Recent EntriesMichael Montgomery Surface Hippy Ironman at 6 months
Monday, May 12 2008 Resurfacing emerges as possible option to hip replacement Thursday, May 8 2008 Procedure allows Bentonville man to live the life he loves Thursday, April 10 2008 High Impact Sports and Metal on Metal Bearing Surface Thursday, April 3 2008 Systemic review finds that potent anticoagulants increase the risk of mortality after THA, TKA Thursday, April 3 2008 The new hip-op generation Monday, March 31 2008 Smith & Nephew and Corin Battle to Win America's Hip Generation Wednesday, March 26 2008 Friends meet after 25 years while receiving BHRs Wednesday, March 26 2008 Corin Group Introduces Vertical Machine Center Wednesday, March 26 2008 Taylor Could Play April 5 Tuesday, March 25 2008 Dave Grigg's 10 year hip resurfacing anniversary Saturday, March 22 2008 Farmer has Hip Op in India Wednesday, March 19 2008 Bloodless Hip Surgery at GSMCH India Wednesday, March 19 2008 New Alternative to Total Hip Replacement Tuesday, March 18 2008 BMHR Videos by Mr. McMinn Saturday, March 15 2008 Hip Resurfacing vs Total Hip Replacement Discussion AAOS Wednesday, March 12 2008 Groin Pain after Hip Resurfacing Tuesday, March 11 2008 Patients Hip to New Surgical Technique Monday, February 25 2008 Glucosamine Fails to Relieve Hip Arthritis Study Tuesday, February 19 2008 Shelly Perlmutter Hip Resurfacing Story with Dr. Gross Tuesday, February 19 2008 ArchivesQuicksearchSyndicate This Blog |
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Welcome to Hip Resurfacing News
I have a large Patient to Patient website dedicated to Hip Resurfacing called Surface Hippy. About 7000 unique visitors a month use the website to learn about hip resurfacing. Many don't have time to keep up with what's new in hip resurfacing, so I decided to place news media articles about Hip Resurfacing on the Hip Resurfacing News Website. It is a place to quickly find out what is new and what is changing in the field of hip resurfacing. Hip Resurfacing came of age in the United States when the FDA approved Birmingham Hip Resurfacing (BHR) in May 2006. Previous to the FDA Approval, hip resurfacings were done in Europe, Canada, Australia and other countries outside the United States. Orthopedic surgeons have been performing hip resurfacing surgeries since 1997 in most countries. Over 90,000 people world wide have received hip resurfacings. Since the FDA Approval of the BHR and Cormet in the US, there are a large number of new surgeons learning the techniques and many people wondering if the surgery is right for them. There are new surgeons training, new medical studies completed regularly and general articles published in newspapers, magazines and in the media daily. Keeping up with all of the information becomes a real task for most people. People are trying to find pertinent information without spending hours and hours searching online - that is the purpose of Hip Resurfacing News. Patricia Walter - Owner/Webmaster of Hip Resurfacing News and Surface Hippy
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Wednesday, June 13. 2007 14:34
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Michael Montgomery Surface Hippy Ironman at 6 monthsMonday, May 12. 2008Hip resurfacing helped triathlete compete again Link www.dallasnews.com
Collapsing bone threatened to sideline triathlete Michael
Montgomery (left),
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Resurfacing emerges as possible option to hip replacementThursday, May 8. 2008
Resurfacing emerges as possible option to hip replacement
By Mary Jo Feldstein ST. LOUIS POST-DISPATCH 05/07/2008 Link http://www.stltoday.com/stltoday/business/stories.nsf/healthcare/story/C2824CE782266F9186257442000778B3?OpenDocument The procedure gives many patients the chance to relieve pain and stay active. Physicians caution their peers to select patients carefully and make sure they're capable of performing the complicated procedure. "Patients should have a long discussion with their physician," said Dr. Jay Mabrey, chief of orthopedics at Baylor University in Dallas and chairman of the Food and Drug Administration panel that reviews orthopedic devices. "I spend more time in my practice talking people out of hip resurfacing than talking people into it." Such restraint can be difficult as a few device makers put their marketing teams in gear to maximize this latest profit center. Hip replacements typically only last two or three decades, leaving young recipients with few options for their golden years. Hip resurfacing, on the other hand, can preserve enough healthy bone for a hip replacement later on in life. Here's the difference: During traditional hip replacement, both the head and neck of the femur, or thigh bone, are removed and replaced with metal or plastic implants. During hip resurfacing, the head of the femur is resurfaced with a metal hip "joint" and the rest of the thigh bone