Bilateral hips & full range of motion
"I just wanted to share my photo -- coming up on my 4 year anniversary of my right hip replacement from July 2013 and my left hip from December 2013. No pain, full range-of-motion, no issues and living life. Just wanted to let (Dr. Gross' Midlands Ortho team) know and see the good work that you do."
We call Dr. Gross "Dr. Magic"
"Dr. Thomas Gross, Dr. Lee Webb, and their staff (Nurse Nancy is the one I spent a lot of time conversing with) have changed my life SO MUCH. In less than a year, I went from having to crawl up stairs on all fours to getting back to my active life. I am 52-years old. I got my new hip. Now… I box, trail run, basketball, ultimate frisbee, crossfit, and more. I was very active before arthritis struck my hip, [...] ruining everything I [did]. JUST OVER ONE YEAR after surgery, I was nearly back to 100%. I couldn’t believe it! Dr. Gross’ pain management is amazing. Around here in the NC area, there are several of his patients with the exact same [hip resurfacing] surgery. We all call him “Dr. Magic”. My sister lives in SC just north of [Columbia]. I stayed with her for a week after surgery. She and my brother-n-law were shocked by the speed of recovery and are telling all their friends about Dr. Magic. People who knew me before arthritis, [...] right before the surgery, and [...] now are asking about Dr. Magic.
Now it is two years, and [I'm] fully recovered. My progress now is NOT about the surgery but is about me and [the] efforts I make. Just over a year after surgery, my running partner signed [us] up for one of the hardest marathons in NC. We finished our 26.2 mile marathon in 5:15. Not too shabby considering the terrain. It was good to be sore but not in pain! A marathon. 19 months after my surgery. Thank you Dr. Gross!"
4-Day Zion Hike with Bilateral Hips
"We hiked in Zion National Park for 4 days. Typically did 5-9 miles per day. Frequently experienced elevation gains > 2000 feet. Never felt anything in my hips all 4 days. Really incredible to be able to do these things with my family. It simply would have been impossible before getting both hips resurfaced.
Please let any prospective patients know of my success and that if I can do it, anybody can. This picture was taken 5 months to the day Dr. Gross resurfaced my left hip and about 16 months after the right."
Brilliantly talented surgeon
I ran 1 mile today. It's been almost 2 years since I had to stop running due to my injured hip. It's been 7 months since my hip resurfacing surgery and 1 month since I was cleared to return to full activity - including running. So I want to express my immeasurable gratitude to my brilliantly talented surgeon, Dr Tom Gross MD, and his fantastic team at Midlands Orthopedics in Columbia, SC for fixing me and giving me this unbelievable opportunity. I was told I would never run again. As it always has been in this country, we live in an age of remarkable medical innovation and advancement. Let's hope and pray that these creative and gifted Medical Professionals are allowed to continue to operate and flourish in an environment that nutures their goals and not in one where a group of unknowledgeable and misguided bureaucrats extinguish this spectacularly creative process forever.
[I'm] 2-1/2 years out on the right [hip] and 1-1/2 on the left [hip]. Saturday, three of us (I'm far right) did 13 miles up into Crescent Creek drainage near Cooper Landing. We had an awesome time and did it in 2 hours 45 minutes - a little slower than planned, but it was HOT. Alaska girls don't do hot.
This is the longest run I've done this summer and one of the more challenging. This [trail] has some impressive uphill rocky stretches but totally worth it once you get above tree line.
I have NO PAIN. None. I did the downhills just as fast as the chick in the middle, who is an IronMan triathlete. Downhill was my enemy for so many years; it [used to] hurt so bad. Uphill I held my own but definitely need more cardio work. [...]
[...] Once again a heartfelt thank you to all of you and Dr. Gross for giving me this back.
I did cartwheels to celebrate!
When Dr. Gross resurfaced my right hip in August of 2013, he told me that I would be able to do all the activities that I normally enjoyed doing. He was right! This photo was taken the day I regained my number one ranking in the world for pole vaulting women ages 60-64. I was thrilled to be the only female to pole vault with a resurfaced hip! I did cartwheels to celebrate!
You gave me renewed hope and a resurfaced hip.
Dr. Gross, Lee Webb, Nancy Smith, et al.
A delayed note of gratitude for your excellent work. On December 4th, 2013 you gave me renewed hope and a resurfaced hip, to pursue my long time passion of ultra-running. In June 2014, with six months full recovery, I ventured back into the mountains and trails to begin renewing the lifestyle I knew before.
I can surf again!
Thank you again for all your help with my hips. I was 29 at the time of the hip replacements. Here about 9 months and 12 months out from my surgeries, I am feeling much better. I would not say I am 100% yet, but I am continually improving. I have no discomfort sitting, standing, or walking.
I know I can trust my newly resurfaced hips.
It has been 14 months since you performed my bilateral hip resurfacing and I am writing to inform you of how the newly resurfaced hips are performing. In one word; FANTASTIC! To describe my results more completely, I will relate one particularly noteworthy experience since the operations.
