Hip Resurfacing News - Doctor Information

All The Threes - Mr McMinn Reaches 3333rd BHR Milestone

nospam@example.com (Patricia Walter) — Fri, 27 Jan 2012 08:33:17 -0700

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.

South County Doctor Local Pioneer in Hip Resurfacing

nospam@example.com (Patricia Walter) — Thu, 05 Jul 2007 14:44:22 -0700

South County doctor local pioneer in hip resurfacing 05:16 PM EDT on Friday, June 22, 2007 By Felice J. Freyer Journal Medical Writer

SOUTH KINGSTOWN

The guys wanted it. Guys in their 40s and 50s, who once spent hours playing tennis or doing karate, and who, now hobbled by arthritis, poured their energy into finding a solution to the pain in their hips.

They came to Dr. Robert C. Marchand, printouts in hand, minds made up, and said, I want this. What they wanted was hip resurfacing — a new alternative to total hip replacement that preserves more bone, and is reputed to last longer, withstand impact and allow a greater range of motion. Perhaps allowing for more years of karate kicks.

Marchand, who is with South County Orthopedics, had observed a hip resurfacing procedure in his wife’s native Germany. In Europe, he says, people are running marathons with hip-resurfacing implants. He thought his patients were on to something, and resolved to give them what they wanted.

He took a course last year in hip resurfacing in Boston and went to New York to train with a surgeon there. After persuading South County Hospital to buy the necessary equipment, he began doing the procedure last fall. So far, he has completed about 45 resurfacing procedures in people age 20 to 71. And he remains the only doctor in Rhode Island who will do it...

In the traditional treatment for arthritic hips, called total hip replacement, the surgeon saws off the top of the thigh bone, hollows it out and inserts a metal implant topped by a metal or ceramic ball, which rests inside a plastic cup implanted in the hip socket.

In hip resurfacing, instead of sawing off the top of the thigh bone, surgeons reshape it, preserving most of the natural ball. Then they cement a metal cap over the ball, which slides inside a metal cup pressed into the hip socket. Both are made of cobalt chrome.

Some think this metal-on-metal construction will last longer and withstand high-impact activities such as running. More bone is preserved, so that even if the implant does break down, the patient can then get a total hip replacement. Also, the ball is bigger, thought to be less likely to dislocate from the hip socket, and affording a greater range of motion.

All this makes the procedures especially popular with active baby-boomers. “They come in at six weeks [after surgery], cross their legs and put on their shoes,” Marchand says. “They say, ‘I haven’t done this in a year.’ ”

...EVEN AS patients exult, the debate continues among doctors. Dr. Scott Rubinstein, a Chicago orthopedist who favors hip resurfacing for appropriate patients, says many are discouraged from it by surgeons who don’t do the procedure.

“If someone’s interested in getting this done, they need to be evaluated by someone who does them,” Rubinstein said. “It’s certainly not appropriate for everyone. You need to look at this as one way to have your hip done. Like any surgery, there’s no right answer for everyone.”

In looking at the evidence, it may come down to a question of whether one sees the glass as half-empty or half-full. Rubinstein, like Marchand, finds the 10 years of data from Europe convincing. “I don’t think it’s going to be any worse than the other stuff. I personally think it’s going to be better,” he says. “It’s one of these time-will-tell kind of things.”

...Dr. John A. Froehlich, of University Orthopedics, who specializes in sports medicine and reconstructive surgery and practices at Rhode Island Hospital, also says he’s not ready for that bandwagon.

But he points out that patients are not facing a simple choice between old-fashioned total hip replacement and brand-new hip resurfacing. The traditional hip replacement technology has also been advancing, with procedures that preserve more bone, more durable materials, and smaller incisions.

He’s pleased with the results he’s getting with the latest versions of hip replacement. “I think I can give people a more predictable result the way I’m doing it,” Froehlich said.

With people now living into their 80s, and getting sore hips in their 50s, anyone who gets hip surgery is going to have to have it redone, perhaps multiple times, Froehlich adds. “No matter what they’re made of, they will loosen and wear. That is something that is not recognized by the public,” he says.

“There is no panacea.”