is left intact. Patients who opt for hip resurfacing often return to some strenuous physical activity after surgery. Goodman hasn't completed another marathon since his surgery a year ago, but he occasionally jogs shorter distances and he regularly attends high-energy spinning classes. He isn't hip resurfacing's only cyclist. Professional cyclist Floyd Landis underwent the procedure before his contested Tour de France victory. Resurfacing costs more than a traditional hip replacements, with a price tag of $10,000 to $12,000 versus about $8,000. Patients, on average, have similar recovery times. Hip resurfacing patients who get better faster, generally do so because they were younger and healthier before the surgery than the average hip replacement patient, said Dr. Robert Barrack, an orthopedic surgeon with Washington University Orthopedics at Barnes-Jewish Hospital. Hip resurfacing is not for everyone. Barnes-Jewish considers it ideal for active men and women under age 60. People with osteoporosis, diabetes and women who plan to have children are among the other classes of patients warned to stay away. Patients also need to find a qualified physician. Since it was only approved by the Food and Drug Administration two years ago, few surgeons are proficient in performing the procedure, which is considered more difficult than hip replacement. Barrack said it takes about 50 cases to consistently achieve the best results. Because only 10 percent of patients qualify for resurfacing, Barrack estimates a surgeon would have to see 500 patients to reach the threshold. That's a high volume of patients for a physician outside of a large medical center, Barrack said. He is a paid consultant for Smith & Nephew, a maker of hip resurfacing products, though the expertise he provides the company is related to other products. Smith & Nephew's Birmingham Hip was the first FDA approved hip resurfacing product in the United States. It's been a solid product for the British company, driving growth in revenue and profit. The hip replacement market is worth about $2 billion, but Smith & Nephew had controlled hip resurfacing's estimated $20 million slice of the pie. Now, as other device makers work through the approval process, Smith & Nephew is facing new competition. A concern is whether efforts by device makers to increase the market will encourage physicians with less experience to perform the procedure or recommend it to the wrong patients. Mabrey said he's keeping this procedure for the most active of patients. A recent example is a triathlete who completed an Ironman competition a few months after surgery. "That's the kind of person I aim for," Mabrey said. Procedure allows Bentonville man to live the life he lovesThursday, April 10. 2008
Link
http://nwanews.com/nwat/News/64008/
BENTONVILLE — John Hill has run several Boston Marathons over the years, but crossing the finish line in 2006 was anything but pleasant. Hill, a Bentonville resident for more than a decade and an executive with Nestle in Rogers, was accustomed to tackling the 26. 22-mile marathon in Beantown in as little as three hours, 27 minutes. But on April 17, 2006, Hill’s time skyrocketed to just shy of six hours. And he was in excruciating pain on top of that. “ The only way I even made it to the finish line was to stop every so often and put more ice in my shorts, ” Hill recalls. “ I knew the end was near. It was going to be over for me. I wasn’t going to be able to run anymore. ” Once a confident long-distance runner, Hill had been diagnosed with osteoarthritis prior to legging out the 2006 Boston Marathon. And at 44 years old, the condition had nothing to do with age. Instead, an extra piece of bone on Hill’s hip was rubbing against cartilage in the right joint of his hip, causing the protective material to deteriorate at a much more rapid rate than usual. The only surgical procedure being prescribed was total hip replacement — and that would mean giving up running altogether. While attempting to stomach the fact that part of his life would soon
be erased, Hill stumbled upon a story about a new surgical procedure
called hip resurfacing. The procedure was so new, in fact, that it was
not yet approved by the Food and Drug Administration, few had been
performed in the United States, and the majority of insurance companies
were not covering the procedure. Still, a glimmer of hope was ignited
that has led to Hill holding on to the life he has always known. The hip-resurfacing procedure, performed on Hill by Dr. Robert
Barrack in St. Louis on Jan. 23, 2007, has been practiced in Europe for
several years but has just recently started to gain acceptance in the
United States. Rather than removing the entire hip, the resurfacing
procedure introduces a special metal into the hip joint where the
cartilage once was. As a result, bone-on-bone contact, which causes
arthritis, pain and disability, is replaced by metal on metal.
