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HIP RESURFACING

HIP RESURFACING. Conserve Plus FDA Post Approval Study Began September 2010 10 year study group 132 of 353 Cases 10mm design 896 at Salem Hospital. Harold S. Boyd, MD. 12/2011. 10 year FDA Study. MOM . Different designs— THRs and SRs. Zimmer THR 510K.

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HIP RESURFACING

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  1. HIP RESURFACING • Conserve Plus FDA Post Approval Study • Began September 2010 • 10 year study group 132 of 353 Cases • 10mm design • 896 at Salem Hospital Harold S. Boyd, MD 12/2011

  2. 10 year FDA Study

  3. MOM Different designs— THRs and SRs

  4. Zimmer THR 510K

  5. Surface ReplacementConserve+Two parts lubricated

  6. All Prostheses have ionic wearTKR study 3.4ppb(Parts Per Billion)

  7. Current FDA study 125/133 Conserve+ at 10 years2.2ppbCormet at 5 years2.07ppb(1.7ppb normal)

  8. Stems defeat THRs 40 years

  9. Failed cup

  10. Surface replacement without stress riser Patients outlive their stem

  11. Easily fractured

  12. Enhanced bone quality with resurfacingDexa increase 27-37%

  13. 10 YEAR FDA STUDY

  14. What Does Resurfacing Do? • Normal Biomechanics • Active lifestyle • Easy revision • Reproduces patient’s anatomy

  15. STUDY FINDS SR OFFERS CLINICAL BENEFITS OVER TOTAL HIP • More precise • More active at one year • Pain, length, limp • Less stress shielding noted • 800/1400 U. Wisconsin---blinded Dr Robert L. Barrack Current Concepts 2010 Winter Meeting

  16. New operation forUnusual Diagnoses • Previous femoral fractures • Osteogenesis imperfecta • Gaucher’s disease • Restoring acetabular offset secondary to protrusio and pelvic fractures

  17. CASE SURGICAL PLANNING

  18. One Month Post-op Conserve Plus Resurfacing

  19. Disclosures/Handouts • Wright Medical & Corin

  20. Rather than a “RISK” Resurfacing is a ‘STRENGTH’ for Salem Hospital

  21. Thank you.

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