Computer aided navigation is an interesting concept. However,
there is no evidence that it leads to better clinical outcomes and fewer
failures. On the other hand, there is ample evidence that surgeon experience has
a dramatic effect on outcomes and complications.
One way to conceptualize this is that the experienced
surgeon’s brain is a computer with much more sophisticated
"software" than a navigation computer. When a computer is
programmed, an algorithm must be created which has certain
inherent limitations. Furthermore additional significant
sources of errors are introduced by the registration of
anatomic points for the navigation computer in surgery.
My personal opinion is that navigation that is based on a
pre-operative CT scan data, which is being pioneered by
Justin Cobb, has tremendous promise in the future to improve
the results. At this point, we are still in the early
development phase. It will probably add several thousand
dollars to the cost of each operation.
In summary, I believe the right kind of navigation surgery
based on accurate 3D CT scans holds tremendous promise for
the future. It will still require an extensive amount of
preliminary development work before it is ready for routine
use.
I hope this helps with this very complex issue.
Best regards,
Thomas P. Gross, M.D.
Tuesday, February 23. 2010
Dr. Gross Discusses Computer Navigation for Hip Resurfacing
Posted by Patricia Walter
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Friday, May 23. 2008
Hip Resurfacing Videos
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Video Interviews with Hip Resurfacing Surgeons
Friday, October 26. 2007
Boomers Get Hip Video and Story
Read story and see video about Baby Boomers and BHR - Birmingham Hip Resurfacing.
View Video and Story
Sunday, September 30. 2007
Waqqy's Hip Relplacement Video
Waqqy is a 17 year old teenager who needed a hip resurfacing. He went to Mr. McMinn of the UK and due to bone problems, he had 2 surgeries and ended up with a MOM THR. He has put together a great video talking about hip resurfacing and his THR.
Click on the arrow to start the video
Posted by Patricia Walter
in HR Videos, Personal HR Stories 2007
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Friday, August 31. 2007
Keith McDonald Hip Resurfacing Video
Keith McDonald Hip Resurfacing Video - Choosing a Hip Resurfacing - New York Times Video
VIEW VIDEO
Posted by Patricia Walter
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Lynn Beyler Video of Hip Resurfacing Story in Belgium
Lynn Beyler's Hip Story Video featuring her hip reusrfacing surgery with Dr. De Smet in Belgium.
VEIW VIDEO
Posted by Patricia Walter
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Hip Surgery in Belgium Video
Hip Surgery in Belgium Video
VIEW VIDEO
Posted by Patricia Walter
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Monday, August 27. 2007
Live BHR Surgery Video by Dr. Macaulay & Dr. Geller
Live Video of BHR Surgery by Dr. MacCauly at NY Presbyterian
On Thursday, February 8, 2006 at 8 p.m. EST, join NewYork-Presbyterian Hospital orthopedic surgeons Drs. William B. Macaulay and Jeffrey A. Geller for a web cast discussion on total hip resurfacing. The doctors will show highlights from an actual total hip resurfacing surgery, discuss the procedure and its promise as an alternative to total hip replacement, and engage in a live question and answer session with audience members.
Dr. Macaulay trained under Drs. Derek McMinn and Ronan Treacy, the Birmingham, England-based orthopedic surgeons who developed the implant for total hip resurfacing.
Monday, August 6. 2007
William Starret BHR Video Dancer 1999
Click Black Triangle in center of photo to start video
Posted by Patricia Walter
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