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High Impact Sports and Metal on Metal Bearing SurfaceThursday, April 3. 2008
March 2008
SAN FRANCISCO - A study indicates that having a metal-on-metal bearing surface and performing high-impact activities preoperatively may be positive predictors for participating in high-impact sports after total hip arthroplasty. To determine which patients would participate in high-impact sports activity following total hip arthroplasty (THA) and to examine the factors linked to participation in these sports, David R. Marker, BS, and colleagues submitted pre- and postoperative questionnaires to 303 THA patients who had a mean follow-up of 3 years. The investigators found that 30% of patients participated in at least one or more high-impact sport postoperatively for an average of 4.3 hours per week. A regression analysis revealed that a preoperative high activity level and metal-on-metal bearing surface were the only statistically significant factors to predict participation in high-impact sports postoperatively. Moreover, while a comparison of patients participating in high- and low-impact sports revealed similar preoperative Harris Hip Scores, the investigators discovered that the high-impact sport participating patients had higher postop Harris Hip Scores. "There are many patients participating in these high-impact sports, up to 30% in our cohort," Marker said during his presentation at the American Academy of Orthopaedic Surgeons 75th Annual Meeting, held here. "The preoperative participation, as well as the metal bearing surface, were found to be predictive of postoperative participation. We found [in] the short-term follow-up that the high-impact sports patients had similar and better outcomes." For more information: Marker DR, Seyler TM, Ulrich SD, et al. High-impact sports after THA: Is the bearing type and independent predictor of activity level? Paper #16. Presented at the American Academy of Orthopaedic Surgeons 75th Annual Meeting. March 5-9, 2008. San Francisco.
Posted by Patricia Walter
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Systemic review finds that potent anticoagulants increase the risk of mortality after THA, TKAThursday, April 3. 2008
April 2008
Using potent anticoagulants such as low-molecular-weight heparin to prevent pulmonary embolism in total hip or knee arthroplasty patients, as recommended by the Chest Physicians Consensus Statement, may actually increase the risk of all-cause mortality compared to multimodal prophylaxis measures, according to a systematic literature review published in Clinical Orthopaedics and Related Research. "We believe the American College of Chest Physicians should reconsider their guidelines to reflect the fact that PE (pulmonary embolism) occurs despite the use of potent anticoagulants and may, in fact, expose patients to increased mortality after surgery," the authors said in the study. Nigel E. Sharrock, BMedSci, MB, ChB, and colleagues at the Hospital for Special Surgery, New York, conducted the systematic review, which included 20 English language studies published during the last 9 years. The researchers focused on studies that involved patients undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA) and divided publications into three categories based on the venous thromboembolism prophylaxis regimen. Specifically, Group A included the use of low-molecular-weight heparin, ximelagatran, fondaparinux or rivaroxaban, Group B included the use of a multimodal prophylaxis, and Group C included the use of warfarin. "Multimodal prophylaxis (Group B) was defined as a protocol consisting of intention to use regional anesthesia (epidural or spinal) with or without intraoperative heparin during surgery or pneumatic compression and aspirin after surgery," the study authors noted. The researchers found that the lowest number of deaths occurred among patients in Group B. Patients in Groups A and C were more than two times as likely to die compared to those in Group B, with no significant difference between Group A and Group C. Patients in Group A also had a 60% to 70% higher risk of nonfatal PE compared to patients in Group B. Nonfatal PE occurred in 94 of 15,839 patients in Group A (0.6%) vs. 25 of 7,193 patients in Group B (0.35%), according to the study. "We show clinical PE occurs despite the use of powerful anticoagulants. The rate of 0.6% is comparable to the rate of 1% previously described with warfarin and low-molecular-weight heparin in cohort studies. "This literature cannot support the use of powerful anticoagulants to prevent PE, although they clearly reduce the risk of venographically evident deep vein thrombosis," the study authors wrote. For more information: Sharrock NE, Gonzalez Della Valle A, Go G, et al. Potent anticoagulants are associated with a higher all-cause mortality rate after hip and knee arthroplasty. Clin Orthop Relat Res. 2008;466:714-721.
