Read Two4One’s Full Story Here September 15, 2016 – First, I want to correct that I had my last ceramic and titanium bilateral hip revisions (to a failed bilateral Birmingham Hip Resurfacing) completed in November 2014 – not Nov 2105. Secondly, after an almost 2 year recovery, I can most … Continue reading →
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 →Dr. De SmetHow long will my leg continue to swell and hurt? The pain usually decreases rapidly during the first days, but discomfort can continue for a couple of months. The swelling is due to alterations in fluid return up the limb, and will gradually diminish, but may take a couple of months or longer.…
Continue reading →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 →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 →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 →Return to FAQ LIST Dr. Vail Surgeon Thomas Vail likes the results he’s seeing with his resurfacing patients. Two years after the surgery, he finds resurfacing patients do have slightly more range of motion in their movements than his older patients who’ve undergone total hip replacement.
Continue reading →Return to FAQ LIST Dr. Beaule According to Beaulé, the following patient selection factors can favorably impact modern resurfacing outcomes: no large femoral head cyst; no osteopenia; younger than 65 years old; and no prior hip surgery. "My current ideal indications for hip resurfacing are patients age less than 60 years, risk index less…
Continue reading →Return to FAQ LIST Dr. De SmetHalf 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 of an intracutaneous suture, one only…
Continue reading →Return to FAQ LIST Dr. De SmetWhen can I go up and down stairs? You should learn to walk stairs with the physiotherapist at the hospital a few days after the operation on individual basis.
Continue reading →Return to FAQ LIST See Webpage about Groin Page by clicking here Features information from patients and doctors Dr. Bose Psoas tendinitis is an important reason for groin pain in resurfacing surgery. This is peculiar to resurfacing as the cup for resurfacing is a very large profile ie half a sphere. Nearly all THR cups…
Continue reading →by Dr. Michael Broder Return to FAQ LIST Dr. Michael Broder There has been some recent confusion about different types of surgical anesthesia. This is a summary of information which I hope is helpful. Orthopedic and other surgeons generally work with an anesthesiologist, a specialist in Perioperative Medicine. This is care of a patient prior…
Continue reading →7/03/08 Dr. Lichtblau of QuebecThe 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…
Continue reading →Dr. BoseOne must remember that with a resurfacing or a THR – one is not aiming to give supra normal movement. One is merely trying to restore normal movement present before the onset of hip arthritis. The head- neck offset is an important determinant of ROM. This is restored by a properly done resurfacing…
Continue reading →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…
Continue reading →Dr. De Smet How old is the BHR / Conserve Plus (C+) procedure?BHR procedure is developed in 1996/97. The first metal-on-metal resurfacing is from Feb. 1991. The resurfacing is already 40 years old, metal-on-metal is 40 years old (the oldest dates from 1938!). Both ideas were put together by Mr. McMinn in 1989. The…
Continue reading →Return to FAQ LIST Updated 7/18/08 Dr. Rubinstein Dr. Bose Dr. Mont Dr. Vail Dr. Rubinstein Cysts are very common in arthritic hips and can usually be seen on x-rays. Most of the time they are not a problem with resurfacing because they are small and in the part of the bone removed…
Continue reading →Dr. De SmetWhat is the normal recovery time? Time on crutches? Time with a cane? Time before I can begin most normal exercise? 1 to 2 weeks 2 crutches, 1 to 2 weeks 1 crutch. No cane. What is normal exercise? Actual daily living means 4 to 5 weeks. More strenuous activities can begin from…
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