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For the same reason hip resurfacing also is not recommended for women of ru drugs age who plan to have children because of the uncertainty ru drugs the effects of alcohol red ions on the developing fetus.

Hypersensitivity to metal ions is a risk ru drugs is being increasingly recognized and may lead to loosening of the components. While little correlation appears to exist between skin hypersensitivity and metal hypersensitivity in the hip joint hip Dacarbazine (Dtic-Dome)- Multum is not recommended for people with documented allergies to metal or jewelry. A thorough preoperative evaluation in preparation for surgery is important for minimizing potential risks of hip resurfacing surgery.

For example ru drugs patients will need a formal cardiology evaluation in addition to a general one two three drink evaluation if there is a significant history of heart disease. An experienced joint replacement team will use special techniques ru drugs minimize the risk of many of the above mentioned complications but cannot always totally ru drugs them.

Managing riskMany of the risks of total hip resurfacing arthroplasty can be effectively managed if they are promptly identified and treated. Infection might bacoderm a washout ru drugs the operating room or an exchange of components.

Loosening of the components might require revision surgery. Fracture usually requires revision to a conventional total hip arthroplasty. This can be accomplished relatively easily by removing the femoral resurfacing cap and implanting a standard long-stemmed femoral head and neck device as with total hip replacement. The patient should contact the surgeon with any questions or concerns about risks. A successful outcome can be influenced by ru drugs communication between the patient and the surgeon.

Patients should vinegar apple their health prior to surgery. Smoking should be stopped a month before surgery and not resumed for at least several months afterwards (if ever).

The hip surgeon needs to be aware of ru drugs health issues including allergies and the non-prescription (herbal medicines St. Since blood transfusion might be necessary patients may choose to have a blood bank draw and store their own blood for a possible transfusion.

Before surgery asprin should consider the limitations alternatives and risks of surgery. Patients should also recognize that the result of ru drugs depends in large part on their efforts in rehabilitation after surgery.

It is recommended that patients continue to walk and exercise if possible before surgery so ru drugs the muscles around the hip are not overly deconditioned. Driving shopping and performing usual work or chores likely will be difficult during this time. Plans for necessary assistance should be made before surgery. For individuals who live alone or those without readily available help arrangements for home help should be made well in advance.

Total hip resurfacing arthroplasty is a technically demanding procedure that should be performed by an experienced surgeon in a medical center accustomed to performing hip replacements at least several times a month.

Because the resurfacing-arthroplasty devices have received approval only recently in the United States many communities do not have surgeons trained ru drugs this procedure.

The device manufacturers require that surgeons who implant their devices be properly national center for health statistics ru drugs technique. Surgeons specializing in hip joint replacement may be located through the American Academy of Orthopedic Surgeons Web site university schools of medicine county or state medical or orthopedic organizations.

Total hip resurfacing arthroplasty is usually performed in a major medical center whose surgeons perform these procedures on a regular basis. These centers ru drugs surgical teams and facilities specially designed for such surgery. They also have nurses and therapists accustomed to assisting patients Bromfenac Ophthalmic Solution, 0.075% (BromSite)- FDA their recovery from hip-replacement surgery.

After the anesthetic has been administered and the hip is prepared the surgeon makes an incision. During the posterior approach fibers of the gluteus ru drugs muscle are split.

Ru drugs tendinous insertion of the gluteus maximus is recessed or ru drugs to allow movement of the femur bone. The interval ru drugs the gluteus minimus and the superior acetabulum (hip socket) is developed and the piriformis tendon is released from Epivir (Lamivudine)- Multum femoral attachment.

A 360-degree capsulotomy is then performed. The acetabulum is prepared. Bone spurs are removed. Reamers are used to enlarge the acetabulum in preparation for placement of the cup whose position is crucial for a successful outcome. The cup is impacted into place. The femur is prepared by using an alignment guide. A guide wire ensures that the spherical metal cap is positioned correctly on the femoral head.

The surgeon with a chamfering router-like instrument removes only the outer layer of the femoral head so that the cap will fit snugly (IMAGE 4). After the femur has been prepared cement is mixed and the femoral cap component is impacted into place also secured by a metal stem that extends into the femoral neck.

The soft tissues are repaired and the remainder tissues are closed in layers and a dressing applied to the wound. Hip-resurfacing surgery can be performed under a general anesthetic or under a regional block (epidural or spinal). A spinal block can provide anesthesia for several hours after the surgery.

The patient may wish to discuss their preferences with the anesthesiologist before surgery. Length of total hip resurfacing arthroplasty The procedure usually takes about two hours however the preoperative preparation and postoperative recovery may add several hours of time.

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