Posterior Approach Total Hip Replacement

What is Posterior Approach Total Hip Replacement?

Posterior Approach Total Hip Replacement is a surgical technique used to replace a damaged or diseased hip joint. It involves making an incision on the back of the hip and separating the muscles to access the hip joint.

During the procedure, the patient is placed on their side, and an incision is made on the back of the hip, between the gluteus maximus and the underlying muscles. The hip surgeon then carefully separates the muscles to access the hip joint and remove the damaged bone and cartilage. An artificial hip joint is then implanted, which may be made of materials such as metal, ceramic, or plastic.

Posterior Approach Total Hip Replacement is one of the most commonly used approaches for total hip replacement, and it has a long track record of success. The posterior approach allows the surgeon to access the hip joint from the side, which provides a good view of the joint and allows for precise placement of the hip implant. The procedure is also relatively straightforward, and most orthopedic hip surgeons are trained in this technique.

However, the posterior approach may result in more muscle damage than the Direct Anterior Approach, which can lead to a longer recovery time and more postoperative pain. Additionally, because the incision is made on the back of the hip, patients may be at a higher risk for dislocation during the recovery period.

The decision to use Posterior Approach Total Hip Replacement or another approach will depend on a number of individual factors, including the patient’s anatomy, condition, and surgeon’s experience and preference. Patients should discuss their options with their orthopedic hip surgeon at LALL Orthopedics ⁺ to determine the best approach for their specific case.

What are the benefits of the Posterior Approach Total Hip Replacement?

Posterior Approach Total Hip Replacement (PA THA) can offer several potential benefits for patients undergoing hip replacement surgery, including:

1. Reliable surgical technique: The posterior approach is a well-established and reliable surgical approach with a long track record of success. Most hip surgeons are trained in this technique.
2. Good access to the hip joint: The posterior approach allows the hip surgeon to access the hip joint from the side, providing a good view of the joint and allowing for precise placement of the implant.
3. Less impact on the hip abductor muscles: While the posterior approach does require some muscle detachment, it may result in less impact on the hip abductor muscles than other approaches, such as the lateral approach.
4. Reduced risk of nerve injury: Compared to other approaches, such as the direct anterior approach, the posterior approach may have a lower risk of nerve injury.
5. Effective pain relief: Hip replacement surgery, including Posterior Approach Total Hip Replacement, can provide effective pain relief and improve mobility, allowing patients to return to their daily activities.

It’s important to note that not all patients are candidates for Posterior Approach Total Hip Replacement, and the potential benefits should be carefully weighed against the risks, alternative approaches and individual patient factors. Patients should discuss their options with their hip surgeon at LALL Orthopedics ⁺ to determine the best approach for their specific case.

During posterior hip replacement, Dr. Ajay Lall makes an incision at the back of the hip, providing direct access to the joint for precise implant placement. This approach, performed at Lall Orthopedics in Philadelphia, is ideal for patients requiring advanced stability and long-term durability. Schedule an appointment today to discuss if posterior hip replacement is right for you.