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Six World Renowned Surgeons discuss concerns about Metal - metal Hip Resurfacing in Video Interviews PDF Print E-mail
Click here to watch six world renowned Orthopedic surgeons talk about the recent press regarding the concerns over metal on metal implants.   Between the six of them, they have performed more than 27,000 total hip surgeries and over 13,000 Hip Resurfacings.  Mr. Derek McMinn, M.D. , Dr. Edwin Su , Dr. Koen De Smet , Dr. Harlan Amstutz , Dr. Tony Nargol and Dr. Vijay Bose  

Interviewed on May 8, 2010 at the Advanced Topics in Hip Resurfacing Course in New York City


Internationally renowned hip and knee surgeon and designer and pioneer of the Birmingham Hip Resurfacing, Derek McMinn addresses concerns about Hip Resurfacing and Metal on Metal (MoM) implants

Derek McMinn has done over 6000 total hip surgeries and over 3,500 MoM Hip Resurfacings. His 10 year survivorship for the BHR (Birmingham Hip Resurfacing) in a series of 3095 performed up until December 2009 is 97% from all patients. His first metal/metal resurfacing prototype was implanted in 1991, and the current design, the first BHR was implanted in July 1997 and has not changed in any way since then.

Interview: Vicky Marlow
Producer/Director of Photography: Jared Manders
Edit/Music: Paul Hamilton

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In Part 1, Mr. McMinn discusses the history of the BHR device and talks about the reasons for the majority of the negative outcomes. Pseudo tumors, Device designs, surgeon skill, importance of component positioning are discussed.


In Part 2, Mr. McMinn discusses the design behind the BHR device, ideal patient selection and outcomes for Hip Resurfacing. Avascular Necrosis (AVN), Dysplasia, Age and Gender are discussed as well as Pseudo Tumors and the importance of surgical accuracy. Surprisingly unlike what we have read, Mr. McMinn discusses his outcomes and the fact that he actually has had better results in OLDER age groups. In men OVER the age of 60, at 12 1/2 years a 99% success rate, and men under the age of 60, have had a 98% success rate. Also women over the age of 60 have had better results at 97% implant survival at 12 1/2 years than younger women at a lower percent survival. Mr McMinn explains what he has discovered as the reasons why and talks about what activities some of his patients have returned to.


In Part 3 Mr. McMinn discusses Hip Resurfacing and heavy impact sports as well as longevity of Metal Metal hip devices.




Dr. Edwin Su from the Hospital for Special Surgery in New York City discusses the concerns over Metal on metal hip implants and Hip Resurfacing




Dr. Koen De Smet from Ghent, Belgium discusses concerns regarding Metal on metal implants and Hip Resurfacing

 

 


In Part One, Dr. Harlan Amstutz from the Joint Replacement Institute in Los Angeles, California discusses the recent concerns regarding Metal on metal implants and Hip Resurfacing Part One

 


In Part Two Dr. Harlan Amstutz from the Joint Replacement Institute in Los Angeles, California continues with addressing the concerns about metal on metal implants, how long ago he implanted the first hip resurfacing device back in 1973, the revolution of hip resurfacing and the different materials used. He goes on to discuss patient selection, gender, longevity. His belief that Hip Resurfacing will be the first and main option offered in the future, over a Total Hip Replacement in all situations, the importance of patient follow up. How although he has been doing hip resurfacing longer than any other surgeon, he feels that he is still learning and progress is still being made. Importance of surgeon experience.



Tony Nargol, M.D. from the U.K. discusses the concerns regarding metal on metal implants and Pseudo tumors. He also discusses the alert brought out by the MHRA which is an Agency in the U.K. similar to the FDA in the U.S. And he talks about the importance of choosing a component for hip resurfacing to avoid issues.

 

 
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