Re: Cemented or Press-Fit

[Guest guest]

I'm past 70, and my RTHR is scheduled for 5/24. My dr didn't tell me what kind of prosthesis he's use, but he did mention it'd be uncemented, which I assume is press fit. Since he's been well recommended, he has the experience and the knowledge to determine what will work best for me. I'm not terribly athletic, but I do like water exercises, and I'm still teaching P/T. I'm an adjunct at a nearby community college, and most of my students are adults and very understanding of the increasing discomfort I'm enduring to get through the semester before I undergo hip replacement. I hope to be able to go back to class after Labor Day, but I've only committed to one class which meets once a week, so I should be recuperated sufficiently by Sept 11 (date of my first class) to manage it. I expect to feel unenduably bored all summer, but it'll be worth it to get my life back, I hope!! Good luck all. Charlottesuegabriel2000

<suegabriel2000@...> wrote:

Hi! After almost three years of putting it off, I am going to have a LTHR in June or July. What are your thoughts about cemented or press-fit? I am 60, 30 pounds overweight,in good health except for high blood pressure, have good bones and was quite active until about the last year. I am an elementary school teacher and plan to work for six more years. My job demands a lot of standing and moving around, and I want to get back to hiking and the gym. I asked my surgeon about the cemented vs press-fit options. He replied that cemented was still the gold standard but he would do a press-fit if I wished. I expect to have a RTHR in another year. Comments, opinions, insights from experience appreciated.Thanks!

[Guest guest]

Since when is the choice of fixation method made by the patient???

To cement or not ought to be determined to some measure by the

quality of the bone, in fact I thought that was the major criteria.

So how's your bones? Non-cemented takes more precision on the part

of the surgeon, fit must be just right. Cemented has some " fudge

factor " as one might expect. Non-cemented acetabulums work better

than cemented, if there's enough bone there. That's why some hips

are hybrid, i.e. non-cemented acetabulum, cemented femur. Cemented

joints can bear some weight immediately, but then so can some non-

cemented, depends on the surgeon's preference. Time must be allowed

for bone ingrowth in a non-cemented. There can be thigh pain in non-

cemented femurs.

I have two " hybrid " hips.

Best thing is to find out what surgeon thinks would be best for you

and why.

If you want to read more:

http://www.aaos.org/wordhtml/anmeet92/scipro/ppr087.htm

http://www.pubmedcentral.nih.gov/articlerender.fcgi?

artid=161824 & rendertype=abstract

There are many many more places such as these and you can do a google

search to find them. I just picked these two as good examples

Some say that if you are over 60 you should really question your

surgeon's decision to use uncemented:

http://www.oxmed.com/docs/datafiles/hip%20replacement%20cemented%20or%

20uncemented.html

Hi! After almost three

years of putting it off, I am going to have a

> LTHR in June or July. What are your thoughts about cemented or

press-

> fit? I am 60, 30 pounds overweight,in good health except for high

> blood pressure, have good bones and was quite active until about

the

> last year. I am an elementary school teacher and plan to work for

> six more years. My job demands a lot of standing and moving

around,

> and I want to get back to hiking and the gym.

>

> I asked my surgeon about the cemented vs press-fit options. He

> replied that cemented was still the gold standard but he would do a

> press-fit if I wished. I expect to have a RTHR in another year.

>

> Comments, opinions, insights from experience appreciated.

>

> Thanks!

>

>

>

>

>

>

[Guest guest]

Hi Treprice2000,

I throught I read that this women told her dr what she wanted and he gave her what she wanted' My dr told me after the Hip replacement that my Hip bone wastn't that bad I don't know if I was a dr I tell a patient that.

Regards juneflowertreprice2000 <treprice2000@...> wrote:

Since when is the choice of fixation method made by the patient??? To cement or not ought to be determined to some measure by the quality of the bone, in fact I thought that was the major criteria. So how's your bones? Non-cemented takes more precision on the part of the surgeon, fit must be just right. Cemented has some "fudge factor" as one might expect. Non-cemented acetabulums work better than cemented, if there's enough bone there. That's why some hips are hybrid, i.e. non-cemented acetabulum, cemented femur. Cemented joints can bear some weight immediately, but then so can some non-cemented, depends on the surgeon's preference. Time must be allowed for bone ingrowth in a non-cemented. There can be thigh pain in non-cemented femurs. I have two "hybrid"

