Dr. Barry Waldman M.D., FAAOS Johns Hopkins Medical School Sinai Hospital 410.377.8900
Thank you for restoring my "quality of life." My hip feels as good as the other one, I was born with and that's because I had a good surgeon.
Superior Hip Replacement
Direct Superior Approach for Hip Replacement
While we have had great success with the direct anterior approach for hip replacement, there are some patients whose size or shape are not the best suited for this approach. In larger patients the complication rates and chance of infection can be higher than more traditional methods.
Fortuitously, we now have instruments that allow us to do a Superior approach. This is is a muscle sparing posterior approach that offers many of the benefits of the anterior approach. We've used it to great effect in many of our patients and it represents an exciting alternative.
If you have ever been told that you are not a suitable candidate for the anterior approach, the superior approach may be a great alternative for hip surgery. While Dr. Waldman has had great success with the Superior approach, he believes that the type of hip and approach should be customized to each patient. People are individuals and have different needs and different reasons for needing hip surgery. Dr. Waldman tailors each operation for each patient’s personal requirements.
Dr. Waldman has worked with a number of implant manufacturers on designing implants specifically designed for the Superior ]approach. Implants used are both smaller, and more easily inserted from the Superior approach. This technique saves bone in case future surgery is needed and lessens damage to surrounding muscle during the surgery.
Many patients who have an Superior approach are able to walk the day of the surgery. They often have less pain, and do not have to observe the usual hip precautions after their surgery. This makes recovery easier and simpler.