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Re: age 30 = new hip

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Ken:

I don't want to assume anything but based on your e-mail address - is

it possible the AVN was caused by alcohol consumption? That's one of

the (several) possible cause factors. The biggest is probably steroid

drugs. Injury can also cause it.

Have you been told by a resurf surgeon that you can not get a resurf?

You might be too big for minimally invasive, but I wouldn't worry

about that. I am 6'2 " and I was 290 when I had my surgery and my scar

is less than 6 inches long.

I can't help you with that Biomet unit - I have a Cormet 2000 resurf.

(48)

RC2K 48/54 Dr. Gross 3/24/04

> I was diagnosed with avascular necrosis in my right hip last year.

> I've seen 3 different orthopedic surgeons and they all said the same

> thing: don't know what caused it, two months on crutches didn't help,

> and you'll eventually need a total hip replacement. Unfortunately 35%

> of the femoral head is dead and gone so I am not a candidate for

> resurfacing. Luckily I've secured the best doc in my area (one of the

> best in the country) for the surgery.

>

> Has anyone had the Biomet M2A Magnum large femoral head metal-on-metal

> installed? I'm 30, male, 6', 230lbs, and in fairly good shape (my

> legs are pretty strong). I'm wondering what kind of recovery I can

> expect from a cementless hip like this. From what I've read I may be

> too big for the minimally invasive procedure. I go see the doc in

> three days to hopefully set a date ASAP since the bone is starting to

> crunch in and I can't really walk without crutches or pain killers,

> and I can't do my job on narcotics.

>

> Any advice would be very much appreciated!!

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Don't let the email fool you, I average 3-6 drinks a week. I have a

known sensitivity to cortico steroids which is the direction they're

leaning, but nobody knows for sure. I took prednisone 3 times and it

made my retina detatch twice (central serious retinopathy). That

shouldn't be enough to kill my hip, but it also shouldn't be enough to

do that to my eye. Plus I scuba dive, injured that hip twice, ate a

cheeseburger, you name it and it can cause it......

My doc has done partial resurfacing. The issue is the amount of dead

bone that would have to be cut out won't give a secure fit for the new

ball, or if enough isn't cut out the dead bone could loosen the ball.

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I have heard of cases where relatively small amounts of cortico

steroids (like prednisone) have caused AVN. It appears that some

people's systems are particularly sensitive to it.

Good luck to you,

(48)

RC2K 48/54 Dr. Gross 3/24/04

> Don't let the email fool you, I average 3-6 drinks a week. I have a

> known sensitivity to cortico steroids which is the direction they're

> leaning, but nobody knows for sure. I took prednisone 3 times and it

> made my retina detatch twice (central serious retinopathy). That

> shouldn't be enough to kill my hip, but it also shouldn't be enough to

> do that to my eye. Plus I scuba dive, injured that hip twice, ate a

> cheeseburger, you name it and it can cause it......

>

> My doc has done partial resurfacing. The issue is the amount of dead

> bone that would have to be cut out won't give a secure fit for the new

> ball, or if enough isn't cut out the dead bone could loosen the ball.

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Ken,

I was 19 with AVN in both hips. I am now 36. My hip joints have lasted 17 years and I just got the last socket put in this last October. I am going to walk a marathon in December. The first 4 days are kinda rough but if you work out your arms more it will help with the crutches and the rehab. My rehabs have been not that bad. The scar looks worse than it really is. I did the last hip socket on tylenol and ice. Your age will really help in the rehab. You maybe on the crutches longer because it is a cementless hip. Both of mine are and it was the best choice they could have made for me. I think your biggest worry will be taking it easy. You sound alot like me. I over did it and I lost 2 weeks and 3 weeks because of it.I know about the pain. You will find the pain of the surgery is a relief because it is pain that is producing results not holding you back. My philosophy is its only a scar and the faster they can get you in and out of surgery the better off you are. I have had

staples put in and it feels like someone pinching you when they take them out.Like I said first couple of days are rough but hey its only 48 hours and then you can get on with your life.

Just food for thought. If you have any other questions just let me know.

Jenkenrique69 <beers4ken@...> wrote:

I was diagnosed with avascular necrosis in my right hip last year. I've seen 3 different orthopedic surgeons and they all said the same thing: don't know what caused it, two months on crutches didn't help, and you'll eventually need a total hip replacement. Unfortunately 35% of the femoral head is dead and gone so I am not a candidate for resurfacing. Luckily I've secured the best doc in my area (one of the best in the country) for the surgery.Has anyone had the Biomet M2A Magnum large femoral head metal-on-metal installed? I'm 30, male, 6', 230lbs, and in fairly good shape (my legs are pretty strong). I'm wondering what kind of recovery I can expect from a cementless hip like this. From what I've read I may be too big for the minimally invasive procedure. I go see the doc in three days

to hopefully set a date ASAP since the bone is starting to crunch in and I can't really walk without crutches or pain killers, and I can't do my job on narcotics. Any advice would be very much appreciated!!

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Jen - Did your natural hip joints last 17 years with AVN or the were

those replacements? The reason I ask is everything I've read is

that AVN totally destroys your hip in about two years or less if it

isn't fixed with a core decompression ect..

My arms and legs are in good shape, I just have about a 20lb gut

from not being able to run or anything for a year. Scars and post-

op pain don't bother me. I've been pretty banged up so far,

surgeries on ankle and both shoulders. I'm more concerned if I'll

be able to drag out a deer or pack out an elk for hunting season

since my freezer is empty! Thanks, Ken

> I was diagnosed with avascular necrosis in my right hip last

year.