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Questions To Ask Your Hip Resurfacing Surgeon

nospam@example.com (Patricia Walter) — Wed, 01 Aug 2007 08:05:17 -0700

This is a list of questions compiled by Pat Dukes, Vicky Marlow and members of the Yahoo Surface Hippy Discussion Group. Print it out and take it to the doctor with you.

You should ask your doctor as many of the questions that seem appropriate for your situation. Your doctor should be patient, willing to talk about what to expect and answer your questions. If he or she isn't, I would try to find a doctor that is open and helpful. There are many wonderful hip resurfacing surgeons that will answer any question you have. Having all your questions answered will give you peace of mind and will make your surgery much less stressful.

How many resurfacings have YOU done? (not observed or assisted with)
Where did you train?
How many complications have you had?
How many resurfacing failures with revision to THR have you had?
How many times during surgery have you had to change to a THR instead
of a resurfacing and why was the change made?
What device (prosthesis) do you use, how long have you been using it
and why do you prefer it?
Do you use cemented or uncemented? Why?
Do you cement the stem?

What anesthetic do you use?
How long does the surgery take?
What surgical approach do you use? Anterior or Posterior?
What is the incision length?
What is your post-op pain control plan?
What hospital do you use?
What is their infection rate?
Have any of your patients had infections that required IV antibiotics
following resurfacing?
What drugs/methods do you use for anti-coagulation after surgery?
How long will I be in hospital?
How successful have you been obtaining insurance approvals for
resurfacing?

What is the rehab protocol?
When will I be 100% weight bearing?
What assistive devices will I use for walking after surgery?
How long on 2 crutches, 1 crutch, cane?
What if any restrictions do you place on your patients after surgery
and how long do they last?
Will I be given any at home nurse or PT care?

How does my other hip look at this time?
If both hips are bad, how do you handle bilateral resurfacing?
Is there anything unusual about my hip that might present problems?
Do you have a resurfacing patient who you've done surgery on that I
could talk to about their experience?

What is your opinion of my returning to (whatever work or activities
you do)
Have you done resurfacing for anyone who has returned to these
activities?"

Learning curve may be longer than thought for placing hip resurfacing components

nospam@example.com (Patricia Walter) — Tue, 21 Aug 2007 05:42:52 -0700

Learning curve may be longer than thought for placing hip resurfacing components

It took surgeons 55 to 60 cases to get femoral components within ?5? of planned placement.

By Susan M. Rapp ORTHOPEDICS TODAY 2007; 27:12 May 2007

British and Australian researchers collaborating on a prospective study identified a longer-than-expected learning curve to accurately perform hip resurfacing arthroplasties.

Hip surgeons taking part in the study, all of whom had performed more than 1,000 hip surgeries, found they had to complete three-times more resurfacing surgeries than they expected in order to place the femoral hip resurfacing components within ?5? of the desired neck/head angle, said Diane L. Back, FRCS.

The surgeons had initially estimated their learning curve at 10 to 20 cases, Back told Orthopedics Today.

"The results actually showed that it took 55 to 60 cases for most of our surgeons to get the femoral component where they actually planned it," she said.

...Four surgeons participated Back and colleagues prospectively analyzed the first 100 hip resurfacing procedures of four consultant orthopedic surgeons, three from Australia and one from the United Kingdom.

They performed all procedures with the recently reintroduced Birmingham Hip Resurfacing System [Smith & Nephew]. The FDA approved the implant for sale in the United States last year.

All surgeons used standard instrumentation and a posterior approach. Investigators focused on femoral component position, but also analyzed notching and other complications.

To determine how accurately they placed the femoral components, surgeons first marked the ideal implantation site on preoperative radiographs. Investigators then calculated the corresponding neck/head angle.

...The longer-than-expected learning curve has huge implications for surgeons' success with this type of hip replacement, Back told Orthopedics Today.

"Hip resurfacing is good. I think that is well proven. You have to choose your right cases, but it does take you longer than you expect to learn. I think medico-legally it does have some implications."

For example, surgeons just learning the procedure should tell patients they are at the beginning of their learning curve and have not done many of the procedures, she said.

