| Question |
 |
 |
| Which approach do you use for hip replacement surgery? |
I perform a minimally invasive approach (either Anterior or Direct Superior, bonus points for superpath) |
The traditional posterior approach I learned in training works for my patients. |
| Did you complete a fellowship or have extensive clinical experience in minimally invasive hip replacement surgery? |
Yes. I have done one or more thousand of minimally invasive hip replacement surgeries, and currently do more than 120 per year. |
No. I perform the approach I learned in training. It works for my patients. |
| When can I walk after hip replacement surgery? Drive? Go back to work? |
You will be up and walking within an hour or two. Most patients use a walker for up to a week. You can drive and go back to light work anytime after that. |
Recovery from surgery takes months; full recovery is up to a year. |
| Which hip implant do you use for replacements? What are they made of… metal, polyethylene, or ceramic? |
The construct I use is a Ceramic head with polyethylene -lined titanium socket liner. Registry data form Australia and England shows that is the best combination to last long as possible without having to be replaced. |
The construct I use is a stainless steel head on stainless steel socket, because nothing is stronger than steel, and the company representative is really pretty… or I use what I was taught in training, it seems to work well for my patients. |
| Have you ever had a dislocation following hip replacement surgery? Infection? Death? Femur fracture? Nerve damage? |
All surgeons have complications. I study my rate. For the complications you listed, the combined rate is < 1% |
There are always risks to surgery. I don’t know the exact number in my hands, but its not more than are expected. |
| Can I have my hip replacement surgery as an outpatient? I want to avoid the hospital. |
Yes. Hospital errors and the risk of infection are concerning. We can minimize these risks by having outpatient hip replacement surgery. I do my hip replacement surgeries in outpatient centers whenever the patient is healthy enough for outpatient surgery. |
No. I want you to go to the hospital where they are ready if something goes wrong (because it usually does) |
| What are the permanent restrictions following hip replacement surgery? |
None |
There are many. No crossing your legs, running, horseback riding, bending forward more than 90 degrees, yoga, or trampoline. |
| Have you ever had a patient who had persistent pain after hip replacement surgery? What went wrong? |
Yes. Its very rare, but it happens. I studied the case and I think I know what went wrong. . . . |
My patients do really well. Some people just don’t do well with surgery. |
| Do you consider anyone too young or too heavy for hip replacement surgery? |
No one is too young or too heavy for hip replacement surgery. |
Yes. People with BMI above (made up number) need to loose weight, and anyone younger than (made up number) should suffer and wait. |
