip or thighbones," said Dr. Matta. "When these important muscles are left relatively undisturbed, patients can expect to be on their feet much faster, making quicker steps toward recovery."
Traditional Hip Replacement Vs. the Anterior Approach Traditional hip replacement surgery typically results in a 6-8 inch incision and a hospital stay of 4-5 days. The Anterior Approach allows for a smaller incision and less tissue disruption, which can shorten the recovery process. Additionally, patients may bend their hip and bear full weight sooner after this surgery than other types of hip replacement surgery.
How Does the Anterior Approach Work? The surgeon uses an advanced surgical table specifically designed for this procedure:
This surgical table allows them to position the patient so that the hip joint may be easily accessed from the front as opposed to the side or back. The Anterior Approach allows the surgeon to work between the muscles without detaching them from the hip or thighbones with many advantages. These important muscles are left relatively undisturbed, potentially reducing the recovery time.Keeping these muscles intact also helps prevent dislocations;Patients may be able to freely bend their hip and bear full weight immediately following surgeryThe Corail® Total Hip System, from DePuy, is a clinically proven hip implant uniquely shaped and optimal for the anterior approach due to its streamlined design.(4) About Hip Replacement The demand for hip replacement is growing rapidly. It is estimated that the number of primary total hip replacements will increase by 174 percent -- to 572,000 -- in 2030. This is due in part to the growing number of Baby Boomers with osteoarthritis and the rise in obesity among the population.(5)
As with any medical treatment, individual results may vary. Only an orthopaedic surgeon can determine whether an orthopaedic implant is an appropriate course of treatment. There are potential risks, and recovery takes time. The performance of the new joint depends on weight, activity level, age and other factors.
About the OR-Live Broadcast Surgeons, patients, caregivers and others may view this procedure for free on the Web at www.OR-Live.com. Information is available at this site about how to view the broadcast. The broadcast will be moderated by J. Bohannon Mason, MD. Dr. Mason is a member of OrthoCarolina, one of the largest and most comprehensive orthopaedic practices in the U.S. Following his residency at Duke University, he was awarded the Otto E. AuFranc Fellowship in Adult Reconstructive Surgery. Dr. Mason is a leader in total hip replacement, and he has recently completed an initial series of cases using the Anterior Approach. He brings his experiences with other approaches and his early experiences with the Anterior Approach to his role as moderator.
About DePuy Orthopaedics, Inc. DePuy Orthopaedics, Inc., a Johnson & Johnson company, is advancing the standard of orthopaedic patient care, with a focused commitment to help surgeons achieve excellence in surgical practice. The company designs, manufactures and distributes orthopaedic devices and supplies including hip, knee, extremity, trauma, cement, orthobiologics, and operating room products. As a global leader in joint replacement products, DePuy Orthopaedics is committed to Restoring the Joy of Motion™ for patients whose mobility is restricted by severe osteoarthritis or other debilitating injury.
References: 1.Comparison THA procedure data on file at DePuy Orthopaedics, Inc. 2. Matta, J.M. and T.A. Ferguson. "THA After Acetabular Fracture." Orthopedics 28(9), September 2005: 959-960. 3. Matta, J.M., C. Shahrdar and T. Ferguson. "Single-Incision Anterior Approach for Total Hip Arthroplasty on an Orthopaedic Table." Clinical Orthopaedics and Related Research 441, December 2005: 115-124 4. Vidalain J.P., Artro Group "Corail in Primary THR: Twelve Years Experience." Presented at the International Corail Conference, Malta 1998. 97.7% survivorship in 6,700 cases after 10 years. 5. "Total Knee and Hip Replacement Surgery Projections Show Meteoric Rise by 2030. Orthopaedic procedures set to continue gaining widespread acceptance as means to restore quality-of-life," American Academy of Orthopaedic Surgeons (AAOS) Web site: www6.aaos.org/news/Pemr/press_release.cfm?PRNumber=442. Accessed July 11, 2007.
- Possible Downsides of the Anterior Approach for Hip Replacement
ORLive- Dr. Dan Gannon relating some of his thoughts on possible downsides of the anterior approach for hip replacement. - Television Show Highlighting Personal Experiences with Anterior Approach Hip Replacement.
New Television Show Highlight's Host's Personal Experience With Anterior Hip Replacement March 27, 2009Dorothy Wilhelm, Inspirational Speaker, Humorist, Writer and Host of It's Never Too Late on Comcast TV presents her own personal experience with total hip replacement surgery through the Anterior Approach.
Contact Information
Other staff in my practice
Surgery Scheduler: Kris Piacente (415) 400- 8977
Billing/Accounting: (408) 247-4900, ext 2235
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