In the United States where orthopedists begin practicing after completing fewer hip replacements than surgeons in the United Kingdom or Australia, "It actually means their learning curve may take them 10 years to get out of," Back said.

Back said she wonders how, with the worldwide trend toward reduced orthopedic training hours, many new surgeons would be able to accrue enough cases to become proficient with the technique.

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All About Hip Resurfacing by William Macaulay, M.D.

nospam@example.com (Patricia Walter) — Mon, 27 Aug 2007 08:15:48 -0700

All About Hip Resurfacing

Hip resurfacing is all the rage in the orthopedic community these days. In fact, I had four different hospitals pitch me stories on it in the last year, independent of one another.

But is it right for everyone with chronic, debilitating hip problems? NYMD News panelist Dr. William Macaulay, attending orthopedic surgeon at New York Presbyterian Hospital/Columbia and director of Columbia's Center for Hip and Knee Replacement, has the answers below and after the break.

By William Macaulay, M.D.

You just turned 40 or 50. Your mind tells you you’re younger, but you feel older because you have real hip pain that won’t quit. You limp everyday. You do a little research and come across a new procedure called total hip resurfacing. Then you wonder: Is this the right procedure for me?

I hear the same story over and over from my patients. Looking for a solution to their hip pain, they have stumbled upon total hip resurfacing, which was approved for use in the U.S. in May of 2006. While many patients are ideal candidates for resurfacing, often I must inform them that hip resurfacing is not for everyone.

Hip resurfacing is not a new concept. Older, less successful versions of hip resurfacing came and went between the 1930s and 1980s, which included materials such as glass, plastic and stainless steel. These implants eventually failed under normal activity requirements. Advances in metallurgy and refinements in surgical technique have brought resurfacing back to the foreground of hip surgery.

Today, total hip replacement remains the gold standard, especially for patients over the age of 60 or 65 with severe, debilitating arthritis of the hip. However, for the younger and more active hip arthritis patient, the long-term success of THR remains a concern. Scandinavian hip registries (the U.S. does not yet have one) have shown that active total hip replacement patients under the age of 55 have a 15% to 20% chance of requiring a re-operation within 10 years.

As a 40 or 50 year old with severe hip pain, arriving at surgical intervention as your last resort, which option do you choose? As with most things, there are pros and cons to each.

The benefit of hip resurfacing is suggested by its name. The top of the thigh bone is preserved by reshaping and capping with metal (Figure 1) instead of replaced, as is the case with traditional hip replacements with a metal spike driven down the inside of the thigh bone ...

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1000 Hip Resusrfacings Completed by Dr. Bose of India

nospam@example.com (Patricia Walter) — Sat, 13 Oct 2007 07:55:25 -0700

Apollo performs 1,000 hip surfacing surgeries
Friday October 12 2007

READ COMPLETE ARTICLE at New India Press

CHENNAI: Apollo Hospitals in the city has completed 1000 hip surfacing surgeries, a new technique which involves treating hip problems without hip replacement.

Hip surfacing is an innovative technique preserving bone in the hip in contrast to hip replacement, consultant orthopaedic surgeon at the hospital Dr Vijay Bose told reporters here.

"The surgery facilitates near normal hip function, enabling patients to be very active after surgery and free from any restrictions," he said.

It would be suitable for Asian patients as they could sit on the floor or go about their routine activities comfortably after the surgery, Bose said, adding it was also much longer lasting as it employed a metal on metal bearing.

He said the first hip surfacing surgery was done in May 2000. The youngest patient to undergo it was a 12-year old girl, three years ago.

The number of patients affected with hip problems was high among Asians, since they used more steroids for treating various diseases. "They use traditional medicines which contain a high amount of steroids, which cuts off blood supply to the hip and causes problems," he said...