Posted by Patricia Walter
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The new hip-op generationMonday, March 31. 2008
Link
http://www.timesonline.co.uk/tol/life_and_style/health/article3641322.ece
Baby boomers are competing for hip operations
with older people, and the pain and strain will
be felt by the health service Smith & Nephew and Corin Battle to Win America's Hip GenerationWednesday, March 26. 2008
Smith & Nephew and Corin battle to win over America's hip generation
Link http://business.timesonline.co.uk/tol/business/industry_sectors/health/article3601581.ece Smith & Nephew and Corin are both vying to win the key US market for hip replacements Matthew Goodman BEFORE he had surgery, Cory Foulk, a 49-year-old Hawaiian architect, found
even everyday tasks such as getting in and out of the car caused him
considerable pain. His condition, arthritis triggered by a cycling accident, had
deteriorated over several years. Continue reading "Smith & Nephew and Corin Battle to Win America's Hip Generation"
Posted by Patricia Walter
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Friends meet after 25 years while receiving BHRsWednesday, March 26. 2008
Link
http://03530.com/2008/03/25/horse-stopped-from-visiting-patient-at-hospital-bedside.html
Wilcox Hospital has around 70 beds, includes an intensive care section and offers treatments for cardiac and a range of other conditions. It is part of Hawaiian Pacific Health. Two Kaua’i patients who had not seen each other for 25 years were recently reunited at the hospital. Payton Hough and Jeff Habig were the first to receive the new Birmingham hip resurfacing procedure at the hospital, performed by orthopedic surgeon David Rovinsky.
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Corin Group Introduces Vertical Machine CenterWednesday, March 26. 2008Corin Group Introduces Vertical machining
centre to reduce lead times Medical implants and instrumentation manufacturer has
introduced 'lean' cell-structured machining systems - including high speed
machining - to reduce overall manufacturing lead times Medical implants and instrumentation manufacturer, the Corin Group, has introduced lean, cellular production techniques, which have transformed individual component machining times, as well as overall lead times. Newly-established routines have also streamlined production through reduced work handling and separate set-ups. In addition, investment in another area has eliminated costly
outsourced machining operations and allowed the company to take full control
over its processes. Continue reading "Corin Group Introduces Vertical Machine Center"
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Taylor Could Play April 5Tuesday, March 25. 2008
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Here's a nice story, if it happens: Lightning coach John Tortorella has given captain Tim Taylor the option of playing in the team's final game of the season April 5 at Atlanta. It would be a way for the center to finish his 13-year career as a player instead of on the sideline, where he has been since Sept. 7 hip surgery. "He deserves that type of respect,'' Tortorella said. "He's been a loyal guy to the organization and has done a lot of things on and off the ice people don't even know about, so he deserves that right.'' The surgery is called hip resurfacing and corrected his painful, right-hip dysplasia by shaving and smoothing the head of the femur, topping it with a chrome alloy cap and fitting it into the hip socket that also was coated. Taylor, 39, said he is "ecstatic'' at the results. He has skated since mid February but has practiced fewer than 10 times.
