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'Intelligent Hip Surgery' conducted at Fortis Hospital Mohali Mohali, February 22, 2009: An 'Intelligent Hip Surgery' was conducted on a British national Ms. Rosa A. Kucharskyj by a team of doctors including 2 Senior Surgeons from France, Francois Chalencon and Remi Philippot. The surgery was conducted live at an International Workshop on Latest Advancements in Hip Replacement held at Fortis Hospital today. Over 100 doctors from the region took part in the Workshop in which sessions on the latest surgical techniques, procedures and advancements in arthroplasty were conducted by Dr. R Sen (PGIMER), Dr. A S Prasad (Madhuraj Hospital,Kanpur), Dr. H Tandon (Apollo Hospital, Delhi), Dr. M S Gupta and Surgeon Commodore P Sarin. According to the Course Director and Senior Consultant Orthopedics, Fortis Hospital, Mohali Dr. Manuj Wadhwa, "Intelligent Hip Surgery is an approach in which minimally invasive surgery techniques are used to precisely position clinically established implants and high performance bearings. The focus of the patient treatment is on maximizing survivorship, optimizing functions and accelerating recovery." Talking about the surgery conducted at the Workshop, Senior Surgeons Francois Chalenon and Remi Philiippot said, "A minimally invasive surgical technique was used in which only a 3 to 5 inch incision is required, as compared to the 10 to 12 inch incision used in a conventional surgery. The obvious benefit to the patient is that she will have an easier and less painful recovery, spend less time in the hospital and have fewer complications." "We then carefully replaced the joint with a Corail Hip and Pinnacle Cup with metal on metal bearings. The Corail Hip is designed to preserve existing bone while stimulating new bone formation around the implant. It offers excellent flexibility and the patient will be able to even return to active sports after the surgery. This technique offers tremendous benefits to patients, especially to those with rheumatoid arthiritis," they added Talking about the world-wide trends in joint replacements, the senior surgeons said, "Hip replacement used to be an option primarily for people aged 60 and above. However, Scientists and engineers have been studying the science of joint replacements to find the best options for improving movement and flexibility. They have been looking at new implant materials and ways to improve surgery. Recent developments like ceramic on ceramic and XL metal on metal implants as against the commonly used metal or plastic ones offer an excellent option due to the decrease in their wear and tear. This in turn leads to longer life of the implant and gives better movement. With these developments in technique and implant quality, hip replacement can now be performed on younger patients. With technological advancements, the implant can last even up to 30 years," they said. "Many people delay hip replacement due to fear, misinformation, or a lack of awareness about their treatment options. They unnecessarily live with the physical pain, stiffness and reduced mobility that affects many areas of their daily lives and limits activities they enjoy to accommodate the symptoms of the disease," they said. "Joint replacement is often the answer if you have constant pain and can't move the joint well; for example, if you have trouble performing basic daily activities like walking, climbing stairs and taking a bath. Recent studies have shown that Hip Replacement Surgery may be properly considered at an earlier stage than it has been in the past due to improved surgical techniques and joint implants. You may be able to swim, play golf, walk or ride a bike again after a joint replacement," they added. Talking about the trends in India, Dr. Wadhwa said, "In India, Avascular Necrosis (AVN), a disease resulting from the temporary or permanent loss of blood supply to the bones is common. The recent advancements in hip replacement now make it possible to provide a solution for this painful condition. Many undergo hip replacement as a result of osteoarthritis of the hip joint. But hip replacement is also used in people with hip injuries and rheumatoid arthritis." The hip replacement surgery involves replacing the femoral head - the "ball" of your thighbone with a metal ball. The metal ball attaches to a metal stem that fits into your thighbone. A metal socket and plastic liner are implanted into your pelvic bone (hip bone) to replace the damaged socket. The prosthetic parts that mimic the natural design of your hip, fit together and function like a normal hip joint. They can be made of plastic, metal, or ceramic. They may be cemented into place or have a coated with a biological material that induces your bone will grow into it. MEDIA EXCERPTS: 'Intelligent Hip Surgery' conducted at Fortis Hospital, Mohali Hindustan Times, The Economic Times, Dainik Tribune, Amar Ujala, Hindustan International Workshop on high performance bearings in Hip Replacement at Fortis Hindustan Times, Dainik Tribune, Dainik Bhaskar Media excerpts appeared on Feb 24 ’09: 'Intelligent Hip Surgery' conducted at Fortis Hospital, Mohali The Tribune, Ajit ]] Warm Regards Sandeep Dogra