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At the Forefront of Orthopedic Care

Princeton Baptist Medical Center, a member of the Baptist Health System in Birmingham, AL, is revolutionizing regional orthopedic care by offering anterior hip replacement using the hana hip and knee arthroplasty table.

Allowing for a minimally invasive approach to total hip replacement, use of the hana hip and knee arthroplasty table provides a faster recovery time with less pain.

Enhanced Surgical Technique

The hana hip and knee arthroplasty table contains two carbon fiber spars with a Spherical Spatial Positioning System that facilitates leg positioning during surgery to allow for better exposure of the patient’s hip. Because of the carbon fiber construction and radiolucent leg spars, physicians also benefit from enhanced imaging capabilities, as X-rays can be taken through the spars to ensure the patient’s leg is in the proper position. The hana table also features a mechanical lifting device, which helps to lift the femur out of the wound to facilitate preparation of the femoral component.

Other features of the hana hip and knee arthroplasty table include unrestricted access to C-arm imaging, a 420-pound patient capacity, low table profile for easy patient transfer, continuous LED monitoring, Tempur-Med Pad technology that contours to the patient’s anatomy — which improves comfort and safety during surgery — and a fracture kit to support surgical treatment for fractures of the lower extremities. At Princeton Baptist Medical Center, the hana hip and knee arthroplasty table is being used for anterior hip arthroplasty and hip and femoral fracture care. Partial knee arthroplasty has also been performed using the device.

Patient Benefits

The hana hip and knee arthroplasty table provides benefits for both patients and surgeons because the device allows anterior hip replacement to be performed more easily. Patients benefit from an approach that allows for faster recovery periods and less pain following surgery.

Unlike a traditional hip replacement procedure, which necessitates a large posterior incision and cutting through muscle to expose the hip joint, the anterior approach can be completed using a smaller incision — generally 3 to 6 inches compared to the 10 to 12 inches required during a traditional hip replacement — and does not require cutting through muscle, which is responsible for most of the pain and limited mobility that patients experience following hip replacement surgery.

“Anterior hip replacement is the only approach to hip arthroplasty that allows us to expose the hip joint and perform the procedure without having to cut through muscle,” says 
John Featheringill, M.D., orthopedic surgeon at Princeton Baptist Medical Center. “Instead of cutting muscle, we are able to separate the muscle in the front of the hip using the muscle’s natural plane, letting it fall back in place after surgery. By leaving muscle intact, patients recover faster and are able to function at a higher level sooner after surgery, as there are no mobility limitations or precautions that must be observed.”

Typically, after traditional hip replacement surgery, during recovery patients cannot participate in any activities that would cause hip flexion, including bending, stooping, driving and sitting in a regular chair, because there is risk for dislocation of the hip prosthesis. Following anterior hip replacement, patients do not experience these same limitations. Patients also benefit from shorter hospital stays, are generally able to get up and move around the day of surgery and are usually able to return home with home-based and outpatient therapy after their surgeries and hospital stays are complete, rather than having to spend time in an inpatient rehabilitation facility.

Patient success stories speaking to the quick recovery times and minimal pain associated with anterior hip replacement include an 85-year-old female who was able to go on a cruise three weeks after surgery, an 87-year-old female who was able to fly on an airplane three weeks after surgery, a male patient who went hiking four weeks after his procedure, and a male patient who rode his motorcycle from Birmingham to 
Mobile, AL, six weeks after surgery.

Enhanced Expertise

Princeton Baptist Medical Center was the first medical center in Birmingham to offer anterior hip replacement using the hana hip and knee arthroplasty table, acquiring the device several years ago. Because the medical center has been performing the procedure longest in the area, physicians have ample experience using the table, allowing patients to benefit from the best possible outcome.

“This procedure is only performed at a few institutions in the United States, so it is still fairly unique,” says Theodis Buggs, Jr., M.D., orthopedic surgeon at Princeton Baptist Medical Center. “However, because of the success of this procedure, many are predicting that within the next five to 10 years, the majority of hip replacements will be performed in this fashion. While every surgeon can think of isolated cases where patients have done exceptionally well, anterior hip arthroplasty is a technique that has provided us with the most consistent patient results.”

Aside from the exceptional surgical care, the nursing, rehabilitative and postoperative services provided through Princeton Baptist Medical Center are high quality, as well, with many people being discharged home within one to two days following their surgeries. Protocols are also in place to ensure that infection rates stay low after surgeries, including use of Proventix, a technological device that helps to decrease the rate of postoperative infections by monitoring whether health care professionals use proper hand hygiene, such as dispensing and using alcohol-based hand sanitizer as soon as they enter a patient’s room.

“At Princeton Baptist Medical Center, we provide continuity of care that extends from preoperative to postoperative care,” says John R. Weaver, M.D., orthopedic surgeon at Princeton Baptist Medical Center. “Using state-of-the-art technology, we are able to provide surgeries that are less invasive and less painful and provide top-notch nursing care after surgery.”

“As orthopedic surgeons, we receive exceptional support from the entire hospital,” adds Edward Bromberg, M.D., orthopedic surgeon at Princeton Baptist Medical Center. “As far as medical support, we have excellent back up that allows us to care for elderly patients and patients with multiple comorbidities. All of the imaging we need to make diagnoses and enhance safety during procedures is provided, as well as excellent anesthesia support during surgery and access to cutting-edge technologies.”

Additional Joint Replacement Procedures

In addition to anterior hip arthroplasty using the hana hip and knee arthroplasty table, unilateral knee replacements and partial knee replacements are being performed at Princeton Baptist Medical Center. Dr. Weaver is also performing total knee replacements using ingrowth technology. This approach allows the bone to grow into a specialized device, which makes for a solid ingrowth compared to traditional total knee replacements that use bone cement.

For more information about the joint replacement procedures provided, please call 1-877-222-7847 or visit