Nice Young Legs

Calendar January 12, 2011 | Posted by admin

Nice Young Legs

Nice Young Legs

Hip arthritis- Hip Resurfacng emerging as a viable alternative in young patients

Hip arthritis is of two types. Young and middle aged persons suffer from secondary osteoarthritis. Primary osteoarthritis can affect middle aged and elderly. Surgery in this group of relatively younger patients requires newer techniques like hip resurfacing.

Hip Resurfacing is the preferred option in young & middle aged males with primary

Types of Hip arthritis

Hip arthritis is classified as Primary and secondary Osteoarthritis.

Primary osteoarthritis is age related wear and tear arthritis. It is rare in India.

Secondary osteoarthritis occurs at a younger age and is more common. Rheumatoid arthritis, avascular necrosis, traumatic arthritis and other connective tissue disorders like SLE, Psoriasis etc. all lead to secondary osteoarthritis.

Rheumatoid arthritis is an auto immune disorder, affects all joints particularly the small joints but also does not spare the hip and knees.

Avascular necrosis is a condition that reduces the blood supply to the end of the bone. It affects patients with excess alcohol intake, consuming steroids, connective tissue disorders like SLE. Systemic lupus erythematosus (SLE) is a connective tissue disorder affecting mainly young women A photo sensitive rash on the cheeks, renal involvement and arthritis are some notable features. Avascular necrosis affects a proportion of the patients with SLE.

Gaucher’s disease is a rare genetic storage disorder.

Post traumatic arthritis occurs after a severe injury to the hip. Fractures of the ball (top of the femur) or socket (acetabulum) can lead to arthritis after inadequate treatment.

Hip arthritis is very disabling as it is a small ball and socket joint. In advanced disease a total hip replacement was recommended by Orthopaedic surgeons until recently. The ideal age for a hip replacement is 74 years.

Surgical solutions

are the mainstay of treatment as conservative measures fail to relieve pain. Total Hip replacement (THR) is a time tested operation and has a success rate of 93 % survivor ship at 10 years.

Who needs a hip resurfacing?

In India, many young patients with ankylosing spondylitis, avascular necrosis, post septic arthritis, post injury suffer from hip arthritis and are advised a hip replacement for disabling pain. Thus many hip replacement operations are performed in younger patients. The surgery should cater to the enhanced demands on an artificial joint by younger and more active patients. Naturally an operation designed for Western elderly patients is not suitable for younger patients.


Hip Resurfacing vs Hip Replacement

In this operation the ball shaped upper end of the thigh bone (femur) and the socket (acetabulum) are replaced. The ball is replaced with a long metal stem that is fixed into the upper end if the thigh bone. Its upper spherical end articulates with a cup shaped polyethylene socket that is cemented into the pelvis.

Conventional hip replacements sacrifice a great deal of normal bone as the head, neck, and upper part of the thigh bone is removed for implantation of the prosthesis. Moreover wear debris from the poly-etheylene liner lead to osteolysis and bone loss. When this first hip is to be changed or revised after its lifespan more bone loss occurs. Conventional hips have a small ball to reduce friction and wear, but the ill effect of this is an increased risk of dislocation. An average dislocation rate of 3- 4 % has been reported. These implants do not last very longer than 20 years and revision rates of 50% at 20 years have been reported. Survival rates are less satisfactory for the relatively younger active patients. Thus a total hip replacement is not an ideal implant for younger patients less than fifty years old who need a new hip.

Problems with conventional total hip replacement:

  • Excessive bone sacrifice and loss
  • Increased risk of dislocation
  • Patients cannot squat or sit cross legged on the floor with out the risk of dislocation.
  • Range of movement is less
  • Patients cannot involve in sports
  • Poor survival in young and active patients they require earlier revision.
  • Revision surgery is difficult
  • The hip feels less like a normal hip
  • The cup wears with time and plastic from it harms bone
  • Change in length of the leg after surgery leading to leg length discrepancy.

Why remove normal bone when only the surface of the ball is bad?

