Infection rates for hip replacement options
One extremely important issue to consider when facing any surgery is the risk of infection. The Boston-based Brigham and Women’s Hospital website published an article about infection rates between the direct anterior (DA) or non-anterior (NA-which is posterior) approaches to total hip replacement. According to this article, Richard Lorio, M.D conducted a study at the hospital comparing infection rates between the two approaches.
Dr. Lorio and his research assistants studied infection rates between two groups of patients undergoing total hip replacements. The DA group consisted of 1,985 patients while the NA group consisted of 4,101 patients. Researchers found an infection rate of 1.22 percent among the DA patients. On the other hand, the NA patients had an infection rate of .63 percent. Thus, there is double the risk with the anterior approach.
The Delcore Experience
Randy Delcore, M.D. has been using the minimally invasive posterior approach for 25 years, combined with mulit-modal non-narcotic anesthesia. Consequently, this allows for patients to be ambulating within an hour of surgery completion (consistently), and transitioning to discharge on the same day within 2-3 hours. Additionally, there has been an exceedingly low dislocation rate and zero percent infection rate since 1995.
Interpreting the data
Finally, Dorr wrote that the same outcomes are possible whether a surgeon uses the posterior or anterior method. He wrote that patients should base their choice of a surgeon on published data (if available) and his or her reputation in the community.
He listed the following as key elements in total hip replacement. They are the primary determinants in the comfort and longevity of your hip implant. As such, they are in the hands of your chosen surgeon.
- Positioning of the implants
- The biomechanical reconstruction of the hip
Delcore adds two other determinants in the comfort and longevity of hip implants.
- Ensuring optimal fixation to substrate (whether uncemented and machining of a bone in-growth prosthetic, or cemented and adhering to gold-standard cementing techniques).
- Fastidious attention to “stability” of the hip prior to coming off the table.
Dr. Delcore has been replacing hips for more than 30 years and personally favors the posterior approach. While he performs this procedure at the local hospital, he has also been performing outpatient total hip replacements at Cedar Orthopaedic Surgery Center since 2005. He treats local patients, those from out-of-town, and even medical tourists from afar. His bundled transparent pricing offers affordable care to all.
So, do you want to learn about what you can expect from your hip replacement? Go to our home page for videos of former patients. Then call (435) 586-5131 to chat with our surgical staff about what we can do for you.