Delta motion ceramic hip replacement Chennai, India

Do you suffer from hip arthritis in young age? Delta motion ceramic hip replacement is the answer for you. Get this done and lead a pain free life.  This is a very durable material for hip replacement. It is very hard and resistant to breaking. Its wear resistance enables it to last forever in the human body. Delta motion ceramic hip replacement is recommended in young patients with hip arthritis. It  has no side effects unlike  metal on metal hips. Listen to a patient example here http://youtu.be/-sHz1du5po8. Hip replacement is required in the following conditions. 

Delta motion ceramic hip replacement Chennai

Delta motion ceramic hip replacement

 

  1. Avascular necrosis.
  2. Acetabular fracture.
  3. Ankylosing spondylitis.
  4. DDH.
  5. Protrusio acetabuli
  6. Rheumatoid arthritis
  7. Primary osteo-arthritis
  8. Secondary osteo-arthritis
  9. Septic arthritis
  10. Perthes disease
  11. Slipped upper femoral epiphsis

See this video testimonial of delta motion ceramic hip replacement by an African patient.

You can get more information about hip replacement options in www.hipsurgery.in.
E mail drvenkat@kneeindia.com to receive a quote.

Total hip Replacement in Young patients

More & more young & active patients world wide are in need of hip replacement surgery. In such cases, it is imperative to pay special attention to the technique to ensure a successful outcome & longevity of the operation.

Traditionally a total hip replacement was performed in the older age group.

Young patients with hip pain either had to endure pain or subject themselves to a total hip replacement with its inherent disadvantages of dislocation and life span of 10 to 15 years.

Now, recent advances in bio- materials and techniques have made it possible for young patients to get a satisfactory & successful outcome after a hip arthroplasty.

Definition of a young patient– The deciding factor is not necessarily the patient’s age, but their activity level. Even many older patients like to play Tennis, Golf or participate in physical activity. This applies also to anyone who can be expected to live for a long time, is biologically (not chronologically) young and has good bone quality. Today even septuagenarians meet these pre requisites. Surgeons have to re think their conventional strategy of putting in a total hip with a metal on poly bearing. Resurfacing also poses several un answered questions and cannot be considered as a panacea.

Causes leading to hip pain in young patients-

Avascular necrosis is the leading cause leading to hip arthritis followed by developmental dysplasia of the hip. Perthes disease, slipped upper femoral epiphyses, sickle cell disease and post traumatic arthritis are other causes leading to the common outcome of secondary osteo-arthritis. In middle and older Caucasian patients, Primary osteoarthritis is the commonest cause of hip pain.

Limitations of hip resurfacing

Off late, hip resurfacing has been vigorously promoted on the internet as a possible & preferred treatment. However there are some inherent un answered problems with hip resurfacing. Elevated metal ion levels, metal allergy, metallosis are some of the side effects of metal on metal hip resurfacing. The long term impact of raised metal ion levels is unknown. Females in all age groups are high risk candidates because of the risk of fertility curbs in young & femoral neck fracture in the older. However the attraction of a hip resurfacing drives many females to ignore these risks and choose a hip resurfacing.

Dr.Venkatchalam of www.hipsurgery.in discusses an alternate bone sparing safe approach in young & active patients. These approaches combine the advantages of a hip resurfacing and total hip replacement.

Why do you prefer the short stem?

The various short stem prostheses like the Proxima hip & METHA combine

Proxima hip prosthesis

Proxima hip prosthesis

the advantages of resurfacing & THR.

On the acetabular side a full range of options is available to the surgeon.

The force transfer in the femur is more proximal and more biological. Lack of a distal stem component eliminates the incidence of thigh pain. In addition these implants open up the vast range of bio materials available.

All biomaterial combinations like metal on metal, metal on poly, ceramic on poly, ceramic on ceramic are possible. These promise excellent

METHA hip

METHA hip

longevity. If a revision becomes necessary, then one can switch to a standard stem. Some of these models like the METHA hip make it possible for the surgeon to tailor the implant to the individual’s anatomy.

What other innovations can you use to ensure a proper implant positioning?

Navigation allows the surgeon to place the implant in the optimal position.

What are the special considerations in Asian patients?

Dysplasia and osteo necrosis constitute the most common indications for total hip replacement in India & Asia. Primary osteo-arthritis is rare.

Moreover these patients are younger and more active. Their social and religious habits such as sitting with crossed legs dictate to the surgeon that he must use a prosthesis which provides a large range of movement. Risk of dislocation has to be reduced. Anatomic differences also exist. All these variables require a special implant concept and very wear resistant materials with a large diameter.

To summarize, treatment of hip arthritis in the young poses a challenge to surgeons and scientists. Hip resurfacing while offering a possible solution has some draw backs. Short stem prostheses with newer bio materials promise to overcome these deficiencies and offer a long lasting surgical outcome.

Contact us- drvenkat@kneeindia.com

akvenkat15@hotmail.com

Avascular necrosis treatment India

Young patients are affected. Some of the causes leading to osteonecrosis are steroid intake, alcoholism, connective tissue disorders like SLE, Sickle cell disease, hypertension, decompression sickness, thrombosis, In a large number of individuals the cause is unknown or Idiopathic. Young and middle aged patients are affected. Involvement of both hips is fairly common.

Hip AVN

Avascular necrosis treatment India

Hip showing advanced changes of avascular necrosis

Diagnosis- It takes a long time for the bony changes to be visible on plain x rays.

MRI scans and nuclear bone scans reveal the diagnosis early on when the condition is suspected. Both hips need to be imaged simultaneously. CT scans help to identify the extent of the bony involvement.

Treatment

The treatment depends on the stage of the disease. Most often conservative or non operative measures fail. Surgical treatment ranges from core drilling to total hip replacements. In the early stages core drilling can lead to a positive result in a good proportion of cases.

When this has failed, or the stage is more advanced, hip resurfacing is advised. However the surgeon should do so after a diligent assessment of the extent of disease. Hip resurfacing can be done when the extent of the femoral head involvement is less than 30 percent.  Presence of cysts,  small size of the head are not the right indication for a hip resurfacing. A short stem hip replacement is a better choice. It is most suited for young patients as it sacrifices very little bone from the top of the femur.

Hip resurfacing operation

Hip resurfacing operation

The presence of cysts makes hip resurfacing more difficult to perform with confidence. In these cases there are two options. The Short stem hip replacement is one option.

Avascular necrosis treatment India

Short stem hip replacement

where the bone is amputated at the base of the head.  Then a short stem is impacted into the top portion or Proximal part of the neck and metaphysis of the femur. This has a large ball made of Delta ceramic of nearly the same diameter as the natural femoral head. The socket is  lined with a ceramic cup.

The other option is the Mid head resection Birmingham hip or BMHR.

Birmingham Mid head resection prosthesis

Birmingham Mid head resection prosthesis

This operation involves amputating almost the entire head of the femur containing the cysts, impacting a conical stem into the neck portion of the femur and attaching a Birmingham hip like prosthesis. The cup also gets a metal liner

Ceramic hip replacement

To get a stem cell treatment or short stem hip replacement visit http://www.hipsurgery.in for more information. If you suffer from this disease and want these procedures, e mail drvenkat@kneeindia.com