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Vera, I'm a 51 yr old male and I had LTHR 6 months ago. It's a complete

ceramic implant made by Stryker Howmedica and so far it been great. This

manufacture has never been recalled and the ceramic should mean it will be

alot longer before I'll need to have it replaced.

Bob

Ceramic implant

> I was wondering if anyone had any experience with a completely ceramic

> implant?

>

> Thank you,

> Vera

>

>

>

>

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Bob - I am approaching my one-year anniversary with my all-ceramic

hip. All has gone without a hitch and I'm glad to have it behind me.

One strange thing has cropped up - my joint pops - (it sounds like my

brther's that had a lot of basketball injuries) when I walk. No pain,

but I can definitely hear and feel it.

Have you heard anything like this from anyone else?

> Vera, I'm a 51 yr old male and I had LTHR 6 months ago. It's a

complete

> ceramic implant made by Stryker Howmedica and so far it been great.

This

> manufacture has never been recalled and the ceramic should mean it

will be

> alot longer before I'll need to have it replaced.

> Bob

>

>

> Ceramic implant

>

>

> > I was wondering if anyone had any experience with a completely

ceramic

> > implant?

> >

> > Thank you,

> > Vera

> >

> >

> >

> >

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Hi, Vera!

One of my kids is named ...are you a , too?

I don't think they make a totally ceramic implant. I just got a Stryker ceramic

hip three weeks ago. The cup that goes in your pelvis is titanium, as is the

shaft that fits in your femur. The parts that move against each other are

ceramic...the rest of it is titanium or cobalt-chrome, depending on the

manufacturer.

My surgeon let me " try " the various kinds of implants - plastic/metal, all

metal,

ceramic...and the ceramic parts are totally friction-free. It's like rubbing ice

cubes together. You could feel some friction with the others, but it's probably

no big deal either way.

I'm doing great after three weeks, and I hope this sucker lasts the rest of my

life! Ceramic doesn't wear. That's why I chose it over the other options.

(Ceramic can break though...about 1 in 25,000 ceramic hips break. Those are

odds I can live with!)

Good luck, and God bless,

Glenn

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Hi, Vera!

One of my kids is named ...are you a , too?

I don't think they make a totally ceramic implant. I just got a Stryker ceramic

hip three weeks ago. The cup that goes in your pelvis is titanium, as is the

shaft that fits in your femur. The parts that move against each other are

ceramic...the rest of it is titanium or cobalt-chrome, depending on the

manufacturer.

My surgeon let me " try " the various kinds of implants - plastic/metal, all

metal,

ceramic...and the ceramic parts are totally friction-free. It's like rubbing ice

cubes together. You could feel some friction with the others, but it's probably

no big deal either way.

I'm doing great after three weeks, and I hope this sucker lasts the rest of my

life! Ceramic doesn't wear. That's why I chose it over the other options.

(Ceramic can break though...about 1 in 25,000 ceramic hips break. Those are

odds I can live with!)

Good luck, and God bless,

Glenn

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I've heard people with metal-on-metal devices say they hear some pops

and clicks. Some have theorized it has to do with being slightly

dehydrated. I have a M-o-M resurf but I haven't heard any noises yet

(only 2 weeks old).

My Dr. did caution me that the devices with " hard bearing surfaces "

(i.e., no polyethylene) do sometimes make noise.

RC2K Dr. Gross 3/24/04

> > Vera, I'm a 51 yr old male and I had LTHR 6 months ago. It's a

> complete

> > ceramic implant made by Stryker Howmedica and so far it been

great.

> This

> > manufacture has never been recalled and the ceramic should mean

it

> will be

> > alot longer before I'll need to have it replaced.

> > Bob

> >

> >

> > Ceramic implant

> >

> >

> > > I was wondering if anyone had any experience with a completely

> ceramic

> > > implant?