READ COMPLETE ARTICLE at New India Press

Dr. Colizza of Morristown NJ Performs Birmingham Hip Resurfacing

nospam@example.com (Patricia Walter) — Tue, 16 Oct 2007 13:11:17 -0700

NEW JERSEY SURGEON INTRODUCES UNIQUE ALTERNATIVE TO TOTAL HIP REPLACEMENT
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Innovative Birmingham Hip Resurfacing™ System preserves bone and joint stability for young, active patients

Morristown, NJ. (November 30, 2006) - Dr. Wayne A. Colizza of Morristown Memorial Hospital is among an exclusive group of surgeons in this country who have been trained in the remarkable new Birmingham Hip Resurfacing (BHR) technique. Rather than replacing the entire hip joint, as in a total hip replacement, hip resurfacing simply shaves and caps a few centimeters of bone within the joint.
Continue reading "Dr. Colizza of Morristown NJ Performs Birmingham Hip Resurfacing"

Leith Stewart of South Africa Teaching BHR Surgery to Doctors

nospam@example.com (Patricia Walter) — Thu, 24 Jan 2008 10:38:44 -0700

Link http://www.iol.co.za/index.php?set_id=1&click_id=13&art_id=vn20060821014255934C837090

By Karen Breytenbach

Two American orthopaedic surgeons have been taught an innovative hip surgery technique by a local surgeon.

Leith Stewart, an orthopaedic surgeon at Claremont Hospital (South Arfrica), last week demonstrated the Birmingham Hip Resurfacing (BHR) procedure to his guests, Ian Kovack from Kansas and Donald Polakoff from New Jersey.

One patient was a professional golfer in her 30s and the other an active woman in her 60s. Both were told they would be up and on crutches within two days, instead of six weeks if normal surgery was done.

Both will also be able to drive, cycle and swim within three weeks instead of six.

Stewart, an avid cyclist and snowboarder, has been performing the procedure for six years. He had a BHR performed on his left hip about four years ago, with great success.

Since 1997 the procedure, developed by two British surgeons as a bone conserving alternative to total hip replacement, has been used on about 51 000 patients in the UK, Germany, Australia and South Africa.

The procedure was only recently approved by the US Food and Drug Administration, on condition that surgeons receive training.

While total hip replacement has yielded good results in elderly inactive people, the procedure has been less successful in young and active people, who respond better to resurfacing.

Hip resurfacing is the replacement of the cartilage covering the surfaces of the ball at the end of the thigh bone (femur) and the cup-shaped cavity (acetabulum) into which it fits, with cobalt chrome, into which bone grows" in weeks".

This article was originally published on page 4 of The Cape Times on August 21, 2006

Sore hip solution offered at Heartland

nospam@example.com (Patricia Walter) — Fri, 01 Feb 2008 07:10:05 -0700

Link http://www.mariondaily.com:80/articles/2008/01/31/news/news01.txt

MARION - In the past, if you had hip problems in your 40s and 50s, you were looking at 20 years of pain killers and a limited lifestyle before you could get a hip replacement.

Orthopedic Surgeon Dr. Richard Morgan is offering a procedure for treating hip arthritis and other degenerative joint diseases that lowers the age of the target group by as much as 20 years.

Previously, the target group for hip replacement surgery was 70 years old. The replacements only lasted 20 years and the procedure was thus postponed until the patient was likely not to outlive the replacement.

That left a lot of younger patients in the position of having to live on painkillers.

Now Dr. Morgan is able to help younger patients with a different procedure called the Birmingham Hip Resurfacing System. It is the only FDA-approved hip resurfacing device in the United States.

“It is a more difficult procedure than a total hip replacement,” Dr. Morgan said. “The incision is larger, but less bone is removed.”

The reason the system lasts longer than traditional total hip replacements is that, with the Birmingham procedure, both the socket and the ball of the hip are made of metal and thus wear on the joint is minimal. These metal parts are attached to healthy bone and less real bone is removed for the procedure. Candidates for the Birmingham Hip must have healthy bone surrounding the joint.

The Birmingham Hip has been done for 20 years in England and the wear on the joints has proved to be minimal.

Dr. Morgan began doing the Birmingham procedure at Heartland about a year ago. So far he has done six of the new procedures.

Recovery is quick as with a total hip. Six weeks on a walker is all that is required.

Dr. Morgan cautions that the Birmingham procedure is designed to get people back on the golf course or back in the gym. It is not intended to restore a professional athlete to the NFL.

