Author Archives: Patricia Walter

Metal ion levels and revision rates in metal-on-metal hip resurfacing arthroplasty 2014

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Complete Study Here:  http://www.ncbi.nlm.nih.gov/pubmed/24500833 Robinson PG1, Wilkinson AJ, Meek RM. April 2014   Abstract Metal-on-metal (MoM) bearings in hip surgery are related to increased blood levels of metal ions. The nature of the relationship between ion levels and failure is still not fully understood. This study compares three cohorts of patients, 120 patients in each… Continue reading →

Dr. Bose of India Discusses Hip Resurfacing for Females and Small Men 2015

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From a very philosophical standpoint hip arthroplasty is very unfair towards women!!! Most men will have a socket size of 52 or over and therefore a 36 mms head can be used in all types of hip replacements. The 36 mms head is technically a "large head" and is a  good option having  serious resistance… Continue reading →

Smith & Nephew Removes Small Sized BHRs from Market and No Longer Recommend use in Females

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4 June 2015  Voluntary actions initiated to remove smaller size components and change Instructions for Use (IFU) following analysis of recent performance data No action required from patients; no change to current practice for patient follow-up care BHR continues to perform amongst the best hip replacements for the right patients Smith & Nephew (LSE: SN;… Continue reading →

Second generation metal-on-metal hip implants associated with adverse reactions 2014

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Full Article Available Here January 9, 2014 Research into metal-on-metal hip arthroplasty has showed that success with the procedure is multifactorial. Some investigators have found it may be closely related to an exacting surgical technique and the right indications. In an article in a recent issue of Orthopaedics Today Europe, Japanese investigators discussed adverse reactions associated with… Continue reading →

Low Volume Surgeons Poor Outcomes Hip Replacement Study

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Updated 2/8/2012 Optimal acetabular cup positioning is attained in less than 50% of cases, study reports March 9, 2010 NEW ORLEANS – High-volume surgeons are more likely than low-volume surgeons to attain optimal cup positioning for total hip arthroplasty, but both groups still attain optimal cup positioning less than half of the time, according to… Continue reading →

Dr. De Smet begins uncemented hip resurfacing with the Wright C+ hip resurfacing device

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Updated 5/25/2010 Dr. De Smet Begins Uncemented Hip Resurfacing May 25, 2010 Dear Pat, I indeed will start with the C plus uncemented. I will cautiously start this and study this together with the University of Lille France. Results only can be accepted if they are longer then 3-4 years. Nobody is there yet!! So… Continue reading →

Is there a test for testing metal ion levels in the blood?

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Return to FAQ LIST   Mr. McMinn We use whole blood specimens drawn into lithium-heparin containing tubes with non-contamination precautions, and analysed with HRICPMS (high resolution inductively coupled plasma mass spectrometry) for the most accurate assessment of metal ion levels. The problem with using serum, plasma or erythrocytes is that metal ions are differentially distributed… Continue reading →

Computer Navigation Reduces the Learning Curve Hip Resurfacing

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Clinical Orthopaedics & Related Research. 463:90-97, October 2007. Cobb, Justin P FRCS; Kannan, Vijaraj MD; Brust, Klaus MD; Thevendran, Gow MD Abstract: Hip resurfacing is a novel technique with a substantial learning curve resulting in poor outcomes for many patients. We asked whether navigation would influence this learning curve and accuracy of implantation. Twenty medical… Continue reading →

I have a metal allergy, can I have a hip resurfacing?

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Return to FAQ LIST Updated 1/3/2012   Mr. McMinnIf someone is allergic to certain metal jewellery, what are the chances of having a deep tissue allergy? What is the most accurate way of testing someone for a deep tissue allergy? It is estimated that approximately 10% of the population shows skin (cutaneous) allergy to metal… Continue reading →

Anterior and Posterior Approaches for hip resurfacing by Dr. Bose

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www.hipresurfacingindia.com August 10, 2006 There are two ways to look at approaches to hip resurfacing or any hip arthroplasty. One is to view it with the amount of muscle damage done. The other is to view it in respect to the blood supply or the vascularity. The post approach is traditionally known as the muscle… Continue reading →

Anterior Approach to Surgery by Dr. Waldman

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10/24/05 From Dr. Waldman’s Website I’ve been working on developing an anterior approach to the hip with other hip surgeons around the country. We’ve now done a few cases with the anterior approach and it appears to be working extremely well. Out first patients have had little to no pain, and walk without a limp… Continue reading →

Slow Recovery from Hip Resurfacing Surgery

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A collection of hippy emails about recovery and emotions are posted below Updated 2/8/2012 How Fast Will I Recover by Patricia Walter Everyone Recovers at a Different Rate Surgery experiences and recovery rates will be different for each person having a hip resurfacing. Many of us were very fortunate to have good experiences in the… Continue reading →

Phonophoresis is the use of ultrasound to enhance the delivery of topically applied drugs

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What is Phonophoresis? Phonophoresis is the use of ultrasound to enhance the delivery of topically applied drugs. Effectively, medicines contained within or under the ultrasound gel are pushed by the sound waves of the ultrasound and driven deep below the skin. Phonophoretically administered medications can penetrate the body much deeper than those massaged by hand… Continue reading →

The interpretation of metal ion levels in unilateral and bilateral hip resurfacing study 2012

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 August 2012 Van Der Straeten C1, Grammatopoulos G, Gill HS, Calistri A, Campbell P, De Smet KA. Read Complete Study Here:    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3549185/pdf/11999_2012_Article_2526.pdf The interpretation of metal ion concentrations and their role in clinical management of patients with metal-on-metal implants is still controversial. We questioned whether patients undergoing hip resurfacing with no clinical problems could be… Continue reading →

New Data Reinforces the Proven Safety and Effectiveness of BHR

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Updated 5/2/2010 New Data Reinforces the Proven Safety and Effectiveness of the BIRMINGHAM HIP Resurfacing System 80-percent of US surgeons choose the BHR hip as it outperforms all other metal-on-metal resurfacing devicesMEMPHIS, Tenn., May 3 /PRNewswire-FirstCall/ — Recent new data(1) presented at this year’s American Academy of Orthopaedic Surgeons (AAOS) annual meeting reinforces the BIRMINGHAM… Continue reading →