One must remember that with a resurfacing or a THR – one is not aiming to give supra normal movement. One is merely trying to restore normal movement present before the onset of hip arthritis.The head- neck offset is an important determinant of ROM. This is restored by a properly done resurfacing even in patients who have a poor head neck offset as in FAI ( femoro – acetabular impingement. Hence full restoration of ROM is consistently possible in a resurfacing. A big ball THR has an abnormally high head neck offset due to the thin neck.
It is a commonly used statement that a BHR is as ‘stable’ as a normal hip. However this is a highly qualified statement. This statement is true only if the following criteria are met:1. Native angles, inclination , offsets and all anatomical parameters have to be replicated.. If this is not done fully and only accuracy of say 80% is obtained – then the stability is likely to be approx in the region of 80% only. Having said this ,even in this situation, the stability is likely to be many times that of a conventional THR. Therefore… Read the rest
The femoral head shell Onlay is a hip resurfacing of the latest generation. It is manufactured by ESKA Implants. The minimal invasive implant permits an unique bone- preserving surgical procedure.For the Pure Resurfacing the femoral head only gets modified the surface with a broach, before it gets crowned with the Pure Resurfacing Onlay. The bone substance remains completely unaffected and the further wear of the joint is haltered. This is ideal also for younger patients who want to be back into active life very soon. There are many advantages of the Pure Resurfacing Onlay for the patient as
Obtained by Vicky Marlow Freelance Patient Advocate Volunteer
Dr. Kurtz had an article online that had concerns about the head neck ratios of hip resurfacing compared to total hip replacement. We wanted to provide potential hip resurfacing patients with opinions of other top resurfacing surgeons to explain their views.
Dr. Bose Reply
Thanks for the mail. I read Dr. Kurtz thoughts on hip resurfacing in his website. His concerns are very valid but I cannot agree with his conclusions.
In short, his concerns only underline the fact that bad results of resurfacing are due to badly … Read the rest
I’m 51 and have bilateral from Dr. Bose 2010 and 2011.
These are some notes that might help anyone going into the hip repair project. Story starts in 1999, after doing a gym competition, which involved spinning at 150+ RPM for about 7 minutse; to win a track suit (never collected) my hips became very stiff. Ignoring this for a year, did a long triathlon in Japan, with a marathon at the end – reasonable runtime but sore in bad way.
After this, went to the doctor, assuming I’d pulled some muscles, the x-ray identified primary osteoarthritis in both hips. … Read the rest