hips.Best thing is to find out what surgeon thinks would be best for you and why.If you want to read more:http://www.aaos.org/wordhtml/anmeet92/scipro/ppr087.htmhttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=161824 & rendertype=abstractThere are many many more places such as these and you can do a google search to find them. I just picked these two as good examplesSome say that if you are over 60 you should really question your surgeon's decision to use uncemented: http://www.oxmed.com/docs/datafiles/hip%20replacement%20cemented%20or%20uncemented.html--- In Joint Replacement , charlotte clark <charlottie3@y...> wrote:> I'm past 70,

and my RTHR is scheduled for 5/24. My dr didn't tell me what kind of prosthesis he's use, but he did mention it'd be uncemented, which I assume is press fit. Since he's been well recommended, he has the experience and the knowledge to determine what will work best for me. I'm not terribly athletic, but I do like water exercises, and I'm still teaching P/T. I'm an adjunct at a nearby community college, and most of my students are adults and very understanding of the increasing discomfort I'm enduring to get through the semester before I undergo hip replacement. I hope to be able to go back to class after Labor Day, but I've only committed to one class which meets once a week, so I should be recuperated sufficiently by Sept 11 (date of my first class) to manage it. I expect to feel unenduably bored all summer, but it'll be worth it to get my life back, I hope!! Good luck all.

Charlotte> > suegabriel2000 <suegabriel2000@y...> wrote:Hi! After almost three years of putting it off, I am going to have a > LTHR in June or July. What are your thoughts about cemented or press-> fit? I am 60, 30 pounds overweight,in good health except for high > blood pressure, have good bones and was quite active until about the > last year. I am an elementary school teacher and plan to work for > six more years. My job demands a lot of standing and moving around, > and I want to get back to hiking and the gym. > > I asked my surgeon about the cemented vs press-fit options. He > replied that cemented was still the gold standard but he would do a > press-fit if I wished. I expect to have a RTHR in another year. > > Comments, opinions, insights from experience appreciated.> > Thanks!> >

> > > >

[Guest guest]

I'm 74 male scheduled for may 25th. My doc told me it would be press fit also, but would make final decision at time of surgery.

ben f.

Re: Cemented or Press-Fit

I'm past 70, and my RTHR is scheduled for 5/24. My dr didn't tell me what kind of prosthesis he's use, but he did mention it'd be uncemented, which I assume is press fit. Since he's been well recommended, he has the experience and the knowledge to determine what will work best for me. I'm not terribly athletic, but I do like water exercises, and I'm still teaching P/T. I'm an adjunct at a nearby community college, and most of my students are adults and very understanding of the increasing discomfort I'm enduring to get through the semester before I undergo hip replacement. I hope to be able to go back to class after Labor Day, but I've only committed to one class which meets once a week, so I should be recuperated sufficiently by Sept 11 (date of my first class) to manage it. I expect to feel unenduably bored all summer, but it'll be worth it to get my life back, I hope!! Good luck all. Charlottesuegabriel2000 <suegabriel2000@...> wrote: Hi! After almost three years of putting it off, I am going to have a LTHR in June or July. What are your thoughts about cemented or press-fit? I am 60, 30 pounds overweight,in good health except for high blood pressure, have good bones and was quite active until about the last year. I am an elementary school teacher and plan to work for six more years. My job demands a lot of standing and moving around, and I want to get back to hiking and the gym. I asked my surgeon about the cemented vs press-fit options. He replied that cemented was still the gold standard but he would do a press-fit if I wished. I expect to have a RTHR in another year. Comments, opinions, insights from experience appreciated.Thanks!

[Guest guest]

Hi Ben,

I never heard of press fit what does that mean what kind of Hip are they putting in you?

Well I wish you the best of Luck.

Regards juneflower 60 or susieBen <bfitz@...> wrote:

I'm 74 male scheduled for may 25th. My doc told me it would be press fit also, but would make final decision at time of surgery.

ben f.

