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Reemplazo total de cadera de abordaje anterior

Hip osteoarthritis can be a disabling condition that can significantly affect an individual’s quality of life. Total hip arthroplasty (THA) through an anterior approach is a great surgical procedure that can quickly restore an individual to a pain free lifestyle. The anterior approach for total hip replacement is a dramatic improvement over the more traditionally used surgical approaches. The anterior approach, although not a new procedure, has only recently gained popularity with physicians due to improvements in training and development of operating room tables that aid in the surgical approach. Patients have benefited from this approach by quicker recovery, less dislocation risk, smaller, less invasive incisions and leg length is more accurately controlled.

El abordaje anterior es el único abordaje intramuscular verdadero que no requiere cortar ningún músculo para acceder a la articulación de la cadera. Como no se cortan músculos grandes, los pacientes sienten menos dolor y tienen una recuperación más rápida. La falta de alteración de los músculos también explica la estabilidad inmediata de la cadera y un menor riesgo de dislocación. Otros enfoques requieren precauciones estrictas de limitar la flexión de la cadera a 90 grados hasta 3 meses. Este movimiento es importante para actividades funcionales como ponerse los calcetines y los zapatos, levantarse y bajarse de una silla o el baño y reanudar la actividad sexual normal.

The normal incision is about 4 to 5 inches but may vary according to a patient’s body size. The anterior approach does not limit the type of hip prosthesis implanted. Hip prostheses that are implanted with or without cement can be used as well as all modern bearing surfaces. Many surgeons who do not use anterior approach are using large metal and metal bearings as a way to decrease their patient’s risk of dislocation. However, metal on metal bearings have recently come under FDA warning due to development of early failure rates and development of pseudo tumors due to the elevated metal ions. Most individuals who are in need of a hip replacement are candidates to have their procedure performed through an anterior approach.

Si desea hablar sobre el reemplazo de cadera, haga una cita con
Dr. Rhoads o 
Dr. Keller call (502) 364-0902.