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Procedures

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THR

Total hip replacements (THR) are most commonly performed for the treatment of progressively severe arthritis in the hip joint. Degenerative osteoarthritis has been known to be the commonest type of arthritis requiring THR.  Osteoarthritis occurs due to various reasons such as 

  • Ageing.
  • Congenital abnormality of the hip joint.
  • Prior trauma to the hip joint.

Other conditions leading to total hip replacement include

  • Bony fractures of the hip joint.
  •  Rheumatoid arthritis.
  • Aseptic necrosis (death) of the hip bone.

 THR is generally considered after chronic pain due to arthritis becomes so severe that it impedes normal function despite use of anti inflammatory and/or pain medications. The normal hip joint is a ball and socket joint. The socket is a "cup-shaped" bone of the pelvis called the acetabulum. The ball is the head of the thigh bone (femur).  THR is a surgical procedure involving the replacement of the diseased cartilage and bone of the hip joint with artificial materials.
In THR the diseased ball and socket are surgically removed and replaced with a metal ball and stem inserted into the femur bone and an artificial plastic cup socket. The metallic artificial ball and stem are referred to as the "prosthesis." The prosthesis is either inserted into the central core of the femur with a cement called methylmethacrylate or a "cementless" prosthesis containing microscopic pores that allow bony in growth from the normal femur into the stem of the prosthesis is used. This "cementless" alternative is considered deal for younger patients as it lasts for a longer duration.

BHR

The BIRMINGHAM HIP just resurfaces the joint unlike what is done in a total hip replacement (THR). The worn cartilage and the damaged layer of bone are removed and replaced by a fresh, low-wearing metal surface.

The Procedure:

The socket is prepared by shaving off the damaged cartilage and the first layer of bone. An apt sized replacement socket with a new low-wear metal surface on the inside is pressed into the bone.

The head/ball of the hip is prepared by shaving off the cartilage and first layer of bone. The appropriately sized head is pressed onto the prepared bone. Bone cement is used to fill any gaps and holes in the bone. Because the BIRMINGHAM HIP head fits over the neck of your leg bone in the right position for your hip ball surgeons would not need to spend a lot of time assessing device positions to try and restore your anatomy.

Even if your leg is now short due to arthritis, the BIRMINGHAM HIP head fits where your head is supposed to be, often restoring the leg length that was lost due to the degeneration of cartilage and bone. For patients with more severe anatomic changes, skilled, BIRMINGHAM HIP trained surgeons can sometimes correct anatomic issues. Only a trained surgeon can assess whether you are a potential candidate for this procedure.

Knee Replacement

Knee replacement is a surgical procedure performed on people with severe knee damage. Knee replacement can relieve pain and allow you to be more active. It is recommended when you have been experiencing chronic pain in spite of trying other treatment options and being on medication. In a total knee replacement (TKR), the surgeon removes damaged cartilage and bone from the surface of your knee joint and replaces them with an artificial surface of metal and plastic.
In a partial knee replacement, the surgeon only replaces one part of your knee joint.

Scoliosis

Scoliosis is either congenital (present at birth) or developmental and may be hereditary. The disease causes the spine to curve laterally (to the side) usually in the shape of an "S" or "C". The curve is measured in degrees. Some curves are severe. Adolescent idiopathic scoliosis is the most common type of spinal curvature. It occurs around the onset of puberty in otherwise healthy boys and girls. It is more common in girls. The reasons of these are not known. Physical signs may include uneven shoulders, one hip lower than the other, a rib hump when bent over at the waist and leaning to one side.
Whatever the patient's age, the goal is to stabilize the spine to prevent additional curvature. Some patients with scoliosis are pain free and do not seek treatment until deformity is noticed. Unfortunately, at that point it may be too late to treat the disease. The size of the curve is measured in degrees on an x-ray. The progression of scoliosis is monitored by periodic x-ray studies. When scoliosis is severe it may cause the spine to rotate, which can cause spinal spacing to narrow on the opposite side of the body. While minor deformities may be treated non operatively more severe and progressive ones require surgery 

Disc Replacement  

Degenerative disc disease is a type of back pain that is caused by wearing away of the cushion that rests between the vertebrae of our spine.

The spine is made up of bones stacked together called the vertebrae. These bones are separated by a cushion at each level called a spinal disc. The disc is a tough but flexible tissue that helps maintain the position of the spine but at the same time, also allows for movements between the vertebrae. This anatomical design gives us the stability to stand upright, but also the flexibility to bend and twist. Unfortunately, these discs can wear away with age and cause immense pain. As the disc ages, it becomes more brittle, less flexible and more prone to injury and degradation.

The first treatment option for degenerative disc diseases is always non surgical. Once conservative treatment measures such as anti inflammatory medication, physical therapy etc has failed then spine fusion surgery may be an option.

Spine fusion surgery is performed to replace the damaged disc with new bone growth. When the bone fuses across the disc space it secures the vertebrae on either side together and provides excellent pain relief.