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Up to Date News About Hip Resurfacing
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to learn about Hip Resurfacing?
Visit the
Surface Hippy Website - A Patient to Patient Guide to Hip Resurfacing
About 9000 unique visitors a month visit Surface Hippy
to learn about hip resurfacing.
I have a large Patient to Patient website dedicated to Hip Resurfacing called
Surface Hippy. About 9000 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
Thursday, June 28. 2007
Do you have questions about pain medications.
What are NSAIDS, narcotics, acetaminophen combinations? Emedicine Health.com has a great article about everything you would want to know about these medicines. What they are, how they work, possible addiction and withdrawl.
READ COMPLETE ARTICLE
Wednesday, June 27. 2007
Hip resurfacing is very near and dear to my heart and hip -
left hip to be exact. I am the proud owner of a
BHR (Birmingham Hip Resurfacing) that I received in March 2006.
My left hip
had osteoarthritis for about ten years. My activities during
those ten years began to decrease until my main recreation
was sitting in my comfy, recliner chair. Having a bone on
bone hip joint will bring your life to a complete
standstill. Young or old, male or female - bone on bone pain
can not be ignored. The pain will be present when you walk,
stand, sit and even when you try to sleep. Sleep is
impossible without pain killers as is most of your life.
In the past there has been only one solution to replace a
painful, arthritic hip, a total hip replacement or THR. A
THR meant that part of your femur bone would be cut off and
drilled to accept a long stem ball replacement device that
is pounded into what is left of your femur bone. Then if you
ever need a revision in the future, what is left of your
femur bone must be broken apart to remove the old stem.
A Hip Resurfacing with a BHR is bone conserving. The top
ball of your femur bone is shaped to accept a cap that
protects the femur. Then a cup is placed in your acetabulum
as a bearing for the cap on your femur. This makes a metal
on metal bearing that protects the painful old hip joint. If
a revision is ever required in the future, the complete
femur bone is still in place to allow a THR.
Hip resurfacing, unlike the old fashioned THR of the
past, requires no restrictions to your activities. There is
almost no chance of dislocation. Many athletes have had hip
resurfacings and returned to the sports they love. If you or
someone you know has a painful hip that needs to be
replaced, be sure to learn about Hip Resurfacing before
accepting an old fashioned THR. The FDA approved Birmingham
Hip Resurfacing in the US last May 2006. Over 60,000 people
world wide have BHR's and many more are learning about the
new procedure. Doctors overseas have been performing hip
resurfacing for almost fifteen years.
Katie Ellis received her BHR in 1991 from Mr. McMinn the
inventor of the BHR in the UK.
The BHR approved by the FDA in May of 2006 is quite
different than the older,
hemi-resurfacing of the past. Hemi-resurfacing did not
place a cup in the acetabulum of the hip, it only placed a
cap on the femur bone and this resulted in a metal on bone
joint that often became painful and required a revision.
If you are young and active, be sure to ask your doctor
about hip resurfacing. If he/she does not seem to know about
the new option, find a doctor in your area that does hip
resurfacing. There have been many active people in their
late sixties and even seventies that have had hip
resurfacing. Be sure to ask questions of your doctor and do
research so you don't end up with an old fashioned small
ball THR that will restrict your activities and increase the
possibility of a dislocation.
Monday, June 25. 2007
Current Trends in Knee
Arthroplasty: What should the patient know?
Barry J. Waldman MD, Esther A. Schaftel CRNP
www.totaljointjoint.com
(Thank You to Dr. Waldman for submitting this
article to Hip Resurfacing News)
An Arthritis Epidemic
Unfortunately, there is an epidemic of knee arthritis in
the United States. The American Academy of Orthopaedic Surgeons, estimates that
between 2006 and 2030, the number of knee implants performed in the United
States will increase from 300,000 a year to nearly 3.5 million. Even more
concerning, the average age of knee implant patients gets younger each year1.
It is not unusual for patients as young as 40 to experience severe knee
arthritis and require knee implant surgery. Women account for about 60% of
patients who need a knee implant - a proportion that has remained steady for the
past few decades.3
Because the market for knee implants is growing so rapidly,
there is intense competition between manufactures of implants for future
business. Orthopaedic implant manufactures are working hard to convince
surgeons and consumers that their knee products are superior to their
competitor’s products. Because knee implants are very similar to one another,
manufacturers have begun to market directly to consumers to increase their brand
recognition and steer patients to their implants.
