Cementless Hip Replacement Surgery Bristol CT

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Michael Edward Cucka, MD
(860) 582-6603
641 Clark Ave
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Rush Med Coll Of Rush Univ, Chicago Il 60612
Graduation Year: 1988

Data Provided By:
Timothy P Mc Laughlin, MD
(860) 589-3766
25 Newell Rd Ste C14
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1980

Data Provided By:
Michael Thomas Legeyt, MD
(860) 583-6500
255 N Main St
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ct Sch Of Med, Farmington Ct 06032
Graduation Year: 1992

Data Provided By:
Chang Song Choi, MD
(860) 589-6919
PO Box 1239
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Seoul Natl Univ, Coll Of Med, Chongno-Ku, Seoul, So Korea
Graduation Year: 1958

Data Provided By:
Chang Song Choi
(860) 589-6919
46 Goodwin Street
Bristol, CT
Specialty
Orthopedic Surgery

Data Provided By:
Scott William Organ, MD
(860) 582-6603
641 Clark Ave
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Univ Sch Of Med, New York Ny 10016
Graduation Year: 1989

Data Provided By:
Michael Thomas Legeyt
(860) 583-6500
255 N Main St
Bristol, CT
Specialty
Hand Surgery

Data Provided By:
Vipul Dua, MD
(860) 583-1107
25 Newell Rd Ste E31
Bristol, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Maulana Azad Med Coll, Univ Of Delhi, New Delhi, Delhi, India
Graduation Year: 1984

Data Provided By:
Armann O Ciccarelli
(860) 583-1845
291 Queen St
Bristol, CT
Specialty
General Surgery, Hand Surgery

Data Provided By:
Carl David Bomar, MD
(860) 584-1113
232 Maxine Rd
Bristol, CT
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Ky Coll Of Med, Lexington Ky 40536
Graduation Year: 1974

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Special Gel Speeds Up Recovery in Cementless Hip Replacements

There's one good way to find out if something new is working. Try it on a group of people and compare it to a second group who didn't get the same thing. That's what senior orthopedic surgeon W. Thomas, MD from Rome, Italy did. He used a special osteoconductive gel over the surface of cementless hip replacement implants in 60 patients and compared results with 60 patients who got the same implant without the gel.

Osteoinductive means fosters bone growth. And that's exactly what this gel does -- it contains proteins that act as growth factors to stimulate bone growth. This new gel is made up of bone chips, platelet-rich plasma (the growth factors), and bone marrow. Bone marrow contains stem cells that can form into any other cell, including new blood and bone cells needed to form new bone tissue.

Cementless implants are press-fitted into the bone. They are held in place by the porous (roughened) surface of the implant next to the bone. During the natural process of healing, the inflammatory process brings new blood cells to the surgical site and the stem cells form new bone cells to fill in and around the implant. Growth factors speed up the whole process.

With the osteoinductive gel, the hope is that the process will not only be faster, but also provide joint stability sooner. That could mean patients can get back to full function as soon as possible with fewer complications. And since the gel is made up of the patient's own body parts, it's safe from rejection or transfer of diseases from someone else. At this point, you may be wondering how do they harvest the patient's cells?

When the old, arthritic hip joint is taken out, the bone marrow from inside the upper shaft of the femur is collected. The top of the femur and the hip socket (also removed in preparation for the new implant) are ground up and used as bone stock. The bone is rich in bone cells that promote bone growth. The bone stock also contains morphogenic protein, another type of growth factor. Once the gel is all mixed up, it is smeared all over the implant socket and stem before inserting these into the patient's hip.

After surgery, everyone was treated the same. They all started muscle strengthening exercises right away and were up standing within 24 hours and walking within 48 hours. Crutches were used to assist the patient in the first few weeks to month. Patients were allowed to go from two crutches to using only one crutch at the end of the first four weeks. A single crutch was used for another couple weeks up to a month (depending on the patient's progress).

The results were very good. Although the operation took longer for patients receiving the gel, there was less blood loss and faster recovery by all measures. There were no major complications reported. Outcomes were measured and compared using special X-rays called dual energy x-ray absorptiometry (DEXA) to view the healing bone. You may have heard of DEXA scans used to measure bone dens...

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