Author Archives: Jodi Seidler

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About Jodi Seidler

Patient Advocate and Health Consultant, Helping patients discover freedom from pain, and promote healthy aging with PEMF Therapy Devices.

Hip Replacement Devices are All the Same, Study Says | ThirdAge

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  Hip replacement implants all work the same regardless of the material used, according to a new study.

The newer, metal-on-metal implants appear to be no more effective than older implants and may sometimes even be more problematic, the researchers said, according to HealthDay News.

“Metal-on-metal and ceramic-on-ceramic hip implants might not be associated with any advantage, compared with traditional bearings such as metal-on-polyethylene or ceramic-on-polyethylene,” lead researcher Dr. Art Sedrakyan, director of the Patient-Centered Comparative Effectiveness Program at Weill Cornell Medical College in New York City, told HealthDay.

While there is some evidence from three large national registries that higher rates of replacement surgery are associated with metal-on-metal implants, compared with metal-on-polyethylene implants, there is simply not enough information about these implants to determine if one type is better or safer than the other, Sedrakyan continued. Even for newer implants such as metal-on-metal or ceramic-on-ceramic bearings, their advantage over traditional implants is not clear, he told HealthDay.

via Hip Replacement Devices are All the Same, Study Says | ThirdAge.

Gratitude!

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Jodi Seidler
The Mother of Re-Invention

Creator of:

Makinglemonade.com
Hipsterclub.com
Singleparentsource.com
2hiproductions.com

Thailand Healthcare: Medical tourism in Bangkok and Phuket

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Don’t be surprised if your need for a hip replacement or prostrate surgery lands you on a plane to Thailand. The global economic downturn has meant that everyone is searching for the best deals, not only in real estate but also on cars, holidays and medical fees. Governments and health care insurers are feeling the pinch and are consistently looking overseas for more cost effective treatments.

Thailand is emerging as a leader in this field

The growth in medical tourism in Thailand has been phenomenal over the past few years. The Kingdom emerged as the largest health and wellness destination globally by welcoming over 1.5 million medical tourists in 2009. And a report published by Marketsmonitor.com (Asian Medical Tourism Analysis 2008-2012) shows that revenue from the medical tourism industry is growing at a double digit rate. Already thousands of private individuals and insurance companies are opting to have treatment in Thailand.

Hip replacement | Ask.com Encyclopedia

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Hip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant. Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. Such joint replacement orthopaedic surgery generally is conducted to relieve arthritis pain or fix severe physical joint damage as part of hip fracture treatment. A total hip replacement (total hip arthroplasty) consists of replacing both the acetabulum and the femoral head while hemiarthroplasty generally only replaces the femoral head. Hip replacement is currently the most common orthopaedic operation, though patient satisfaction short and long term varies widely.

via Hip replacement | Ask.com Encyclopedia.

William B Kurtz | Hip Replacement

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Avoiding the hip dislocation during a hip replacement surgery is accomplished by preparing the femoral bone first. In situ femoral preparation refers to reaming, broaching and implanting the femoral component without cutting the femoral neck and without dislocating the hip joint. Since the femoral head remains in the socket, the hip joint helps stabilize the leg during the femoral preparation. Because the femoral neck remains intact during the femoral preparation, the femur is stronger and less likely to fracture.

Interestingly, every orthopedic surgeon has at one time or another implanted a femoral IM nail into the femoral shaft without cutting the femoral neck or dislocating the hip joint. This in-situ femoral preparation just utilizes the same skill set every orthopedic surgeon already has for trauma cases (broken bones) and applies it to joint replacement cases.

The SuperPATH approach is a combination of the Superior approach championed by Stephen Murphy in Boston and the PATH approach (percutaneous assisted total hip) championed by Brad Penenberg in Los Angeles. I did my joint replacement fellowship with Dr. Murphy and became very comfortable with this technique. Dr. Murphy has multiple publications on the supercap topic.

via William B Kurtz | Hip Replacement.

Single Drug Dose Prevents Migration of Hip Replacement – Zoledronic acid helps improve fixation of a cementless implant – ModernMedicine

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  A single dose of zoledronic acid helps prevent migration of a total hip replacement, according to a report in the February issue of the Journal of Bone & Joint Surgery.

Gerald Friedl, M.D., and colleagues from the Medical University of Graz in Austria randomly assigned 50 patients who had undergone cementless total hip arthroplasty with osteonecrosis of the femoral head to a single infusion of 4 mg of zoledronic acid or a saline solution.

During a median follow-up of 2.8 years, the researchers found that a single dose of zoledronic acid minimized migration of the acetabular component (the cups) in both the transverse and vertical directions but did not significantly reduce subsidence of the stem. Although both groups had rapid increases in the Harris hip-rating score with time, the increase was more pronounced in the zoledronic acid group, the authors note.

via Single Drug Dose Prevents Migration of Hip Replacement – Zoledronic acid helps improve fixation of a cementless implant – ModernMedicine.

Overseas, Under the Knife – NYTimes.com

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  ONE consequence of the high cost of medical care in the United States has been the rise of medical tourism. Every year, thousands of Americans undergo surgery in other countries because the allure of good care at half the price is too good to pass up.

Average total fees at well-regarded hospitals like Apollo and Wockhardt in India are 60 percent to 90 percent lower than those of the average American hospital, according to a 2007 study by the consulting group Mercer Health and Benefits (where Dr. Milstein is affiliated). Even compared with low-cost American hospitals, the offshore fees are 20 percent to 50 percent lower.

via Op-Ed Contributors – Overseas, Under the Knife – NYTimes.com.

Personal Health – Less-Invasive Hip Surgery That Speeds Recovery – NYTimes.com

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Hip replacement is one of the most successful operations in all of medicine, which prompts many orthopedic surgeons to think, as one leader in the field put it, “Why change something that doesn’t need fixing?”

But that leader, Dr. Robert Berghoff; his colleagues at Arizona Orthopedic Associates in Phoenix; and other orthopedic surgeons around the country believed that improvements were possible, especially with regard to reducing complications and speeding recovery.

The technique these surgeons use is called anterior hip replacement, one of several minimally invasive operations that are associated with a shorter hospital stay, smaller incision, less trauma to muscles, less pain and blood loss, reduced risk of dislocation after surgery, faster healing and a quicker return to normal activities.

via Personal Health – Less-Invasive Hip Surgery That Speeds Recovery – NYTimes.com.