Apart from the expected discomforts in the first week following surgery and the agony of waiting the six months to be free of the limitations I agreed to follow, the recovery period was really very easy considering the fact that, well, both hips had just been replaced. It would be reasonable to expect much worse.
Dr. Gross performs multiple types of joint replacement including revision surgery. We monitor all of our patient’s results long-term. The American population is highly mobile, and 80% of our patients come from outside of South Carolina. But we still manage to maintain up-to-date follow-up in 96% of cases (many of our patients do not feel the need to follow-up since they have excellent results with no pain; even if this is the case, we still recommend routine follow-up). We periodically update results for the most common procedures performed.
Survivorship Curves: We use the Kaplan-Meier method. This takes into account patients being lost to follow-up as well as deaths due to unrelated causes. Each failure is time weighted by this method. The resulting curve provides the odds of an implant still being in place in the patient at any chosen time point from surgery. Joint replacements are not permanent. The longer that you follow a group of patients, the higher the failure rate that you record. It is very difficult to compare previous results to more recent cases because of the difference in follow-up. But if techniques improve, the survivorship curve of the latest group of patients will be higher and flatter than the previous group. The following results are some of the best in the world; see our publication section for comparison of these results to other surgeons.
1. Hip Resurfacing
We include three distinct groups for your review. The first was the Corin Hybrid from 2001-2005, the next was the Biomet Hybrid 2005-2007, and the final is the Biomet uncemented which we have used since 2007. You can see that results improve with consecutive each group. It is difficult to prove the exact reasons for improvement. Some surgeons advocate patient selection to improve their results (perform total hips instead of resurfacing on higher risk patients). I disagree with this approach. I have focused on studying the root causes of hip resurfacing complications and then modifying both techniques and implants to improve results in all patients. My goal is to allow all patients to realize the advantages of hip resurfacing. The rising survivorship curves in unselected patients prove that my philosophy works.
- Survivorship curve for all three implants, as of 2018. Note that the survivorship y-axis begins at 80%.
- There have been NO instances of adverse metal wear since perfection of our RAIL guidelines in 2009.
- Below are survivorship curves seperated by age. Note the y-axes start at 80%. P-values less than 0.05 indicate that each new implant has outperformed its precursor, with our current uncemented ReCap option presenting the greatest survivorship.
- Many centers report greater rates of failure in young, active patients than in their elderly population. Our surgical technique gives us better results than these centers, and we pride ourselves in providing an arthroplasty option which allows young patients to maintain their high levels of activity without compromise to implant durability.
- Survivorship for the Hybrid (H) ReCap implant at 12 years is 95.1% for patients over 50 and 95.6% for patients under 50 (no statistical difference between the two age groups)
- Survivorship for the Uncemented (UC) ReCap implant at 9 years is 99% for both age groups.
- Our Biomet implants outperform the outdated Corin device. Below shows results of this device (cemented and uncemented included) grouped by gender. Note the y-axis BEGINS at 95%.
- Many hip replacement surgeons opt to exclude women from receiving surgery because of poor published results. We, however, elected to find out WHY implants in women were underperforming and to CORRECT implant design and surgical technique instead of excluding women from surgery. After implementation of new protocols from 2007-2009, outcomes in women at our center have improved drastically (see our publication section ). With continued collection of results, women are on track to present similar survivorship outcomes as men at our practice.
2. Total Hip Replacement
The need for hip replacement continues to shrink as the complication rate for resurfacing falls. Hip resurfacing started out as a temporizing measure for younger patients to preserve bone. Most surgeons still prefer plastic bearing hip replacement to hip resurfacing. My first choice is usually hip resurfacing. In the few patients that are not good resurfacing candidates, my next choice is large metal bearing total hip replacement. Hip dislocations are completely eliminated by this choice. Other surgeons are reluctant to use these implants because of a fear of adverse metal wear related failure (AWRF). This has been a common failure mode among some brands (DePuy ASR recall 2010). But this a rare problem with the Biomet design. AWRF is now completely avoidable if you take advantage of our recent published data on proper cup positioning. A 28mm plastic bearing hip carries a 4-5% dislocation risk and requires permanent restrictions. I generally perform hip replacement in the very obese (BMI >35), patients older than 70 years, those with severe osteoporosis, or severe bone deformities.
- Survivorship curve for Magnum THR
- 2.1% raw failure rate (16 years postoperative)
3. Revision of Hip Resurfacing
More complicated than primary surgery. Our results are very close to those of our primary resurfacing cases. Our most problematic group is revision for loose acetabular components. Other surgeons have had extremely poor results in revision for adverse wear related failures (AWRF). Using an approach of limited debridement and repositioning of new metal bearing acetabular components in more ideal inclination angles, we have had a 100% success rate in this problematic group.
4. Total Knee Replacement
Publications and data coming soon. Please see our Current Topics and Related Links on the subject.
5. Complex Revision Total Knee Replacement
Publications and data coming soon. Please see our Current Topics and Related Links on the subject.