Hip Surgery Innovation for Painful Hip Arthritis | El Camino Hospital

Hip Surgery Innovation for Painful Hip Arthritis | El Camino Hospital


>>When you have hip arthritis,
you have a degeneration of the joint surfaces,
the cartilages lost or severely damaged, and
you have pain emanating from the joint. So, we have to find a way
of replacing the joint. There has been continuous
research done to improve the wearing
surfaces, the material so that the implants don’t
wear out and last longer. And again, the success rate
in providing or creating such materials has resulted
in 93 to 95% survival rates over 20 years, which
is excellent. In order to get less wear,
materials have to be harder and have less abrasion, meaning
the material has to be very hard and very solid, not
produce any friction. So, next to the traditional
metal and plastic liners and the plastic is
called polyethylene, there have been implants
made out of metal and metal, and ceramic and ceramic. Each of these materials has its
advantages and its disadvantages and it’s sort of, you sort
of have to have a discussion with your surgeon on what
material he likes to use and recommends in
your particular case. It also depends on your
age, your level of activity, sometimes even your
gender, or your anatomy, but there are different options
and they’re all getting better and better in their role,
you know, having very, very good long term results. In people who have
no osteoporosis but have hip arthritis, there is
an option that’s been around for about ten years here in U.S. and
it’s called the hip resurfacing and the advantage is that you
really maintain your anatomy. You don’t change the anatomy,
you don’t cut the neck off, and you just put a cap
on the hip itself– I mean, on the femur itself. And the main difference
is that it allows you to maintain your
level of activity. You can essentially
run marathons or be physically extremely
active with the hip resurfacing that you usually not able to do if you have a total
hip replacement. You’ve got to have sort of
somebody who really makes sure that they have an honest
conversation with you and give you the option, explain
to you what to expect and what to watch out for, and make sure that doing the replacement
is the right thing for you.

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