Drs. Purcell, Sayegh Zinmv
*Board Certified Family Medicine Specialis6.
It's Hip!
New option offers alternative
to common hip surgery.
Anthony J. Sayegh, D.O.
Family Medicine
Kelly Purcell, D.O.
Family Medicine
Matthew C. Zimny, D.O.
Family Medicine
Nadine Cook
Special to the Jewish News
*Specializing in All Aspects of Pediatric, Adult,
and Geriatric Medicine including...
•
•
•
•
A
Annual Physicals
School/Sports Physicals
Gynecologic Care
Sick Visits
*Same Day Appointments Available*
i •
MAIW Maple Rd.II
■ 1111
4 Mile Rd.
13 Mile Rd.
12 Mile Rd.
BEAUMONT MEDICAL STAFF MEMBERS
39630 14 Mile ltd. in New1)4.4-ry Square (I I iller'!. shopping Center)
ma; INEn , hu
(948) 960-3797
vow- coin enienee. evening and weekend h
► urs
are
M
ailable
* MARGARITA MADE IN ISRAEL * FASHIONS' FOR PENCE * ABSOLUTE FREEDOM * FRAN *
Yoga practice clothing, mat bags,
non-slip terry cloth mats,
eve pillows, meditation cushions,
yoga sculptures, candles,
body lotion, home diffusers,
accessories & more!!
•
411
Wear & Essentials Fo Women & Me
z
w
Shop on
otusyogawear.com
www.bI
0
ours a day!!
A
32644 Franklin Rd. • Downtown Franklin
(Old Gift People Building)
248.737.7300
C)
Store Hours: Mon 12-4 • Tues-Sat 10-5
0:0(133S3 :1111 -10S1V
*
.11:1 V3d 2101 SNOIIISVA
Tat, zisi til
''.10
ow-ruFy Good ( OlbratiOrtS
WELLNESS CENTER
/1115, r4 for health (St energy
•CLINICAL STUDY SHOWS ANTI-AGING
BENEFITS—LOOK AND FEEL YOUNGER!
IONIC FOOTBATH
•TUESDAY IS PET DAY—THEY CAN
•IMPROVE YOUR HEALTH IN A
ENJOY THE SAME BENEFITS WE DO!
SPA LIKE SETTING
•PERFECT FOR A LEISURELY TREAT
10% OFF ANY
•PAMPER YOURSELF WITH AN
•PERFECT FOR BUSY LIFESTYLES
rgE OR FOOTBATH PACKAGE!
23023 ORCHARD LAKE RD. BLDG. Al
FARMINGTON, MI 48336
248-478-8423
www.trulygoodvibrations.com
1353090
A32
February 28 • 2008
AN
ccording to the American
Academy of Orthopaedic
Surgeons, the number of
patients receiving total hip replace-
ment in the United States each year
is growing steadily, from 160,000 in
1998 to 238,130 in
2005, and head-
ing for 300,000.
Fortunately, for the
vast majority of
those patients, the
procedure greatly
improves their qual-
ity of life.
Dr. Markel
"Hip replace-
ments are perhaps
the most satisfying
operation that we do;' says David C.
Markel, M.D., section chief of ortho-
pedic surgery at Providence Hospital
in Southfield. "We've done hip replace-
ments for the treatment of arthritis
for many, many years, and they are
extraordinarily successful, with about
95 percent of patients being happy
with the results for at least 15 years."
Even with the improved lifespan of
hip replacements, the ever increas-
ing lifespan of the patients will allow
many people to outlive their new hips.
If this happens, a second operation
could be performed called hip revi-
sion.
Fortunately for younger hip patients,
an alternative to traditional total
hip replacement offers new hope for
remaining active and pain-free longer.
Hip resurfacing, according to
Markel, involves reshaping a small
portion of the femur, the long thigh
bone that fits into the socket of the hip
joint. The surgeon caps the top of the
femur with an implant that replaces
the natural "ball" of the ball-and-
socket hip joint.
The procedure preserves more
healthy bone, an advantage if the
patient needs a total hip implant later
in life — when he or she "outlives
the artificial hip." Traditional total
hip replacement, on the other hand,
removes the entire head of the femur,
making subsequent revision of the
femoral (thigh bone) portion more
problematic.
Hip resurfacing is not a new con-
cept. The technique emerged in the
late 1960s, but fell into disuse because
of problems with the materials avail-
able at the time. Greatly improved
technology has allowed surgeons
to revisit the technique, with bet-
ter results. Although thousands of
patients in other countries have had
hips resurfaced over the last sev-
eral years, the U.S. Food and Drug
Administration approved the implant
for use here in May 2006.
"Although there are advan-
tages to resurfacing, it does require
strong, healthy bone says Markel.
"International experience with the
technique indicates that only about
10 percent of patients are good candi-
dates. They are typically younger and
typically men. When women get to the
age when they need hip replacement,
they frequently have osteoporosis, so
the technique often is not a good fit
for them."
European and Australian patients
have reported that the hip "feels a little
more natural, a little more flexible, and
they feel better able to do higher levels
of activity',' says Markel.
The length of the procedure, recov-
ery time and costs are comparable
with both conventional hip replace-
ment and resurfacing. Most insurance
companies recognize resurfacing as
total hip replacement.
"The decision to have any hip
replacement, whether traditional hip
arthroplasty or resurfacing, requires
that the patient have enough pain, dis-
comfort and disability that the upside
of doing the procedure outweighs the
surgical risks, which you have with all
hip replacements:' says Markel.
"Patients who are younger and
active, however, should be aware of hip
resurfacing as an alternative, and they
should definitely discuss the pros and
cons of the procedure with their doc-
tor to see if it's right for them."
Nadine Cook is a communications spe-
cialist at Southfield-based Providence
Hospital, a member of St. John Health
System.