> > >

> > > Thank you,

> > > Vera

> > >

> > >

> > >

> > >

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Not since the 1st month when the muscles were healing. It was not so much

as pop but a slip [ hard to explain ].

Bob

Ceramic implant

> >

> >

> > > I was wondering if anyone had any experience with a completely

> ceramic

> > > implant?

> > >

> > > Thank you,

> > > Vera

> > >

> > >

> > >

> > >

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Folks,

I have done a

lot of research on the types of implants, even some email from folks that are

working on the next generation of ceramic devices. My readings lead me to the

conclusion that ceramic on ceramic is the future; however few physicians in my

area are using this technology for several reasons. It cost $2000 to $3000 more

and requires new business relations with a new implant vendor, so most offer

the metal on cross-linked polyethylene or metal on metal. Metal on metal gives

rise to much higher levels of Cobalt in the system, but the science shows no

obvious problems with these higher levels at this time (we are ~6 years into

this study). Both metal on metal and ceramic on ceramic allow options for larger

ball sizes, which if your hip socket is large enough for a larger ball &

socket, the stability and flexibility are greater and preferred. Not an option

for everyone, especially women and smaller adults.

But first and primary in my research and

discussions with surgical nurses & patients, is the skill of the doctor that

is doing the surgery. Consider it like guitar practice, all things considered

the more you practice the better you should be. Of course the better you are,

the more positive the comments, the more frequent the recommendations, the more

opportunity to do more. Of course getting a recommendation on a surgeon may be

one of your most difficult chores. This success of this type of surgery

actually begins with the skill of surgeon to make the unique adjustments during

the surgery that each patient will require for a precise orthotic fit. It would

be great for a surgeon that does hip replacements or a surgical nurse to go

into the complexity of challenges that will result in a highly successful

operation when the challenges are met successfully.

In Raleigh NC, there

are NO surgeons that do ceramic on ceramic. If I am going to travel for this

surgery (hopefully not hundreds of miles) to get ceramic on ceramic, I would

like to know that I am getting a great surgeon that comes highly recommended.

Ever try looking up the ‘success rating’ of a surgeon? Now talk

with the surgical nurses (or rehab folks) if you are lucky enough to know one

and they will be able to give you real first hand evaluation – of course,

this is not knowledge shared with the general public. Perhaps a libel suite if

the comments are not positive. ;-)

So I know how to get the information on

how to value the quality of a TV, VCR/DVD, car or microwave – even a

lawyer and mechanic. In fact I even know the quality of the seller on EBay!! But

how in the heck do we get the information we need on a surgeon that will

determine how fast we will recover, equalize the length of our legs, eliminated

our limp, return our quality of life quickly and give us the data on various

implants where we can weight the risks and make the choice that will personally

give us the best opportunity for success that we all desire.

I raise a lot of questions and I hope will

give pause to a lot of evaluation. I am fortunate to be in a position that my

pain is still tolerable, I can do physical work, limp a lot, still work out in

the pool but my time is growing very near that I have to make choices. I would

like for those choices to be informed.

Does anyone know of a doctor that does ceramic

on ceramic in NC (within 100 miles of Raleigh hopefully) that has a reputation of being one of the best physicians

in the business. A personal post to me would be appreciated. I have looked &

done my homework and when I have found a physician that does the ceramic,

getting feedback on the quality of surgery has been difficult.

I hope someone has some advice to offer to

me (on the Raleigh NC options) and perhaps to all of us in general. And I leave all of

us with a thought. Just as we all have skills and talents that are superior or

inferior to others, so do physicians. I would love to see this website develop

a place where the 10’s of thousands of THR folks can post their evaluation

of their results. A ‘consumer reports’ of THR. Such an analysis

would give quality of information providing pre & post surgery, recovery

period, satisfaction of results, (we would need a lot of data here like

equalization of leg length, time of full weight bearing, etc.), time to

driving, time to exercise, quality of post-op, our physical condition before

surgery, etc. There is no chance that the medical community will provide this information,

but we can by just sharing our experience.