Re: Cemented or Press-Fit

I'm past 70, and my RTHR is scheduled for 5/24. My dr didn't tell me what kind of prosthesis he's use, but he did mention it'd be uncemented, which I assume is press fit. Since he's been well recommended, he has the experience and the knowledge to determine what will work best for me. I'm not terribly athletic, but I do like water exercises, and I'm still teaching P/T. I'm an adjunct at a nearby community college, and most of my students are adults and very understanding of the increasing discomfort I'm enduring to get through the semester before I undergo hip replacement. I hope to be able to go back to class after Labor Day, but I've only committed to one class which meets once a week, so I should be recuperated sufficiently by Sept 11 (date of my first class) to manage it. I expect to feel unenduably bored all summer, but it'll be worth it to get my life back, I hope!! Good luck all. Charlottesuegabriel2000

<suegabriel2000@...> wrote: Hi! After almost three years of putting it off, I am going to have a LTHR in June or July. What are your thoughts about cemented or press-fit? I am 60, 30 pounds overweight,in good health except for high blood pressure, have good bones and was quite active until about the last year. I am an elementary school teacher and plan to work for six more years. My job demands a lot of standing and moving around, and I want to get back to hiking and the gym. I asked my surgeon about the cemented vs press-fit options. He replied that cemented was still the gold standard but he would do a press-fit if I wished. I expect to have a RTHR in another year. Comments, opinions, insights from experience appreciated.Thanks!

[Guest guest]

Well didnt question meaning as doc handed me a sample of the device and said here it is and this is how it works. The cup is pressed into the hole reamed out where hip socket used to fit, and maybe a couple screws to hold it in place while the bone grows into the cup housing if needed when he starts fitting ( doc says takes two months for bone to grow into cup housing), and the thigh gadget is driven into the thigh bone for tight fit without cement. Played with the device to see how it can be displaced and he showed theoretical positioning of device against the outside of my hip and movements that would disengage. Showed me some improvements on devices to help prevent displacement.

ben

Re: Cemented or Press-Fit

I'm past 70, and my RTHR is scheduled for 5/24. My dr didn't tell me what kind of prosthesis he's use, but he did mention it'd be uncemented, which I assume is press fit. Since he's been well recommended, he has the experience and the knowledge to determine what will work best for me. I'm not terribly athletic, but I do like water exercises, and I'm still teaching P/T. I'm an adjunct at a nearby community college, and most of my students are adults and very understanding of the increasing discomfort I'm enduring to get through the semester before I undergo hip replacement. I hope to be able to go back to class after Labor Day, but I've only committed to one class which meets once a week, so I should be recuperated sufficiently by Sept 11 (date of my first class) to manage it. I expect to feel unenduably bored all summer, but it'll be worth it to get my life back, I hope!! Good luck all. Charlottesuegabriel2000 <suegabriel2000@...> wrote: Hi! After almost three years of putting it off, I am going to have a LTHR in June or July. What are your thoughts about cemented or press-fit? I am 60, 30 pounds overweight,in good health except for high blood pressure, have good bones and was quite active until about the last year. I am an elementary school teacher and plan to work for six more years. My job demands a lot of standing and moving around, and I want to get back to hiking and the gym. I asked my surgeon about the cemented vs press-fit options. He replied that cemented was still the gold standard but he would do a press-fit if I wished. I expect to have a RTHR in another year. Comments, opinions, insights from experience appreciated.Thanks!

[Guest guest]

Hi Ben'

I'm just wondering did your Dr tell you that you have sit on a high toilet and have to use a reacher to pick up things off the floor after your operation ?

My Dr I think he show me the part but he didn't show me how it works and I be on a high toilet and be using a reacher for the rest of my life I'm 61 .

Well I wish you a lot of luck you sound like you have a better Dr then I had,

Regards juneflower or susieBen <bfitz@...> wrote:

Well didnt question meaning as doc handed me a sample of the device and said here it is and this is how it works. The cup is pressed into the hole reamed out where hip socket used to fit, and maybe a couple screws to hold it in place while the bone grows into the cup housing if needed when he starts fitting ( doc says takes two months for bone to grow into cup housing), and the thigh gadget is driven into the thigh bone for tight fit without cement. Played with the device to see how it can be displaced and he showed theoretical positioning of device against the outside of my hip and movements that would disengage. Showed me some improvements on devices to help prevent displacement.

ben

Re: Cemented or Press-Fit

I'm past 70, and my RTHR is scheduled for 5/24. My dr didn't tell me what kind of prosthesis he's use, but he did mention it'd be uncemented, which I assume is press fit. Since he's been well recommended, he has the experience and the knowledge to determine what will work best for me. I'm not terribly athletic, but I do like water exercises, and I'm still teaching P/T. I'm an adjunct at a nearby community college, and most of my students are adults and very understanding of the increasing discomfort I'm enduring to get through the semester before I undergo hip replacement. I hope to be able to go back to class after Labor Day, but I've only committed to one class which meets once a week, so I should be recuperated sufficiently by Sept 11 (date of my first class) to manage it. I expect to feel unenduably bored all summer, but it'll be worth it to get my life back, I hope!! Good luck all. Charlottesuegabriel2000