> I've seen 3 different orthopedic surgeons and they all said the

same

> thing: don't know what caused it, two months on crutches didn't

help,

> and you'll eventually need a total hip replacement. Unfortunately

35%

> of the femoral head is dead and gone so I am not a candidate for

> resurfacing. Luckily I've secured the best doc in my area (one of

the

> best in the country) for the surgery.

>

> Has anyone had the Biomet M2A Magnum large femoral head metal-on-

metal

> installed? I'm 30, male, 6', 230lbs, and in fairly good shape (my

> legs are pretty strong). I'm wondering what kind of recovery I

can

> expect from a cementless hip like this. From what I've read I may

be

> too big for the minimally invasive procedure. I go see the doc in

> three days to hopefully set a date ASAP since the bone is starting

to

> crunch in and I can't really walk without crutches or pain

killers,

> and I can't do my job on narcotics.

>

> Any advice would be very much appreciated!!

>

>

>

>

>

>

>

>

>

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My philosophy is its only a scar and the faster they can get you in and out of surgery the better off you are. AMEN 2 that! LOL Although the surgery is not a picnic in the park~ I believe the waiting it out was the worst part! Time just don't go fast enough when your in alot of pain awaiting a solution~ least after surgery.... you hurt but everyday is a little less then the one before. :)

I have had staples put in and it feels like someone pinching you when they take them out. I was glued last time around which was pretty cool. NO follow up required! It's a little itchier then staple healing (*least was for me) and I worried about the "I'm coming unglued" being a reality LOL but I'd do it again.

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Just out of curiosity are the moderators of this group affilitated

with PETA? I posted two days ago referencing possible limitations

with hunting and the post never seemed to make it to this board.

So please let me refrase it: Will I be able to dreag 200lbs

of " vegetables " out of the woods or backpack out 100lbs

of " vegetables " in moderately rough terrain with a metal-on-metal

BFH hip? " Gardening " happens to be my hobby of choice and savoring

the taste of my harvested " vegetables " is something my family has

enjoyed for generations.

> My philosophy is its only a scar and the faster they can get you

in and out

> of surgery the better off you are. AMEN 2 that! LOL Although

the surgery is

> not a picnic in the park~ I believe the waiting it out was the

worst part!

> Time just don't go fast enough when your in alot of pain awaiting

a solution~

> least after surgery.... you hurt but everyday is a little less

then the one

> before. :)

>

> I have had staples put in and it feels like someone pinching you

when they

> take them out. I was glued last time around which was pretty

cool. NO follow

> up required! It's a little itchier then staple healing (*least

was for me) and

> I worried about the " I'm coming unglued " being a reality LOL but

I'd do it

> again.

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Ken, The 17 years are the replacements. My natural hips were gone in

a year. You learn how to adapt when You are 19. You learn how to

adapt when you are 37 like I am now. I did the last socket surgery

with tylenol z pack antibiotics and ice. AVN is ruthless but......

the recovery is so much fun because you have mobility again. You

worry to much like me. You will be able to pull a deer out of the

forest just like I will walk really fast a marathon this december.

Everything is done in moderation. I dont bungee jump sky dive

waterski or downhill ski but I do everything else but I am not as

fast or as good but hey I have fun.Thats what counts.

Jen

> > I was diagnosed with avascular necrosis in my right hip last

> year.

> > I've seen 3 different orthopedic surgeons and they all said the

> same

> > thing: don't know what caused it, two months on crutches didn't

> help,

> > and you'll eventually need a total hip replacement.

Unfortunately

> 35%

> > of the femoral head is dead and gone so I am not a candidate for

> > resurfacing. Luckily I've secured the best doc in my area (one

of

> the

> > best in the country) for the surgery.

> >

> > Has anyone had the Biomet M2A Magnum large femoral head metal-on-

> metal

> > installed? I'm 30, male, 6', 230lbs, and in fairly good shape

(my

> > legs are pretty strong). I'm wondering what kind of recovery I

> can

> > expect from a cementless hip like this. From what I've read I

may

> be

> > too big for the minimally invasive procedure. I go see the doc

in

> > three days to hopefully set a date ASAP since the bone is

starting

> to

> > crunch in and I can't really walk without crutches or pain

> killers,

> > and I can't do my job on narcotics.

> >

> > Any advice would be very much appreciated!!

> >

> >

> >

> >

> >

> >

> >

> >

> >

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Ken

I had AVN in both hips and shoulders. The AVN started in 1989 and I

had my first THR in the fall of 1997, the second in July 1998

(revised in June 2004) and the shoulders in 2000 and 2001. All had

collapsed and were bone on bone. Some people progress faster than

others.

Sue

> > I was diagnosed with avascular necrosis in my right hip last

> year.

> > I've seen 3 different orthopedic surgeons and they all said the

> same

> > thing: don't know what caused it, two months on crutches didn't

> help,

> > and you'll eventually need a total hip replacement.

Unfortunately

> 35%

> > of the femoral head is dead and gone so I am not a candidate for

> > resurfacing. Luckily I've secured the best doc in my area (one

of

> the

> > best in the country) for the surgery.

> >

> > Has anyone had the Biomet M2A Magnum large femoral head metal-on-

> metal

> > installed? I'm 30, male, 6', 230lbs, and in fairly good shape

(my

> > legs are pretty strong). I'm wondering what kind of recovery I

> can

> > expect from a cementless hip like this. From what I've read I

may

> be

> > too big for the minimally invasive procedure. I go see the doc

in

> > three days to hopefully set a date ASAP since the bone is

starting

> to

> > crunch in and I can't really walk without crutches or pain

> killers,

> > and I can't do my job on narcotics.

> >

> > Any advice would be very much appreciated!!

> >

> >

> >

> >

> >

> >

> >

> >

> >

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