Hip

Why are there so many types of hip implants out there?

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Hip replacement surgery is becoming increasingly common. While at one time, it may have been thought that one replacement is as good as the next, surgeons and researchers have learned that there is no one-size-fits all hip replacement.

Surgeons make the decision of what type of implant to use based on a few different factors:

- how big is the person having the surgery
- how much of the hip is being replaced (partial versus total)
- in what condition is the patient's bone




I read in the news the other day about a hip replacement recall because there was something wrong with the device. How can they do this and how can they know who has that type of hip?

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Artificial hips, like most other man-made objects, may fail from time to time. It's unfortunate, but it does happen. They may fail due to a design flaw, a problem in manufacturing, or even surgical error. When this happens, it's important that the manufacturer knows because news has to be sent out to the orthopedic surgeons who use the devices and the hospitals and clinics who order them.




Charnley Total Hip Arthroplasty Has Good Long-Term Record

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The Charnley hip replacement has been around since the 1960s, when it was pioneered as a low-friction hip replacement. Hip replacements (arthroplasties) are, in general, one of the most carefully watched and followed surgeries in the United States, including the Charnley replacement. The authors of this article wanted to update the results of hip replacement recipients 35 years or more after they received their replacement.




My doctor diagnosed me with a chronic tendon problem in the groin. After months of monkeying around with stretching and strengthening exercises, I finally had a steroid injection. It worked great -- for about two months. Now the pain is back again. Should I have a second injection? There were a lot of warnings about too much steroid and how it could cause its own tendon damage.

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Studies on the use of steroid injections for groin tendon problems are not plentiful. Research shows that one to three steroid injections of soft tissues for acute and/or chronic inflammatory pain can be beneficial. More than that and the risk outweighs the benefit because steroids are known to break down collagen fibers that make up tendons and muscles.




I've been training for a triathlon for three months now. All of a sudden, I've pulled up lame with groin pain. Can I safely work through the pain? If I keep training, how do I modify my workouts?

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There are different problems that can cause groin pain. Before making a decision about your training regimen, see a sports medicine specialist for an examination and diagnosis. If you have a simple tendon strain, the treatment approach is very different from a sports hernia or stress reaction (fracture).




Testing and Treating the Athlete with Groin Pain

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Competitive and recreational sports athletes can develop painful groin symptoms from a pulled muscle. The condition is called adductor enthesis. Adductor refers to the group of four leg muscles that attach to the pubic bone in the pelvic/groin area. Enthesis is the place where the tendon meets the bone. Usually this spot is a mixture of fibrous and cartilage soft tissue.




Help, please! Dad is in the hospital for a hip fracture. They've pinned it and started him on physical therapy. The doctor and therapist insist he has to get up and walk on that leg. Dad says he needs a couple of days to rest and recouperate before getting up. What can we tell him to convince him to go along with this approach?

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Immediate weight-bearing after surgery for hip fracture has been proven safe and effective in several studies. But as a general protocol, the medical practice of getting people up and walking again right away has not been adopted universally.




Dad fell over the weekend and was hospitalized with a broken hip. It's been 48-hours and he still hasn't had surgery. They say he has to have more tests done before they can operate. Is this normal?

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Preoperative testing is not uncommon before surgery -- especially for older adults who are at risk for complications from surgery. The surgeon wants to do everything possible to reduce those risks and assure the best results possible.




I am a designated prevention specialist in a small hospital setting. We see our fair share of broken bones and other emergencies involving senior citizens. We are focusing this month on hip fractures. I'm looking for any information about what other hospitals do to reduce complications after hip fracture repairs.

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Older adults with hip fractures often have an underlying diagnosis of osteoporosis (brittle bones). As you have indicated, we know that complications associated with hip fractures in this age group are common -- and can be deadly.





*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.
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