Hip Treatment & Replacement
What is HipPlan?
HipPlan® is a 3D pre- operative planning tool (software) that uses the images acquired during a CT examination (normally undertaken at the local hospital) to accurately plan the ensuing surgery. The restoration of equal leg lengths and muscle function and assuring stability of the ‘ball and socket’ coupling during Total Hip Replacement are three very important parameters where HipPlan can assist the expertise of the operating surgeon to optimise results. Further benefits of this planning process is to achieve the best possible outcomes including prompt discharge from hospital and return to normal activity, feeling almost ‘unaware’ of having had a hip replacement.
The scope and accuracy of our HipPLAN® pre- operative planning software was published in the peer reviewed Journal of Bone and Joint Surgery (Br) 2009:
In 223 patients: The component implanted was the same as that planned in 86% of the hips for the acetabular implant, 94% for the stem, and 93% for the neck-shaft angle. The rotational centre of the hip was restored with a mean accuracy of 0.73 mm (SD 3.5) craniocaudally and 1.2 mm (SD 2) laterally. Limb length was restored with a mean accuracy of 0.3 mm (SD 3.3) and femoral offset with a mean accuracy of 0.8 mm (SD 3.1).
Understanding the scope and power of HipPlan® pre- operative planning software requires Symbios work closely with it’s surgeon partners to produce optimal results, one of those key partnerships is London International Patient Services (LIPS) who’s ethos is to deliver the very best possible care for patients, ”
Whether the result of a sports injury or hip dysplasia, hip pain is debilitating and can af fect both your posture and your mobility. London International Patient Services has extensive experience of treating a wide range of hip conditions”
Mr Culpan, the Managing Partner at LIPS is one of a handful of surgeons globally performing customised hip replacements utilising minimally invasive techniques and more complex hip replacement surgery including lower limb reconstruction surgery, revision surgery and knee replacement surgery.
“Mr Culpan is a highly regarded and skilled surgeon who managed my Hip Replacement with complete success. He was accessible, highly competent and professional. He and his team gave me complete confidence in the procedure and recovery, and I am very pleased with the result” Sir Tom Jones.
Symptoms of an arthritic hip
Patients who need a total hip replacement generally feel localised pain in the area of the groin. This pain can be debilitating in everyday life and at night, often disturbing peaceful sleep patterns.
The options for the surgical procedure involving the implantation of a prosthesis are wide ranging. The short and medium-term results can vary considerably and affect the quality of life of the patient. Patients who want to maintain their lifestyle need to understand what options are available.
Standard cemented prostheses
These prostheses are composed of the following elements:
- A femoral stem inserted into the femur or thighbone
- A femoral head, made of metal or ceramic fixed mechanically onto the femoral stem trunion
- An acetabular cup, often consisting of a separate shell and articulating liner, fitted into the pelvis
- Standard prostheses are fixed using special medical cement, polymethylmethacrylate or PMMA. This ‘cemented’ system approach allows for immediate component fixation
Standard cementless prostheses
These prostheses are coated with HA or hydroxyapatite (pure bone crystal), which fixes the prosthesis to the bone through a biological process called oseointegration.
The stimulated bone cells colonise the micropores on the surface of the metal and thus allow the long-term fixation of the prosthesis to the bone.