Method of entry
Sounds sexy! Anterior hip replacement is a surgical approach for total hip replacement. It is a minimally invasive, muscle and nerve sparing approach that is generally associated with a faster early recovery for the patient. Long term outcomes are similar to conventional posterolateral hip replacement.
So let’s break this down. No matter how fancy a ceramic, carbon, titanium whatever device you go with, a posterolateral surgery will likely bulldoze any chance you have of returning to near former glory. The amount of tissue damage with the ‘via the butt’ method is something to avoid unless it is itself unavoidable.
Method of connecting devices
Cement should be used to attach your new ceramic baby if you have horrible osteoporosis. It’s probably your only option. Side effects are absolutely not worth researching unless you want to feel your skin crawl.
Cement-less may take a bit of time for your new ceramic buddy to bed in, however it is close to organic by way of connection. By that I mean, it can take 3 months for the bone to grow onto the device. Absolutely worth the wait. No parkour until then though kids. Especially those rodeo flips.
This is a tricky one. It has to do with the immense pressure your going to put your new device under. Definitely speak to several experts on it. Discuss biomechanics. If your surgeon isn’t on top of it and you want to run, jump, ride, swim etc… perhaps look for another surgeon. As most resurfacing devices have a large diameter, it seems a real risk for resurfacing with CoC is as follows; Increasing the diameter of the shell to improve fixation will transfer the problem onto the bone with a risk of fracture of the acetabulum at the time of impaction. For me, this remains to be the one hmmmmmmm nervous point about going down the CoC resurfacing path.
More to come, I haven’t even booked the surgery yet! (very very sad face)