Innovative Treatment Options for Hip Replacement & Disorders

Crystal Clinic is proud to be on the cutting-edge of the latest surgical and nonsurgical approaches. Whether our surgeons have developed a new procedure themselves or embraced the newest advancements in technology and treatments, you can always expect to receive state-of-the-art care for your condition.

Direct Anterior Hip Replacement

One of the most effective and least invasive techniques used today is the Direct Anterior approach. It is minimally invasive because no muscles around the hip are cut when placing the prosthesis. This makes for a less painful procedure and quicker initial recovery. Dislocation risk is also lower than other hip approaches.

Patients can expect fewer restrictions and be full weight bearing on the hip on the day of surgery. For the first two weeks afterwards, patients are required to use a walker to slow them down so the bone can grow into the titanium implants. 

Unfortunately, the direct anterior approach is not for everyone. Hips with significant bone loss or a deep tissue layer in the front of the hip may make another approach more favorable.

Akron Anterior Hip Replacement

Pioneered by Dr. Robert Kepley in our Cuyahoga Falls office, the Akron Anterior Hip Replacement surgical approach provides similar advantages to the Direct Anterior approach for hip replacement surgery. Both surgical approaches are minimally invasive, allow for a quicker return to full weight bearing, produce less pain, have a lower risk of dislocation and require fewer life-long restrictions than all other surgical approaches. 

Additional advantages of the Akron Anterior approach are the ability to directly repair abductor muscle tears seen in up to one third of all hip replacement surgeries, less risk of nerve damage, lower blood loss and the ability to perform this approach on ALL patients with hip arthritis. Dr. Kepley and Dr. Thomas Bear currently perform this surgical approach for patients with hip arthritis.

Endoscopic Hamstring Repair

Hamstring injuries are common in athletes competing at all levels and can vary in severity from strains to tears. Most hamstring strains and tears heal without surgery. However, when surgery using the previous endoscopic technique has been needed, there has been the risk of damaging the sciatic nerve. 

At Crystal Clinic, Drs. Jovan Laskovski and Ryan Urchek have pioneered a new minimally invasive technique that involves innovative patient positioning that protects the sciatic nerve, simplifies the suturing and decreases the complexity of a challenging procedure. As techniques in endoscopic hamstring repair become refined and available to more surgeons, it will eventually become as conventional as an open repair.

Gluteal Tear Repair with Allograft Augmentation

Lateral hip pain becomes more common after the age of 40, and affects up to 20 percent of people age 65 or older. Most often, it is not caused by traumatic injuries or falls; rather, it is a result of wear and tear from aging. Bursitis, tendinitis, and tears in the abductor tendons have been known to trigger this pain. But oftentimes, the exact cause is misdiagnosed.

These problems tend to be frustrating for both orthopedic and sports medicine physicians because MRIs will often miss a diagnosis of a tear or partial thickness tear of the gluteus medius and minimus tendons, which help us rotate and flex our hips. Endoscopic gluteus medius and minimus repair with allograft augmentation shows great promise in being able to treat an extremely common, but unfortunately poorly unrecognized problem. 

Crystal Clinic hip surgeon Dr. Jovan Laskovski developed this new technique, which repairs the tendon and also adds allograft cadaver tissue to reinforce the repair, leading to a 95 percent success rate in patients he has treated. Allograft augmentation repairs the strength, and the tissue turns into patient tendon tissue, resulting in better short-term and long-term outcomes. Another benefit of this approach aids in improved healing of and feeling in the hips.  

Hip Labral Tear Repair Surgery

Hip pain doesn’t discriminate based on age, older and younger alike can be affected.  What sometimes gets overlooked is that the pain could be caused by a labral tear. 

A hip labral tear is an injury to the labrum, the soft tissue that covers the hip socket. It may be caused by injury, degenerative issues or structural problems. Symptoms include pain or stiffness in the hip, pain in the groin or buttocks, and a clicking sound in the hip area when moving. 

Not every labral tear needs to be fixed, but those who still have a significant amount of hip pain, despite completing a course of physical therapy, may be good candidates for surgical repair. Thanks to some new instrumentation, surgery can be performed through two to three small incisions around the hip. A camera is used to look inside the hip joint and specialized instruments are used to reshape the socket and the ball to prevent tearing the labrum again. Then, small anchors are placed around the socket and stitches are passed through the labrum to reattach it. 

One of the main goals of this surgery is to alleviate the pain, and more importantly, preserve the hip for the future. In fact, this may prevent the need for total hip replacements in the future or at least delay that need for many years.

Crystal Clear Pathway

Crystal Clear Pathway is Crystal Clinic’s specialized program for Medicare patients undergoing joint replacement surgery. Its goal is to provide you with better care by increasing communication and collaboration between every provider involved with your care – before, during, and after your surgery. As part of this program, you will receive a customized care plan that will assist you, your family members and your care providers to more easily navigate the complexities of your hospitalization, recovery and rehabilitation. Developed in accordance with government guidelines, this program has led to better overall patient outcomes.