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Hip Replacement Series Timeline
Non-Surgical Treatments for Arthritis
About this video:
"Once the arthritis is established within the joint there's not a lot you can do short of replacing it." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, reviews some common non-surgical treatment options for hip arthritis but notes that surgery is usually required for established arthritis.
A Popular Procedure
About this video:
"As the baby boomers now reach the stage where their joints are wearing out the numbers are exponentially increasing." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, notes how many hip replacements surgeons are performing today and how that number is only going up.
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Alternative Procedures: Hip Fusion
About this video:
"Fusion is an option very rarely done at this point." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, comments on the old practice of hip fusion as a form of hip surgery and notes it is rarely done today.
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Average Recovery Time
About this video:
"I tell the patients that they're usually 85 to 90% recovered at six weeks." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, speaks about the recovery timetable for most patients. Doctor Sculco also notes how patients usually have a nearly complete recovery.
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Choosing the Right Hospital
About this video:
"At any one time, we're doing 30 to 40 hip replacements in a week." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, explains how important it is to select a hospital with good experience in hip replacement surgery.
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Continued Care Post-Surgery
About this video:
"Hopefully that information can be used to improve the quality of what happens to patients who come later on." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, explains how hospitals keep track of their patients for the benefit of that patient, and those in the future.
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The Durability of a Hip Replacement
About this video:
"About 90% of patients are going to be doing well with that implant at 20 years." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, notes how hip replacements last much longer than patients expect them to.
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Improving Recovery Time
About this video:
"We will get the patients out of bed sometimes the same day of the operation." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, reports on the usual duration of a hospital stay for a patient who has just undergone hip replacement.
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Innovations in Hip Replacement Surgery
About this video:
"I think the surgery we were doing in the past was more radical and extensive than needed to be done." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, speaks about the advances made in the field of hip replacement but notes that skill and expertise are still as important as ever.
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Innovations in Prostheses: Part 1
About this video:
"When this is inserted into the bone, bone sees bone, and it grows into the device. And that's how the fixation occurs" Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, explains the nature of the hip prosthesis and its materials in this first segment.
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Innovations in Prostheses: Part 2
About this video:
"This material wears at-and we've measured it-0.7 of one millimeter in 10 years. So there's enough plastic in there to last 40 or 50 years" Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, goes in depth explaining the materials, structure, and function of the hip prosthesis.
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Making an Informed Decision
About this video:
"Overwhelmingly relief of pain is excellent." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, explains many of the common benefits and risks of hip replacement surgery.
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Managing Pain after Surgery
About this video:
"As a rule with hip replacement surgery, most of pain is gone, or very minimal, within 2 or 3 days." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, notes how pain after hip replacement surgery is generally very weak, and negligent compared to the pain they previously felt from their arthritis.
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Managing the Risk of Infection
About this video:
"Infection will often get around the device and you can't eradicate it unless you take the device out." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, explains the risk of infection for hip replacement surgery and the forms of infection.
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Pain Management During Surgery
About this video:
"We feel very strongly, at the Hospital for Special Surgery, that regional anesthesia is the safest way to have this procedure" Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, explains how he believes regional anesthetic is safer for hip replacement than general anesthetic.
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Picking the Right Surgeon
About this video:
"There are surgeons who specialize in this operation who will do 100 to 200 to sometimes 300 hip replacements in a year." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, gives advice on how a patient should choose his or her surgeon for an operation as important as hip replacement.
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Post Surgical Protocol
About this video:
"We really reinforce and make sure the patient is independent and has a full understanding of what the precautions are prior to discharge." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, reviews some common precautions for patients to take after surgery to ensure the surgery is successful.
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Preventing Dangerous Blood Clots
About this video:
"Every patient will be given some form of anti-coagulant to protect them." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, explains how it is critical that patients receive anti-coagulants to prevent the formation of blood clots.
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Risks of Surgery
About this video:
"The possibility of medical problems tends to be very low." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, notes how uncommon general medical problems are for patients of hip replacement surgery.
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Securing the Device
About this video:
"So you've really got two fixations here. You've got the press fit and then you actually have the bone ingrowth into the device to lock it in."" Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, demonstrates how the hip prosthesis attaches to the femur.
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