The results of conventional hip replacement in young patients with osteoarthritis have not been encouraging even with improvements in the techniques of fixation and in the bearing surfaces. Modern metal-on-metal hip resurfacing was introduced as a less invasive method of joint reconstruction for this particular group
CHENNAI: Benny Axelsson started playing for the national Swedish soccer team at the age of 18. After a career that spanned more than a decade and saw Axelsson play against various European countries, his last few years have been far from a fairy tale.
Methods: A three dimensional femoral model was used and molded with a femoral component constructed from the dimensions of a Birmingham Hip Resurfacing. Multiple constructs were made with the component inferiorly translated in order to cause a notch in the superior femoral neck.
In support of their research for or preparation of this work, one or more of the authors received, in any one year, outside funding or grants in excess of $10,000 from DePuy, Inc.
With this technique, guide-pin placement and subsequent femoral head preparation can be performed accurately and efficiently without the need for additional instruments, navigation, or imaging.
We have reviewed 42 patients who had revision of metal-on-metal resurfacing procedures, mostly because of problems with the acetabular component. The revisions were carried out a mean of 26.2 months (1 to 76) after the initial operation and most of the patients (30) were female.
A two-year study of how well glucosamine and chondroitin sulfate slow cartilage loss in arthritis patients could not show that the popular nutritional supplements work any better than sugar pills.
The most compelling argument in favor of hip resurfacing is activity level. The fastest growing segment of the THA marketplace is patients <55 years. These patients want to maintain an active lifestyle, and they shun limitations.
When it came to functional activities, more patients who received hip resurfacing than [who received] total hip replacements were very satisfied with their surgeries," said lead researcher Elizabeth Anne Lingard, MD, from Freeman Hospital, in Newcastle Upon Tyne, in England. There was also a trend among hip-resurfacing patients toward more satisfaction with recreational activities, although this did not reach significance, Dr. Lingard said.
We found that commitment to rehab correlates with improved function and satisfaction, a fact that has not specifically been discussed and not much looked at in the literature to date, David R. Marker said during his presentation at the American Academy of Orthopaedic Surgeons 76th Annual Meeting, here.
To evaluate the impact of operative volume on hip resurfacing outcomes, Andrew J. Shimmin, MD, and colleagues used the Australian Joint Registry to identify nearly 9,000 hip resurfacings performed at 196 hospitals between September 1999 and December 2006. The investigators used revision as an endpoint for survivorship.
Insured Americans are starting to see some unusual options in their health-provider networks: doctors and hospitals in Singapore, Costa Rica and other foreign destinations. In an effort to control rising costs, a small but growing number of insurers and employers are giving people the choice to seek treatment in other countries, a practice known as medical tourism.