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Friday, January 27. 2012
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.
Thursday, November 17. 2011
Updated August 2011
Dr. Gross 2011 Summary of Outcomes for 2500 Hip Resurfacings
Dr. Gross has now performed over 2500 Hip Surface Replacement (HSR)
procedures over the last 12 years. Most failures occur during the first 6 months of the healing period. However, there is a
slow rate of failure that occurs over time. Therefore the overall failure rate increases for a group of patients as the length of follow-up
increases. In our recent publication in the Journal of Arthroplasty 2011, we reported that our Corin Hybrid HSR achieved a 93% survivorship
at 11 years follow-up. Longer-term data is not available. Multiple improvements have been made since this initial patient group.
Our most recent cases use the Biomet uncemented Recap /Magnum. We report here the early results of the first 1000 done between
March 2007 and July 2010 with a 99.4% rate of follow-up (90% completely up to date on their follow-up, and 64 % achieving at least 2 years
follow-up). Not all complications lead to failure. Below is a complete list ofmajor complications (not just failures) in the first 1000
uncemented HSR using the Biomet system:
A.) Failures Requiring Revision Surgery (1000 cases):
1. Femoral neck fracture: 6 2. Early femoral collapse (avascular necrosis): 2 3. Failure of acetabular ingrowth: 5 4. Adverse wear failure: 2 5. Deep infection with loss of implant: 0 6. Recurrent dislocations requiring revision: 0 7. Femoral component loosening: 0 8. Acetabular component loosening 0 9. Subtrochanteric femur fracture 1 (related to hardware removal)
TOTAL: 16 1.6%
B.) Cases requiring significant repeat surgery (1000 cases):
1. Traumatic intertrochanteric fracture 2 (5 and 11 months postop): 2. Deep infection (cured): 2 2. Significant superficial infection (cured): 1 3. Frostbite from ice machine: 2
TOTAL: 7 0.7%
C) Other Complications (1000 cases):
1. Dislocations: 2 2. Pulmonary emboli: 3 3. Deep vein thrombosis: 2 4. GI bleed requiring transfusion: 1 5. Minor stroke: 1 4. Nerve injuries: 0 5. Postoperative transfusions: 0 6. Femoral notches: 0 7. Vascular injuries: 0 8. Deaths: 0
TOTAL: 9 0.9%
Continue reading "Dr. Gross 2011 Summary of Outcomes for 2500 Hip Resurfacings"
Thursday, November 17. 2011
November 16, 2011
Original Link http://www.orthosupersite.com/view.aspx?rid=89618
The retrospective study, which analyzed 925 hip resurfacings performed by
Edwin Su, MD, between 2004 and 2009 with a minimum follow-up of 2 years, looked
at three implants: Wright Medical’s Conserve Plus Total Resurfacing Hip System,
Biomet Orthopedics’ ReCap Femoral Resurfacing System and Smith & Nephew’s
Birmingham Hip Resurfacing System. Conserve Plus and the Biomet ReCap were used
as part of clinical trials, while the Birmingham hip was used after FDA approval
of the implant in 2006. Clinical scores and radiographs were obtained at 1
month, 3 months, 1 year, and every subsequent year. The hips in the study had a
minimum of 2 year follow up, both radiographically and clinically.
Continue reading "Dr. Su's experience with hip resurfacing shows 1.3% complication rate"
Saturday, March 13. 2010
I have to start by saying that I have never had any issues with the ASR devise at all. I was very surprised about 6 months ago when the issue of ASR withdrawal first surfaced.
There is no doubt that the safety margin for the ASR is lower than other resurfacing systems like the BHR due to a 'low arc of cover'- described by Dr. Desmet. This is because the rim of the cup has become 'non -articular' to accommodate the cup holder.
Hence the failure rate is higher than the BHR.
The cups coming loose is certainly not true as I have implanted ASR cups in the most complex of cases. I am 100% confident that it is a technical issue.
It has proven to be an excellent tool in my hands and in dysplasia patients ( CROWE 3)- the s-rom with a ASR cup combination that is hard to beat.
