Patient Guide to Metal-on-Metal Total Hip Replacements – Massachusetts General Hospital, Boston, MA

A Guide for Patients with Metal-on-Metal Total Hip Replacements

The Mass General Center for Metal-on-Metal Total Hip Replacement provides state-of-the-art comprehensive care to patients with metal-on-metal total joint replacements and conducts cutting-edge research. Our physicians and researchers have transformed basic discoveries into clinical practice and provide critical evaluation for and specific advice for metal-on-metal implants.

Because some patients with Metal-on-Metal (MoM) hip replacements develop unexplained pain, and because a few develop abnormal tissue reactions to the wear of the implants and require a reoperation, we established a Center that patients could rely on for comprehensive clinical evaluation.

In the majority of cases, conventional pre-operative tests (plain radiographs and standard blood tests) do not reveal any abnormality. Thus, the ordinary follow up evaluation may be of limited value. The mission of Mass General Center for Metal-on-Metal Total Hip Replacement is to provide excellence in clinical care to MoM patients by integrating various specialized tests (analysis of blood samples for metal ions, and imaging studies) in order to establish if an adverse reaction to MoM THR implants is present and to formulate the best way to treat these problems.

via Patient Guide to Metal-on-Metal Total Hip Replacements – Massachusetts General Hospital, Boston, MA.

Hip Replacement Recovery: What to Expect, Timelines, Outcomes


   Any surgery brings its worries but hip operations are routine and the techniques are well tested. Around 300,000 operations were performed last year in the US, alone. There is a very low rate of complications and hip replacement recovery is usually very good. For many people, a return to simple activities like walking a dog without pain are the gift of a lifetime.

via Hip Replacement Recovery: What to Expect, Timelines, Outcomes.

New HIP Social Network!

Join our HIP Social Network (like Facebook) for HIPSTERS!

Click here!

In addition to this blog, this is our new  social network to connect with other Hipsters worldwide!

Healing Gardens for Hip Replacement Recovery

   Every condition or disease has its challenges, and understanding these challenges is necessary to the planning process. Designing a space to facilitate recovery from a hip replacement would require a very different approach than designing a space for child with ASD, or a parent with Alzheimer’s disease.

There is much to learn from the Client’s clinical team: physician, care providers, specialists, etc., each of whom has very specific and personal knowledge about the individual and the level of their disability. In addition, many conditions and diseases have societies and support groups associated with them, so there is often a wealth of information available t

via Healing Gardens Part II.

The debt-ceiling & TSA: Patting down America for every last nickel and dime

WASHINGTON, July 17, 2011With talks of debt-ceilings and America defaulting, it is easy for the average American to determine where dollars in the budget could be saved. Let’s start with the TSA.

Donald Rumsfeld may have smiled through his TSA pat down in Chicago last week, but my friend Barb is not smiling about her recent TSA encounters. Like Rumsfeld, Barb is sporting a metal joint or two, which is not uncommon.

via The debt-ceiling & TSA: Patting down America for every last nickel and dime | Washington Times Communities.

History of Hip Replacements


The earliest recorded attempts at hip replacement (Gluck T, 1891), which were carried out in Germany, used ivory to replace the femoral head (the ball on the femur).1

In 1940 at Johns Hopkins hospital, Dr. Austin T. Moore (1899–1963), an American surgeon, reported and performed the first metallic hip replacement surgery. The original prosthesis he designed was a proximal femoral replacement, with a large fixed head, made of the Cobalt-Chrome alloy Vitallium. It was about a foot in length and it bolted to the resected end of the femoral shaft (hemiarthroplasty). This was unlike later (and current) hip replacement prostheses which are inserted within the medullary canal of the femur. A later version of Dr. Moore’s prosthesis, the so-called Austin Moore, introduced in 1952 is still in use today.

In 1960 a Burmese orthopaedic surgeon, Dr. San Baw (29 June 1922 – 7 December 1984), pioneered the use of ivory hip prostheses to replace ununited fractures of the neck of femur when he first used an ivory prosthesis to replace the fractured hip bone of an 83 year old Burmese Buddhist nun, Daw Punya.2 This was done while Dr. San Baw was the chief of orthopaedic surgery at Mandalay General Hospital in Mandalay, Burma. Dr. San Baw used over 300 ivory hip replacements from the 1960s to 1980s. He presented a paper entitled “Ivory hip replacements for ununited fractures of the neck of femur” at the conference of the British Orthopaedic Association held in London in September 1969. An 88% success rate was discerned in that Dr. San Baw’s patients ranging from the ages of 24 to 87 were able to walk, squat, ride a bicycle and play football a few weeks after their fractured hip bones were replaced with ivory prostheses. Ivory may have been used because it was cheaper than metal at that time in Burma and also was thought to have good biomechanical properties including biological bonding of ivory with the human tissues nearby. An extract from Dr San Baw’s paper, which he presented at the British Orthopaedic Association’s Conference in 1969, is published in Journal of Bone and Joint Surgery (British edition), February 1970. With modern hip replacement surgery, one can expect to walk immediately post-op.

Boomers: It’s not your Grandma’s hip replacement surgery

“Hip replacements were once reserved for the elderly, so younger adults with hips damaged by arthritis or past injury were told to wait to undergo replacement surgery until they were very old,” he says. “Baby boomers today, however, have higher expectations, and don’t want to let a damaged hip slow them down. They want to get back on the ski slopes, back on the jogging track and back to an active life.”

via Boomers: It’s not your Grandma’s hip replacement surgery.

Tips For Home After Hip Replacement Surgery

   It’s very important that you follow your surgeon’s instructions. Additionally, here are some suggestions that may make life a little easier at home. Please discuss these with your surgeon before you are discharged from the hospital:

Remember that you’ll probably tire more easily than usual. You may want to plan a rest period of 30 to 60 minutes midmorning and mid-afternoon.

It’s safer and easier to get in and out of chairs using both arms, and you should avoid low or overstuffed furniture. To increase your comfort, use a cushion or pillow to raise your body while seated.       MORE….

via Tips For Home After Hip Replacement Surgery.

Anterior Approach Hip Replacement Surgery | Minimally Invasive Anterior Hip Replacement

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.

via Anterior Approach Hip Replacement Surgery | Minimally Invasive Anterior Hip Replacement.