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Related Organizations

Broadcast:
New, Less Invasive Approach to Hip Replacement

MERRIAM, Kan. – Shawnee Mission Medical Center will showcase a new, less invasive approach to hip replacement during a live surgical Webcast on Wednesday, September 20, at 7 p.m.

During the Webcast, Scott Cook, MD, will perform the Birmingham Hip Resurfacing (BHR) technique. Cook is one of just 40 doctors in the United States trained to do the procedure.

Rather than replacing the entire hip joint, as in a total hip replacement, hip resurfacing simply shaves and caps a few centimeters of bone within the joint. The bone-conserving approach of the Birmingham Hip Resurfacing System preserves more of the patient's natural bone structures and stability, covering the joint's surfaces with an all-metal implant that more closely resembles a tooth cap than a hip implant. This approach reduces the post-operative risks of dislocation and inaccurate leg length, and because the all-metal implant is made from tough, smooth cobalt chrome, it has the potential to last longer than traditional hip implants, which involved the removal of the entire femoral head and neck. The Birmingham Hip resurfacing technique, however, leaves the head and neck untouched.

"This is one of the most exciting procedures I've seen in years," explains Cook. "I see hip resurfacing as the ideal solution for many of my young, active patients who suffer from hip pain. As my patients are getting younger and younger, and are staying physically active much later in life, I've needed an alternative to total hip replacement that accommodates their age and lifestyle. The Birmingham Hip Resurfacing System is that alternative."

The Birmingham Hip implant is intended for patients suffering from hip pain due to osteoarthritis, dysplasia or avascular necrosis, and for whom total hip replacement may not be appropriate due to their increased level of physical activity. For this reason, most surgeons feel it will be ideal for patients under age 60 who live non-sedentary lifestyles.

Cook graduated with a degree in biochemistry from the University of Kansas and went on to rank in the top ten in his class at the University of Kansas School of Medicine. He completed the Adult Reconstruction/Surgical Arthritis fellowship at the Hospital for Special Surgery – Cornell University Medical College in New York City. While at the Hospital for Special Surgery, Cook received extensive training in all areas of knee and hip reconstruction.

About the Birmingham Hip Resurfacing Implant
While the BHR implant closely matches the size of a patient's natural femoral head (hip ball), it is substantially larger than the femoral head of a traditional total hip replacement implant. This increased size translates to greater stability in the new joint, and it decreases the chance of dislocation of the implant after surgery. Dislocation is a leading cause of implant failure after total hip replacement.

Total hip replacement involves the removal of the entire femoral head and neck. The Birmingham Hip resurfacing technique, however, leaves the head and neck untouched. It is this neck length and angle that determines the natural length of a patient's leg after surgery, and since it is not removed and replaced with an artificial device during the resurfacing procedure, there is a greater likelihood of maintaining accurate leg length.

The Birmingham Hip implant is an all-metal ball and socket joint. Traditional hip replacements use a metal ball and a plastic socket. As would be assumed, this plastic socket wears down over time, and may need to be replaced surgically. In fact, it is a leading cause of follow-up surgeries. All-metal total hip replacements reduce joint wear by 97 percent compared to total hip implants containing these plastic sockets.

About Shawnee Mission Medical Center
Shawnee Mission Medical Center (SMMC), a leader in minimally invasive surgery, is a 383-bed facility and the second-largest hospital in the Kansas City metropolitan area with nearly 20,000 inpatient admissions and more than 195,000 outpatient admissions in 2005. SMMC has the busiest emergency department in Johnson County, the area's first accredited Chest Pain Emergency Center, a nationally recognized Center for Women's Health and delivers more babies each year than any other hospital in the metropolitan area. SMMC employs more than 2,800 local residents and supports an exceptional staff of more than 700 physicians representing 50 medical specialties, the largest medical staff in Kansas City. For more information about SMMC visit ShawneeMission.org.

Birmingham Hip Resurfacing is a trademark of Smith & Nephew, Inc.

Participants

Featuring:

Scott Cook

Scott Cook, MD

Mark Rasmussen

Mark Rasmussen, MD

Surgeon