| Birmingham Hip Resurfacing technology, is a | | | | competitive Judo and Squash after surgery. |
| much advanced technical procedure than | | | | |
| conventional total hip replacement. As a | | | | Overall 99% success rate - ideal option for |
| novel procedure, it demands an experienced | | | | the younger or more active patient. |
| surgeon who can thoroughly understand the | | | | |
| responsibility of performing hip Arthroplasty | | | | No dislocation in more than 2000 BHR |
| on young active patients. | | | | procedures done in Birmingham. |
| | | | |
| Conventional total hip replacements usually | | | | Many adolescent patients have had the |
| consist of a stemmed femoral component that | | | | procedure with excellent results. Procedure |
| is fixed into the femoral canal using cement | | | | can be done soon after skeletal maturity. |
| articulating with a polyethylene cup cemented | | | | |
| into the pelvis. There are several | | | | Restores normal anatomy. |
| conventional total hip replacement systems | | | | |
| that have been proven to work well in elderly | | | | Low frictional torque and fluid film |
| inactive patients. In Hip replacement surgery | | | | lubrication demonstrated in this metal on |
| thigh bone is generally removed which leads | | | | metal articulation. |
| to the loss of large quantity of normal bone. | | | | |
| All these reduce the bone stock and make any | | | | Dr. Kaushal Malhan, Consultant Orthopaedic |
| future revision procedures difficult. They | | | | Surgeon, at Wockhardt Bone & Joint Hospital |
| work less well in the younger patients with | | | | does Birmingham Hip Resurfacing Surgeries. He |
| poorer survival. They do not allow full | | | | has spent a number of years in the U.K. where |
| unrestricted activity and can dislocate. | | | | he got trained and routinely performed this |
| | | | technique. He specializes in shoulder, knee |
| Unlike Traditional hip replacement surgery | | | | and hip problems (Sports surgery and Joint |
| the amount of bone removed is much smaller. | | | | replacement). |
| During the surgery the joint is removed and | | | | |
| resurfaced with a round femoral cup and metal | | | | Last year, the well-built, tough-looking |
| acetabular socket. There is no risk of limb | | | | Anant Chalke, almost broke down like a child |
| length changes at operation. Rehabilitation | | | | due to a crushing pain in his left hip. |
| is much faster. The joint is then lubricated | | | | Chalke, a national power lifter and |
| by the hip?s natural fluid. In BHR, | | | | professional coach at a Mumbai gymnasium, |
| preservation of bone stock at the time of | | | | tried various therapies for six long months |
| operation and less stress shielding makes it | | | | before he was wheel-chaired toWockhardt Bone |
| easy to revise the surgery, if needed. This | | | | and Joint Hospital at Mulund, Mumbai. |
| procedure helps in sacrificing only the | | | | |
| diseased bone and acetabular socket preserves | | | | Dr. Kaushal Malhan, joint replacement, hip |
| normal bone. | | | | resurfacing and sports surgeon at Wockhardt, |
| | | | explained to Chalke the advantages of modern |
| The advantages of BHR over the conventional | | | | hip resurfacing surgery compared to the |
| hip replacement surgery are: | | | | conventional hip replacement surgery. It did |
| | | | not take long for Dr. Malhan to persuade |
| Removes only unhealthy bone and replaces it | | | | Chalke to opt for the new technology. Old |
| with a metal on metal articulation. | | | | style hip replacement involves removal of a |
| | | | large part of the healthy bone and fixing a |
| It preserves the normal bone of the hip ? | | | | long metal piece into the thighbone. |
| patients can squat, sit cross-legged, use | | | | |
| Indian toilet without the risk of | | | | After the surgery, the patient's movement is |
| dislocation. | | | | highly restricted. He cannot squat or sit on |
| | | | the floor without risking dislocating his new |
| Everlasting - based on 35 year history in | | | | hip.Worse, the surgery alters the length of |
| Birmingham of metal on metal implants. | | | | the leg. Returning to an active life is risky |
| | | | after such conventional surgery. Why change |
| Excellent restoration of full function. | | | | everything when only the surface is bad? This |
| | | | is the logic of hip resurfacing. The bone |
| Femoral head remains viable after BHR | | | | conserving hip resurfacing involves replacing |
| surgery. It does not sacrifice normal bone | | | | only the diseased bone. Chalke, hale and |
| during primary surgery. | | | | hearty after undergoing hip resurfacing |
| | | | surgery, is now busy planning to set up his |
| Activity restriction not required after | | | | own gym in Thane. He is back in action with |
| surgery, as there is hardly any risk of | | | | his favourite sport, weightlifting. Wockhardt |
| dislocation. | | | | was the first hospital in Mumbai to carry out |
| | | | hip resurfacing technique and has performed |
| Patient can indulge in full sporting | | | | the highest number of hip resurfacings in the |
| activities without risk of dislocation. | | | | city. |
| Patients have gone back to sports like | | | | |