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     PATENT GB 2344290         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.  
Main components                                     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.    Further insight into the BIO TOTAL HIP Patent:              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 surfaces be the cause that 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 never comes into contact with the Acetabulum wall, therefore at the end of the arthroscopy its easy to cover with bone pegs and resurface the joint surface with biomaterials. Arthroscopic devices then inserted into the tunnel facilitate the visual inspection of the joint and localize any damaged areas in the articular cartilage and repairing can be made via stem cells, cultivated cartilage. This is the common practice that dentists perform on dental cavities. The transcervical tunnel shall remain untouched, except at the joint end where joint bone pegs can be inserted as described above to block the perforated fovea. In similar trans-cervical tunnels and in late osteoarthritis, its possible to insert other materials to obtain the joint space.   The 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 the damaged surface, thus keeping the capsule and blood supply intact. Utilising visual devices to resurface the joints, the need for total hip, or joint replacement surgery will be reduced dramatically. This micro surgical procedure creates a new layer-surface which minimises friction, thus enabling smooth gliding between joint surfaces, as within healthy joints. Flushing joints and removing any foreign bodies will allow the repair of any soft structural damaged joints and reshape the area. An inflatable bladder attached to a telescopic member compresses Bio materials, then resurfaces the joint via an adjustable telescopic mechanism with a profiled head which sits proud within the joint and creates an artificial space allowing the free movement of arthritic joints. This will make it possible to repair the osteosynthesis of a fractured femur neck, once a joint turns arthritic.  The hip joint space is accessible when the pre-inserted pin is removed, which will allow arthroscopic devices to tunnel further towards any diseased or damaged areas. Repair can then be performed with the use of bio-materials. The outer part of the device will remain within the socket which is practical if access to the joint is ever needed again. This process allows patients to be mobile very soon after surgery, which is not possible with any currently used procedures.   
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Hip joint with ‘Bio Hip’ within the Acetabulum. An Arthroscopic device with ceramic mini-head inserted into the hip joint via a tunnel drilled from below the greater Trochanter which perforates the head of the femur to reach the hip joint space...
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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.
MEDICAL INVENTION PATENT NUMBER GB  2344290 High Costs  The high costs of joint prosthesis surgery is draining the economical resources of national health services world wide. Osteoarthritis. Information on Osteoarthritis and how the Bio Total Hip can come to the aid of thousands..
  Zimmer Co. (USA) had tried to patent in 2009 a similar Application US2009/0043344.  The application was unallowed in 2011 after Dr. Cabrera had affirmed the legal priority of Total bio hip.
The use of Stem cells are making headway in helping those suffering with the onset of osteoporosis and associated diseases. Here is their latest 2017 article: Stem Cell research
BIO HIP MEDICAL INVENTION PATENT NUMBER GB  2344290          Bio Total Hip ® www.biototalhip.com
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  
HISTORY OF HIP SURGERY  A Historic journey through Hip replacement surgery and the men behind the innovations.