This is the logic behind hip resurfacings. This bone preserving hip resurfacing involves replacing only the diseased bony surfaces of the head of femur and acetabulum. This involves sculpting the head of the femur and covering it with a metal cap and fixing an uncemented socket into the acetabulum to receive the head.

Hip Resurfacing- A bone preserving hip replacement!

Preservation of bone and less stress shielding makes it easy to revise this hip if needed. The large head size provides a very stable joint and recreates the sensation of a normal hip joint. Patients have gone back to playing Judo and Squash after this operation. Advances metallurgy makes the metal on metal articulation likely to survive longer in the young and active patient. With less metal inside the bone and less invasion of the medullary cavity of the femur, the risk of infection is reduced. Rehabilitation is faster and better.

Advantages of hip resurfacing:

  • Allows the patient to squat and sit cross legged on the floor safely
  • Allows a normal range of movement
  • Sacrifices only the surface diseased bone and preserves normal bone
  • Imparts a more normal sensation
  • The joint is likely to last longer even in younger and active patients.
  • Earlier and faster rehabilitation
  • Less risk of dislocation
  • Easier to revise if needed.
  • No leg length discrepancy.

In summary a Hip Resurfacing offers several advantages in young patients in young patients.

Young Ken Swift & Crazy Legs Perform on Letterman


New Balance Women's WW850 Toning Shoe
New Balance Women's WW850 Toning Shoe
List Price: $89.92
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Description

Get this classic shoe that will captivate all that set cite on them.

Put some extra pep in your step with New Balance's WW850 sneaker. Truebalance technology provides superior comfort and helps tone your muscles while burning extra calories. It's a simple choice for an effortless workout.

Features

  • Truebalance balance board technology
  • C-CAP midsole provides cushioning and support
  • Removable full-length insert of ABZORB cushioning provides added comfort
New Balance Women's WW1442KM Toning Shoe
New Balance Women's WW1442KM Toning Shoe
List Price: $84.95
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Description

? Show your support for the cause in this pink-ribbon toning shoe ? Breathable mesh upper with supportive synthetic overlays ? Comfortable fabric lining ? ACTEVA® ULTRA LITE midsole for lightweight shock absorption ? Innovative rock & tone rocker bottom technology burns more calories and gets legs in shape ? Stabilizing WALKING STRIKE PATH® on rubber outsole ? Part of the Lace Up for the Cure® Collection

Accelerate your fitness goals the fast and fun way in this ingenious athletic shoe by New Balance. Fitted with a solid rubber outsole that's curved to propel you forward while toning your muscles and burning extra calories, the ergonomic shoe also features a cushioned collar and tongue, multi-density walking insert, and lightweight style for cool, comfortable workouts.

Features

  • Fun and Playful Shoes by New Balance
  • Mesh Upper
  • These Will Make You Love Running Even More
  • Padded Collar and Mesh Tongue
  • Textile Lining
AVIA Women's A9999 Avi Motion iTone Toning Shoe
AVIA Women's A9999 Avi Motion iTone Toning Shoe
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Description

The first biomechanically-correct toning shoe that allows your foot to move naturally featuring leather & mesh upper, negative heel engineering promotes muscle activation, lightweight construction & Archrocker - enhances the users rocking motion from heel to toe.

Did you ever think you could workout and tone without even trying? All you have to do is walk! This avi-motion sneaker from Avia has the technology that will work--a negative heel promotes muscle activation, forefoot grooves allow for natural dorsiflexion, and the Archrocker promote total bun-toning.

Features

  • Imported
New Balance Women's WW850 True Balance Toning Shoe
New Balance Women's WW850 True Balance Toning Shoe
List Price: $120.00
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Description

Women's New Balance, True Balance WW850

Get a workout with your every step in New Balance's True Balance Toning Walking Shoe. The TrueBalance system joins a C-CAP midsole with a 3/4-length TPU leaf spring system and a rounded blown sole to strengthen muscles and blast away calories. This lightweight design is great for everyday wear whether you have exercise in mind or not.

