Hip Replacement

Hip Recalls

As I’m sure many of you are aware, there have been a number of recalls of hip replacements, recently. The Zimmer Durom cup and the Stryker Trident ceramic system have both come under suspicion of causing problems. A number of my patients have been calling with concern about the hips that they have in place or are getting. I’ve been very fortunate in that I’ve never used either of these components. While it’s impossible to predict the future, I try very hard to use proven technology that has a long track record. Patients depend on us, as surgeons, to pick an implant that works the best for them, but will also last a long time. I take this issue very seriously and my philosophy is always to use the best implant available at any given time. I am always open to discussion about the actual parts being used. If something is going to be part of a patient’s body, they should be very well informed about it beforehand.
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Tapered Titanium Stems

We've been using tapered titanium stems for total hip replacements for many years now. They fit into the thigh bone and require no cement. The bone grows into the roughened surface plasma sprayed onto the titanium to make the new part literally part of the natural bone. I recently wrote a short monograph, along with some other well know physicians, that was published in one of the orthopaedic trade journals. If you would like some more information, here is the link. My article is on pages 7-8.
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Anterior Hip Replacement

Our anterior hip project continues to progress well. We are able to perform the hip replacement without using special tables or x-ray machines, which makes it quicker and easier to set up. There is also less uncertainty about the placement of the components when I can see them directly. Patients appear to have little to no pain, although, I'll have to collect more data to know for sure. Certainly, they are recovering their function and ability to walk very rapidly.
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