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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
OA is a progressive disease; however, the path of progression is variable from patient to patient. While early treatment
 
Preparing yourself and your home before hip replacement surgery can seem like a stressful and daunting task
 
Que.: At what age do people usually get a hip replacement?
Ans.: The majority of patients receiving a total
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(Website Update 1st. March 2007)


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