Dr. Voelker Discusses Hip Resurfacing for women and small
What is the
advantage of using a hip resurfacing instead of a THR for
patient that is a good candidate?
Bone preserving, easy change to THR if needed, natural head
size, low risk of dislocation, good joint feeling, low wear,
good range of motion, less leg length problems, high
resurfacing devices do you use?
Do you use a
cemented or cementless approach for the femoral component?
What surgical approach do you use?
Posterior, Anterior, etc ?
What is the size of
your normal incision?
10 to 12 cm
How long is the
normal hospital stay for a hip resurfacing patient?
What treatment do
you use to prevent blood clots?
Early mobilization, stockings, oral medication (Rivaroxaban)
What is your
typical recovery protocol including walking aids, how long
using them, when can a patient return to work and drive?
Crutches up to six weeks, back to work after 6 weeks,
driving after 2 weeks
When do you prefer
to use a BMHR instead of a BHR or THR?
If the BHR doesn’t work or is simply too risky because of
age, cysts, deformity for example, the BMHR could be a
choice. Mean age limits: BHR M<70 – F<60y, BMHR M<75 – F<70,
if the bone density is o.k. Changes depend on activity,
other diseases, bone shape and more.
What is the
advantage of a BMHR vs a THR?
Bone preserving, less changes to the hip, less leg length
Is your clinic set up for foreign
patients and how long is their normal stay?
Yes, the clinic is very much used to treat foreign patients.
The average stay is 7 days.