Western Orthopaedics - Hip - Resources from our Physicians

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Office Appointments: 303-321-1333 - Physical Therapy: 303-253-7373

Resources From Our Physicians

  • Information Directly from our Doctors

    • Dr. White's FAI Presentation

      Dr. White's power point presentation of FAI and Labral tears.

    • Getting Back in the Game: Athletic Knee and Hip Injuries

      Dr. Bazaz talks about Athletic injuries.

    • Total Hip Presentation for Patients

      Dr. White's power point presentation on Total Hip Replacement.

    • Hip Preservation for all ages

      Our Dr. Brian White is the medical director for the Hip Preservation service at The Denver Clinic for Extremities at Risk.  Dr. White is fellowship trained in arthroscopic procedures of the hip and specializes in labral reconstruction and repair as well as other arthroscopic procedures of the hip. For more information about Dr. White and to see a power point presentation about labral reconstruction and repair click here.

    • Anterior Approach Hip Replacements

      Patients are seeking a different approach to hip replacement surgery.  To listen to this interview/article done on NPR click here.  It explains the "anterior approach" hip replacement and suggests a quicker recovery.

    • Avascular Necrosis

      Avascular necrosis, also know as osteonecrosis, is a rare but serious disease that can destroy the hip joint and necessitate hip replacement surgery.  The hip is a ball and socket joint, and AVN is a disease affecting the blood supply to the ball.

  • Questions & Answers on Hip Osteoarthritis

    Osteoarthritis of the Hip

    What is Osteoarthritis?
    Osteoarthritis is most simply defined as the loss of cartilage between the two opposing joint surfaces.  In hip arthritis, the two surfaces are the top of the femur, or the femoral head, and the hip socket, also known as the acetabulum, which is a part of the pelvic bone.

    What are the Common Symptoms?
    Common symptoms of hip arthritis include pain primarily.  The pain is usually in the groin, but sometimes it is in the area of the buttock or in the thigh area.  It is often associated with a stiffness in the hip, the inability to put one's socks and shoes on because the pain comes from trying to rotate the hip inward or outward.  Oftentimes, the pain is most pronounced when the patient goes from a sitting position to a standing position.

    How can this Condition be Treated?
    In its early stages, hip arthritis can be treated with medications, so-called nonsteroidal anti-inflammatory drugs such as Advil, Aleve, Naprosyn, Celebrex, Mobic, Relafen, etc. Secondly, cortisone shots into the hip joint can oftentimes provide some relief for a short period of time.

    Surgery: When the pain of hip arthritis become so severe that it is no longer alleviated by medications or injections, the only alternative is hip replacement surgery.  The surgery involves the replacement of the head of the femur with a metal or ceramic ball that is attached to a stem that is anchored in the top of the femur.  This can be attached to the bone either via a press-fit technique or via cement.  Likewise, the socket, or acetabulum, is also resurfaced with a metal shell into which a special liner is placed that becomes the bearing surface for the total hip.  Depending on the patient, the patient’s examination, weight, age, functional demands, a different type of material can be used for each one of these unique patient-related conditions.

    The typical rehabilitation process following a total hip is anywhere from six weeks to three months.  Most patients note the pain is primarily prevalent in the hospital after surgery.  Once they go home, by the third or fourth day after surgery, their surgical pain has diminished a fair amount and they are getting around quite well.  Unlike knee replacement surgery, the physical therapy is not as large a component of the rehabilitation process as is simply walking and getting back to normal activity.  Typically, a physical therapist will come to your house for about a week or two after you return home from the hospital to teach you certain exercises and workout routines as well as safe ways to move your new hip in such a way that it does not dislocate in the first few months following the hip replacement.  Typically, by three months most patients are walking with a minimal limp, no pain, and significant improvement in the function compared to their preoperative status, better range of motion, no pain at rest, and while they still are lacking strength, which takes another six months to really restore fully, they are very functional and very happy with their results.

    If left untreated, hip arthritis generally will go on to a very severe and erosive form of arthritis, which will leave the patient unable to move his/her hip and often and sometimes can result in the hip being fixed in a certain position, which precludes normal walking.  It is indeed unusual that patients tolerate pain long enough to let the hip get this bad, but in the days before hip replacement surgery this would be a common outcome of severe, untreated hip osteoarthritis.

    What About Minimally-Invasive Hip Replacement Surgery?
    Minimally-invasive hip surgery has in many ways benefited the way the standard procedure is done; however, the minimally-invasive technique has been fraught with many very significant complications and is still an unproven and risky endeavor.  Most physicians who do a high volume of hip replacement surgery have largely abandoned the classic minimally-invasive hip procedure due to the unacceptably high rate of complications following it.

    What About Hip Resurfacing?
    Hip resurfacing is a technique which has come back; it is not particularly new.  It is the way hip replacements were originally done back in the mid 1960s.  Because of some technical problems, hip resurfacing did not work very well and evolved into the more standard hip replacements done today.  Due to new techniques and different materials, hip resurfacing, which is just beginning to be reintroduced into the marketplace for hip replacement surgery, may have some value, although it is still an unproven technology.

Videos

Arthroscopic Labral Reconstruction of the Hip with AllograftArthroscopic Labral Reconstruction of the hip with allograft technique. An educational and training video for Orthopaedic surgeons. Published by The Journal of Arthroscopy in 2015

Dr. White's 2013 Vail Hip SymposiumLabral Reconstruction with Allograft. 2013 Vail Hip Symposium.

Dr. White explains labral reconstructionDr. White's explains labral reconstruction at the 2014 Vail Hip Symposium.

Labral reconstruction 2015 Vail Hip SymposiumDr. White talks about labral reconstruction at the 2015 Vail Hip Symposium

Arthroscopic Femoral Osteoplasty surgical videoFemoral Osteoplasty Surgical Video.

Total Hip Replacement VideoWhat to expect with a Total Hip Replacement.

Dr. Parks presentation on hip painDr. Parks highlights reasons for hip pain and treatment options.

Dr. Parks Interviewed - Metal on Metal Hip Replacements

CBS News interviews Dr. Parks regarding Metal-0n-Metal Total Hip Replacements

Hip

Video about the hip