The ASR reamers are very poor and not matched to the ASR cups. I have routinely used BHR or equivalent reamers for the ASR cups for 3 yrs since the time noticed the mismatch between the reamers and cup size for the ASR
The ASR has been excellent tool to provide an anatomical metal on metal articulation in small patients. I am very confident that it will work well if installed correctly. I will surely miss the ASR cup for small made patients if it is withdrawn completely.
with best regards
vijay bose
chennai
Tuesday, March 2. 2010
Hospitals more specialized in orthopedic surgery show better outcomes for hip and knee replacement
February 17, 2010
Click Here to read full article
A recent study of Medicare data by University of Iowa
investigators indicates that hospitals with a higher
degree of orthopedic specialization provide better
outcomes for patients undergoing hip or
knee replacement surgery. The findings, which appear in the online version of
the British Medical Journal, were based on
a retrospective study of nearly 1.3 million Medicare
beneficiaries aged 65 years and older who had hip or
knee replacement procedures between 2001 and 2005 at
3,818 U.S. hospitals. The investigators grouped the
hospitals into five categories according to their degree
of orthopedic specialization. Orthopedic procedures
accounted for 10.5% of admissions at the average
hospital, while they represented 14.5% or more of the
admissions in the most specialized group...
..."The findings suggest that more specialized hospitals
have better outcomes even after we account for the type of
patients each hospital cares for and the number of hip and
knee replacement surgeries that each hospital performs,"
Tyson Hagen, MD, the lead author of the study, stated in the
release... Reference: Hagen TP, Vaughan-Sarrazin MS, Cram P. Relation
between hospital orthopaedic specialisation and
outcomes in patients aged 65 and older:
retrospective analysis of US Medicare data.
BMJ. Published online 2010 Feb 11.
Saturday, November 28. 2009
Link:
http://www.positivedetroit.net/2009/11/detroit-medical-center-completes-first.html
Dr. Schmitt of the Detroit Medical Center Completes First Live Tweet of
Birmingham Hip Resurfacing Surgery
Friday, November 27, 2009
On Monday, November 24, the
Detroit Medical Center (DMC) conducted a live surgery simultaneously on
multiple social media platforms. The procedure, called Birmingham Hip
Resurfacing (first of its kind on social media), was performed conducted at DMC
Huron Valley-Sinai Hospital in Commerce Twp., MI.
Dr. Philip Schmitt, D.O., performed the 40-minute surgery, accompanied by a bevy
of healthcare professionals from the DMC Huron Valley-Sinai Hospital staff. Dr.
Schmitt was the first to perform the Birmingham Hip Resurfacing procedure in
Michigan and is considered one nation's best practitioners, having completed
nearly 600 operations to date. This particular procedure is ideal for patients
between the ages of 40 and 60 years old who are active, but suffer from constant
pains from arthritis or joint pain in the hips.
"Birmingham Hip Resurfacing is an exciting re-invention of technology, said
Philip Schmitt, D.O., of DMC Huron Valley-Sinai Hospital. "Americans love new
technology and at Huron Valley we embrace it for treating our patients. Adding
Twitter as another teaching aid benefits everyone."
Friday, October 30. 2009
Cleveland Clinic Surgeon performs 500th
hip resurfacing procedure at Euclid Hospital
Oct. 29, 2009
Dr. Peter Brooks, Chief of Surgery
at Euclid Hospital, has performed
his 500th hip resurfacing procedure,
the most such procedures in the
state of Ohio. Dr. Brooks was
responsible for bringing this type
of surgery to the area.
Hip
resurfacing is an alternative to hip
replacement surgery.
Approved by the Food and Drug
Administration in 2006, this
procedure is for young active people
suffering from arthritis or previous
joint injury. Resurfacing is for
people who still have the majority
of their bone intact, but who still
feel the painful effects of
arthritis or injury.
"This technique preserves more of
the patient's bone, allowing them
more range of motion to return to
all activities, including running,
climbing and other competitive
sports," said Dr. Brooks. "Rather
than replacing the entire hip joint,
as in a total hip replacement, hip
resurfacing involves shaving and
capping only a few millimeters of
the joint surface."
The best candidates for his
resurfacing are active people under
60 with strong bone health, good
kidney functions and no allergies to
certain metals used in the implant.
For more information, Dr. Brooks
or his colleagues can be reached at
a recently opened hip clinic. Call
(216) 692-4236 or visit the Euclid
Hospital website
www.euclidhospital.org
Tuesday, June 30. 2009
Asian Regional Center for Hip Resurfacing in India is a specialized surgical center in
Apollo Speciality Hospital India. More than 1400 Hip Resurfacing Surgeries have
been performed so far by Dr.Vijay C Bose. Dr. Bose Website
http://www.hipresurfacingindia.com/
Monday, August 18. 2008
8/18/08
Like most people, you probably want to keep your body parts for as long as
possible. Innovative hip and knee surgery at San Joaquin Community Hospital (SJCH)
can help you do just that. It's called resurfacing, and it's life-changing.
