Newer Orthopedic Surgical Techniques

Newer Orthopedic Surgical Techniques Are Bringing Greater Results To Patients

Orthopedic procedures are skyrocketing in Canada due to the aging Baby Boomer population. High on the list are hip and knee replacements. These are considered major surgeries and in years past, required overnight stays in the hospital with a long recovery period. Newer orthopedic surgical techniques and procedures are now available to make the surgery out-patient vs inpatient with a less invasive approach. This has the patient up and moving within hours of the surgery and a much quicker recovery. 

Posterior Approach 

In years past, these surgeries were done posteriorly, which entered through the back side of the knee or hip. This required a large incision, cutting through the muscle and other soft tissues. In the case of a hip, a wide piece of fibrous soft tissue at the top of the outer thigh was cut and the large gluteus maximus muscle that attaches to it. The surgeon would cut the external muscles that connect the top of the femur to the pelvis. These are the muscles that provide hip stability preventing dislocation out of the back of the hip socket. The muscles are repaired and reattached at the end of the surgery. This approach provides a good view of what they are doing to the surgeon, thus the preferred approach for most. 

Having a posterior approach would require at least 2-3 days stay in a hospital and then 2-3 weeks of physical therapy in a rehab hospital. There is a much longer process for healing and mobility with this approach. 

Anterior Approach 

The Anterior approaches is preformed through the front of the hip or knee.  This technique requires a very skilled doctor. Not all physicians are trained to do this approach, furthermore, there are not many surgeons in Canada offering it at this time. While both techniques provide you with the same overall outcome, there are greater benefits to doing the replacement(s) anteriorly. Some of those are: 

.–  Lower rates of infection

–Sparing the muscles and tendons, allowing the patient to move the joint duringrecovery

–  Less pain

–  Faster recover time

–  Improved mobility

–  Reduced scarring

–  Improved stability

–  Reduced risk for dislocation after surgery

–  No overnight hospital stay

 Patients who have undergone direct anterior procedures have reported post operative pain and discomfort markedly less than traditional approaches. Recovery is expedited and they are able to resume normal actives sooner.

Microdiscectomy For The Spine 

Microdiscectomy for the spine is the most common minimally invasive spine surgery procedures being done. Like traditional posterior hip and knee approach, traditional discectomies are done with a 6-8” incision that requires cutting through the back muscles. This technique has significant muscle damage with a slow, painful recovery. 

Microdiscectomy is preformed with advanced technology that uses an endoscope

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 Microdiscectomy is preformed with advanced technology that uses an endoscope. This only requires a tiny incision the size of a pin and is able to burrow through the muscles as opposed to cutting through them. The endoscope is removed and the heart muscle closes naturally. Per Chiropractor and rehab therapist Dr. Amy Cannutta, this allows for less down time, greater results, less pain and practically no infection rate. Her experience has also seen people’s recovery period much easier and quicker than traditional discectomy. 

Which Surgical Technique Is Right For You? 

Just like any surgery, only your doctor will know what is the right approach for your situation. Not everyone is a candidate for Microdiscectomy or an Anterior Approach for hip or knee replacement. If you are ever in doubt or would like to explore an alternate approach, solicit a second opinion. Health Vantis can help you with this. Contact us today at info@healthvantis.com or 877-344-3544 as we have facilities that offer these techniques and are able to provide you with a second opinion. 

Health Vantis

www.healthvantis.ca

877-344-3544

info@healthvantis.com 

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