Hip Resurfacing News

Prof Yates of Australia sent me several of his studies.  I am posting a link to a copy of his paper -

Outcome of primary resurfacing hip replacement: evaluation of risk factors for early revision
12,093 replacements from the Australian Joint Registry

http://www.surfacehippy.info/pdf/Prossser-yates-AOS-2010-resurf-risk.pdf

We need real information to evaluate the outcomes of hip resurfacing and Prof Yates has done an excellent job of analyzing the 2010 information.

Prof Yates contacted me with his info and offered me the use of his presentations.

Professor Piers Yates
MBBS(Hons) BSc(Hons) MRCS FRCS(Tr & Orth) FRACS(Ortho)
Over 300 hip resurfacings since 2001, trained by Jeremy Latham, Gordon Bannister, Treacy
Murdoch Orthopaedic Clinic, Suite 10
St John of God Hospital Murdoch
100 Murdoch Drive
Murdoch 6150
Western Australia
Tel: 08 9312 1135
Fax: 08 9311 4183
piersyates@hipandkneeperth.com.au
www.hipandkneeperth.com.au

I appreciate his help and input. 

Pat

 

A copy of the 2011 Australian National Joint Replacement Registry is located here:

Australian National Joint Replacement Registry 2011

I am posting this because people need to know the statistics I quote are not my opinion, but based on actual information from the National Directories.

Here is the BHR revision rate compared to other devices:



Please note the 6.3% revision rate at 10 years for the BHR.

Here is the hip resurfacing overall revision rate by male and females.  Please note that all small men and women both have the higher revision rates than larger people based on head size of HR components (9.3 for males, 11.2 for females).  All larger females and males have the same similar low revision rates (3.7 for males, 3.9 for females @ 7 years) .  Hip Resurfacing works great for larger people.  It also works for most smaller people, but you really need to use only the very, most experienced surgeons for good outcomes.



There is a great deal of information in the national registry, but this is really the important information in my opinion.  That is why I always use the 96% retention rate for the BHR worldwide.  It is actually higher in some other studies and surgeons personal series.

13th January 2012

More information at the McMinn Center

He has twice been Mr Universe and has played the tough guy in a variety of action movies, but when Mike Mitchell was floored by a hip injury it was Birmingham surgeon Derek McMinn who came to the rescue.

Fitness icon "Iron Mike", who appeared as a stuntman and action fighter in smash hit films Braveheart and Gladiator, had been suffering from severe osteoarthritis in his left hip but, true to his tough-guy image, had carried on regardless.

However, when the 56-year-old took a nasty fall while out on his yacht he found himself almost unable to walk and in danger of missing out on a new film he had just agreed to appear in.

Continue reading "Iron Mike gets BHR with Mr. McMinn of the UK"

24th January 2012

On Tuesday, Mr McMinn reached a momentous milestone in his surgical career – implanting his 3,333rd Birmingham Hip Resurfacing. To mark the occasion, Mr McMinn invited colleagues from The McMinn Centre, Smith & Nephew and The BMI Edgbaston Hospital for an impromptu shindig at Bindles Brasserie in Worcester.

"I was so thrilled and surprised to reach this landmark number, I just had to go out and celebrate with colleagues who have made this all possible,” Mr McMinn commented. “The fact that my patients are doing so well and that the BHR has a 97% success rate at 14 + years in my practice, is a tremendous reward for everyone involved in this development."

The news comes at a crucial juncture as more and more patients are demanding highly experienced surgeons to perform their hip procedures. Before dinner, Mr McMinn gave a short presentation about the history and success of the BHR and the future of hip arthroplasty.

The milestone precedes another exciting occasion on the 2012 calendar – the 15th Year Anniversary of the BHR, which we will be reporting on this summer.

The Awful pain

It was a decade ago when I came from work during the evening and was so tired that I went straight to bed. During the early morning hour like around 3AM I woke up and felt a sharp pain around the right side of my pelvis area. I waited a day to see if it is just a minor pain however the pain increased even more. So I visited a orthopedic surgeon at 2500 N Van Dorn St Alexandria VA who gave me a pain medicine after taking an x-ray. Which did not help at all, so instead I went to see my family doctor who sent me to a neurologist at 610 Carlin Spring Rd Arlington VA who gave me the steroid tablets for the pain. My biggest mistake was due to the fact I did not have the health insurance I should have gone to the ER for an evaluation and might have saved my hip from the further detrition of the hip infection; but instead I wasted several days by visiting different doctors who all of them gave me the wrong treatment. After a week I was in a extreme pain and was not able to stand from my bed. My family called the ambulance and was taken to the Alexandria Hospital where the orthopedic surgeon on duty Dr.Anuj Gupta performed several test including a cat scan. This is where he detected that I have an infection in my right hip. Before the surgery the anesthesia surgeon questioned me about any kind of allergic reactions. I told him that I have the severe allergic with the iodine and shellfish. The next morning Dr.Anuj Gupta performed a surgical procedure to clean out the infection from my right hip. He used Contrast-Dye during my surgical procedure that caused the severe complication and I almost lost my life. After the surgery he had told me that I would be looking forward for a hip replacement in the near future. Continue reading "Tariq Nadeem Hip Resurfacing Dr. Gross 2011"

January 20, 2012

...Andrew Lloyd Webber feels like a young man once again after undergoing hip replacement surgery.