Implant Manufacturers
The four major manufactures are Zimmer, Stryker, DePuy (a
division of Johnson and Johnson) and Biomet. All have very similar implants
that work extremely well if they are implanted correctly. This has forced many
of them to differentiate themselves using some unproved claims. Recently,
Zimmer has been marketing a “gender-specific knee”, targeted at women. It
claims that it has designed "a total knee system with the women in mind".3
In response, Stryker has asserted that their "design closely matches the anatomy
of a female knee"3 and Biomet Inc. states the differences between
sexes are not enough to warrant a difference in designs.3
DePuy has advocated a rotating platform knee that “bends
and rotates.” to better match natural anatomy. While, these designs may have
some benefit, there is no long-term data proving that they are any better than
any other modern design. Differences in patient anatomy have long been
recognized and incorporated into knee designs. These differences have far more
to do with the patients overall size, not their gender or race.
Additionally, these newer implants may have some
detrimental effect that isn’t obvious today, but will become apparent some time
in the future. Because knee replacements are so durable and work so well for
most people, it will take many decades to sort out the effect of new designs.
To further confuse patients, hospital and doctors have begun to advertise
directly through local media and the internet. Many claims made are not
reviewed by other doctors and may be somewhat exaggerated.
Surgeon and hospital advertising often focuses on
“minimally invasive” procedures. While a smaller incision can be beneficial,
there is no agreement amongst surgeons as to the best methods to use. Some of
these techniques have a higher complication rate and may cause more problems
then they help.4
Advice to Patients
With the barrage of questionable information contained in
advertising and on the internet, what can a patient do to obtain the best
possible knee? Multiple studies have shown that the overall success in knee
replacement can be traced to the surgeon and the team that cares for the patient
during and after surgery. Surgeons and centers that do large numbers of
implants have more success, on the average, than surgeons who do this type of
surgery less often. When considering a doctor, it’s important to ask how many
operations of this type they do each year and what their personal outcomes are.
The hospital they use should have a dedicated joint center and do a large number
of joint replacements each year. It is also important to find a physician that
responds in a timely manner to phone calls and patient requests.
Almost all of the knee implants available today are the
result of years of research and should offer excellent functional performance
and longevity.1 Patients should be able to reap the benefits of any
TKA with the right surgeon with the right supportive team. Try to view all the
advertising and hype with skepticism and you won’t be fooled by unsubstantiated
claims. It is far more important for patients to find a doctor that they feel
comfortable with and that they can discuss their concerns with, rather than
worry about the implant used.
References
- Dennis DA. Trends in total knee
arthroplasty.Orthopedics. 2006 Sept;29 (9 Suppl): S13-6. 2.
- Barrett WP. The need for gender-specific prosthesis in
TKA: does size make a difference? Orthopedics. 2006 Sept; 29 (9 Suppl):
S53-5.3.
- Ptacek G. Gender-specific knee implants. Orthopedic
Technology Review. 2006 May-June.4. Booth RE. The gender-specific (female)
knee. Orthopedics. 2006 Sept;29 (9 Suppl): S768.
Waldman BJ, Jackson G, Schaftel EA.
Complications of Quad Sparing Total Knee Arthroplasty, Annual Meeting, American
Academy of Orthopaedic Surgeons, Feb. 2007, San Diego CA
Monday, June 25. 2007
Monday, June 25. 2007
Live Webcast of Hip Resurfacing Operation
Vivid webcast of real surgery from Lake Forest University Baptist Medical Center.
Replay of Birmingham Hip Resurfacing
Alternative to Standard Total Hip Replacement
April 17, 2007 at 5:00 PM EDT
(21:00 UTC)
From Wake Forest University Baptist Medical Center, Winston-Salem, NC
WINSTON-SALEM, N.C. – Wake Forest University Baptist Medical Center is the first hospital in the Triad to offer a new type of hip surgery that is an alternative to standard total hip replacement. Approved by the Food and Drug Administration in May 2006, the hip resurfacing procedure is designed for younger patients who want to remain physically active after hip replacement surgery.
On Tuesday, April 17, at 5 p.m. EDT, Wake Forest Baptist will host a live webcast of the Birmingham hip resurfacing procedure, featuring Riyaz Jinnah, M.D., performing the surgery and William Ward, M.D., moderating the event.
