Total Hip Replacement History



Hip replacement components


Hip replacement (total hip replacement), is a surgical procedure in which the hip joint is replaced by a prosthetic implant. Replacing the hip joint consists of replacing both the acetabulum and the femoral head. Such joint replacement orthopaedic surgery generally is conducted to relieve arthritis pain or fix severe physical joint damage as part of hip fracture treatment. Hip replacement is currently the most successful and reliable orthopaedic operation[citation needed] with 97% of patients reporting improved outcome. Rates of death for elective hip replacements are much less than 1%.[1][2]

The earliest recorded attempts at hip replacement (Gluck T, 1891), which were carried out in Germany, used ivory to replace the femoral head (the ball on the femur).[3]

In 1940 at Johns Hopkins hospital, Dr.Austin

T. Moore (18991963), an American surgeon, reported and performed the first metallic hip replacement surgery. The original prosthesis he designed was a proximal femoral replacement, with a large fixed head, made of the Cobalt-Chrome alloy Vitallium. It was about a foot in length and it bolted to the resected end of the femoral shaft (hemi-arthroplasty). This was unlike later (and current) hip replacement prostheses which are inserted within the medullary canal of the femur. A later version of Dr. Moore’s prosthesis, the so-called Austin Moore, introduced in 1952 is still in use today.

In 1960 a Burmese orthopaedic surgeon, Dr. San Baw (29 June 1922—7 December 1984), pioneered the use of ivory hip prostheses to replace ununited fractures of the neck of femur when he first used an ivory prosthesis to replace the fractured hip bone of an 83 year old Burmese Buddhist nun, Daw Punya.[4] This was done while Dr. San Baw was the chief of orthopaedic surgery at Mandalay General Hospital in Mandalay, Burma. Dr. San Baw used over 300 ivory hip replacements from the 1960s to 1980s. He presented a paper entitled “Ivory hip replacements for ununited fractures of the neck of femur” at the conference of the British Orthopaedic Association held in London in September 1969. An 88% success rate was discerned in that Dr. San Baw’s patients ranging from the ages of 24 to 87 were able to walk, squat, ride a bicycle and play football a few weeks after their fractured hip bones were replaced with ivory prostheses. Ivory may have been used because it was cheaper than metal at that time in Burma and also was thought to have good biomechanical properties including biological bonding of ivory with the human tissues nearby. An extract from Dr San Baw’s paper, which he presented at the British Orthopaedic Association’s Conference in 1969, is published in Journal of Bone and Joint Surgery (British edition), February 1970. With modern hip replacement surgery, one can expect to walk immediately post-op.

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Hip Replacement Book Video

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Case History – Total Hip Revision

Worn out hip replacement implants are replaced through hip revision surgery. Hip replacements are among the most common procedures performed by orthopedic surgeons and have had an incredibly successful record, with great results in the vast majority of patients.

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Duration : 0:1:58

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can an employer reduce my pay and hours if i just returned to work after a hip surgery?

i had a hip replacement about 4 months ago, and when i returned to work, after one day, i was told that i couldnt do my job any more, and that he was cutting my pay in half, and only working me 2 days a week. sounds like to me he wants me to quit so i cant file unemployment.

You will have to carefully consider if you are able to do the same work you were doing. Your employer may not be able to terminate your employment yet, but can reassign you to a different job and reduced hours. If the business is cutting back due to a decrease in demand for its products or services, you can be let go.

You should consult a local lawyer.

What leg motions can be done after an anterolateral total hip replacement?

Person had a total hip replacement (anterolatera). What are stable leg motions?

Any necessary movement restrictions or precautions would be communicated to the patient by the surgeon and reinforced by the physical therapist. Those people are your best source of this information because they know what the surgeon did and how he did it.
I’ve had my hips replaced and had several restrictions & precautions imposed on me for several months. I believe that the surgical approach used on me was posterior or posterolateral and that the restrictions in my particular situation wouldn’t be appropriate for someone who had anterior. Anterior or anterolateral approaches call for a different set of restrictions (or maybe none at all). Another effect of the anterolateral approach is that the patient may limp more or longer.
This explains surgical approaches:
This lists some of the possible precautions with the caveat that one should always discuss these with the doctor:

Hip Replacement Surgery (Hip Arthroplasty) – HD – Dr Al Muderis

Hip Replacement Surgery (Hip Arthroplasty) for Hip Arthritis has developed over the last 300 years from rudimentary surgery, to modern total hip replacement. Dr Al Muderis takes you through the steps involved in this very effective operation.

Duration : 0:6:26

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Anterior Hip Replacement Surgery Part 2

This is the second part of a hip replacement surgery video showing graphic surgical processes and techniques. The intended audience for this video are surgeons interesting in improving their processes for “Anterior Approach” hip replacements, surgeons interested in adopting this approach and adults interested in learning more about this less invasive procedure which typically delivers a far faster recovery time than traditional posterior approach surgeries.

Duration : 0:7:4

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Is bipolar hip replacement as efficient as total hip replacement?

My dad is about to have a bipolar hip replacement. He was hit by a car while crossing the street and broke his femoral head and a little crack in the femoral neck. So I want to know the advantages and disadvantages of this hip replacement..
Thanx in advance 🙂

I answered a question like this some time ago. Here it is again:
"Bipolar hip arthroplasty involves replacement of the femoral (thigh bone’s) head and neck with a stem and a ball and an acetabular cup that is NOT attached to the pelvis. Therefore it can articulate in TWO places: between the pelvis and the cup, and between the cup and the ball that is attached to the stem implanted in the femur. See this link; scroll to images 11-13.

In a total hip arthroplasty, the articular surfaces of both the acetabulum (pelvis) and femur (thigh bone) are replaced. This involves replacement of the femoral head and neck and the acetabulum is reamed out to accept a metal cup that is attached to the pelvis. A total hip replacement permits only one point of articulation: between the ball and the implanted cup. (See the above link, images 1-7)

In case my explanation isn’t clear, here’s a page that explains in more detail:

Minimally Invasive Total Hip Replacement

Schoolteacher Janice Isner, a former marathon runner and recreational cyclist, was determined to “get back her life, pain-free” after learning that the cartilage in her right hip had deteriorated completely. Her physician, Paul Manner, is an orthopaedic surgeon at the University of Washington Medical Center. The two discuss Isner’s total hip-replacement surgery. The program includes footage of her successful procedure, in which Manner’s minimally invasive approach avoided cutting muscle tissue, and promoted rapid recovery.

Duration : 0:25:24

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Hip Replacement: Alternatives

This video discusses Femoroacetabular Impingement, or FAI, and how Reinhold Ganz, M.D., believes this to be the cause of most cases of osteoarthritis today.

Duration : 0:5:0

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