orthoworks - Procedures by Constant Busch

Hip Surgery

Arthritis is a degenerative condition of joints which results in damage to the articular cartilage. Large joints such as the knee and hip joints are often affected.

Primary osteoarthritis (arthritis without a cause) of the hip is actually very rare. Most patients with osteoarthritis have an underlying cause.

There are a variety of non-operative treatments that can relieve your symptoms of hip arthritis.

It is good to keep as active as possible however you may be required to limit certain activities that excercebate the pain.

Some patients are overweight and some weight loss is very helpful in relieving symptoms.

Arthritis often causes cyclical discomfort due to inflammation of the synovial lining of the joint. Regular painkillers may be helpful during that period of worsening of symptoms.

Minimally Invassive Hip Surgery

Inevitably, soft tissue disruption occurs when a total joint replacement is performed. The premise of minimally invasive surgery (MIS) is to minimise this soft tissue disruption both with the skin incision and the dissection of the deeper tissues.

Total Hip Replacement

In the majority of patients the best indication for proceeding to replacement surgery is when the symptoms fail to respond to conservative management and the patient is no longer willing to tolerate the symptoms associated with arthritis.

Stemmed Birmingham Hip Replacement

A modular BHR consists of the same socket and femoral head as a hip resurfacing.

The main difference is that the femoral head is placed on a femoral stem just like a total hip replacement.

Hip Resurfacing

Good quality bone stock in the femoral head is required to hold the resurfacing component. Patients with osteoporosis are not ideal candidates for hip resurfacing.

Resurfacing is contraindicated in woman of childbearing age and people with very poor kidney function.

Hip Preserving Surgery

Hip preserving surgery is any procedure, other than joint replacement, which addresses the symptoms that the patient has as a result of an abnormal hip joint.

The most commonly hip preserving surgeries are osteotomies around the hip joint such as peri-acetabular osteotomy and or proximal femoral osteotomy (bony procedures to realign either the socket or femur bone), open hip debridement and hip arthroscopy.

Revision Total Hip Replacement

Unfortunately not all hip replacements last forever. Very few hip replacements run into early problems. Most replacements wear out at a later date, requiring a revision of the hip replacement.

Revision surgery is more complicated than a primary hip replacement and the nature of surgery required is different in every case.