Hip Replacement Implants - What Do They Look Like and What Are My Options?
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- เผยแพร่เมื่อ 19 ส.ค. 2019
- In this video the surgeons discuss what type of implants are used for total hip replacement. Different materials and designs are explored.
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Love these two!!! Smart and funny!!
Hi Oasis0430. Thanks so much for the positive feedback and for watching!
You guys are great. As an extremely active aerospace engineer terrified of having to get my God-given body parts replaced, you are helping me to rest easier.
Doing our best John! Good luck. Thanks for watching and subscribing
Love your videos. Nothing better than docs with a sense of humor. Your explanations are great, simple and to the point!!!
Hi Mercedes. Glad you enjoyed the videos. We are doing our best. Thanks for watching!
Thanks Docs
Welcome Chris
Are there any new products at this time. I’m scheduled for my total hip replacement in 2 weeks. I have metal allergies that I’m concerned about. I’m nervous about the whole thing. Wish I could be more relaxed and look forward to plan a new start.
Watching and listening to you makes me smile and calms my fears.
Thank you for taking the time to educate us.
Doing our best Lee. You’ve got this. Thanks for watching luck
You guys are the best! very knowledgeable. Highly appreciated
Hi Yitzhaki. Thanks so much for your positive feedback. We are doing our best to keep patients informed and feeling confident. Thanks for watching and be safe.
Thanks Great Info.
Very welcome Joe. Thanks for watching and subscribing
Top doctors.keep Goin.priceless videos and information.
Thank you so much Kent. We will. Thanks for watching and subscribing if you did
Thanks Docs. 1 hip done. 1 hip to go in 2 weeks. Thanks for all the information. Realy appreciate your honesty and humor in your videos
Doing our best Doug. Best of luck with number two. Thanks for watching and subscribing
Very informative video! You guys have the best pinpoints.😊
Why thank you Alida. Thanks for watching and subscribing
I've been studying about this for a while but I didn't really get the bearing surface stuff and you explained it perfectly! Also maybe because I need visuals. Thank you for this! 💙
You are very welcome Cams. Thanks for watching and subscribing if you did
Excellent as usual! I had to idea, of the number of components that make up the new hip! No wonder it sets off airport security screenings.
Hi Denise. Exactly! Thanks to the scanner things are a lot easier getting through security for our joint replacement patients these days.
Hey docs, I've had a successful ceramic hip replacement, it's going on 5 years now, I just thought I'd mention one interesting fact about having ceramic... on occasion it will "squeek" , my surgeon did warn me about this!🤣😂 as always a great and informative video!
Yes oriana. Squeaky hip is a real thing. Thanks for sharing. Thanks for watching and subscribing
Fantastic. You have mad it very clear in the advantages and disadvantages of the components. As a former dancer having to have a hip replacement, you stated what I needed to know. Thank you 🙂
Cool docs.
Thanks so much G Tai! Thanks for watching, subscribing and sharing with someone if you did.
This was a really useful and informative video that you have made. I am waiting for a total hip replacement and it answered all my questions. Thank you so much for your time in making this excellent video.
Very welcome Pat. Thanks for watching, subscribing and sharing with someone if you did.
Me too🙏
Thank you so much I am about to have a hip replacement, this was very informative.
Hi Street Kombative System. So glad we could help. Best of luck and keep us updated. Thanks for watching.
Same here 🙏
Not everyone has ceramic on poly hip replacement but it is based on individual anatomy to see which implant is most appropriate for the patient.
Hope your doctor can answer this question.
thank you !
Never boring.
Thanks Darlene.
Could you do a video on chronic hip bursitis/ ITBS treatment options? I’m considering Tenex, PRP, and ITB lengthening/bursectomy surgery and I would love some more information
Hi Kenzie. We do have a video on bursitis. It can be a long frustrating problem. Usually physio and medication to start. Hopefully it gets better. Thanks for watching
I'm in!!
Nice! Thanks for watching and subscribing
Nice information, Sir pls make a video on dual mobility/moment hip joint. Is this best from other hip replacement options
Hi Anil. It is gaining traction for sure. We will add it to the list. Thanks for watching and subscribing if you did
Metal ion release and the condition known as metalosis is not limited to Metal on Metal bearing surfaces. Any exposed metal in vivo will leech metal ions into the surrounding tissues. If the patient is allergic to these ions they will become symptomatic and the implant will fail. If they are not reactive or they don't have an immunological reaction to the implant they might have a long life and not need a revision (read: failure) but the chance and statistics are not captured here in the United States because the FDA does not mandate an artificial joint implant registry - something we REALLY NEED!
