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Hips For You features information about Total hip replacement (THR), hip problems and hip treatments. Hips For  You is not controlled by medical companies, doctors or hospitals. It it a patient information about Hip Replacement and Hip Problems including: hip replacement articles, doctor information and personal THR stories.

If you would like to talk with other total hip replacement patients, visit the Total Hip Talk discussion group. Learn about other patient experience in the Total Hip Stories section. If you have a story you would like to share  email your story to Patricia Walter

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Hip Arthroscopy in Patients Ages 50 Years or Older Presents Risk Factors for THR

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Hip arthroscopy for the treatment of labral tears and FAI in patients ≥50 years old demonstrates statistically significant PRO improvements at minimum 5-year follow-up. However, due to potential for subsequent need for THA in a subset of this population, surgeons should use rigorous selection criteria and counsel patients appropriately.… Read the Rest

Anterior, Lateral and Posterior Approach to Surgery by Talking with Docs – Dr. Zalzal and Dr. Weening

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Talking With Docs Published on July 24, 2018 – Dr. Paul Zalzal and Dr. Brad Weening discuss different surgical approaches to hip replacement surgery. There has been a lot of interest in the anterior hip approach recently. This video compares anterior approach to lateral and posterior approaches.

Please see the complete user agreement at talkingwithdocs.com

Medical emergency
Do NOT use the Video for medical emergencies. If you have a medical emergency, call a physician or qualified healthcare provider, or CALL 911 immediately. Under no circumstances should you attempt self-treatment based on anything you have seen or read on the … Read the Rest

Lower Rate of Repeat Surgery With Cross-linked Polyethylene Devices

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August 2, 2018 – A long-term follow-up study from Australia confirms that hip implants with components made of cross-linked polyethylene (XLPE) substantially lower the risk of revision surgery after total hip replacement, reports a study in the August 1, 2018 issue of The Journal of Bone & Joint Surgery. The journal is published in the Lippincott portfolio in partnership with Wolters Kluwer.

“The use of XLPE has resulted in a significant reduction in the rate of revision at 16 years following total hip arthroplasty for osteoarthritis,” writes Professor Richard de Steiger, MBBS, FRACS, FAOrthA, and colleagues of … Read the Rest

Risk of THA Failure May be Lower In Ceramic Bearings Debate

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7/19/2018  –  Ormonde M. Mahoney, MD, and Andrew M. Shimmin, MBBS, FRACS, debated the use of highly crosslinked polyethylene for patients who undergo total hip arthroplasty at the Orthopedics Today Hawaii Annual Meeting

He (Shimmin) emphasized that ceramic bearing wear products have less biological activity and minimal reports of osteolysis with its long-term use…

…Furthermore, Shimmin noted ceramic-on-ceramic bearings can be made with larger articulations, which can lead to greater jump height and more stability…

…“In the registry data that I presented yesterday, larger ceramic bearings are revised less than smaller diameter ceramic-on-ceramic bearings,” he said.… Read the Rest

Zinatu Umar’s THR with Dr. Malhan 2017

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After undergoing a successful Total Hip Replacement (THR) and reconstruction surgery in Mumbai, 19-year-old Zinatu Umar from Nigeria took her first step in over two and a half years…

…A fatal car accident in September 2016 left Zinatu left bedridden…

Speaking about her condition post surgery, Dr Kaushal Malhan, Senior Knee and Hip Surgeon at Fortis Hospital, Mulund, said, “The patient had not gone to school for over a year and was completely bedridden. She was looked after by her father and sister continuously. She is now able to walk using crutches. She has been put … Read the Rest

Mindy Shufelt’s Anterior Total Hip Replacement by Dr. Grammer 2018

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ROGERS, Ark. June 14, 2018 /PRNewswire-USNewswire/ — Pain in Mindy Shufelt’s hip began several years ago and slowly got worse. Because of a physically demanding job where she’s on her feet, she resorted to a strange gait to help her get through the day. She calls it “the pirate walk.”

“Hitch and drag, hitch and drag,” she explained.

An X-ray showed severe hip arthritis that was “bone on bone.” Mercy orthopedic surgeon, Dr. W. Cody Grammer, recommended total hip replacement and because of Mindy’s age and otherwise good health, she was able to leave the same day as her … Read the Rest

AAOS Has Approved a new “Use of Emerging Biologic Therapies” Statement

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December 2017 American Academy of Orthopaedic Surgeons

The American Academy of Orthopaedic Surgeons Board of Directors have approved a new “Use of Emerging Biologic Therapies” position statement highlights the importance of understanding the risks and benefits of stem cell and other biologic treatments for musculoskeletal joint conditions.

Unlike many traditional orthopedic treatments, emerging biologic therapies may not have safety and efficacy profiles, according to the statement. Since patient education is needed for informed consent, the statement includes two additional AAOS guidelines—“Orthopaedic Surgical Consent” and “Standards of Professionalism”—that reinforce the orthopedic surgeon’s role of fully informing patients … Read the Rest

Older Patients Unable to Maintain Partial Weight Bearing After Hip Fractures

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June 6, 2018 – For elderly trauma patients, a basic goal is early mobilization, as immobilization can trigger various complications, such as venous thromboembolism, pneumonia, urinary tract infections, and pressure ulcers. Although partial weight-bearing has been shown to significantly increase mortality compared with unrestricted weight-bearing, it remains a frequent recommendation of aftercare following lower-extremity fracture fixation…

…Elderly patients seem to be unable to maintain weight-bearing restrictions. As early mobilization of geriatric trauma patients is an important element for a successful rehabilitation, the directive of postoperative partial weight-bearing for these patients should be abandoned.… Read the Rest

Outcome for Femoroacetabular Impingement Obese Patients Same Normal Weight Patient

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June 6, 2018 – Obesity is a negative prognostic factor for various surgical procedures. The purpose of this study was to compare patients with obesity who underwent hip arthroscopy for femoroacetabular impingement and labral tears with a match-controlled group of normal-weight patients…

…Hip arthroscopy for the treatment of femoroacetabular impingement and labral tears in patients with obesity yielded significant improvements at ≥5 years; these results were similar to a matched group of normal-weight patients. However, patients with obesity demonstrated a twofold increased risk of conversion to total hip arthroplasty.… Read the Rest

New Procedure Helps Patients Avoid Hip Replacement and Repairs Joint Damage

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December 18, 2017


COLUMBUS, Ohio – Doctors at The Ohio State University Wexner Medical Center are using a procedure called Subchondroplasty to give patients with damaged hips more treatment options and ultimately avoid replacement surgery.

“We want to preserve the native hip whenever possible because once you have a hip replacement, there’s no going back,” said Dr. Kelton Vasileff, an orthopedic surgeon at Ohio State Wexner Medical Center. “We’re able to use a bone-hardening procedure that’s traditionally been used in knee surgery to help repair a patient’s own hip joint.”

During the procedure, a bone substitute material is injected … Read the Rest

Ceramic-on-Ceramic THR Necessitating 44- or 46-mm Metal Shells Study

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…A small cup limits options regarding liner thickness and femoral implant size. The purpose of this study was to evaluate the safety of a 4-mm–thick ceramic liner and the outcomes of cementless total hip arthroplasty using a 44- or 46-mm metal shell and a ceramic-on-ceramic bearing…

…Between May 2003 and June 2008, 80 patients (88 hips) who had hip osteoarthritis and a hypoplastic acetabulum underwent cementless total hip arthroplasty using a 44- or 46-mm metal shell and a ceramic-on-ceramic bearing…

…The thin (4 mm) ceramic liner did not increase the risk of ceramic fracture and … Read the Rest