<suegabriel2000@...> wrote: Hi! After almost three years of putting it off, I am going to have a LTHR in June or July. What are your thoughts about cemented or press-fit? I am 60, 30 pounds overweight,in good health except for high blood pressure, have good bones and was quite active until about the last year. I am an elementary school teacher and plan to work for six more years. My job demands a lot of standing and moving around, and I want to get back to hiking and the gym. I asked my surgeon about the cemented vs press-fit options. He replied that cemented was still the gold standard but he would do a press-fit if I wished. I expect to have a RTHR in another year. Comments, opinions, insights from experience appreciated.Thanks!

[Guest guest]

Yes, 90 degree limitation and a few others. Choices are to hobble and not walk or walk with some limitations. I choose walk with limitations. Doc showed me how to put operated leg straight back to pick up off floor after I get my mucles rebuilt. My hip is so bad now cant do it with this hip.

ben

Re: Cemented or Press-Fit

I'm past 70, and my RTHR is scheduled for 5/24. My dr didn't tell me what kind of prosthesis he's use, but he did mention it'd be uncemented, which I assume is press fit. Since he's been well recommended, he has the experience and the knowledge to determine what will work best for me. I'm not terribly athletic, but I do like water exercises, and I'm still teaching P/T. I'm an adjunct at a nearby community college, and most of my students are adults and very understanding of the increasing discomfort I'm enduring to get through the semester before I undergo hip replacement. I hope to be able to go back to class after Labor Day, but I've only committed to one class which meets once a week, so I should be recuperated sufficiently by Sept 11 (date of my first class) to manage it. I expect to feel unenduably bored all summer, but it'll be worth it to get my life back, I hope!! Good luck all. Charlottesuegabriel2000 <suegabriel2000@...> wrote: Hi! After almost three years of putting it off, I am going to have a LTHR in June or July. What are your thoughts about cemented or press-fit? I am 60, 30 pounds overweight,in good health except for high blood pressure, have good bones and was quite active until about the last year. I am an elementary school teacher and plan to work for six more years. My job demands a lot of standing and moving around, and I want to get back to hiking and the gym. I asked my surgeon about the cemented vs press-fit options. He replied that cemented was still the gold standard but he would do a press-fit if I wished. I expect to have a RTHR in another year. Comments, opinions, insights from experience appreciated.Thanks!

[Guest guest]

Hi Ben,

My Dr told me about the leg trick I do that sometimes if I can't pick it up with the reacher its hard to pick up change with the reacher . Well let me know how you are after the operation and I wish you the best of luck.

Regards juneflower or susieBen <bfitz@...> wrote:

Yes, 90 degree limitation and a few others. Choices are to hobble and not walk or walk with some limitations. I choose walk with limitations. Doc showed me how to put operated leg straight back to pick up off floor after I get my mucles rebuilt. My hip is so bad now cant do it with this hip.

ben

Re: Cemented or Press-Fit

I'm past 70, and my RTHR is scheduled for 5/24. My dr didn't tell me what kind of prosthesis he's use, but he did mention it'd be uncemented, which I assume is press fit. Since he's been well recommended, he has the experience and the knowledge to determine what will work best for me. I'm not terribly athletic, but I do like water exercises, and I'm still teaching P/T. I'm an adjunct at a nearby community college, and most of my students are adults and very understanding of the increasing discomfort I'm enduring to get through the semester before I undergo hip replacement. I hope to be able to go back to class after Labor Day, but I've only committed to one class which meets once a week, so I should be recuperated sufficiently by Sept 11 (date of my first class) to manage it. I expect to feel unenduably bored all summer, but it'll be worth it to get my life back, I hope!! Good luck all. Charlottesuegabriel2000

<suegabriel2000@...> wrote: Hi! After almost three years of putting it off, I am going to have a LTHR in June or July. What are your thoughts about cemented or press-fit? I am 60, 30 pounds overweight,in good health except for high blood pressure, have good bones and was quite active until about the last year. I am an elementary school teacher and plan to work for six more years. My job demands a lot of standing and moving around, and I want to get back to hiking and the gym. I asked my surgeon about the cemented vs press-fit options. He replied that cemented was still the gold standard but he would do a press-fit if I wished. I expect to have a RTHR in another year. Comments, opinions, insights from experience appreciated.Thanks!