Features

  • True Balance-a special system of components designed to create natural instability
Skechers Women's Shape Ups Breast Cancer Awareness Walking Shoe
Skechers Women's Shape Ups Breast Cancer Awareness Walking Shoe
List Price: $100.00
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Description

Women's SKECHERS® SHAPE-UPS AWARENESS: You already know Skechers® Shape-Ups are designed to maximize the health benefits of walking, but now they're also helping women with breast cancer. For every pair sold, Skechers® will donate $36 to The Breast Cancer Research Foundation. Shoe features include a curved outsole that rolls forward with each step. You'll experience weight loss, toned calves, thighs, and core muscles, and improved posture.

Show your support of Breast Cancer Awareness while obtaining a better walking workout in this shoe from Skechers' Shape Ups line. The sporty upper features breathable mesh inlays and adjustable lacing, while the curved outsole and thick midsole are specially designed to activate muscles while you walk--allowing for a healthier stride. “For every pair sold, Skechers donates $10 to the Breast Cancer Research Foundation”

Features

  • For every pair sold, Skechers donates $10 to the Breast Cancer Research Foundation
Reebok Women's EasyTone Reeinspire Walking Shoe
Reebok Women's EasyTone Reeinspire Walking Shoe
List Price: $129.99
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Description

Women's REEBOK® EASYTONE REEINSPIRE :: Take the gym with you wherever you go! Improve muscle tone in your calves, thighs, and butt just by walking in Reebok® EasyTone Reeinspire fitness walking shoes. EasyTone walking shoes use balance pods in the heel and forefoot filled with soft, cushioned air cells to emulate walking in sand. You'll encourage greater use of your leg and core muscles to get a better workout and look great. Reebok® EasyTone Reeinspire walking shoes feature a blend of durable synthetic leather and soft, breathable mesh uppers for pure comfort.

Tighten and Tone with Reebok EasyTone What are Reebok EasyTone shoes? Reebok EasyTone shoes help tone key leg muscles with every step you take. They're well-designed, stylish training shoes that you'll wear everywhere you go. How do EasyTone shoes work? Balance pods are built-in under the heel and forefoot of the shoes. The balance pods are designed to create natural micro-instability with every step, forcing key leg and glute muscles to adapt, and encouraging toning. You'll truly feel the difference. Reebok EasyTone Balance Pods act like Stability Balls under your feet   When would I wear EasyTone shoes? EasyTone shoes are designed with style in mind, so they can be worn during normal day-to-day activities - from work, to school, to shopping - and everything you would normally do in a day. They help tone key leg muscles, and they look great. What muscles do EasyTone shoes tone? Your legs and butt. Anatomically speaking, targeted areas include key muscles in the gluteus maximus, hamstrings, and calves. Reebok EasyTone shoes increase muscle activity in the gluteus maximus by 28%, and by 11% in the hamstrings and calves  

Get a better butt and better legs with every step. With EasyTone Reeinspire, you can get firmer thanks to Reebok's patented sole technology, which simulates walking on sand.

Features

  • EasyTone tech unit for muscle toning
  • SmootFit upperfor comfort
  • Molded PU sockliner for comfort
  • Anti-bacterial treatment for moisture management
AVIA Women's A9995 Avi-Motion iShape Toning Shoe
AVIA Women's A9995 Avi-Motion iShape Toning Shoe
List Price: $80.00
See Reviews For This Product

Description

The Avia Avi-Motion series is "toning in motion"; a shoe that helps tone your body while you walk. This lightweight shoe features negative heel engineering which promotes muscle activation while a forefoot flex grooves allow for natural Dorsiflexion. This shoe employs Archrocker which is a time tested and American Podiatric Medical Association approved design that enhances the users rocking motion from heel to toe in the gait cycle. Also utilized is a Shear Cantilever System. This system accelerates the heel area's ability to rebound to its natural state in time for the next heel strike.

Tone while you go with Avia's Avi-Motion walking shoe. It's specially designed--with negative heel engineering, forefoot flex grooves, an APMA-approved Archrocker® shape, and the Shear Cantilever® System--to help get your muscles working while also cushioning and protecting every footfall. Best of all, it's as lightweight as can be.

Features

  • iShape
  • Medium (B, M)
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