Bakersfield, CA (eMediaWorld) August 18, 2008 -- Like most people, you probably
want to keep your body parts for as long as possible. After all, God gave them
to you for a reason. Innovative hip and knee surgery at San Joaquin Community
Hospital (SJCH) can help you do just that. It's called resurfacing, and it's
life-changing.
According to the Centers for Disease Control and Prevention, there were 383,500
hip replacements and 550,800 knee replacements in the United States in 2005, and
the numbers are rising. You don't have to be one of them.
Birmingham Hip Resurfacing
Gary Shepard, a 56-year-old from Bakersfield, has been athletic most of his
life. It took its toll. He's been in pain for countless years, limping and
walking at a 45 degree slant. He couldn't even cross his legs, so in 2007 he had
Birmingham Hip Resurfacing (BHR™).
"The change is dramatic. It feels like my own hips. I walk straight, I've grown
two inches, and even my knees don't swell anymore. People can't believe it when
they see me---I feel fantastic," says Shepard.
Your hip is a ball-and-socket joint that unites two separate bones---femur
(thighbone) and pelvis. The femoral head is a ball that fits into the pelvis
socket. In the standard total hip replacement (THR), ball and socket are
completely removed and replaced. The femoral shaft (thighbone's long part) is
hollowed out and a spike, which holds the ball, is pressed into the bone. The
spike can loosen and cause bone wear.
It's completely different with resurfacing. The femoral shaft is never
disturbed---there is no spike. A minimal amount of the ball is shaved and then
fitted snuggly with a smooth metal cap. The socket is shaped to fit a polished
metal cup that the bone naturally takes on as its own.
Resurfacing preserves bone, improves range of motion, and gives you freedom to
have a highly active, normal life. And that's a great thing.
Resurfacing was available years ago; it didn't last long. Technology and metal
implants were far less sophisticated than today. Patients can now expect
superior results with new medically-advanced implants.
In 2007, BHR™ celebrated its 10th anniversary. It has been used in 26 countries
with a worldwide success rate of 97.2 percent. The FDA approved its use in the
United States in 2006.
"With BHR™, I remove a lot less bone than in hip replacement. Oftentimes it's
only 10 percent of the femoral head," says Tom Ferro, MD, FAAOS, orthopedic
surgeon. "Patients experience less pain and report that it feels like their own
hip. Resurfacing patients appear to feel normal very quickly, frequently by the
second day after surgery.
"Another huge advantage to preserving bone is that you have more to work with
later if your hips are injured."
It's just a fact of life: once bone is removed, you can't put it back.
Ferro, the leader in BHR™, is one of approximately 50 surgeons nationwide who
perform this procedure. It requires considerable expertise in resurfacing.
Although his clinic, the Bone & Joint Center, is located in Arroyo Grande and
San Luis Obispo, Ferro also performs BHR™ in Bakersfield but only at SJCH.
"The hospital is extremely receptive to state-of-the-art procedures, and they
have the patient's best interests at heart. It's important that patients have
the finest technology used by the best people and in a highly efficient
system---that's San Joaquin," says Ferro.
This procedure is recommended for active people under 66 years of age with good
bone quality. There are some exceptions. Always talk to a physician to identify
your best options.
"After seeing the huge change in me, friends and relatives are considering this
for themselves. My wife spent a lot of time researching BHR™. I highly recommend
it, and you can't do much better than Dr. Ferro," says Shepard.
Monday, August 18. 2008
Link
http://cbs4denver.com/local/Colorado.News.Denver.2.556499.html
By Kathy Walsh Feb 15, 2007
DENVER (CBS4) ― Doctors at Presbyterian Saint Luke's Hospital have started
offering a new type of hip surgery aimed to help baby boomers who are having
pain in their hips earlier than normal. The Birmingham Hip Resurfacing System
was approved by the Food and Drug Administration last May.
The new surgery is an alternative to total hip replacement and aimed at people
under the age of 60.
"It is something that patients have actually been waiting to have done," said
Dr. Cindy Kelly at Presbyterian Saint Luke's.
One operation CBS4 witnessed took 2 hours as Kelly prepares the hip socket, then
hammered a new metal one into place. Kelly shaved the damaged bone on the hip
ball, preserving it rather than removing it. She then glued and pounded in a new
metal cover.
"Patients have full motion, really without the risk of dislocation," said Kelly.
The new procedure allows for more activity. Patients could be up and moving in 6
weeks, but need to wait a year before running.
One benefit is that if a patient needs another hip replacement, the thigh bone
is largely intact.
The new resurfacing procedure may not be for everyone. Patients should always
consult their own doctor.
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