Dr. Joel Matta
Over 2000 Anterior Approach THRs
St. John’s Health Center
2001 Santa Monica Blvd. #1090
Santa Monica, CA 90404
Phone: (310) 582 7475
Hip and Pelivis.com Website
Dr. Stefan Kreuzer
Memorial Bone & Joint Clinic
909 Frostwood Drive,
Houston, Texas 77024
Dr. Kreuzer’s Website
Dr. Stefan Kreuzer, Board Certified orthopedic surgeon in Houston, Texas, gives a presentation on the advantages of the Direct Anterior Approach for THR.
During a joint replacement procedure, your surgeon will strive to ensure that everything is aligned properly. Accurate alignment of the hip or knee components is critical to the overall function of your new joint,1,2 and it also plays a role in helping your joint feel healthy again, and helping the joint replacement to potentially last longer.
Computer-assisted technology has made it possible for your orthopaedic specialist to navigate joint replacement procedures with a level of accuracy so precise it may improve the results of your surgery.1
What are some of the reasons orthopaedic surgeons choose computer-assisted technology?
- Provides your surgeon with comprehensive
Dr. Joseph F. Fetto
New York University Medical Center
Dept. of Orthopaedic Surgery
530 1st Ave, Suite 5B
New York, NY 10016
Tel: (212) 263-7296
Fax: (212) 263-6199
The Lateral Flare hip stem features a unique new design for femoral components. The addition of a lateral expansion to the proximal body of the stem allows for a more physiologic distribution of the body weight over the entire proximal femur.
This new design was based on an updated hip biomechanical model which includes the muscles and ligaments in a dynamic, more physiologic situation. By including these soft tissue factors, particularly the Iliotibial band (ITB) as a tension band lateral to the femur and the vastus lateralis muscle, a more accurate picture on how the loads are transmitted through the hip joint was recreated. Contrary to what it was traditionally …
Dr. Corey Burak
24 Saw Mill River Road (Rte. 9A)
Hawthorne, NY 10532
Dr. Burak is the first orthopaedic surgeon in the northeast United States to utilize the revolutionary anterior approach total-hip replacement technique.
Peter Brooks MD, FRCS(C) – BHR trained McMinn 2006, Treacy 2007
1100 Hip Resurfacings to date ***
9500 Euclid Avenue
Cleveland, OH 44195
Phone 216-444-4284 (toll free 800-223-2273)
Cleveland Clinic Website
What THR devices do you use?
What device is best for younger active patients?
What limitations do they have after they have healed?
Dr. Brooks Responds:
I use Smith and Nephew total hips.
Stems and sockets are rarely cemented. Very rarely in my
Stems also come in 3 basic designs: cylindrical,
tapered, and anatomic (rights and lefts). The incidence of thigh – pain
is least with the tapers – no surprise there.
So, I use a cementless tapered stem, with a cementless socket.
From there, the only choice is the bearing.
My bearing for young people that would otherwise have a
BHR hip resurfacing, is ceramic on ceramic. There is no bearing with
Scott Ball, MD
UCSD Medical Center North
200 West Arbor Drive
San Diego, CA 92103
Phone: (619) 543-6312
FAX: (619) 543-7480
Administrative Assistant: Carol Atkins 619-543-2539
Dr. Ball grew up in Orange County, CA. After graduating from U.C. Santa Barbara, he went on to medical school at Jefferson Medical College in Philadelphia where he graduated Cum Laude. He completed orthopaedic residency at U.C. San Diego and after a year of fellowship in Joint Reconstruction in Los Angeles, he returned to U.C. San Diego where he now practices. He has published a number of articles in orthopaedic journals on the subjects of hip resurfacing, cartilage tissue engineering, osteochondral allografts and arthroscopic surgery, and has been honored with awards for clinical and basic science research. He is married, has two children, and enjoys surfing, skiing and travel.
The potential benefits of Zimmer MIS 2-Incision hip replacement include:
Less tissue trauma – muscles and tendons are avoided or separated, not cut
Faster and less painful rehabilitation
Smaller incisions and less scarring – two incisions of 1½ to 2 inches each, rather than one 10- to 12-inch incision
Shorter hospital stay – 1-2 days (vs. 3-5 days); some patients go home in less than 24 hours
Reduced blood loss and less need for pre-surgery blood donation
Faster return to work and daily activities
Zimmer MIS Anterolateral Hip Procedure Zimmer MIS 2-Incision Hip Procedure Zimmer MIS Posterior Hip Procedure Traditional Hip Replacement Incision One 2 ½ -3 ½ inch incision Two 1 ½- to 2-inch incisions One 2 ½ – to 3 ½-inch incision One 10- to 12-inch incision Tissue Trauma Muscles and tendons avoided Muscles and tendons avoided Fewer muscles and tendons cut or separated More muscles and tendons …
Read complete study here http://www.healio.com/orthopedics/infection/news/print/orthopedics-today/%7B553B4C4A-2C70-4BCF-A5FD-05B84076F7EF%7D/Young-age-and-male-gender-cited-as-risk-factors-for-in-hospital-SSI-after-THA-TKA
A recently presented study identified age, gender and racial minority status as risk factors for perioperative surgical site infection following total hip and knee arthroplasty.
…Compared to a referent group of patients aged 45 years to 64 years, patients aged 44 years or younger had 1.7 times higher odds of having an SSI. Compared to the referent group, patients aged 65 years to 74 years had a 0.9 times higher odds, and those 75 years or older had a 0.98 times higher odds.
The investigators also found that men had a 1.33 times higher odds for SSIs than women…
If standard x-rays do not indicate hip problems, the following additional tests are available:
Aspiration and Arthrograms
Aspiration is performed if there is suspicion of infection in a hip replacement. A needle is inserted into the joint under x-ray control, using local anesthetic. It is not particularly uncomfortable. Fluid obtained from the hip joint is sent to the laboratory for culture. At the same time, an arthrogram is performed: dye is inserted into the joint to see if it spreads to the space between the implant and bone. These tests are helpful in ruling out the presence of infection and, in some cases, outlining areas of loosening of an implant.
There are several types of bone scans:
1. The most routine type is done utilizing Technetium Diphosphonaten (TDP). The radioactive material is injected and the whole body is scanned a few hours later. This test is most useful …