About Birmingham Hip Resurfacing
An landmark INNOVATION in Hip Joint arthritis treatment ~ Hip Resurfacing
surgery – a far superior alternative to Hip Replacement !
Arthritis of the hip joint is a common problem in India and the
Western world. It occurs due to damage to the hip joint from various
conditions such as Avascular Necrosis (death of bone due to lack
of blood supply), Trauma or Injury (previous hip fractures), Infection,
Rheumatoid arthritis, Ankylosing Spondylitis and other diseases.
It causes severe pain, stiffness, deformity, decreased mobility
and severe disability. In India, hip joint arthritis affects even
the younger population who are barely 20 or 30 years of age. This
can lead to disruption of family and social life, inability to work
for a living and difficulty in moving about.
Hip arthritis is treated with Total Hip Replacement Surgery when
the symptoms or the arthritis cannot be controlled with medications.
Hip replacements are successful procedures.
A striking advance has been made in the field of surgery for Hip
Arthritis. “Don’t get a Hip Replacement, just reline
or resurface your arthritic hip!” This is what hundreds of
satisfied Hip resurfacing patients are now urging other arthritis
patients to do.
What do you do if you need a new hip but you cannot face the daunting
prospect of a conventional total hip replacement (THR)? The answer
lies in a revolutionary surgery to reline the arthritic hip joint
called Hip Resurfacing (BHR or ASR). A similar procedure can also
be done on the Shoulders.
Patients who have undergone this pioneering Hip Resurfacing operation
are able to walk as much as 5 miles a day, as early as 6 weeks after
the operation. They can jog, swim, dance, run and even play high-impact
sports, and the resurfaced hip does not dislocate or slip out of
joint! Patients are also able to sit cross-legged or squat on the
floor and can even use an Indian style toilet (squatting style !)
after this surgery !.
Conventional hip replacement (Total Hip Replacement or THR) is
an excellent procedure in elderly or sedentary people, but it cannot
restore the mobility desired by younger and middle aged patients.
Also, it can sometimes dislocate or slip out of joint, loosen faster
in younger people (and vital bone is lost as the Total Hip Replacement
loosens) and patients are often restricted in terms of their lifestyle
and mobility. For example, patients who have had conventional hip
replacement are not allowed to squat, are not allowed to bend and
pick something up from the floor, and are not allowed to cross their
legs. All this, however, is usually possible to do after Hip Resurfacing.
The actual procedure is a surgery to the hip joint that is much
less invasive than conventional Hip Replacement. The area of arthritis
is cleaned and shaved out and 2 highly specialized metal pieces
(called ‘components’ or ‘prosthesis’) are
used - one fixed over the ball of the femur bone, and the other
fixed into the pelvic socket called acetabulum. This preserves the
body's vital bone (unlike in a traditional hip replacement) where
the body's vital bone is lost. It takes about one and a half hours
to do this procedure (about the same time as a hip replacement).
The hospital stay is only about 5 to 7 days (for local patients
and for overseas patients it could be more - see below). Patients
can walk within 2 days of the surgery. The marginal increase in
cost is more than offset by the multiple long term benefits given
to the patient.
This Hip Resurfacing procedure was pioneered by one of the world’s
leading hip surgeons Dr. Derek McMinn in Birmingham, U.K. and has
given a fresh breath of life to hundreds of people in several parts
of the world.
Who needs Hip Resurfacing
|
Conventional Hip
Replacement |
Birmingham Hip
Resurfacing |
| |
| Suitable for elderly
patients |
Suitable for younger
patients |
| |
| Head of femur (thigh
bone) removed |
Bone not removed |
| |
| Articulation is
metal with plastic |
Articulation is
metal with metal |
| |
| Wears our rapidly in
young and active patients |
'Everlasting' -
based on 35 year history in Birmingham of metal on metal
articulation |
| |
| Activity restriction
required after surgery for fear of dislocation |
Activity restriction
not required after surgery as there is hardly any risk of
dislocation (can sit on floor ,squat, use Indian toilet ,etc) |
| |
| Sport not advised as
the usage is inversely proportional the life of the hip
replacement |
Sport and High
demand activities encouraged as usage is not related to life of
resurfacing implant |
| |
| Revision surgery
invariably necessary in younger patients |
Revision surgery not
Required for younger patients |
|