Author Archives: Patricia Walter

Metal-on-Metal Hip Resurfacing: The Effect of Component Position

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Updated 11/30/08 Link http://proceedings.jbjs.org.uk/cgi/content/abstract/88-B/SUPP_III/432 2006 D.H. Williams; U. Masood; and M.N. Norton Royal Cornwall Hospital, Truro, Cornwall TR1 3LJ, UK. Decreased head-neck ratio diameter and component malposition in total hip arthroplasty are factors known to result in impingement, increased rates of dislocation, wear and failure. In addition to these complications, impingement of the femoral neck… Continue reading →

Metal ion release following hip replacement

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Metal ion release following hip replacement not strongly related to patient activity medical study   Updated 3/9/2010 Metal ion release following hip replacement not strongly related to patient activity Read Complete Article by Clicking Here The amount of patient activity following metal-on-metal hip resurfacing arthroplasty seems to show little correlation to metal ion release, according… Continue reading →

Dr. Bose Chat August 16,2008

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Updated 8/18/08 Transcript of Dr. Bose Chat in the Surface Hippy Chat Room On August 16, 2008 [Pat Walter] 12:00 pm: I would like to Welcome Dr. Bose to the Surface Hippy Chat Room.Dr. Bose is one of the world’s best hip resurfacing surgeons. He is from Chennai India. He has done over 1200 hip… Continue reading →

The effect of component size and metal ions after resurfacing arthroplasty

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Updated 7/28/09 The effect of component size and orientation on the concentrations of metal ions after resurfacing arthroplasty of the hip 2008 Link Read Complete Article by Clicking HereD. J. Langton, MRCS, Orthopaedic Research Register1; S. S. Jameson, MRCS, Specialist Registrar, Trauma and Orthopaedics1; T. J. Joyce, MSc, PhD, MA, BEng, Lecturer in Bioengineering2; J.… Continue reading →

Anterolateral Approach to Hip Resurfacing by Dr. Jacobs

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Updated September 2008 Surgical Description and Early Review  2008Link  http://www.ejbjs.org/cgi/content/abstract/90/Supplement_3/38 Michael A. Jacobs, MD1, Robin N. Goytia, MD1 and Tarun Bhargava, MD1 1 5601 Loch Raven Boulevard, Russell Morgan Building, Suite 402, Baltimore, MD 21239 Background: Recently, metal-on-metal hip resurfacing has enjoyed a resurgence as an alternative to hip arthroplasty in properly selected patients. The… Continue reading →

Will I Have Stitches or Staples?

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Return to FAQ LIST Dr. De SmetNormally staples are closing the wound. In young patients (ladies!) and on request the wound is getting closed intracutaneously. When do the stitches or staples have to be removed?Half of the stitches or staples are normally removed after 14 days. The remaining half is removed after 16 days. Depending… Continue reading →

Tissue Damage from Metal-on-Metal Hip

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  MRI Useful for Predicting Failure of Metal-on-Metal Hip Implants Original Link  New York – May 15, 2013 Metal-on-metal hip implants can cause inflammation of the joint lining (synovitis) long before symptoms appear, and magnetic resonance imaging (MRI) can be used to identify this inflammation, according to a new study by researchers at Hospital… Continue reading →

Dr. Schmalzried Chat February 4, 2009

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Updated 2/5/09 This is a transcript of a Live Chat in the Surface Hippy Chat Room with Dr. Schmalzried on February 4, 2009 [Pat]Welcome to the Surface Hippy Chat Room Dr. Schmalzried. Thank You for taking time to chat with us. [Dr. Schmalzried] 8:57 pm: You are most welcome. I enjoy the interaction. [Pat] 8:58… Continue reading →

Can I have a MIS hip resurfacing?

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Dr. Amstutz1. If your BMI [(weight (in kg) / height (in m)) multiplied by 2] is less than 25, then the standard incision is so small that any benefit from a "mini incision" is questionable. 2. If your BMI is 25 or more (getting more obese), and your hip is stiff, the efficacy of the… Continue reading →

Gary Breckenridge with Dr. Bala 2006

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Dr. Bala in India 2006 Dear Dr. Bala, I apologize for seeming to have neglected or ignored you. I have begun this missive on several occasions, only to stumble over my own limitations. I know I promised you a recommendation you might be able to use on your web site. You have my permission to… Continue reading →

What Precautions Should I Take Before Surgery?

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Dr. BoseIt is advisable to avoid smoking completely. Blood thinners like aspirin and oral contraceptives should also be stopped for a minimum period of a week prior to surgery. NSAIDs like ibuprofen cause bone softening and must be avoided to the maximum extent possible. Paracetmol (Tylenol) or Proxyvon (Darvocet)  can be taken as alternative medications… Continue reading →

Staples significantly increase risk of postoperative infection study

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Staples significantly increase risk of postoperative infection study Updated 4/2/2010 Staples significantly increase risk of postoperative infection study March 2010 Original Link  http://www.orthosupersite.com/view.aspx?rid=62584 The use of staples to close wounds following orthopedic surgery – especially hip surgery – is associated with a significantly greater risk of wound infection than traditional suturing, according to orthopedic researchers… Continue reading →

Cortisone’s Damage is Extensive

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Cortisone’s damage is extensive A syringe of cortisone can quickly silence the screaming joints of an injured athlete. But big relief now risks infirmity in the future. Long-term misuse of the man-made steroid can do damage throughout the body, leading to torn tendons, infections, dead bones in joints and high blood pressure — often not… Continue reading →

What is done when a hip resurfacing fails?

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  Dr. De SmetWhat will be done when a resurfacing fails? A normal primary THR can be done. In rare cases a revision to another resurfacing is still possible. The procedure needed depends on the reason for revision. If the femural head requires a revision, due to wear, a large diameter modulair head on stem… Continue reading →