by Thomas P. Gross, MD | Dec 10, 2022 | Articles
I have used over 3000 metal bearings in primary total hip and hip resurfacing as well as revision surgery. I have revised 2 for adverse wear 7 years after implantation. I know that most other high volume hip resurfacing surgeons have a similar experience. The...
by Thomas P. Gross, MD | Dec 9, 2022 | Articles
It is my opinion that there no longer is any role for this procedure. The FDA does not realize this; they continue to approve implants for hemi-resurfacing. Typically these femoral hemi-resurfacing implants are best used off-label together with an acetabular component...
by Thomas P. Gross, MD | Dec 8, 2022 | Articles
1. Get adequate exposure a. Use the approach you use for THA b. Visit surgeons and watch their videos c. Place the acetabular component in THR prior to head resection d. Thin flexible females with Crowe I dysplasia are the easiest cases e. Start with a large incision...
by Thomas P. Gross, MD | Dec 7, 2022 | Articles
Background: This lecture reviews the advantages and disadvantages of cement vs. cementless (porous) fixation in general and speculates why cement fixation was initially chosen on the femoral side of hip resurfacing. The possible advantages of uncemented fixation are...
by Thomas P. Gross, MD | Dec 6, 2022 | Articles
Background: Traditionally, a larger more extensive approach has been required for hip surface replacement (HSR) than for standard stemmed total hip replacement. As we have gained experience with HSR, a minimally invasive surgical technique (MIS) using the posterior...
by Thomas P. Gross, MD | Dec 5, 2022 | Articles
Background: This lecture reviews the 15 year history of modern metal-metal hip surface replacement as it relates to uncemented femoral components. The results of McMinn, Wagner, Villar, Spriggins and Griffin, Fern are reviewed. The specific types of implants used are...
