Dr. Bose
There are of course many views and opinions amongst surgeons regarding the best approach and what to preserve during the surgical approach. Failures in resurfacing which occurs due to faulty approaches and vascularity issue, do so at the 3-6 yrs mark ( slow varus collapse with loosening of femoral component ie AVN of the entire head). Hence, it is difficult to prove or disprove any concept regarding this issue with statistical proof. One … Read the rest
Dr. Bose
The NCP (Neck Capsule Preserving) Approach which is increasingly being adopted by surgeons world wide was developed at ARCH by Dr. Bose. This facilitates a faster recovery due to the repair of the capsule. The vascularity of the critical regions of the head and neck is also preserved in the NCP Approach.
Dr. De Smet
Do you preserve the hip capsule during your hip resurfacing surgeries?
[Koen De Smet ANSWER/] YES AND I … Read the rest
Dr. De Smet
Normally 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 on the individual patient, one can decide to remove the staples later on. Staples are removed with a
special device.
In case … Read the rest
Dr. Amstutz
1. 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 “mini incision” has
not been demonstrated.
Basically, if you want a small incision, you need to be thin.
Dr. … Read the rest
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7/03/08 Dr. Lichtblau of Quebec The anterior vs. posterior debate isn’t going to be resolved by one study of electrode blood flow. Most surgeons would agree that blood flow to the femoral head (most of which comes backwards via the femoral neck) is theoretically better preserved through an anterior approach. Much of this info comes from the work of Ganz, who did a lot of cadaver dissection to prove this. Having said that, there doesn’t |
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7/03/08 Dr. De Smet of Belgium Does the length of incision influence the rehabilitation? No! A bigger incision does not mean that there will be more damage to the muscular structures. On the contrary, if you need a bigger incision to get better exposure, the placement of the implant can be done more precisely. Even with an incision of 30 cm you are able to walk well after 24 hours. In the resurfacing procedure the |
Mr. McMinn at the the McMinn Centre
Malposition of the cup in relation to the
head in such a way that the wear patch
approaches the edge of bearing surface leads to
excessive wear.
Cup abduction (or Inclination) is a two
dimensional assessment. Malposition in the third
dimension is represented by anteversion or
retroversion. You are right in saying that
excess anteversion leads to edge loading towards
the front of the cup. Retroversion leads to… Read the rest
Mr. McMinn
I started back in 1991 with the antero-lateral approach to the hip for resurfacing. At that time we were worried about blood supply to the femoral head and on theoretical grounds the antero-lateral approach preserved the blood supply well. For many patients the approach was satisfactory but there were some problems. The exposure obtained in large patients was not good. This meant that heavy retraction had to be used, and heavy retraction caused … Read the rest