Dr. Lichtblau of Quebec
The anterior vs. posterior debate isn’t going to be resolved by one study of electrode blood flow. Most surgeons would agree that blood flow to the femoral head (most of which comes backwards via the femoral neck) is theoretically better preserved through an anterior approach. Much of this info comes from the work of Ganz, who did a lot of cadaver dissection to prove this. Having said that, there doesn’t seem to be any evidence whatsoever that one approach or the other leads to a higher incidence of the femoral head dying after resurfacing surgery (so … Read the rest
Dr. Lichtblau of Quebec
Does the length of incision influence the rehabilitation?
No! A bigger incision does not mean that there will be more damage to the muscular structures. On the contrary, if you need a bigger incision to get better exposure, the placement of the implant can be done more precisely. Even with an incision of 30 cm you are able to walk well after 24 hours.
In the resurfacing procedure the incision is longer than THR (15 – 30 cm/6-12 inch) because of technical-anatomical reasons (saving the femoral head). The length of incision has no influence in … Read the rest
"Yes, it is true that Minimally invasive approach has been proven not to have great benefits over a conventional incision in terms of blood loss, pain , or speed of recovery in the same surgeons hands. It is only of cosmetic valueAll studies to investigate this have been done on two groups of patients in which a single surgeon employs the two approaches in the diff groups. When a surgeon who is capable of doing a minimally invasive approach does a conventional approach it is logical that the conventional technique will be only … Read the rest
By Dr. Bose Thursday August 10, 2006
There are two ways to look at approaches to hip resurfacing or any hip arthroplasty. One is to view it with the amount of muscle damage done. The other is to view it in respect to the blood supply or the vascularity. The post approach is traditionally known as the muscle sparing approach and the anterior and anterolateral approaches are the muscle compromising approaches. These approaches are known as Hardinge approach or London hospital approach. There are many more modifications of this with slight variations but essentially … Read the rest
Antibiotics and Hip Surgery
Guidelines by the American Dental Association and Academy of Orthopaedic Surgeons
Antibiotic Prophylaxis for Dental Patients with Total Joint Replacements
American Dental Association; American Academy of Orthopaedic Surgeons
An expert panel of dentists, orthopaedic surgeons and infectious disease specialists, convened by the American Dental Association (ADA) and the American Academy of Orthopaedic Surgeons (AAOS) performed a thorough review of all available data to determine the need for antibiotic prophylaxis to prevent hematogenous prosthetic joint infections in dental patients who have undergone total joint arthroplasties. The result is this report, which has been adopted by … Read the rest
The modern BHR version of hip resurfacing is quite different than the earlier surgery performed in the US. The older hip resurfacing surgery, called a hemi-resurfacing, only placed a metal cap on the head of the femur bone. The metal cap then protected the femur bone, but rubbed the bone inside the acetabulum of the hip. The metal cap caused wear and tear against the bone in the actabulum and often required early revisions of the original surgery to a Total Hip Replacement (THR).
Anne Grant Hip Resurfacing Story – Maude and Me
RBHR Dr. Bose January 2007
|Maud||Anne Grant||Dr. Bose|
Andrew Liptak Hip Resurfacing Story
Bi Lat BHRs July and September 2006 Dr. Sheinkop
Sent: Monday, February 05, 2007 10:58 PM Subject: [surfacehippy] Re: Doctors in Chicago area
I am a clinical R.N. at Rush University Medical Center in Chicago. Dr. Mitchell Sheinkop did bilateral hip resurfacings 2 months apart for me this past July and Sept. I have rehabbed very well and expect to return to my previous position this week. Much of the cartilage had worn away from my femoral heads over the years especially due to being a martial artist and it finally caught up with … Read the rest
By Alan Ray LBHR with Dr. De Smet 12/15/2004
THE APPEAL LETTER TO CIGNA (NAU IS "national appeals unit")
Dear CIGNA NAU:
I have received your written notice, dated Aug. 27, 2004, denying my initial request for pre-authorization for left hip surface arthroplasty. With this letter and attachments, the request is being re-submitted for further consideration as an appeal of the initial denial.
I am a 55-year-old male diagnosed in March of this year with end-stage osteoarthritis of the left hip, with “some component of dysplasia”. The result of the condition is that I am unable to engage in the … Read the rest