The multi-millionaire composer has revealed he underwent the procedure a few weeks ago and has made a full recovery.

Lord Lloyd-Webber, 63, said: "I feel so much better. The best thing is that now I can exercise again, I can go swimming, which I love."

...Lord Lloyd-Webber had a hip resurfacing, which replaces diseased or damaged surfaces in the hip joint with metal implants.

It is designed to tackle arthritis - where joint cartilage is worn away, leaving bone rubbing on bone, which causes severe pain.

Less bone is removed for hip resurfacing, making it easier to repeat the operation or to have a total hip replacement in later years...

Information from Dr. Bose at the Asian Regional Center for Hip Resurfacing

Introduction:

The Birmingham Mid Head Resection prosthesis is a recently developed hip prosthesis for patients who are keen on having metal on metal hip resurfacing but do not have enough bone stock in their femoral head to accept a resurfacing implant. The BMHR, by its resection level is suitable for these patients thereby opening an avenue for these patients to benefit from the resurfacing technology.

Asian regional center for hip resurfacing is the only center in Asia where currently BMHR surgeries are being performed. Dr. Vijay C. Bose of ARCH is one of the very few surgeons in the world to perform this surgery.

 

Concept:

It was increasingly becoming obvious that some younger active patients were not candidates for resurfacing due to some technical issues. In these patients only a stemmed component was possible by removing bone stalk. The new BMHR –Birmingham Mid Head Resection device is the ideal prosthesis for this patient group as it retains almost all the advantages of resurfacing. It is feasible even in patients who have large cysts or other structural abnormalities of the proximal femur.

 

The BMHR Prosthesis:

The acetabular component of the Birmingham Mid Head Resection prosthesis is the same as that of the BHR prosthesis. The femoral side is constituted by two modular components - a stout stem with a fusicone contour in the proximal portion and anti – rotation splines at the distal end . The special BMHR head goes over the taper adapter present at the top.

 

Current Indications

The Birmingham Mid Head Resection Prosthesis( BMHR) is used in the following clinical conditions -

• Avascular necrosis of the femoral head with significant bone loss.
• Femoral neck deformity (Valgus neck, Femoral Head Retroversion)
• When the cysts in the femoral neck are large, hip resurfacing cannot be performed. The BMHR is the choice of implant for such patients.
• This implant is suitable for abnormal pathologies like Perthes and SUFE.

Benefits and comparison:

• The BMHR prosthesis does not violate the femoral canal. Hence it can be revised to total hip replacement if required at a later stage.
• Loading at the head and neck junction is similar to BHR hence the benefits of BHR prosthesis also applies to the BMHR.
• Recent finite element analysis studies have proven that the load distribution in BHR is very similar to that of BMHR.

Changing a tire at two weeks post op is not a good idea. We often forget that we are healing after major surgery and do things without thinking. Please think before doing any strenuous activities shortly after surgery. I think the people that do "really dumb things" realize it very quickly! Anyone that had major surgery and wants to do heavy work any time within the first six weeks is going to pay a big price including a possible revision due to a femur neck fracture or component movement. No matter how much you warn people, they just can't understand the impact such major surgery has on their bodies. You can't force your body to heal or be strong after it has been sliced and diced. I would caution people to be careful even beyond the six weeks up to six month period. Most surgeons will let patients do normal activities at six months, but warn that it takes a full year for the body to heal completely after a hip replacement. Why go through a recovery from major surgery and then take a chance on having a revision. Makes no sense, but neither do the actions of many people.

Please think before acting. Get help when you are faced with any problem that means you need to exert your new hip to lift a lot of weight. One man recently posted that he fixed a flat tire when he had surgery two weeks before. Fixing a flat tire to be on time to an appointment is not as important as going thru another surgery for a revision because you fractured your femur neck. Please think before performing strenuous activities. There is nothing more important than your own health if you want to continue to be active and be there for your family.

Often parents are tempted to lift their children after hip surgery. Lifting could mean that you are going to crack a femur, dislocate your hip or move an acetabular cup component. Any injury to the femur bone, surrounding tissue or muscles could result in a revision. Each revision surgery after your first hip replacement becomes more difficult than the original surgery.

THR Revision Information

We need to remember that the time to recovery and let our bodies heal is actually very small when compared to a lifetime. Healing and becoming strong again will allow you to be active with your children once again. They will understand that you are healing and will look forward to the time when you are able to be a full time parent without pain.