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Birmingham Hip Resurfacing technology, is
a much advanced technical procedure than conventional total hip replacement.
As a novel procedure, it demands an experienced surgeon who can thoroughly
understand the responsibility of performing hip Arthroplasty on young active
patients. Conventional usually consist of a stemmed femoral component that
is fixed into the femoral canal using cement articulating with a
polyethylene cup cemented into the pelvis. There are several conventional
total hip replacement systems that have been proven to work well in elderly
inactive patients. In Hip replacement surgery thigh bone is generally
removed which leads to the loss of large quantity of normal bone. All these
reduce the bone stock and make any future revision procedures difficult.
They work less well in the younger patients with poorer survival. They do
not allow full unrestricted activity and can dislocate. Unlike Traditional
hip replacement surgery the amount of bone removed is much smaller. During
the surgery the joint is removed and resurfaced with a round femoral cup and
metal acetabular socket. There is no risk of limb length changes at
operation. Rehabilitation is much faster.
The joint is then lubricated by the hip?s natural fluid. In BHR,
preservation of bone stock at the time of operation and less stress
shielding makes it easy to revise the surgery, if needed. This procedure
helps in sacrificing only the diseased bone and acetabular socket preserves
normal bone. The advantages of BHR over the conventional hip replacement
surgery are: Removes only unhealthy bone and replaces it with a metal on
metal articulation. It preserves the normal bone of the hip ? patients can
squat, sit cross-legged, use Indian toilet without the risk of dislocation.
Everlasting - based on 35 year history in Birmingham of metal on metal
implants. Excellent restoration of full function. Femoral head remains
viable after BHR surgery. It does not sacrifice normal bone during primary
surgery. Activity restriction not required after surgery, as there is hardly
any risk of dislocation. Patient can indulge in full sporting activities
without risk of dislocation. Patients have gone back to sports like
competitive Judo and Squash after surgery. Overall 99% success rate - ideal
option for the younger or more active patient. No dislocation in more than
2000 BHR procedures done in Birmingham. Many adolescent patients have had
the procedure with excellent results. Procedure can be done soon after
skeletal maturity. Restores normal anatomy. Low frictional torque and fluid
film lubrication demonstrated in this metal on metal articulation.
Dr. Kaushal Malhan, Consultant Orthopaedic Surgeon, at Wockhardt Bone &
Joint Hospital does Birmingham Hip Resurfacing Surgeries. He has spent a
number of years in the U.K. where he got trained and routinely performed
this technique. He specializes in shoulder, knee and hip problems (Sports
surgery and Joint replacement). Last year, the well-built, tough-looking
Anant Chalke, almost broke down like a child due to a crushing pain in his
left hip. Chalke, a national power lifter and professional coach at a Mumbai
gymnasium, tried various therapies for six long months before he was
wheel-chaired toWockhardt Bone and Joint Hospital at Mulund, Mumbai. Dr.
Kaushal Malhan, joint replacement, hip resurfacing and sports surgeon at
Wockhardt, explained to Chalke the advantages of modern hip resurfacing
surgery compared to the conventional hip replacement surgery.
It did not take long for Dr. Malhan to persuade Chalke to opt for the new
technology. Old style hip replacement involves removal of a large part of
the healthy bone and fixing a long metal piece into the thighbone. After the
surgery, the patient's movement is highly restricted. He cannot squat or sit
on the floor without risking dislocating his new hip.Worse, the surgery
alters the length of the leg. Returning to an active life is risky after
such conventional surgery. Why change everything when only the surface is
bad? This is the logic of hip resurfacing. The bone conserving hip
resurfacing involves replacing only the diseased bone. Chalke, hale and
hearty after undergoing hip resurfacing surgery, is now busy planning to set
up his own gym in Thane.
He is back in action with his favourite sport, weightlifting. Wockhardt was
the first hospital in Mumbai to carry out hip resurfacing technique and has
performed the highest number of hip resurfacings in the city. Dr. Malhan,
who pioneered hip resurfacing in Mumbai, is on the panel of the British
Olympic Association and runs a specialised shoulder service at Wockhardt
Hospitals. http://www.wockhardthospitals.net/news/birmingham-hip-resurfacing-surgeryasp
http://www.wockhardthospitals.net/hip-resurfacing.asp
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