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Osteoarthritis of the hip, Stephen Kantor, MD 11 лет назад


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Osteoarthritis of the hip, Stephen Kantor, MD

Dr. Kantor gives a definition of arthritis of the hip and how osteoarthritis affects people of all races and ages. There are dozens of conditions related to arthritis such as degenerative arthritis (osteoarthritis), post-infections in joints, trauma to the joint and inflammatory conditions (rheumatoid, gout, lupus). Most patients who have a main diagnosis of arthritis ultimately end up with a hip replacement. Cartilage in the hip joint starts to deteriorate over time and sometimes chunks shed to expose bone underneath. Ultimately, very little cartilage remains leading to a "bone on bone" hip joint. Bone spurs can often develop, impeding your range of motion and comfort. Surgery is not the first step. Dr. Kantor steps through non-surgical treatments - medications to proactive changes in your activities to massage and acupuncture. None of these options can "cure" the disease though. Curing means surgery -- hip replacement. Treatment varies depending on what stage you are in with the arthritis. Dr. Kantor gives an overview of the arthritis ladder of treatment options developed at DHMC, starting with the treatment that has the least risk, to non-invasive options moving to more invasive options with joint replacement at the top of the ladder. Frequently asked questions are also reviewed about hip replacement surgery: what does the replacement involve?; what do the replacement components look like?; what are the benefits of surgery?; when is the best time to get a hip replacement?; how long will a hip replacement last? (including outcomes data from other patients); information about implant manufacturers; how will my implants be attached to my bones?; what will my implants be made of?; where is the incision (what approach will you be using)?; advantages and disadvantages to each approach. Plus, Dr. Kantor gives more specifics about the minimally invasive surgery anterior approach for hip replacement. The anterior approach allows the surgeon to not cut any muscles, which means they do not have to repair them, meaning less pain, faster recovery, infrequent dislocations and no dislocation restrictions. He also walks through outcomes from patients by the different types of approaches including: length of stay, time on crutches, time on narcotics and getting back to work. Learn more at: http://bit.ly/dh-osteo

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