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Home→Categories FAQ About Hip Resurfacing→Surgery

Category Archives: Surgery

FAQ Surgical Questions

Hip Resurfacing at Surface Hippy Posted on September 17, 2021 by Patricia WalterJanuary 14, 2022
  • Will My Neck Capsule Be Preserved?
  • Will My Neck Capsule Be Preserved?
  • FAQ Surgical Questions
  • Will I Have Stitches or Staples?
  • Can I have a MIS hip resurfacing?
  • Incision Length by Dr. Lichtblau
  • Incision Length by Dr. De Smet of Belgium
  • What are the important angles of components in hip resurfacing
  • What surgical approach is best – posterior or anterior?
… Read the rest

Will My Neck Capsule Be Preserved?

Hip Resurfacing at Surface Hippy Posted on September 17, 2021 by Patricia WalterJanuary 14, 2022

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

Will My Neck Capsule Be Preserved?

Hip Resurfacing at Surface Hippy Posted on September 17, 2021 by Patricia WalterJanuary 14, 2022

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

Will I Have Stitches or Staples?

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterJuly 29, 2017

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

Can I have a MIS hip resurfacing?

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterAugust 11, 2017

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

Incision Length by Dr. Lichtblau

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterAugust 11, 2017

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

… Read the rest

Incision Length by Dr. De Smet of Belgium

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterAugust 11, 2017

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

… Read the rest

What are the important angles of components in hip resurfacing

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterAugust 11, 2017

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

What surgical approach is best – posterior or anterior?

Hip Resurfacing at Surface Hippy Posted on September 17, 2015 by Patricia WalterAugust 20, 2019

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

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