VIEW WEBCAST
Monday, June 25. 2007
Age Chart of Hip Resurfacing Patients
List and chart of hip resurfacing patient's ages. This chart is a representation of the hip resurfacing patients that use the Yahoo Surface Hippy Discussion Board.
READ MORE
Monday, June 25. 2007
Acetabular Bone Loss by Dr. Vijay C. Bose
...The acetabular size is the most important factor which determines the choice of femoral head size in resurfacing and one never removes more acetabular bone in hip resurfacings. In other words if I would be performing a conventional hip replacement on a given patient instead of resurfacing, I would be using precisely the same size acetabular component in both the surgeries.
I would go as far as saying that if we are taking out more acetabular bone in resurfacing than in conventional hip replacement , then in my opinion there is no role for resurfacing and it must be discontinued immediately. Acetabular conservation is as important if not more than femoral bone conservation and all resurfacing surgeons recognize and acknowledge this fact. The ability to put large heads in resurfacing stems from the fact that thin shelled acetabular components are possible with the modern metal on metal bearings. However when one uses polyethylene it has to have a large thickness ,which in turn reduces the femoral head diameter , (assuming the acetabular outer shell diameter remains the same). The same argument holds true for ceramic on ceramic bearing to a lesser extent and therefore slightly large femoral head sizes than metal on poly is possible. However an anatomical size is currently possible only with metal on metal bearings...
READ MORE
Sunday, June 24. 2007
Main Category: Bones / Orthopaedics News
Article Date: 22 May 2006 - 0:00 PDT
There is a new option for patients suffering from hip pain who do not want to give up their active lifestyle. NewYork-Presbyterian/Columbia University Medical Center is one of the first hospitals in the U.S. to offer a new alternative for total hip replacement-hip resurfacing. The technique allows the orthopedic surgeon to shave and cap several centimeters of bone within the hip joint, helping to preserve bone and joint stability for young or active patients.
The Innovative Birmingham Hip Resurfacing? System preserves more of the patient's natural bone structures and stability, covering the joint's surfaces with an all-metal implant that more closely resembles a tooth cap than a hip implant. This approach reduces post-operative risks of dislocation and inaccurate leg length, and because the all-metal implant is made from durable, smooth cobalt chrome, it has the potential to last longer than traditional hip implants.
"Hip resurfacing is ideal for many of my young, active patients who suffer from hip pain. As we've seen greater numbers of younger patients and older patients that are physically active, there's been an increased need for an alternative to total hip replacement that accommodates their age and lifestyle," says Dr. William B. Macaulay, director of the Center for Hip and Knee Replacement at NewYork-Presbyterian Hospital/Columbia, and associate professor of orthopaedic surgery and advisory dean at Columbia University College of Physicians and Surgeons...
...NewYork-Presbyterian Hospital/Columbia University Medical Center, located in New York City, is one of the leading academic medical centers in the world, comprising the teaching hospital NewYork-Presbyterian and its academic partner, Columbia University College of Physicians and Surgeons. NewYork-Presbyterian/Columbia provides state-of-the-art inpatient, ambulatory and preventive care in all areas of medicine, and is committed to excellence in patient care, research, education and community service. NewYork-Presbyterian, which is among U.S. News & World Report's top 10 hospitals nationally, also comprises NewYork-Presbyterian Hospital/Weill Cornell Medical Center and its academic affiliate, Weill Medical College of Cornell University.
NewYork-Presbyterian Hospital/Columbia University Medical Center
627 West 165th Street
New York, NY 10032
http://www.nyp.org ...
READ MORE
Sunday, June 24. 2007
Main Category: Arthritis News Article Date: 17 Mar 2007 - 2:00 PDT The success of long term hip replacement surgery may lie in the genes, suggests research published ahead of print in the Annals of the Rheumatic Diseases. The researchers analysed genetic variations in 312 people, just over half of whom (162) had problems after hip replacement in the 10 years following surgery. Among those with symptoms, 91 had early signs of "aseptic loosening," which describes a condition in which the artificial joint comes loose and the surrounding bone begins to dissolve. The other 71 patients had deep-seated infection, which occurs when the body is unable to control infection caused by bacteria colonising the artificial implants. DNA samples were taken from all participants to test for genetic variations in genes responsible for generating matrix metalloproteinase 1, or MMP1 for short, interleukin 6, and vitamin D synthesis... The authors conclude that if confirmed in other research, these findings could be used to predict long term success in patients undergoing hip replacement surgery. And they could also be used to develop targeted genetic treatments. READ MORE
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