Hi Don. Yes there can be very low level ions in the bloodstream but metal on metal hips are the ones that have caused the problems. Yes a joint registry is important but there are many around the world that provide useful information to help clinical decision making. Thanks for watching and subscribing if you did
I’m seven weeks post op and couldn’t be happier! I’m back to almost 7000 steps a day and muscle mass on my legs is finally back!
Had my THR done 6 weeks ago and the mobility is getting better day by day. Dr. Zalzal and myself were very pleased with the x-ray we saw earlier this week. Great job Dr. Zalzal and thanks again!!
Hi Doug. Glad you are doing so well. And thanks for watching!
Nice and informative video. I haf THR operation back in 2017. Uncemented hip : Corail stem, Delta motion cup 52 size and Ceramic head 40 size lateral approach. May age is now 34. My doctor said you may sit on the floor occasionally but do not do it regularly, because it is not good for your implant. Is doctor worried about wearing ? I have seen many people using indian toilets after THR. I really confused about restrictions.
Hi Omar. It is hard to know the specific concern of your surgeon. Wear is probably not the concern but dislocation may be. It is always best to discuss it with them directly. Glad to hear you are doing well since your procedure. All the best to you going forward and thanks for watching
4 months post op on total hip replacement and going really well. My new hip is metal on plastic I believe. NO pain after over 10 years of pain. What a difference. Your videos are excellent. Thanks Docs.
Thanks for watching David. So glad to hear that you are doing well. Glad you have enjoyed the videos. Keep it up.
Geometry in the placement of these implants are important to the successful outcome of this procedure. Can you explain how the Hana surgical table aids in this process?
Thank You so much for sharing these videos with us. I had a TKR of my right knee October 25. I’ve been having right hip pain for years but associated it to my back issues (T10-S1 fusion) which radiates more to my right hip and leg than to the left. My doctor took some X-rays of my hips and found that I am “bone on bone” and we are planning a total hip replacement surgery for February if my recovery from my TKR of the right knee continues to go well. Good news is that it looks like I still have a couple of years before we have to address the left side. I found your TH-cam channel before my TKR and learned a lot which I know has contributed to my speedy recovery. I am now watching your hip videos so I can be better prepared for this surgery. Between my amazing surgeon and your videos, I am confident that I will make a full recovery from both surgeries. Thank You so much for sharing your time and knowledge.
You are very welcome Mark. Thanks for taking the time to comment and so glad we could help. Best of luck during your recovery and your surgery in the new year. Thanks for watching and subscribing if you did
A partial hip replacement following a fracture does not have an acetabular component. The prosthetic ball on the stem goes directly into the natural acetabula. How is this arranged and what is the wear factor, what actually wears? Mine is a double headed ball.
Hi Trilby. Yes this is common if you do not have any pre existing arthritis. It is called a bipolar component. The wear is the socket is usually quite slow and we revise few of them. Good luck. Thanks for watching and subscribing
I had a ceramic on ceramic with titanium hip replacement in Switzerland and the surgeon said that we were on the 14th floor of the Hospital, he could throw that ceramic out of the window and it would not even be chipped, let alone break. Obviously I took his word for that, as I was not prepared to jump.
Useful info Thanks. Does the patient get a Med certificate to avoid a hassle at airport screenings? Or do these latest implants not trigger the scanner?
Hi Makinja. So these implants will definitely trigger the scan. There is no certificate that a surgeon can give that will be accepted because as you can imagine, if you were part of a sinister group, you could implant some dangerous device, print up some card that says you have a knee replacement and get through security. We tell our patients to let the officer know you have an artificial joint. If they have doubts or further questions they will put you in the scanner and can see it for themselves. Hope that helps. Thanks for watching and for subscribing if you did.
Thanks for the clarification.
Thank you so much for the information!
I am 24 and met with and accident 5yrs ago and now i need to do THR and i wanted to know which one would be good for me to make my life ease. Ceramic on ceramic or ceramic on crosslinked poly?
Can i do squats or gym after THR?
Thank you!
Love from 🇮🇳🤗
Hi Aseem. Sorry to hear about your accident. So both of those are good choices as metal on poly would be. They are all very good. Best of luck to you. Thanks for watching, subscribing and sharing with someone if you did.
Thanks for the videos, do you recommend antibiotics before having your teeth cleaned, great patient information. Thanks Chuck
Hi Chuck. This is a controversial topic. But yes we do recommend antibiotics before dental cleaning. Thanks for watching.
How much do they weigh? Do you use the 'sports' version with the dual articulating points?
Hi Kat59. Every knee replacement is slightly different. There is not typically a sports version. Very good questions though! Thanks for watching and for subscribing if you did.
Excellent ... I just had my hip replaced in May and I’m walking pain free
Hi Bruce. Glad to hear you are doing well. Thanks for watching.
3 weeks till my hip resurfacing. Can't be soon enough. (3 year wait since diagnosis)
Good luck Robert. Thanks for watching and subscribing
Hi Docs, what if your thigh bone is thin ( like mine)? Is that something you've encountered or heard of?
Thanks
Thanks for the series of videos on this topic it's very helpful. Do you accept patients from out of province?
Hi Mike. Unfortunately we are not able to accept patients from out of province. Thankfully Canadian surgeons are very well trained. All the best to you and thanks for watching.
Hi Doctors i've just had a hip revision due to ceramic liner fracture, now they replaced the ceramic ball with a stainless steel (not CoCr) head and inserted a new ceramic liner, i've been reaffirmed that this is safe. They avoided using polyethylene liner due to the Ceramic debris that might get stuck in the plastic and cause third party wear, what do you guys think, should i be looking for signs of metallosis in the next years ? how safe is stainless steel articulating on a ceramic liner ?
Hi Tim. Hard to comment on your specific case. With ceramic fractures we often will replace with metal on poly. Thanks for watching and subscribing
Hi Doctors, I had my hip replaced 18 months ago. Unfortunately, I’m still having pain in the groin and upper thigh. My surgeon said I’m experiencing “End of Stem Pain” and is suggesting that I have a procedure called Strut Allografting of the Femur. This is a major surgery and was hoping you can tell me more about it. I am an avid golfer, snow skier, hiker and enjoy riding my Harley. Now, I don’t think I can do these. Thank you.
Hi Kevin. End of stem pain would explain the thigh pain. It means the normally hollow femur is reacting to the presence of the stem and sometimes this area can become weak or thin requiring intervention. If you are unsure, as this is a big operation, may be worthwhile considering a second opinion. Best of luck to you. Thanks for watching, subscribing and sharing with someone if you did.
@@TalkingWithDocs Thank you for getting back to me. Yes, I am getting a second opinion with a surgeon in the San Francisco Bay Area on September 29th. When my doctor mentioned a second surgery, I thought it would be a redo or revision and was caught off guard when he mentioned the Strut Allograft procedure. Regarding my second opinion, I will let you know how that goes in a couple weeks. Thanks again.
Is it safe for someone with hip replacement to use a tens unit to control pains?
Hi Flawi. Yes usually it is. Maybe not right over the incision though. Thanks for watching and subscribing if you did.
Dr my dr suggested me ceramic on poly left hip replacement ...pls tell which is best ceramic on ceramic or ceramic on poly pls replay dr
Hi P Elango. They are both comparable. And both are very good. Thanks for watching, subscribing and sharing with someone if you did.
What do you think of the Lepine Quattro Dual Mobility hip implant?
HI Trish. Dual mobility implants are a great development to improve stability. We are not specifically familiar with the Lepine Quattro. Sounds fast though. Thanks for watching, subscribing and sharing if you did.
@@TalkingWithDocs Thanks for the reply and for all your great videos. I hope I get a lot faster once I get this done!
This video cracked me up, but was educational as well. I had a right total hip replacement a month ago. I need to have my left hip replaced ASAP. I have avascular necrosis. How long do you reccomend between hip replacements when they both need replaced? Also does avascular necrosis play a role in how you perform the replacement? Love your channel doctors. Thanks!
Hi Scott. Glad we could provide a little comic relief along with some education. So we usually recommend 3 months between hip replacements. This is a general guideline to simply give you time to get over the first procedure and get your muscles strong again. As for AVN, the approach to the new hip is typically the same. Thanks for watching and good luck with #2!
Im 17 and i need a hipreplacement. How many times can a rivision take place?
Hi Harold. There is no specific number. It mainly is related to the amount of bone that remains. Best of luck to you. Thanks for watching and for subscribing if you did.
Should any orthopedic surgeon be able to lengthen my leg or a specific orthopedic surgeon have to be able to do this?
Hi Kathy. Leg lengthening procedures are quite uncommon so it should definitely be a sub specialist. Good luck. Thanks for watching and subscribing if you did.
So, before a hip replacement would it be wise to ask to see your surgeon’s ball size? Femoral head is what I am referring to, of course (*family friendly*) I mean to be in charge of your own health, one must know what product is being offered, no?
Hi Mom2Boys. It is not unreasonable to discuss the size of femoral head implants that your surgeon plans to use during the procedure. Very proactive. Thanks for watching.
I’m finding that my surgeon is impatient with all my questions- in real life, it seems challenging to be in charge of my health!
ماهو عمر المفصل الافتراضي دكتور
Our Arabic is weak to very weak. Thanks for watching and subscribing if you did.
I’m petite and that femoral component looks big. Is that also sized to the patient? Meaning, the length of it?
Hi Linda. All implants are chosen for the individual patient. The length of the implant increases with its diameter but yes smaller implants will be more narrow and shorter. Good question and thanks for watching.
Talking With Docs ok, I’m putting that on my list, thank you. Because my luck, they’ll run out of appropriate size and I’ll end up a peg leg. Lol I’m seriously considering hip replacement but I’m a bit paranoid after reading what happened to Dr. Steven Tower. I don’t want cobalt anywhere near me. I know that was back in ‘06, but I’m scared of any foreign object in my body since the pins destroyed my femoral head. Conversely, I also know if it goes well, it will give me my old life back. Is Stand Up Paddle on the AOK list post operatively? Let’s say 6 months after? Thank you so much for your videos!! You are really helping people!!!🖖🏽
Okay I know you guys plus I have medical industry. Ha. I had my R THR. Got a seroma. Infection I had a bit of. Hickup. I’m still getting my other one done Not scared At all. My L THR been good. Should have thought of that in 80 Aerobics
That's funny Cindi. Good luck! Thanks for watching, subscribing and sharing with someone if you did.
Sir,
I am 26 old patient from india, my both Hips are damaged due to athirities ...doctor suggested me to do bilateral hip replacement..
I want to ask you which implant is best for me either dual mobility or ceramic on ceramic..as our indian tradition we need to squatting while taking our meal..and we use indian toilets aslo..
Plz reply sir plz plz ..I am waiting for your suggestions..thnk you
Hi sujit. Which implant is best for you is something best discussed with your treating surgeon. Always explain your goals after surgery like squatting and they can help decide what will provide the best quality of life for you. Some surgeons may opt for a dual mobility in light of that request. Hope that helps. Good luck and thanks for watching.
Sujit.more.. H BHAi.. AAP ne Hip replacement surgery karvaliya kya please Bhai reply .. mujhko bhi same arthritis problem hai..THR ke liye bola hai.. please please reply BHAi please
Is there any permanent restriction after total Hip Replacement ?
Hi Nosherwan. Yes you should avoid high impact activity and avoid extreme range of motion to avoid dislocation. Thanks for watching, subscribing and sharing with someone if you did.
My mother had a total hip replacement it took 10 years of her face
Hi Ben. That is awesome. Hope she continues to do well. Thanks for watching and subscribing if you did.
Can you lengthen a leg 1& 1/2 inch doing a hip replacement?
Hi Kathy. Yes that is possible but uncommon. Did you want your leg longer by 1.5 inches? Thanks for watching and subscribing if you did.
Yes I had a hip replacement but my doctor said that could not be done he didn’t give me any reason he just said that he didn’t do that. I dislocated my hip as a young girl and my growth bone stopped as I had surgery so about eight years ago I had a total hip replacement and wanted it done but he said he didn’t do that so I thought it wasn’t possible so because after so many years my hip was in so much pain I had the hip replacement with him.
I had surgery at the Hartsband hip and knee replacement center in paramus New Jersey
I’m having a lot of hip pain and may need a revision.
Yes I did subscribe 👍
What is a typical range of motion after ceramic hip replacement? Thank you.
Hi Jennifer. So the type of implant does not typically predict the range of motion. It would be more related to the size of the femoral head implant. Range of motion is also affected by preop range of motion and ability to perform physio after surgery. Thanks for watching and subscribing if you did.
Is that example of the average size for the post? Are the sockets pink for girls and blue for boys? 😏
Hi Kat59. Yes average size for the post. And that is very funny about the color. The pink one is ceramic. Every company has a different color but pink for boys and girls - it's 2020! Stay safe. Thanks for watching and for subscribing if you did.
Why is there an ability to have dislocation of a new hip? Is there a reason that the socket could not lock smaller than the ball and still have ample rotation?
Hi scott. Very good question. Yes there are implants that lock into one another. But they do result in a reduced range of motion and ultimately they can fail by pulling out if the force is too great. Thanks for watching and good luck.
Talking With Docs Thanks for the reply, I'm headed for a hip replacement in the future and restrictions are not what I'm looking for. Love the channel.
Cytex Ortho is clinical trials. Will revolutionise the orthopedic replacement industry. Regenerative Medicine is here. Goodbye hip replacements.
Doc's why can't the ball and cup be easily replaced in a hip replacement revision? Makes no sense. The medical community seems way behind the rest of humanity.
Hi Graham. It can be replaced easily however the problem is usually with the remaining bone stock and the muscles and scar tissue. Hip replacements have come a long way. Good question. Thanks for watching and subscribing if you did.
@@TalkingWithDocs im 43 and need a left hip. I'm concerned that I will wear through one in 10 years and have to have a high risk surgery later when I'm 50 Plus. Would you proceed or wait 7 years? Also, will it stop my hip pain or just give movement back?