There are four primary diseases of the hip that may indicate the need for Birmingham Hip Resurfacing: Osteoarthritis Rheumatoid Arthritis Developmental Dysplasia Avascular Necrosis
Burning Thigh Pain (Meralgia Paresthetica) Hip Bursitis Perthes Disease Slipped Capital Femoral Epiphysis
Did you know that the sciatic nerve is the longest nerve in your body? It runs from your lower back, through your glutes, and down the back of each leg. No wonder it causes so many long lingering problems. This long nerve controls many of the muscles and sensations in your legs. After hip resurfacing surgery, sometimes, although rarely, this nerve can get irritated.
Abstract: Although the posterior approach is the most commonly used for hip resurfacing, concerns remain in terms of risk of femoral neck fracture secondary to an osteonecrotic event. The purpose of this study was to look at the short-term results of metal-on-metal hip resurfacing done by the vascular-preserving surgical approach as developed by Ganz in 116 hip resurfacing arthroplasties performed in 106 patients (86 men, 20 women; mean age, 46.5 years; range, 19-62). At a mean follow-up of 38.3 months (range, 12-84), Harris Hip Scores improved significantly from 53.1 to 90.16 (P b .001). There were 10 nonunions (8.7%) and 21 hips (18.3%) requiring screw removal for painful bursitis. Two hips underwent conversion to total hip arthroplasty: one at 18 months for femoral loosening and one at 7 years for acetabular loosening. Although the trochanteric slide approach as developed by Ganz provides excellent exposure to the hip joint and preserves femoral head vascularity, it does carry some inherent morbidity in regard to the greater trochanter.
Perthes disease affects the hip joint. The hip joint is a ball and socket joint, the ball is the femoral head and the socket or cup is the acetabulum. Perthes disease causes avascular necrosis of the femoral head. This means that the blood supply to the femoral head is disrupted causing some of the bone to die. As part of the body's normal healing process, the body breaks down this dead bone before new bone is made. But the resorption of this dead bone leads to structural weakness causing collapse and deformity.
Femoroacetabular refers to the place where the femur (thigh bone) and acetabulum (hip socket) meet. Impingement means pinching.
"Psoas tendinitis is an important reason for groin pain in resurfacing surgery . This is peculiar to resurfacing as the cup for resurfacing is a very large profile ie half a sphere. Nearly all THR cups are only portions (arc) of a hemisphere.
Osteoarthritis (OA, also known as degenerative arthritis, degenerative joint disease), is a clinical syndrome in which low-grade inflammation results in pain in the joints, caused by abnormal wearing of the cartilage that covers and acts as a cushion inside joints and destruction or decrease of synovial fluid that lubricates those joints.
The articular capsule (capsular ligament) is strong and dense. Above, it is attached to the margin of the acetabulum 5 to 6 mm. beyond the glenoidal labrum behind; but in front, it is attached to the outer margin of the labrum, and, opposite to the notch where the margin of the cavity is deficient, it is connected to the transverse ligament, and by a few fibers to the edge of the obturator foramen.
Hip dysplasia, developmental dysplasia of the hip (DDH) or congenital dysplasia of the hip (CDH) is a congenital or acquired deformation or misalignment of the hip joint.
Attempted frog-leg, lateral radiograph of the left hip. Mature heterotopic ossification (HO) surrounds the greater and lesser trochanters of the femur in this patient, who had a bipolar hip prosthesis placed 2 months earlier. The large amount of HO resulted in a significantly reduced range of motion.
Proximal femoral osteotomy is currently commonly used for adults in the treatment of hip fracture nonunions and malunions and in cases of congenital and acquired hip deformities.