Hip Surgery Innovation for Painful Hip Arthritis
gt;gt; When you have hip arthritis,you have a degeneration of the joint surfaces,the cartilages lost or severely damaged, andyou have pain emanating from the joint. So, we have to find a wayof replacing the joint. There has been continuousresearch done to improve the wearingsurfaces, the material so that the implants don'twear out and last longer.
And again, the success ratein providing or creating such materials has resultedin 93 to 95% survival rates over 20 years, whichis excellent. In order to get less wear,materials have to be harder and have less abrasion, meaningthe material has to be very hard and very solid, notproduce any friction. So, next to the traditionalmetal and plastic liners and the plastic iscalled polyethylene,
there have been implantsmade out of metal and metal, and ceramic and ceramic. Each of these materials has itsadvantages and its disadvantages and it's sort of, you sortof have to have a discussion with your surgeon on whatmaterial he likes to use and recommends inyour particular case. It also depends on yourage, your level of activity, sometimes even yourgender, or your anatomy,
but there are different optionsand they're all getting better and better in their role,you know, having very, very good long term results. In people who haveno osteoporosis but have hip arthritis, there isan option that's been around for about ten years here in U.S. andit's called the hip resurfacing and the advantage is that youreally maintain your anatomy. You don't change the anatomy,you don't cut the neck off,
and you just put a capon the hip itself I mean, on the femur itself. And the main differenceis that it allows you to maintain yourlevel of activity. You can essentiallyrun marathons or be physically extremelyactive with the hip resurfacing that you usually not able to do if you have a totalhip replacement.
You've got to have sort ofsomebody who really makes sure that they have an honestconversation with you and give you the option, explainto you what to expect and what to watch out for, and make sure that doing the replacementis the right thing for you.
Hip and Knee Osteoarthritis Guideline for Nonsurgical Management
Hello, I'm Norman Swan. Welcome to this programon the new guidelines for the nonsurgical managementof hip and knee osteoarthritis. It's a timely program, as we're broadcastingduring Arthritis Awareness Week. Arthritis, as you know, is a major causeof disability and chronic pain. There's around 100 different formsof arthritis, and osteoarthritis is the most common.
This program is the thirdin a series of four on the musculoskeletal guidelines that have been developedby the Royal Australian College of GPs and approved by the NH and MRC. This program will cover the diagnosisof osteoarthritis and discuss recommendednonpharmacological and pharmacological interventions in a multidisciplinaryprimary healthcare setting.
As always,you'll find a number of resources available on the Rural Health EducationFoundation's website: Let's meet our panel. Geoff McColl is a rheumatologistand professor of Medical Education and Trainingat the University of Melbourne. Welcome, Geoff. Thank you, Norman. Geoff is the current president ofthe Australian Rheumatology Association and was part of the working partydeveloping this guideline.
Rana Hinman is a physiotherapistand senior lecturer in the University of Melbourne Schoolof Health Sciences. Welcome, Rana. Rana has particular expertisein evaluating conservative treatments for osteoarthritis, and was alsoa member of the working party. Michael Yellandis a general practitioner and associate professorof Primary Health Care at Griffith University in Queensland.Welcome, Michael. His teaching and research interestsfocus on evidencebased diagnosis
and the treatmentof musculoskeletal pain. And David Ng, who's a pharmacist and director of the South Australianand Northern Territory Branch of the Pharmaceutical Societyof Australia. Welcome, David. Thank you, Norman. From the home of fish oil. That's correct. We'll talk about fish oil later to see whether or not it'sthe magic panacea for osteoarthritis.
Many myths about osteoarthritis,Geoffreyé There are many myths, Norman. Probably the best place to start is that this is an illness that you acquireas you grow old that you can do nothing about. You're just going to creak your wayto the wall at the bottom of the garden. Absolutely. There's a certain acceptancethat this is the way it will be. NORMAN:Are you telling me it's reversibleé