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
Obtained by Vicky Marlow Freelance Patient Advocate Volunteer
Dr. Kurtz had an article online that had concerns about the head neck ratios of hip resurfacing compared to total hip replacement. We wanted to provide potential hip resurfacing patients with opinions of other top resurfacing surgeons to explain their views.
Dr. Bose Reply
Thanks for the mail. I read Dr. Kurtz thoughts on hip resurfacing in his website. His concerns are very … Read the rest
I like antibiotics for up to two years after any joint
replacement. After two years only for procedures
that lead to blood like endodontic surgery. This
is also a controversial topic. We wrote two
papers on this topic and only found possible
dental related infections in patients that had
oral procedures that were greater than 1 hour
with blood loss that did not get antibiotics.
The problem is that sometimes patients don’t
know … Read the rest
During my several years of learning and reading about hip resurfacing, I have heard of two people having dislocations. There may be more, but I only know if people post their dislocation on the various discussion boards I belong to.
One young man was doing an exercise bringing his knee to his chest. His leg was tight and he jerk his knee toward his chest and caused a dislocation of his hip resurfacing.
One lady … Read the rest
Selection of a surgeon is a personal choice. It is a choice that makes you feel confident that your surgery will go well, that your surgeon has a good bedside manner and you can ask questions anytime you need answers.
When buying real estate the old saying about what is important is “Location, Location and Location.” In many people’s minds the most important factor in choosing a surgeon for hip resurfacing is “Experience, Experience and … Read the rest
Dr. De Smet
Also called peeping, called by Dr.De Smet the “peepcreep”. The squeaking noises are produced due to a temporary lack of lubrication, a dry running of the metal-on-metal prosthesis. It sounds as a non-lubricated creaking hinge of a door. The duration of the noise is normally less then 24 hours, and a
It starts when the patient has an increase or change in activities. Stair climbing always generates or increases the … Read the rest