For the direct superior hip replacement approach, Dr. Detch makes a single incision on the outside of the hip in the buttock region, which will allow adequate exposure to perform the surgery accurately and with very little soft tissue damage. He will work through the small incision and meticulously work to preserve the muscles around the hip joint, in order to place the hip implant with the least amount of soft tissue trauma as possible.. After securely placing the implant, Dr. Detch will meticulously repair the hip capsule and skin to facilitate proper healing and prevent dislocation of the hip.
After surgery, many of Dr. Detch’s patients are up and walking without assistive devices in as little as 4 hours, and most patients have minimal post-operative pain, which can easily be controlled with tylenol and celebrex.
Dr. Detch’s patients usually only stay one night in the hospital and are discharged to go home the next day after surgery—some patients have even been discharged on the same day of the surgery! This new approach requires less muscle dissection, yet still effectively stabilizes the hip region. There are no staples or sutures to be removed after surgery, and patients are not limited by post-surgical restrictions or hip precautions.
As with traditional hip replacement surgery, physical rehabilitation is a critical component of recovery. Dr. Detch will work with your physical therapist to compose a customized treatment plan with specific exercises to help increase your range of motion and restore your strength after surgery.