Read Tim's Hip Resurfacing Story by clicking
here
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Dave Grigg's 10 year hip resurfacing anniversarySaturday, March 22. 2008
Dave Grigg Ten Year Anniversary
L C+ 3/24/1998 R C+ 2/12/2004 Dr. Amstutz I'm saying hello on the eve of my ten year anniversary. In early 1998 there were fewer than 40 resurfacings in the U.S. and of course no surfacehippy group or knowledge base. My thanks to Keith and all you posters. My story A former runner, I had been crippled with OA for a decade and needed crutches just to stand more than 2 minutes. Dr. Amstutz said he'd only seen one or two more diseased hips in his career. I placed a lot of trust in him and it sure paid off. I was riding the life cycle 5 days post-op and skydiving 7 weeks post-op (not doctor approved). My other hip was resurfaced by the good doctor early in 2004. I moved to the Palm Springs area 19 months ago and took up competitive tennis, both singles and doubles and have won a couple of local tournaments. Other than airport security delays, I couldn't be happier. Dave C+, Dr. Amstutz, L 3/24/1998, R 2/12/2004
Posted by Patricia Walter
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Farmer has Hip Op in IndiaWednesday, March 19. 2008Farmer has hip op in India
Farmer Stuart Agnew knew that major surgery was on the cards as his hip
became increasingly more painful during a busy lambing season. Continue reading "Farmer has Hip Op in India"
Posted by Patricia Walter
in Articles 2008, Medical Tourism, Personal Stories 08
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Bloodless Hip Surgery at GSMCH IndiaWednesday, March 19. 2008Bloodless hip surgery at GSMCH Link http://www.punjabnewsline.com/content/view/9315/38/ Tuesday, 18 March 2008 CHANDIGARH: Bloodless hip surgery would be performed at the Gian Sagar
Medical College and Hospital, near here, with an internationally acclaimed
orthopaedic surgeon Gursharan Singh Chana visiting the hospital regularly every
two months.
Posted by Patricia Walter
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New Alternative to Total Hip ReplacementTuesday, March 18. 2008
Link
Link http://www.kplctv.com/Global/story.asp?S=8029116&nav=menu66_5_1
March 17, 2008 Reported by: Britney Glaser Each year, 200,000 Americans undergo total hip replacement. For younger patients leading active lives, this surgery can oftentimes leave them with physical limitations they did not have before going under the knife. But now, there's an exciting new hip procedure - one that's transformed the cycling career of a Tour de France winner. For 15 years, cycling has been Floyd Landis's passion - but when he broke his hip while training in 2003, the arthritis that developed eventually became unbearable. "It's hard to explain arthritis if you've never had it," says Landis, "it's just something that's always there - and it affects everything, it affects your mood. I'm quite happy that it's been solved." Landis peddled with the pain until 2006. After winning Tour de France, he chose a revolutionary technique called Birmingham Hip Resurfacing to repair his hip. Orthopaedic surgeon, Dr. John Noble, performs the BHR procedure locally and says it's the ideal alternative to total hip replacement in younger patients. "I would say that the young, active patients who have significant arthritis or significant dysplasia - that is a shallowness of the socket - those are patients who would benefit from hip resurfacing," says Dr. Noble. BHR uses a bone-conserving technique where surgeons shave just a few centimeters of bone rather than removing the entire hip joint. "We divide the tissue directly over the bone," says Dr. Noble, "we make an exposure to dislocate the hip and move the hip and ball out of the way to allow exposure to the socket and then we ream the socket with a device that looks like a cheese grater and then we implant the socket." The size of the implant is matched to the patient's own joint, reducing the risk for dislocation or uneven leg length. Dr. Noble says the results have been phenomenal. "99.5 percent of the patients were either pleased or very pleased with their procedure," says Dr. Noble, "and those are pretty extraordinary results - we just don't see that very often with many operations." It's been a year and a half since Landis had the BHR procedure. He is now back to riding and says his determination *and hips are the strongest they've been in years. "It's as good as new," says Landis, "and certainly is much better than it was the last two years when I had the arthritis problem. I'll certainly be better off and not just because of that, but more determined than ever." *If you're wondering what brought Floyd Landis to Southwest Louisiana, he took part in a ride over the weekend that raised $5,000 for the Calcasieu Community Clinic. *To learn more about the BHR technique, click here.
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