Surgical Robot to Assist in Hip Resurfacing Surgeries

nospam@example.com (Patricia Walter) — Fri, 08 Feb 2008 07:45:44 -0700

A new surgical robot is making medical undergraduates three times more accurate during practice hip operations, according to pilot study to be discussed at a conference this week (8 February 2008).

Link News Website

Delegates at the British Society for Computer Aided Orthopaedic Surgery Conference will hear that results from a pilot study saw graduates 95 per cent more confident using this robotic technique than when using conventional surgical methods in training.

Professor Justin Cobb, Head of the Biosurgery and Surgical Technology Group at Imperial College London, conducted the trial on 32 undergraduate medical students at Imperial College London from December 2006 to December 2007. The pilot study tested whether planning before an operation, combined with the latest robotic navigation equipment could increase the success rates of students practising hip resurfacing arthroplasty procedures – a method for correcting painful hip bone deformities by coating the femoral head with a cast of chrome alloy.

Continue reading "Surgical Robot to Assist in Hip Resurfacing Surgeries "

New Hip Surgery Designed For Younger Patients - Dr. Kelly

nospam@example.com (Patricia Walter) — Mon, 18 Aug 2008 09:42:36 -0700

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.

Metal-on-Metal Hip Resurfacing Growing More Popular

nospam@example.com (Patricia Walter) — Fri, 08 Aug 2008 14:00:21 -0700

Link - Click here to see full article

Aug. 8, 2008

Since its introduction a decade ago, metal-on-metal hip resurfacing has become increasingly popular because it may conserve femoral bone, increase functional ability and be easier to revise than other procedures, according to an article published in the August issue of the Journal of Bone & Joint Surgery.

Michael A. Mont, M.D., of Sinai Hospital of Baltimore, and a colleague reviewed clinical results - primarily from studies conducted in England, Australia and Western Europe -- and highlighted 10 important lessons learned during the past 10 years.

The researchers found that metal-on-metal hip resurfacing now accounts for about 10 percent of total hip arthroplasties. Among the lessons they highlight is that patient selection is the key to success. They cite Australian data on more than 10,000 patients showing that metal-on-metal hip resurfacing is associated with similar or improved survivorship compared to standard total hip arthroplasty in men under age 65 but not in men over age 65, and that metal-on-metal hip resurfacing is associated with a higher risk of short-term failure in men over age 65 and in all women.

"In the Australian registry, hips that underwent resurfacing as treatment for osteoarthritis have had better survival than those that underwent resurfacing for the treatment of developmental dysplasia, inflammatory arthritis and osteonecrosis," the authors write. "In summary, resurfacing hip arthroplasty has had a tremendous increase in popularity because of the potential benefits of femoral bone conservation, possible increased functional ability, and ease of potential revision procedures. In young men, the survivorship has been similar to that of standard total hip arthroplasty."

Although none of the authors received outside funding or grants in support of their research, one or more of them reported that they or their family members received grants or payments from Wright Medical and DePuy during the past year.

Hip-Hip-Hooray! Exciting New Hip and Knee Resurfacing Surgery Comes to

nospam@example.com (Patricia Walter) — Mon, 18 Aug 2008 16:01:34 -0700

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.

Dr. Bose Performed 1400 Hip Resurfacings at Asian Regional Center

nospam@example.com (Patricia Walter) — Tue, 30 Jun 2009 17:35:02 -0700

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/

Dr. Schmitt Completes First Live Tweet of BHR

nospam@example.com (Patricia Walter) — Sat, 28 Nov 2009 08:00:05 -0700

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."

Dr. Su's experience with hip resurfacing shows 1.3% complication rate

nospam@example.com (Patricia Walter) — Thu, 17 Nov 2011 07:25:46 -0700

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"

Dr. Gross 2011 Summary of Outcomes for 2500 Hip Resurfacings

nospam@example.com (Patricia Walter) — Thu, 17 Nov 2011 07:48:11 -0700

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"

Dr. Brooks of Cleveland Clinic Performs 500th Hip Resurfacing

nospam@example.com (Patricia Walter) — Fri, 30 Oct 2009 04:55:27 -0700

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