Orthopedic Surgery: Hip Replacement

Orthopedic Surgery: Hip Replacement


(gentle instrumental music) There are different options
for hip replacement. There is a hip resurfacing
which involves just removing the surface of the femoral
head and the acetabulum and replacing that with metal. There is no hard evidence
right now that that is better than a traditional hip replacement, where a metal sim is
placed inside the femur, and a little bit more bone is removed. Obviously there are people
on both sides of the fence, but those are both
options, and both involve a similar sized incision, and really, pain relief is pretty
equal between the two. There are different options as well, for traditional hip replacement, and there is one that has been in the news a lot lately, and that’s
the metal on metal hip. And that just means that
the acetabulum is metal, and the femur is metal, or the ball and socket are both metal. And the reason that’s been
in the news a lot is that we’ve seen that that can
increase the metal ion concentration inside of our bloodstream. One disadvantage of
the metal on metal hip, is that over time, the metals
can wear and you get breakdown of the metal and ions that
concentrate in the bloodstream. So what we’ve found is that
sort of hip replacement is not a good option for some people, especially women of child bearing age. But there are several other
options that are still very good options, and one of those is the metal on plastic hip, and then there is also metal on ceramic. Although there’s been a
lot of media attention on the metal on metal hip, they are also still good
options for hip replacement. There are very important things to do to prevent arthritis within the hip. Eating healthy is a very important thing, for nutrition in the
joint and for weight loss. Weight loss is very important
because two to three times the body weight is transferred
across the hip joint with each step, and that
goes up exponentially with high impact exercises like running. So a weight loss of five
pounds results in 15 pounds of reduced stress across the hip joint. There are a lot of treatment
options for people with hip arthritis that don’t involve surgery. I always like to begin with
physical therapy to increase range of motion and
function across the hip. I think if we can keep the muscles strong, that reduces a lot of the
stress across the joint. We also use anti-inflammatories
to reduce the hip pain and inflammation within the hip
that results from arthritis. Another option for patients
who have arthritis in the hip, before we talk about
surgery, be it arthroscopy or arthroplasty, is to have
an interarticular injection. And we do that under a live x-ray, we’re actually able to insert
the needle into the hip joint, and we inject a little dye
at that point to make sure we’re in the joint, and
then we inject a steroid with some local anesthetic
that gives the patient relief from their hip pain, and from the inflammation
that’s occurring. For people considering hip replacement, I guess I would tell them that yes, it’s a big surgery that has risks, but when you’re to that point where each step hurts, I can tell you that I’ve
had so many patients who have thanked me for a new life, because they are now able
to walk without pain. And I’ve had several young
patients, even recently, who had terrible bone on bone arthritis, and thought that they
would never get relief, or have a normal life again. And one gentleman recently
came in and was walking several miles a day, just
six weeks after surgery, and doing great and ready
to go back to fly fishing, and those are the kinds
of things that make it very gratifying for me. We came to Brigham City
because we came here for an interview and I just
immediately enjoyed the people. We love the small town
feel, and it just felt like it was a great place to raise a family. It’s a very family oriented community. And one thing that I
really appreciated is that people here are active. They like the outdoors,
they like to mountain bike, the ride their ATV’s,
they ski, they snowboard. And they just enjoy the
outdoors, and that was one thing that really appealed to me. And I thought that this was
a population of people that I would enjoy keeping active and helping to get over injuries and
get back to activity. (gentle instrumental music)

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