Boy (12) becomes first in Ireland to have pioneering hip procedure

A 12-year-old boy has become the first person in Ireland to undergo a new transplant procedure to replace a damaged hip joint using a donor femoral head bone and cartilage.

The OFHAT procedure involves replacing the bone and cartilage surface on the femoral side of the hip joint with donor bone and cartilage.

Before the procedure, the usual option for children who suffered AVN has been hip fusion or hip replacement. Hip replacement often requires revision surgery after 10 years and further revision surgery is eventually not possible due to bone loss or infection.

In children of 10 or 11 years of age, hip replacement will have poor results in the long term requiring multiple revisions over their lifetime .

Explaining the OFHAT (osteochondral femoral head allograft transplantation) procedure, Dr Green said the size and shape of the child’s femoral head is mapped on MRI and they then go on a recipient waiting list .

Once there is a size match, surgery can proceed involving the hip being dislocated from the socket and the damaged cartilage and bone removed.

The shape of the removed bone is measured and the donor femoral head is used to replace the empty space. The result is the child has a biologic hip instead of an artificial hip replacement and it helps with their pain.

Click here to read the entire article, which is posted by The Irish Times.

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Aging Atletes and Their Joints.

Steve Kashul talks with Dr. Craig Della Valle from Midwest Orthopaedics at Rush about aging athletes and their joints. Are we getting joint replacements at a younger age and what factors in a more active lifestyle contribute to joint problems.

Dr. Della Valle is a native of New York and received his undergraduate and medical degrees from the University of Pennsylvania in Philadelphia.  He completed his residency at the Hospital for Joint Diseases in New York City.  During his residency he spent a full year devoted to clinical and basic science research in the field of adult reconstructive surgery.  Dr. Della Valle completed a fellowship in adult reconstructive surgery at Rush University Medical Center and Central DuPage Hospital.

He is presently the Aaron G. Rosenberg Endowed Professor of Orthopaedic Surgery and Chief of the Section of Adult Reconstruction at Rush University Medical Center in Chicago, Illinois.

Dr. Craig Della ValleDr. Della Valle is a busy clinician who specializes in primary and revision total joint arthroplasty.  A respected researcher, he has more than 180 peer reviewed publications on topics including unicompartmental, primary and revision total knee arthroplasty as well as total hip arthroplasty, hip resurfacing and revision total hip arthroplasty.

Dr Della Valle is a member of The Hip Society, The Knee Society and The International Hip Society. He currently President for the American Association of Hip and Knee Surgeons, Member at Large for the Knee Society and Secretary of the Hip Society.

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Cycling 1,200 Miles After Two Hip Replacements

craig petersen.jpg

When recently asked how he’s doing, Park Ridge resident Craig Petersen, 57, answered, “slightly more than fantastic!”

Asked what elicits such a positive response, Petersen pointed to his rally back to competitive sports after significant hip pain and two total hip replacements. He simply feels grateful to have his life back.

A life-long athlete who enjoys playing tennis and golf at the Park Ridge Country Club near his home, he began to worry about keeping up with his regular activities, including playing with his golf buddies, when hip pain on his left side hit him hard.

“It got to a pain level of a 9 out of 10,” Petersen explains. “I actually dreaded just walking.” His golf handicap of 5.9 began slipping, as did his enthusiasm for being active.

Realizing it was time for medical advice, he visited a local orthopedic specialist who administered a cortisone injection. It didn’t work.  He tried another physician who also administered an injection and that didn’t work either. The second physician recommended he consider a hip replacement to properly treat his osteoarthritis and control his pain.

More than 400,000 hip replacements are performed in the U.S. each year. Like Petersen, an estimated half are under age 65.

Dr. Tad GerlingerPetersen was introduced to Dr. Tad Gerlinger, a joint replacement specialist at Midwest Orthopedics at Rush, the #4-ranked orthopedic program in the country. Right away, they shared a common goal to get Petersen back to an active life.

The surgery was a success and with Dr. Gerlinger’s blessing, Petersen was on the golf course working to get his handicap back down just 39 days post-surgery. After accomplishing that, he began to feel a familiar pain in his other hip.

“I went back to see Dr. Gerlinger and asked if he could promise me the same results as the first hip surgery,” Petersen says. “He said ‘yes’ so I did it right away this time after the pain started.”

After a second new hip, he discovered a new sport to master:  cycling. “A friend suggested I try cycling, so I borrowed a bike and was hooked,” he explains. Petersen promptly bought his own bike and soon built up to longer and longer distances. This year, with two new hips from ‘Dr. G’, Petersen achieved one of his post-surgery goals and rode in the Ragbrai ride, a 430-mile cycling event across the state of Iowa. He chose to ride the last five days of the event during which he rode more than 300 miles at a rate of 60 miles a day.

His current goal is to ride 1500 miles in a 100-day period, completed by the end of October.  And, with an enhanced golf swing, his golf handicap is a solid 6.4. This is life after a double hip replacement.

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Ask the Doctor!

This regular segment of ‘Ask the Doctor’ addresses questions submitted by Sports Medicine Weekly followers. Dr. Brian Cole from Midwest Orthopaedics at Rush will be discussing:

  • What is happening when your hips ‘click’.
  • Pinched nerves.
  • Best exercise for shoulder arthritis.

Sports Medicine Weekly on 670 The Score

If you have a question to be addressed on an upcoming show, please click here to submit your question.

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