The Steps of Hip Resurfacing Procedure
Posted by Jason P. Smith on Wednesday, November 9, 2011
Under: DePuy Hip Recall
Physical therapy, along with medicines, are the most common treatment options advised for patients with painful and damaged joint, research says. Surgical repair is only advocated for cases where non-invasive procedures were not successful. The patient may undergo total hip replacement(THR) or an alternative procedure, the hip resurfacing arthroplasty. However, a forum on medical technology finds out that metal-on-metal hip resurfacing too risky.
Hip resurfacing is commonly done on younger patients suffering from severe hip arthritis. Patients below 60 years old are advised to have hip resurfacing in place for total hip replacement because they might need several revision surgeries. Hip resurfacing is believed to preserve more bone and prevent possible complications associated with revision hip replacement surgery.
How does the surgery takes place?
The concept of surface replacement, also known as hip resurfacing, originated in the 1970s as an attempt to preserve bone during the implantation of an artificial hip joint. Hip resurfacing involves less bone removal. The whole ball and socket joint is not removed. A metal cap is placed in the area approximate the worn out cartilage.
The surgeon may gain access into the hip joint using two different incisions. With anterior approach, the hip joint is viewed from the front. With posterior approach, the cut is made in the rear. But, no approach is considered the right one. The approach to use counts on the experience and training of the surgeon.
A hip resurfacing procedure typically lasts between one and one-half to three hours. The operation starts upon incision of the thigh 15-20 centimeters long.Then the femoral head is dislocated out of the socket. Next, the head is trimmed with specially designed power instruments. A metal cap is placed over the prepared femoral head. A special tool called a reamer is used to remove the cartilage from the acetabulum. A metal cup is then pushed into the socket and held in place by friction between the bone and the metal. The incision is closed once the cup is in place and the femoral head is placed back into the socket.
The patient is transferred to the recovery after the operation where he will be closely monitored by the nurse. If after two hours patient’s vital signs are within normal range, he will be cleared to go back to his room.
Hip resurfacing is thought of as a viable alternative by approximately 10-15% of candidates for hip replacement.Although it is believed that the procedure has lesser complications than THR, it is best to consult a health care provider. Even if complications may appear less in hip resurfacing than in THR, consultation with a health care provider for careful evaluation is recommended. While the procedure poses fewer complications than THR, it would be best if you consult a health care provider for a careful assessment. The surgical technique as well as the hip implant to be used must be thoroughly discussed. The ASR hip system of DePuy Orthopedics is undergoing a worldwide ASR hip replacement recall after studies show that the device was found defective.
Reference:
http://www.hss.edu/conditions_hip-resurfacing-overview.asp
http://www.eorthopod.com/content/hip-resurfacing-arthroplasty
http://www.londonhip.com/resurfacing.html
http://www.jointreaction.co.uk/procedure.php?id=23
Hip resurfacing is commonly done on younger patients suffering from severe hip arthritis. Patients below 60 years old are advised to have hip resurfacing in place for total hip replacement because they might need several revision surgeries. Hip resurfacing is believed to preserve more bone and prevent possible complications associated with revision hip replacement surgery.
How does the surgery takes place?
The concept of surface replacement, also known as hip resurfacing, originated in the 1970s as an attempt to preserve bone during the implantation of an artificial hip joint. Hip resurfacing involves less bone removal. The whole ball and socket joint is not removed. A metal cap is placed in the area approximate the worn out cartilage.
The surgeon may gain access into the hip joint using two different incisions. With anterior approach, the hip joint is viewed from the front. With posterior approach, the cut is made in the rear. But, no approach is considered the right one. The approach to use counts on the experience and training of the surgeon.
A hip resurfacing procedure typically lasts between one and one-half to three hours. The operation starts upon incision of the thigh 15-20 centimeters long.Then the femoral head is dislocated out of the socket. Next, the head is trimmed with specially designed power instruments. A metal cap is placed over the prepared femoral head. A special tool called a reamer is used to remove the cartilage from the acetabulum. A metal cup is then pushed into the socket and held in place by friction between the bone and the metal. The incision is closed once the cup is in place and the femoral head is placed back into the socket.
The patient is transferred to the recovery after the operation where he will be closely monitored by the nurse. If after two hours patient’s vital signs are within normal range, he will be cleared to go back to his room.
Hip resurfacing is thought of as a viable alternative by approximately 10-15% of candidates for hip replacement.Although it is believed that the procedure has lesser complications than THR, it is best to consult a health care provider. Even if complications may appear less in hip resurfacing than in THR, consultation with a health care provider for careful evaluation is recommended. While the procedure poses fewer complications than THR, it would be best if you consult a health care provider for a careful assessment. The surgical technique as well as the hip implant to be used must be thoroughly discussed. The ASR hip system of DePuy Orthopedics is undergoing a worldwide ASR hip replacement recall after studies show that the device was found defective.
Reference:
http://www.hss.edu/conditions_hip-resurfacing-overview.asp
http://www.eorthopod.com/content/hip-resurfacing-arthroplasty
http://www.londonhip.com/resurfacing.html
http://www.jointreaction.co.uk/procedure.php?id=23
In : DePuy Hip Recall
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