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Birmingham Hip Resurfacing
Hip resurfacing is an alternative surgical procedure to traditional hip replacement. It is used to address damage in the joint caused by four primary diseases:
- Osteoarthritis
- Rheumoatoid Arthritis
- Developmental Dysplasia of the Hip (DDH)
- Acascular Necrosis (poor blood circulation in the hip)
Diagnostic procedures may include the following:
Symptoms
Symptoms include:
- One leg is shorter than the other(DDH)
- Joint soreness after inactivity or periods of overuse of a joint.
- Joint pain which increases with activity throughout the day.
- Pain and stiffness affecting posture, coordination and ability to walk.
- Pain in the groin, inner thigh, or buttocks and a pronounced limp
The need for surgery is diagnosed through x-ray and other diagnostic procedures.
Treatment
Non-surgical treatment:
- exercise
- physical therapy
- anti-inflammatory medicines
- dietary supplements – glucosamine/chondroitin
Surgical treatment:
- Birmingham Hip Resurfacing System
The Birmingham Hip procedure is an alternative to traditional hip replacement for patients ages 40-60 with active lifestyles. While total hip replacement requires the removal of the femoral head and the femoral neck, in the Birmingham Hip, only a few centimeters of bone around the head is removed. The implant used is made of metal and designed to reduce the rate of post-surgery dislocation. It features a technologically advanced bearing surface that dramatically reduces joint wear when compared to traditional hip replacement materials Other advantages of the surgery include: a reduction in the risk of inaccurate leg length, reduced recovery time and reduced need for a second surgery.
After Surgery/Recovery
Physical Therapy is a critical part of complete recovery. Our doctors recommend DMC's Rehabilitation Institute of Michigan, with 30 convenient locations across southeastern Michigan. To find one near you, click here.
Femur Fracture
A hip fracture is a break in the femur (thigh bone) of the hip joint. Joints are areas where two or more bones meet. The hip joint is a "ball and socket" joint where the femur meets the pelvic bone. The ball part of the hip joint is the head of the femur, and the socket is a cup-like structure in the pelvic bone called the acetabulum. Hip fracture is a serious injury and requires immediate medical attention.
About 90 percent of hip fractures happen to people over age 60. The incidence of hip fractures increases with age, doubling for each decade after age 50. Osteoporosis (loss of bone tissue) is a disease that weakens bones.
Women are more prone to osteoporosis than men; therefore, hip fracture is more common among women. They experience about 80 percent of all hip fractures. More than 1.5 million Americans have fractures annually because of osteoporosis.
The following are the most common symptoms of a hip fracture:
- hip pain and/or pain that can be felt in the knee
- low back pain
- inability to stand or walk
- bruising or swelling
- foot turned out at an odd angle, making the leg look shorter
Diagnostic procedures may include the following:
Treatment
A fracture of the hip is generally treated with surgery. Your physician may use metal devices to strengthen and stabilize the joint. In some situations, a total hip replacement may be performed. The type of surgical repair will depend upon the type of hip fracture. The physician will determine the best procedure for a person, based on the individual's situation.
After Surgery/Recovery
Physical Therapy is a critical part of complete recovery. Our doctors recommend DMC's Rehabilitation Institute of Michigan, with 30 convenient locations across southeastern Michigan. To find one near you, click here.
Hip Dislocation Repair
A dislocated hip is an orthopaedic emergency that requires immediate diagnosis, evaluation, and treatment. It occurs when a great amount of force pushes the head of the thighbone (femur) out of its socket into the hip bone (pelvis). In approximately 90% of cases, the thighbone is pushed out of its socket in a backwards direction (posterior dislocation). The hip then becomes bent and twisted toward the middle of the body. Hip dislocations most commonly occur from motor vehicle accidents and falls from a height. They can also be a complication of hip replacement surgery.
Diagnostic procedures may include the following:
Symptoms
Symptoms include:
- Severe pain
- Inability to move one leg
- No feeling in the foot or ankle (a result of nerve damage)
Treatment
The first step is usually to try and reposition the hip joint by applying force to the leg without surgery. Called a closed reduction of the hip replacement, it is performed under anesthesia.
If the dislocation occurs with additional damage such as a fracture, or involves a hip implant, an open reduction surgery may be needed. In this procedure surgeons must go in and manipulate the femur and hip and/or reposition the implants.
After Surgery/Recovery
Physical Therapy is a critical part of complete recovery. Our doctors recommend DMC's Rehabilitation Institute of Michigan, with 30 convenient locations across southeastern Michigan. To find one near you, click here.
Total Hip Replacement
Hip replacement, also called arthroplasty, is a surgical procedure to replace a damaged hip with a prosthesis (an artificial joint). This surgery may be considered following a hip fracture (breaking of the bone) or for someone who has severe arthritis. The most common condition that results in the need for hip replacement surgery is arthritis.
The following are the various forms of arthritis that can occur:
- Osteoarthritis, a degenerative, joint disease that affects mostly middle-aged and older adults, causes the breakdown of joint cartilage and adjacent bone in the hips
- Rheumatoid arthritis, which causes inflammation of the synovial membrane and results in excessive synovial fluid, can lead to pain and stiffness
- Traumatic arthritis, arthritis due to injury, can cause damage to the articular cartilage of the hip
Diagnostic procedures may include the following:
Symptoms
Symptoms include:
- Bone fracture from a fall or injury
- Joint soreness after inactivity or periods of overuse of a joint
- Joint pain which increases with activity throughout the day
- Muscle atrophy around joints caused by inactivity can increase pain
- Pain and stiffness affecting posture, coordination and ability to walk
- Pain in the groin, inner thigh, or buttocks and a pronounced limp
Treatment
Treatment includes:
- anti-inflammatory medications
- pain medications
- limiting painful activities
- assistive devices for walking (such as a cane)
- physical therapy
- hip replacement surgery
Surgery and Prostheses: The two most common types of artificial hip prostheses used in replacement surgery are cemented prostheses or uncemented prostheses. Sometimes, a combination of the two types is used to replace a hip joint. A hip prosthesis is made up of metal and plastic. A cemented prosthesis is attached to the bone with a type of surgical cement. An uncemented prosthesis attaches to the bone with a fine mesh of holes on the surface, in order for the bone to grow into the mesh and attach naturally to the prosthesis.
The prosthesis (artificial hip) is comprised of the following two components:
- metal stem component
- metal or ceramic ball component
- metal or plastic (backed with metal) socket component
A traditional hip replacement involves an incision (cut) about 10 to 12 inches long over the hip joint. Newer approaches are being developed that use one or two smaller incisions to perform the procedure, called minimal incision hip replacement or minimally invasive hip replacement. However, the minimally invasive procedure is not suited for all candidates for hip replacement. The physician will determine the best procedure for a person, based on that individual's situation.
After Surgery/Recovery
Physical Therapy is a critical part of complete recovery. Our doctors recommend DMC's Rehabilitation Institute of Michigan, with 30 convenient locations across southeastern Michigan. To find one near you, click here.