It is widely used in the treatment of severe knee osteoarthritis, Inflammatory arthritis, rheumatoid arthritis, gout and other general arthritic conditions. When the medical treatments antalgic and anti-inflammatory medications, heel wedges, off-loading knee braces, weight reduction, activity modification, the use of ambulatory aidsintra-articular corticosteroid or viscosupplementation injections, physiotherapy have failed, time is coming to implant a prosthesis to relieve pain and to restore knee function.
The latest trend in hip replacements The latest trend in hip replacements Women take note: Jul 17, 3: July 22, My surgeon took one look at my X-rays and said there would be only one cure for me, a total hip replacement. Even my untrained eye could see the problem. The rubbery cushion of cartilage that makes the thigh bone connect smoothly to its ball and socket mechanism was seriously worn away in my left hip.
No wonder it hurt so much. Nancy Durham in recovery mode: There are now dozens of varieties of artificial hips made from a range of materials as well as whole new approaches to the surgery itself.
One of them, known as resurfacing, has created quite the buzz over the past several years. The very term itself sounds neat, like a little interior decoration to spruce up an old hip.
I'll have that, I thought to myself However, Muirhead-Allwood said no: Resurfacing With a THR, the entire hip joint is removed and replaced. A choice of hips: Associated Press Technically, hip resurfacing is a trickier procedure but it is less drastic.
The damaged top of the thigh bone is tidied up, literally getting a new surface. The big argument in favour of this approach is that it leaves the option for a full THR in future if necessary.
Resurfacing has keen followers who call themselves "surface hippies. However, orthopaedic surgeons are currently rethinking who makes the best candidate for this approach.
Women's bones One of the problems with resurfacing, as researchers in the U. Martin Lavigne Courtesy Dr. However, according to surgeon Martin Lavigne at Montreal's Maisonneuve-Rosmount Hospital, the wrong populations were being compared. At six months, Lavigne could not find any difference in mobility, balance or a range of regular activities between the groups.
Resurfacing has the advantage of being easier to revise later because most of the femoral bone is preserved.
But these days, with hip replacement parts lasting much longer, Lavigne asks, "why take the chance of hip resurfacing failing at five or 10 years when new uncemented total hip replacements with new bearing surfaces are more reliable?
This is why my surgeon here in Britain recommended a THR for me. In Canada, the medical profession prefers to call it total hip arthroplasty, which simply means the surgical construction of a joint.
My arthritis came on suddenly, just last autumn. During the day, walking to and from work, I had the odd sensation that one leg was shorter than the other. Sometimes I limped, though so slightly I think it was imperceptible to others. My surgeon told me the earlier the treatment the better the outcome.Narrow or expand your results with filters by Physician Type, Distance, Clinical Interest, Language and more.
Refine Your Filters. The earlier and more consistent breast implant symptoms are fatigue/low energy, cognitive dysfunction (brain fog, memory loss), headaches, joint and muscle. Answers may be found by choosing a category from the select list below or by scrolling down through all of the questions and answers.
(OBQ) A year-old man presents with 1 week of left leg pain.
6 months prior he underwent a vascularized free-fibula bone graft from his left leg to his right hip for avascular necrosis. The pain is located at the level of his donor site and is worse with weight-bearing and relieved by rest.
Technically, hip resurfacing is a trickier procedure but it is less drastic. The damaged top of the thigh bone is tidied up, literally getting a new surface.
Dr. Thomas Donaldson, MD is an orthopedic surgery specialist in Colton, CA and has been practicing for 32 years. He specializes in orthopedic surgery.