"For the vast majority of people we don't have a good explanation why it occurs." Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, explains several common causes for arthritis, while noting that it's still a relatively mysterious condition.
"Osteoarthritis affects almost 40 million Americans." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, explains just what osteoarthritis is physically as well as reviewing some symptoms that give it away.
"20 to 25 years from today, rather than put and implant in, we'll be able to resurface the joint biologically." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, speculates on the future of hip replacement surgery and notes how hopefully surgery won't even be required soon.
"We're replacing both the socket and the femur. That's why it's a total hip replacement." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, explains how total hip replacement involves replacing both sides of the hip joint.
"For probably half of the patients who have it, we don't have a specific cause." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, notes the many causes of avascular necrosis what also admits that they still have much to learn about the causes.
"We feel very strongly, at the Hospital for Special Surgery, that regional anesthesia is the safest way to have this procedure" Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, explains how he believes regional anesthetic is safer for hip replacement than general anesthetic.
"Fusion is an option very rarely done at this point." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, comments on the old practice of hip fusion as a form of hip surgery and notes it is rarely done today.
"Many times with necrosis we end up replacing the hip." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, speaks about the nature of avascular necrosis and a common way to treat it.
"For the most part, when the joint is destroyed, you need to do a form of hip replacement." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, explains several common ways to repair a destroyed hip joint.
"That operation was actually pretty much abandoned in this country because the results were inferior to conventional hip replacement surgery." Doctor Thomas P. Sculco, Surgeon-in-Chief at the Hospital for Special Surgery in New York, explains the procedure of surface replacement, which was abandoned but now may be making a comeback thanks to new materials.
![\"What Causes Arthritis?\" featuring Dr. Sculco (ArthritisMD)](http://i.ytimg.com/vi/m6533_yvvTk/2.jpg "\\"What Causes Arthritis?\\" featuring Dr. Sculco (ArthritisMD)")
![\"What is Osteoarthritis?\" featuring Dr. Sculco (ArthritisMD)](http://i.ytimg.com/vi/RGWGES8S_TE/2.jpg "\\"What is Osteoarthritis?\\" featuring Dr. Sculco (ArthritisMD)")
![\"What is the Future of Hip Surgery?\" featuring Dr. Sculco (ArthritisMD)](http://i.ytimg.com/vi/iuB0BsS8oGk/2.jpg "\\"What is the Future of Hip Surgery?\\" featuring Dr. Sculco (ArthritisMD)")
![\"What is Total Hip Replacement?\" featuring Dr. Sculco (ArthritisMD)](http://i.ytimg.com/vi/RWKi6Israko/2.jpg "\\"What is Total Hip Replacement?\\" featuring Dr. Sculco (ArthritisMD)")
![\"What Causes Avascular Necrosis?\" featuring Dr. Sculco (ArthritisMD)](http://i.ytimg.com/vi/e8gUdxcAT1s/2.jpg "\\"What Causes Avascular Necrosis?\\" featuring Dr. Sculco (ArthritisMD)")
![\"What do you do for Anesthesia?\" featuring Dr. Sculco (ArthritisMD)](http://i.ytimg.com/vi/KYMTVC_RToA/2.jpg "\\"What do you do for Anesthesia?\\" featuring Dr. Sculco (ArthritisMD)")
![\"What are the Types of Hip Surgery: Hip Fusion\" featuring Dr. Sculco (ArthritisMD)](http://i.ytimg.com/vi/t_iyNB9z4-8/2.jpg "\\"What are the Types of Hip Surgery: Hip Fusion\\" featuring Dr. Sculco (ArthritisMD)")
![\"What is Avascular Necrosis?\" featuring Dr. Sculco (ArthritisMD)](http://i.ytimg.com/vi/Z2LnAFPG2-Y/2.jpg "\\"What is Avascular Necrosis?\\" featuring Dr. Sculco (ArthritisMD)")
![\"What are the Types of Hip Surgery: Hip Replacement\" featuring Dr. Sculco (ArthritisMD)](http://i.ytimg.com/vi/M2-OfJu3NGQ/2.jpg "\\"What are the Types of Hip Surgery: Hip Replacement\\" featuring Dr. Sculco (ArthritisMD)")
![\"What are the Types of Hip Surgery: Surface Replacement\" featuring Dr. Sculco (ArthritisMD)](http://i.ytimg.com/vi/E_Ds70HAlIo/2.jpg "\\"What are the Types of Hip Surgery: Surface Replacement\\" featuring Dr. Sculco (ArthritisMD)")
