A recent trend in hip replacement surgery has been to perform the surgical procedure through smaller, less-invasive approaches. The idea of this trend is to perform the same procedure with less disruption to the surrounding muscles and soft-tissues. By performing surgery through smaller incisions, with less soft-tissue dissection, it is hoped that patients will have less pain and a faster recovery.
“I tell patients, 20% of the outcome is the technical stuff I do in the surgery, and 80% is them,” said Hillock, the Las Vegas surgeon. “I can do a perfect surgery, but if they don’t do the rehab they’re not going to have a good outcome.”
We’re becoming a nation of bum knees, worn-out hips and sore shoulders, and it’s not just the Medicare set. Baby boomer bones and joints also are taking a pounding, spawning a boom in operations to fix them.
Knee replacement surgeries have doubled over the last decade and more than tripled in the 45-to-64 age group, new research shows. Hips are trending that way, too.
And here’s a surprise: It’s not all due to obesity. Ironically, trying to stay fit and avoid extra pounds is taking a toll on a generation that expects bad joints can be swapped out like old tires on a car.
“Boomeritis” or “fix-me-itis” is what Dr. Nicholas DiNubile, a suburban Philadelphia surgeon, calls it.
“It’s this mindset of `fix me at any cost, turn back the clock,'” said DiNubile, an adviser to several pro athletic groups and a spokesman for the American Academy of Orthopaedic Surgeons. “The boomers are the first generation trying to stay active in droves on an aging frame” …
“About 90% of standard bearing materials last 20 years or longer and 80% last 30 years or longer,” says Dr. Mayman. “Ceramic and metal-on-metal implant wear rates are lower so they could last even longer. In fact, there is no reason to think they will fail ever,” he says. “If we have an honest open conversation with younger patients and they know they may need a revision in the future, it is reasonable to do joint replacement.”
A novel surgery using transplanted bone and cartilage may help young patients avoid a hip replacement after a specific traumatic injury to the hip joint, according to a case study by orthopedic trauma specialists at Hospital for Special Surgery in New York. The study appears in the February issue of the Journal of Orthopaedic Trauma.
“This novel technique can help young patients to delay, or even possibly avoid altogether, the need for a total hip replacement,” said David L. Helfet, M.D., director of the Orthopedic Trauma Service at Hospital for Special Surgery. Hip replacements typically last 20 to 25 years, so a younger person who undergoes a hip replacement is likely to need multiple hip replacement surgeries/revisions in the span of his or her lifetime. Only one similar case report was found in the literature at the time of preparation of the present manuscript. This case was also a success, and doctors say the studies provide encouragement to clinicians that this type of surgery can be of benefit to other patients with similar injuries.
The young adult hip service at Barnes-Jewish Hospital and Washington University is a unique, comprehensive hip program for patients age 18 to 55. Washington University orthopedic specialists offer expert diagnosis and innovative treatments that get younger patients back to a healthy, active lifestyle.
The goals of the young adult hip service are to:
Accurately diagnose hip disorders
Present all available treatment options, including nonsurgical and surgical hip procedures
Provide the highest level of care to patients with hip conditions
Improve patients’ overall health and activity levels by repairing hip problems and reducing pain
Two large, new studies being presented this week at the annual meeting of the American Academy of Orthopaedic Surgeons (AAOS), in New Orleans, are offering new information on the best hip replacement options for younger patients with worn-out hips.
Total hip replacements have been performed on older patients for long enough now that doctors say the results are usually predictable, but less is known about the best ways to replace hip joints in patients who are younger, a group that is increasingly driving demand for these procedures.
In fact, one 2009 study projected that people younger than age 65 could account for more than half of all hip replacement patients as early as next year.
The leading hip makers behind J&J are Zimmer and Stryker, according to a BMO Capital Markets report in February that said the worldwide hip replacement market would grow 3.2% this year from $5.28 billion in 2010.
WASHINGTON, DC (WLBT) – The FDA is asking for more studies to be done on some types of artificial hips.
The order asks all producers of metal on metal hips to collect more follow up data on patients who received the device. The use of metal implants has declined over the past two years, because they haven’t worked in a large percentage of patients and some patients have developed serious health problems.
Manufacturers are expected to take blood samples from patients to determine the levels of metallic ion in their systems and calculate how often the devices are failing.