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