Dr. Jinnah Interview, North Carolina

Dr. Jinnah

1.) Hi Dr. Jinnah, can you please first start out by telling us how you got started with Hip Resurfacing and give us a little background on your experience as a surgeon. Where did you train for hip resurfacing? Who trained you? Did you continue your training after starting resurfacing?

I'll attach his CV and you can pull whatever info you would like to use.

2.) Do you do the neck capsule preservation technique in your surgeries?

No

3.) Do you re-attach the gluteus tendon?

I don't cut it to start. If I do, I reattach it.

4.) Which approach do you prefer to use anterolateral or posterior?

Posterior.

5.) What size do your incisions normally range in inches?

6 - 12 inches.

6.) What is your opinion on the Direct Anterior approach for hip resurfacing, not the antero-lateral approach where the incision is on the side but the Direct Anterior approach?

It is very difficult and does not allow enough room for accurate positioning of prosthesis.

7.) How long do you feel it takes for the bone to be fully healed, actually grow into the prosthesis?

6 - 8 hours

8.) Barring any complications, how many days in the hospital will a patient normally stay?

1 - 2 days

9.) What is your typical rehab protocol? 90 degree restriction? Walker” Crutches Cane? amount of time? Blood thinners? TED stockings? Ice? PT

Blood thinners and TEDs. Walker for about a week, then cane for a couple of weeks.

10.) How long before a typical patient is allowed to drive a car, return to work?

4 - 8 weeks.

11.) What is the recommended time you tell your patients before they can start to run again/do impact sports? Are there any sports you don’t want your patients to participate in after surgery? Out of the patients you have resurfaced what are some of the sports they have returned to?

6 months. Tennis, Running, Tae Kwan Do.

12.) What is your take on cementless (femoral) devices for resurfacing?

Have not decided yet.

13.) Do you have a cut off age for resurfacing patients or do you go on a case by case basis?

65

14.) What type of anesthesia do you use general or epidural or ?

Spinal with lumboplexus block.

15.) Are there any cases that you will not take in particular, AVN, dysplasia, small cysts. Maybe touch on some of the very difficult cases you have been able to resurface.

Crowe III & IV dysplasia. Tends to be young women, the youngest patient 19. Most difficult are post trauma.

16.) Do you do bilateral surgeries same day, if not how far apart do you recommend?

No - 3 weeks.

17.) What device do you prefer to use for hip resurfacing and why?

Conserve plus. I think metallurgy is better and I like the fact that the cup is 170 degrees.

18.) If you can’t perform a hip resurfacing – what THR device do you prefer and why?

Profemur Z. Modular neck in a design that has been used for over 30 years.

19.) What do you consider an adequate number of surgeries for a doctor to be proficient at hip resurfacing?

100.