Dear Dr. Bala,I apologize for seeming to have neglected or ignored you. I have begun this missive on several occasions, only to stumble over my own limitations. I know I promised you a recommendation you might be able to use on your web site. You have my permission to use any or all of this email in any way you see fit.I have struggled to find the words necessary to describe how Dr. Bala has changed my life. At 44 years of age, to hear the words from a U.S. physician, “You have osteoarthritis in your left hip… Read the rest
Resurfacing patients had gait characteristics that were comparable to normal hips. Although standard hip replacements had markedly improved gait parameters when compared to osteoarthritic hips they never approached resurfacing or normals. “
Gait Analysis Of Metal On Metal Surface ArthroplastyPoster Board Number: P050 Location: McCormick Place Hall B Adult Reconstruction Hip Phillip Ragland, MD Washington DC (n) Anil Bhave, MS Baltimore MD (n) Roland Starr, MS Baltimore MD (n) Michael A Mont, MD Baltimore MD (a, e – Wright Medical Technology) This study compared gait kinematics of resurfacing patients to normal hips, osteoarthritic hips, and patients with standard hip
Yes, it is true that minimally invasive approach has been proven not to have great benefits over a conventional incision in terms of blood loss, pain , or speed of recovery in the same surgeons hands. It is only of cosmetic value.All studies to investigate this have been done on two groups of patients in which a single surgeon employs the two approaches in the diff groups. When a surgeon who is capable of doing a minimally invasive approach does a conventional approach it is logical that the conventional technique will be only marginally bigger and therefore advantages
|John WilliamsonJanuary 17, 2006 Harvard Pilgrim Health Care 1600 Crown Colony Drive Quincy MA 02169-9777Re: Appeal of denied coverage, HP0412161-00Dear HPHC Representative:I am requesting for voluntary member reconsideration. Following is an explanation of my medical condition and history. In a letter dated December 23, 2005, HPHP denied my requested authorization for a total hip resurfacing.My Condition and HistoryI have DX with degenerative arthritis of the left hip, which restricted my normal activities. I could no longer walk fast, getting in and out of my car was more difficult and climbing stairs and performing my|
|The post approach which I employ is traditionally known as the muscle sparing approach and the anterior and anterolateral approaches which is very popular in the U.S and some parts of Europe are the muscle compromising approaches. The muscle here refers to the Abductor group or the muscles which lift your leg sideways and is the most important muscle of the hip. The post approach spares this completely.However some muscle have to be cut in any approach to get access to the hip and in the post approach, one cuts the short ext rotators which are flimsy , small muscles|
May 9, 2006
|1: J Bone Joint Surg Br. 2005 Apr;87(4):463-4.Femoral neck fractures following Birmingham hip resurfacing: a national review of 50 cases.Shimmin AJ, Back D.Melbourne Orthopaedic Group, 33 The Avenue, Windsor, Victoria 3181, Australia. firstname.lastname@example.orgBetween April 1999 and April 2004, 3497 Birmingham hips were inserted by 89 surgeons. Fracture of the neck of the femur occurred in 50 patients, an incidence of 1.46%. Complete data were available for 45 patients in whom the incidence was 1.91% for women and 0.98% for men. The relative risk of fracture for women vs men was 1.94961 and this was statistically significant|
Dr. De Smet 2006
Insurance Appeals 101For those of you who have not had experience with insurance appeals, here’s a couple of tips I learned helping patient families with insurance appeals:(1)First and foremost, read your policy – the full document with all of the legalese, not just the coverage pages. Your employer should have a copy of the policy or coverage book or you can usually get it directly from the insurance company. My full document is 152 pages (8 1/2 x 11″) and was available on the website for my insurance plan.(2)Read the entire document (hey
|“I was able to return to my pre-surgery climbing level after six months, and was quite active in the second half of 2005 with climbing and hiking.”|
|Friday, January 13, 2006Success with U.S. Insurance (LONG)|
Eleven months after surgery in Belgium, I finally obtained insurance reimbursement for 100% of my medical expenses. Here are details.
My health insurance is an ERISA plan. This means that my employer is self- insured, but hires a health insurance company (Aetna in this case) to administer the plan. My employer, along with a committee of health professionals, assembled a “Medical Plan” – a specific
September 16, 2007
Hi All,This is an important topic that is always a worry so I feel a comment is warranted here.First, fortunately infections are rare so you should not all go running around being paranoid about getting one. A little common sense and care can prevent most infections. Antibiotics for dental work is an easy thing to do and very effective in preventing circulating bacteria from the mouth.As for cuts and scrapes the body handles most small ones very well but a little neosporin doesn’t hurt. The real worry is if the cut starts to get
Hip Resurfacing Terms used during surgery or post op surgery.
The cup of the hip in which the ball, or head of the femur, rotates when the hip is in motion. During hip replacement surgery, the acetabulum is reamed out and a metal cup is implanted to replace diseased bone.
The surgical replacement or repair of a damaged joint. Hip arthroplasty is also known as hip replacement
ASR – Withdrawn from Market:
The DePuy ASR XL System is a large diameter, high performance metal-on-metal hip resurfacing device.
AVN Avascular Necrosis of the femoral head: