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Orthopaedics This Week

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Yes, Virginia, You Can Resurface Hips
Robin Young • Tue, Apr 6th, 2010

The hip resurfacing debate keeps raging. This technology category has had a target on its back since that warm day in September 2005 when the Orthopedics Advisory Committee voted 4 to 2 to recommend commercialization of the Birmingham Hip Resurfacing (BHR) system in the United States.

With the committee vote in hand, the FDA approved the BHR (marketed by Smith & Nephew) for U.S. sales eight months later. What surprised observers at the time and, we think, laid the foundation for today’s debate was that the data set used by the Orthopedics Advisory Committee and the FDA to approve the BHR came from a retrospective study of, in effect, 124 X-rays. No randomized, blinded controlled prospective trial data.

Aktualisiert ( Mittwoch, 07. April 2010 um 14:32 Uhr ) Weiterlesen...
 

A Long Walk With Gig Harbor's ‘Count Gilbert’

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An experience in a Belgium hospital changes his life.

GIG HARBOR - Jeff Dullum has been through a lot in his life.

But nothing could compare to his experiences before and after having a live-changing surgery in a Belgium hospital back in 2003.

Dullum pulled up a shop bench at his Gig Harbor home recently and told a tale that led to him walking regularly again, and playing with his three kids without pain.

Aktualisiert ( Freitag, 12. Februar 2010 um 13:36 Uhr ) Weiterlesen...
 

Costs force trip to Belgium for hip surgery

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By Mena and Dave Sprague
Published: The Independent in Grand Island, NE, Saturday, November 21, 2009 12:29 PM CST

In November, 2007 our doctor suggested we have colonoscopies, but he told us to call Dave's insurance first to see if they would pay for it. We called and they said, yes, we pay according to the policy.

In February, 2008 Dave had x-rays and an MRI that diagnosed hip replacement was necessary. He now has a "pre-existing condition." Our hospital tried for eleven months to collect the payment on the colonoscopy, but United Health Care choose to pay for the cheaper and later tests and they will only pay for one diagnostic test a year. We paid for the colonoscopy.

Aktualisiert ( Sonntag, 06. Dezember 2009 um 00:19 Uhr ) Weiterlesen...
 

No one in Belgium dies from lack of medical care

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The IndependentBy Mena and Dave Sprague
Published: The Indepemdent, Monday, November 30, 2009 12:46 PM CST

This is part two (see 11-21-09 Independent) of our saga in seeking affordable and essential health care. It is intended to help those who have insurance but cannot afford the co-pay.

The Spragues live on the family farm and are concerned with quality of life, peace and justice issues. Central Nebraska Concerned Citizens takes up topics that affect citizens in Central Nebraska and the world. Comments and suggestions may be sent to Diese E-Mail-Adresse ist gegen Spambots geschützt! Du musst JavaScript aktivieren, damit Du sie sehen kannst.

Dave was diagnosed with osteo-arthritis in the hips. He was told hip replacement was the only treatment. He researched treatments online and discovered hip resurfacing. Unable to pay the co-pay, he chose an overseas alternative.

Aktualisiert ( Sonntag, 06. Dezember 2009 um 00:03 Uhr ) Weiterlesen...
 

Acoustic Phenomena in Hip Resurfacing

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by Koen De Smet, MD; Alessandro Calistri, MD
AMC Ghent, Krijgslaan 181, 9000 Ghent, Belgium
published on: http://www.surfacehippy.info/acousticphenomenahr.php

Background: While providing superior hardness and improved wear characteristics, hard bearings such as metal-on-metal, or ceramic-on-ceramics bearings have different lubrication properties than hard on soft (metal- or ceramic-on-poly) bearing couples. A failure in this lubrication mechanism in metal-on-metal resurfacing prostheses can lead to squeaking and has been reported by different authors. Other more frequently encountered acoustic phenomena in resurfacing are clicking, popping or grinding noises that patients may experience in different episodes of their prosthesis life.

Aktualisiert ( Donnerstag, 16. Juli 2009 um 15:07 Uhr ) Weiterlesen...
 
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