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. 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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.