Patient Loses 110 Pounds and Finally Gets Relief With Minimally Invasive Hip Replacement

January 7, 2011

5 Star Orthopedic Surgery - 2011

Brenda Sanders, a 63 year-old homemaker from Palmyra, had suffered from debilitating pain in her left hip for many years before finally deciding that something had to change in August of 2009. She had already undergone traditional hip replacement on her right side in 2001, but was hesitant to undergo another invasive procedure. In hopes that she would be able to lose the excess weight that, in addition to scoliosis and arthritis, was contributing to her pain, Brenda decided to join the Health Management Resource (HMR) program at the Floyd Memorial Weight Management Center.

Brenda Sanders, before and after receiving anterior approach hip replacement at Floyd Memorial and losing 110 pounds through the Floyd Memorial Weight Management Center.

A Different Kind of Weight Loss Program

“I actually first heard about HMR from the HealthScope magazine and really liked the idea of having a medically-trained team of professionals to help me in my pursuit of weight loss. I’d tried other diets in the past, but would always hit a wall and give up. Then the weight would come right back, plus some. HMR seemed different than traditional diets because they were more focused on helping me manage my weight and my health. It wasn’t just about the pounds I’d lose; it was about the entire picture-lowering my cholesterol and blood pressure, coming off medications and incorporating physical activity into my normal lifestyle. Plus, having such a strong support team to cheer me on when I was struggling seemed really comforting.”

Board certified Family Medicine Physician, Anna Fisher, MD, is Brenda’s primary care provider. “I’ve watched Brenda struggle with her weight and the health issues it contributed to for a while, so I was incredibly proud of her when she told me she’d joined the HMR program. Watching her transform before my eyes has been an absolute treat. She’s lost 110 pounds and is still continuing to set new goals for herself.”

“I feel absolutely fantastic right now. I can’t decide what’s better, the perks that come with being 110 pounds lighter, or the freedom that comes with being able to do the things I enjoy without having constant hip pain. They’re both pretty great!”

— Brenda Sanders

Losing the Weight and Keeping it Off

Brenda continued, “This is the most weight that I’ve been able to lose and keep off for 22 years. My personal health educator, Whitney Nash, has been fantastic. I really have to give her a lot of credit for my success. She calls me every week and gives me ideas to keep myself moving forward. When I hit a plateau and struggle with losing more weight, she’s right there helping me through it. It’s really been a great experience, and I think the most positive thing to come out of it has been my renewed commitment to physical activity. Before my left hip replacement in June, I tried to exercise as much as I could, but it was really difficult. Now that the pain is gone, I’m exercising all the time, and absolutely loving the way it makes me feel. I’ve been able to adopt new eating and exercise habits that I plan on continuing for the rest of my life.”

“I couldn’t be more proud of Brenda’s success. She knew what she needed to do to get her health in order and qualify for minimally invasive hip replacement, and she had the initiative and will power to accomplish her goals and then some.”

Anna Fisher, MD
Board Certified Family Medicine Physician
Renaissance Family Medicine

“Brenda’s anterior approach hip replacement could not have been more ideal. She had minimal pain and was able to be very active in a remarkably short amount of time after surgery. In fact, she only needed the assistance of a walker for three days post-surgery, and the assistance of a cane for two weeks before she was able to walk completely on her own. Most patients undergoing traditional hip replacement don’t even progress to a cane until four to six weeks post-surgery.”

Aniefiok Uyoe, MD
Board Certified Orthopedic Surgeon
Floyd Memorial Orthopedic Group

Weight Loss Meant Qualifying for a Less Invasive Hip Replacement Approach

“When I saw Brenda in early summer 2010, I felt like she was at a point in her weight loss where she could qualify for minimally invasive hip replacement on her left hip that had been giving her so much trouble, so I sent her to Dr. Uyoe for a consultation,” explained Dr. Fisher.

Aniefiok Uyoe, MD, is a board certified, fellowship-trained orthopedic surgeon with the Floyd Memorial Orthopedic Group. “When Brenda came to see me in early June, she was experiencing consistent pain in her left hip, and X-rays revealed bone-on-bone severe arthritis. We discussed her options, including traditional posterior (rear) approach hip replacement and the new minimally invasive anterior (front) approach that we’ve begun offering at Floyd Memorial. Brenda was thrilled that she was a candidate for the minimally invasive approach, which has weight restrictions due to the nature of the procedure. Since she’d already tried conservative measures, including weight loss and pain medications, we went ahead and scheduled her for anterior approach hip replacement surgery on June 30.”

Minimally Invasive Makes All the Difference

Brenda described her experience after surgery. “Having already undergone traditional posterior hip replacement on my right side nine years ago, I was amazed with the difference in my recovery from the minimally invasive approach. The amount of pain I was in post-surgery was far less, and I was able to be up and moving much sooner. I went home on the second day after my surgery, and was already walking with the assistance of a walker after only three days. Then I moved to a cane, which I only needed for two weeks before I felt confident enough to get around completely on my own. The home health nurse who was visiting me was amazed; she said that most traditional approach patients don’t progress nearly as fast as I did. The incision healed really quickly, and I was able to start exercising and losing even more weight in no time.”

Dr. Uyoe explained the major advantages to anterior approach hip replacement versus the traditional posterior approach. “The anterior approach is muscle-sparing, meaning that the surgeon can take advantage of the natural muscle planes and avoid cutting through them. That theoretically makes recovery much faster and less painful. Patients can get back to activities like driving more quickly. Recovery typically takes just two to eight weeks instead of two to four months. In addition, the anterior approach procedure comes with almost no patient precautions afterward. Following traditional hip replacement surgery, patients are advised not to sit on low surfaces, cross their legs or bend over. However, when the anterior approach is used, these precautions are not needed. Patients are able and encouraged to resume normal, low impact activities. The final advantage is that the anterior surgery is performed through a much smaller incision than the traditional procedure. But what matters most is what you’re doing to the soft tissues underneath the incision. And this procedure is truly minimally invasive in that there is no cutting of any muscle.”

“I’m doing great right now,” added Brenda. “I just got back from a vacation to Gatlinburg, and I was able to walk long distances without pain for the first time in years. We also went outlet shopping, and I shopped in a regular clothing store that didn’t sell plus sizes for the first time in ages. It was so exciting. It’s the little things that have made this entire journey worthwhile.”

Free Seminar on Anterior Approach Hip Replacement – Understanding the Minimally-Invasive Approach to Total Hip Replacement
Tuesday, February 1, 6 – 7 pm

Join board certified Orthopedic Surgeon Aniefiok Uyoe, MD, to learn more about the benefits of minimally invasive hip replacement and which patients qualify for the procedure. You will also learn more about the hana® Hip and Knee Arthoplasty Surgical Table, a special table used during the procedure that is only available in Southern Indiana at Floyd Memorial. Registration is required. Call 1-800-4-SOURCE (1-800-476-8723) or register online .

Attend a Free Orientation to Learn More About the HMR Weight Management Program – The Floyd Memorial Weight Management Center offers free HMR orientation sessions on Mondays at 5:30 pm and Wednesdays at Noon. Call (812) 949-7151 to sign up.