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Hip (and Knee)
Rehabilitation Links Knee How To Instantly Fix Knee Pain When Going Up And Down Stairs |
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How To Fix Inner
Knee Pain In 2 Minutes Inner knee pain: Why does the inside of my knee hurt? [5 Common Causes] |
Why Your Knee Hurts.
Knee Pain Types By Location & Description.
Top 6 Standing Glute Exercises To Help Knee Pain |
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A total
hip arthroplasty should be considered minimally invasive only if bone
resection is limited to pathologic tissues (conservative replacement)
and the procedure is performed without major sacrifice of soft tissues.
What this is saying, is, that, when viable, one should go for a doctor that does resurfacing, instead of total hip replacement; AND (one) who uses much shorter incisions. Standard hip replacement incisions are VERY long; and they cut (more) muscle. Shorter (minimally invasive) incisions, cut less muscle, and allow you to walk out of the hospital the very next day. Recovery time is shortened tremendously. What I've found, so far, is that you can find doctors who do resurfacing (which only replaces the femoral head and nothing more), retaining as much bone as possible. And you can find doctors who use minimally invasive (short) incisions. I did find a doctor, in Houston who does both. But since this, I've found that you can't have both together. The reason why is that the Birmingham head is much bigger than a traditional hip head. And, even before this, they say that the cuts need to be longer to do the resurfacing. What you don't see, on the web, is someone who uses the Birmingham head on a total hip replacement; not just a resurfacing. And that's what I thought that I had gotten; a total hip replacement, with the unique Birmingham head. After the surgery, and talking with the doctor, I found that I had NOT gotten the Birmingham head. In fact, I didn't even properly know what the head was. I was looking at the cup, and was thinking that that was the head. The head is what the cup sits on. The cup is the big ball on the very top of the whole thing. This sits on top of the head; which is connected to the ball that the whole mechanism rotates on; that sits in the center. You can see, on 2006 Tour de France Winner, Floyd Landis to Contest Shenandoah Mountain 100 (8/24/07), that the winner of the most recent Tour de France also chose the Birmingham technology. It was fortunate, for him, that he didn't need the stem, as I did. The only thing that he and I have in common, though, is the Birmingham cup. The head, that the cup rests on, that I received, is NOT a Birmingham head. I chose to have a "resurfacing v. THR" surgery. In this type of surgery, the surgeon shaves off your femoral head, in the hopes that you won't need the stem. If you get both (the head and stem), it's a total hip replacement (THR). After resurfacing (removing) the femoral head, the surgeon looks at your remaining bone, and determines whether the remaining bone is in good enough shape to not have to put in the stem. Unfortunately, I had to have the total hip replacement. With the Birmingham cup (which sits on top of the head), that uppermost surface is roughed up, and treated with special chemicals. And, in reference to this uppermost surface, the primary reason that you want to use the crutches, is to allow the hip bone to have time to grow onto the surface of this (uppermost) Birmingham cup; to bond with it. [With crutches you are putting all of your weight on your hip when you walk. Without crutches, you are putting three times your weight on your hip when you walk.] If you break your hip, then get screws, then have them removed (a year or so later), make absolutely certain that you frequent a very good hip specialist who can help you keep the blood flowing to the head. It may not be possible to make this happen. I was bicycling 50 miles per day, while over seas; yet this didn't help. But my issue, of failing to keep the blood flow to the femoral head, may have been caused by the extended time that I was off of the hip and recovering after the screws were inserted (the day after the accident). And the fact that I was off of my feet for an extended period of time was possibly due to not getting physical therapy immediately after the screws were inserted. If you make the same mistake that I did, and not watch it closely, you will end up needing a THR and not a BHR as I have done. I'm pretty sure that the Birmingham cup is THE best weight bearing surface available. If you're still young, and want to be athletically active, then there isn't a better choice than the Birmingham resurfacing surgery. The only downside with the Birmingham Hip Resurfacing (or a THR, with a bigger head, regardless of type) is that you won't be walking out of the hospital the next day. You sacrifice some of your time to recover in order to obtain the best bearing surface that money can buy. Oh, and one other thing. The ball in the center ( of my THR), is a metal one. Ceramic balls are the standard. But those do wear out. The metal ball should have a far longer lifetime before wearing out. |
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Minimally Invasive, Total, Hip Replacement (The Zimmer Two-Incision Technique) Find A Doctor (who does this technique) Zimmer, Inc. (Warsaw, IN.) is the developer of the Zimmer Two-Incision Minimally Invasive Hip Surgery Technique. Walk out of the hospital the next day. |
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Minimally Invasive Hip ReplacementMINIMALLY INVASIVE HIP ARTHROPLASTY.pdfReducing Complications with Two-Incision Minimally Invasive Hip Surgery (8/28/06) |
Learning Curve for the Two Incision, Minimally Invasive Total Hip
Replacement.pdf (3/13/04) Zimmer's MIS Two-Incision Hip Replacement Technique Will be Featured on ABC World News Tonight with Peter Jennings (9/17/02) |
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Resurfacing BIRMINGHAM HIP Resurfacing System is the world's most successful hip resurfacing system. (Find a Doctor who does this technique) For younger folks, replacing only the (femoral) head allows you to be far more physically active than with a full hip replacement. A hip resurfacing support group |
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Dr.
Helgager-Hip Resurfacing.pdf |
Hip Replacement or Hip Resurfacing: A Story of Choices |
| Hip Resurfacing Information: A Patient to Patient Guide about Hip Resurfacing | |
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The Magnum Hip |
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Backgrounder on the M2a-Magnum Hip Replacement Surgery.pdf M2a-Magnum™ Large Metal Articulation is a metal on metal hip that "offer(s) a significant wear reduction compared with metal or ceramic-on-polyethylene..." |
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Other Hip Links |
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| Femoral Head Necrosis | Fifth SICOT/SIROT Annual International Conference.pdf |
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Totally Hip
has an ICQ
directory (so that you can chat with other hip surgery folks in real
time), and a great links
page
as well. Dr Kim Bertin, of Utah Hip and Knee.com, is an orthopedic surgeon in both hip and knee replacement, and has been extensively involved with hip prosthesis design. Among other things, this page has a PHYSICAL THERAPY FOR TOTAL HIP REPLACEMENT page, which gives well illustrated and great advice for those having gone through hip surgery. |
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