Regards, Bill Padgett

919-787-6378

Bill_Padgett@...

Raleigh NC 27607

>

>

> > Vera, I'm a 51 yr old male and I had

LTHR 6 months ago. It's a

> complete

> > ceramic implant made by Stryker

Howmedica and so far it been

great.

> This

> > manufacture has never been recalled and

the ceramic should mean

it

> will be

> > alot longer before I'll need to have it

replaced.

> > Bob

> >

> >

> >

Ceramic implant

> >

> >

> > > I was wondering if anyone had any

experience with a completely

> ceramic

> > > implant?

> > >

> > > Thank you,

> > > Vera

> > >

> > >

> > >

> > >

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The popping is not related to the bearing surfaces

used in the implant.

I've been told its most likely a tendon moving acress

an unfamiliar surface. In any case, from reading many

posts about this same question, it seems to go away

after aa month or two - it did for me.

--- Larry Lauer <lhlauer@...> wrote:

> I have a ceramic implant that was placed December

> 30th 2003. It some times

> pops and clicks. I asked my doc, and he said it is

> normal. It has not been

> a problem. It has caused no pain it is perfectly

> stable it just pops once

> in a while. Very seldom. maybe once in two weeks,

> but it does do it.

>

> Larry

>

> At 04:44 PM 4/7/2004 +0000, you wrote:

> >I've heard people with metal-on-metal devices say

> they hear some pops

> >and clicks. Some have theorized it has to do with

> being slightly

> >dehydrated. I have a M-o-M resurf but I haven't

> heard any noises yet

> >(only 2 weeks old).

> >

> >My Dr. did caution me that the devices with " hard

> bearing surfaces "

> >(i.e., no polyethylene) do sometimes make noise.

> >

> >

> >RC2K Dr. Gross 3/24/04

> >

> >

> >

> > > > Vera, I'm a 51 yr old male and I had LTHR 6

> months ago. It's a

> > > complete

> > > > ceramic implant made by Stryker Howmedica and

> so far it been

> >great.

> > > This

> > > > manufacture has never been recalled and the

> ceramic should mean

> >it

> > > will be

> > > > alot longer before I'll need to have it

> replaced.

> > > > Bob

> > > >

> > > >

> > > > Ceramic

> implant

> > > >

> > > >

> > > > > I was wondering if anyone had any experience

> with a completely

> > > ceramic

> > > > > implant?

> > > > >

> > > > > Thank you,

> > > > > Vera

> > > > >

> > > > >

> > > > >

> > > > >

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  • 5 weeks later...
Guest guest

I have a ceramic implant that was placed December 30th 2003. It

some times pops and clicks. I asked my doc, and he said it is

normal. It has not been a problem. It has caused no pain it

is perfectly stable it just pops once in a while. Very seldom. maybe once

in two weeks, but it does do it.

Larry

At 04:44 PM 4/7/2004 +0000, you wrote:

I've heard people with

metal-on-metal devices say they hear some pops

and clicks. Some have theorized it has to do with being

slightly

dehydrated. I have a M-o-M resurf but I haven't heard any noises

yet

(only 2 weeks old).

My Dr. did caution me that the devices with " hard bearing

surfaces "

(i.e., no polyethylene) do sometimes make noise.

RC2K Dr. Gross 3/24/04

> > Vera, I'm a 51 yr old male and I had LTHR 6 months ago. It's a

> complete

> > ceramic implant made by Stryker Howmedica and so far it

been

great.

> This

> > manufacture has never been recalled and the ceramic should

mean

it

> will be

> > alot longer before I'll need to have it replaced.

> > Bob

> >

> >

> > Ceramic implant

> >

> >

> > > I was wondering if anyone had any experience with a

completely

> ceramic

> > > implant?

> > >

> > > Thank you,

> > > Vera

> > >

> > >

> > >

> > >

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