THE TECHNOLOGY: Bio Total hip, the innovative device with the potential of repairing and replacing joints via the ability of reaching joints through the femur neck. This will minimise the need to perform Arthroplasty or Total Hip Prosthesis, as it will reshape and resurface the bone between joints. The Bio Total Hip can perform arthroscopy without damaging articular capsules by introducing mechanical or biological materials between joints. This less-invasive surgical treatment will revolutionize major hip or joint surgery due to its minimalistic approach. This will be beneficial to patients suffering early stages of Arthrosis or other damaged joints. Bio-Total Hip incorporates ridges on the outer member surface which grasp the femur neck. The inner member is telescopic and interlocks with the outer member via the ridges on its external surface. At its joint end there is a mini head made from biological materials which sit neatly within the joint and fill out the space between the joints. This Mini head piece can be detached and replaced by an umbrella type function tool which expands and covers the head of the femur which mechanically smooths out any imperfections allowing the joint to function as it did during its natural movement. Using a guiding X-ray device, a very small tunnel can be drilled and directed towards the fovea of the ligamentum capitis or around the ligament of the femur head. This will create a depression area in the insertion point of the ligament. This ligament should then be removed in order to visualise the entire hip joint by rotating, flexing or extending the limb. The capitis femoris ligament ceases to provide blood to the head of the femur from approximately the age of 16 years. From this time onwards it becomes sclerotic, therefore loosing its flexibility and in some cases shrinks, which retracts the head towards the Acetabulum and reduces hip joint space, thus creating more pressure on the joint surface. Could this abnormal rubbing of joint surface be what initiates the original lesion in the articular cartilage due to wear and tear which eventually destroys the joint. The fevoea of the ligament is a depression that does not come into contact with the Acetabulum wall, therefore after arthroscopy it is easier to cover with bone pegs, then resurface the surface with biomaterials. Arthroscopic devices inserted into the tunnel facilitate the visual inspection of the joint and localize any damaged areas in the articular cartilage. This is how it can be repaired with stem cells of cultivated cartilage. This is a common practice dentists perform on cavities. The transcervical tunnel remains untouched, except at towards the end of the joint where bone pegs can be inserted to block the perforated fovea. In similar trans-cervical tunnels and in late osteoarthritis, its possible to insert bio materials to fill the joint space. Bio Total Hip has an unrivalled technological advantage in comparison to current surgical procedures as it removes only the neck and head of damaged joints throughout stages of articular cartilage damage by reshaping and resurfacing damaged surfaces, thus keeping the capsule and blood supply intact. Utilising a visual device to resurface the joint, the need for total hip, or joint replacement surgery will be reduced dramatically. This micro surgical procedure creates a new layer/surface to minimise friction to once again enable smooth gliding between the joint surfaces. Flushing joints and removing foreign bodies will allow the repair of any soft structural damage within joints and reshape the area. An inflatable bladder attached to a telescopic member compresses the Bio material, then resurfaces the joint via an adjustable telescopic mechanism with a profiled head .This will sit proud within the joint and create an artificial space allowing free movement of arthritic joints. This makes it possible to repair any osteosynthesis of a fractured femur neck, after the joint turns arthritic. The joint space is accessible when the pre-inserted pin is removed, which allows arthroscopic devices to tunnel further towards any diseased or damaged areas. This is when repair can then be performed via the use of bio-materials. The outer part of the device remains within the socket which is beneficial if access to the joint is needed again. This process allows patients to be mobile soon after surgery, which is not possible with today’s current procedures.

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Bio Total Hip has the potential to be at the forefront of Arthrosis treatment by treating the onset of arthritic problems. Bio Total Hip will halt a worldwide chronic, debilitating disease and its symptoms of association. The use of Bio materials via minimal invasive surgery will reduce surgical and hospital costs, greatly decrease recovery time and minimise the amount of drugs patients need until they reach an ‘appropriate age’ to be granted Hip replacement Surgery.

High Costs The high costs of joint prosthesis surgery is draining the economical resources of national health services world wide.

In 2009; Zimmer Co. (USA) tried to patent a similar Application US2009/0043344. The application was un-allowed after intellectual property rights confirmed that www.totalbiohip.info was the original idea/ patent.

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PATENT GB:2344290

Is there a need to Expend $83 Billion on Prosthesis surgery? In the Journal of Arthritis Dr. J. Cabrera gives insight into why the costs associated with Joint prosthesis surgery are unnecessary and reveals innovative solutions which showcase the way forward …

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