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Re: Re; Vascular necrosis

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>

> An MRI is a good idea since early detection of AVN can mean the

possibility of interventions other than total hip replacement. Hip

replacement is generally delayed as long as possible anyway since they

don't like to replace hips on young people unless absolutely necessary.

> The problem with this approach is that traditional Otho doc's will

use this as an excuse to not treat someone with HIV. The idea that a

patient is too young for a hip replacement has changed in the last few

years. With the new types of hardware, metal on metal, or ceramic on

metal, these new 'sporty' hips offer longevity. I was told I was too

young for a hip replacement at 47, I was to wait until 60, I ended up

with a cane and wheelchair. In my small town (Palm Springs, Ca.)no one

would touch me. The Ortho doc's here are use to the golf crowd and

where extremely HIV and homophobic (um, republician?). After a couple

years of horrible pain I found a younger surgeon and got bi. lat. total

hips. It changed my life. Many young people get THR's these days,

especially in urban areas where Ortho MD's are use to treating HIV'ers

and younger patients in general. There is a support group called

http://members.tripod.com/totallyhip1/ it's a nice group and there's a

fair amount of discussion regarding AVN and it's effects on younger

patients.

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>

> An MRI is a good idea since early detection of AVN can mean the

possibility of interventions other than total hip replacement. Hip

replacement is generally delayed as long as possible anyway since they

don't like to replace hips on young people unless absolutely necessary.

> The problem with this approach is that traditional Otho doc's will

use this as an excuse to not treat someone with HIV. The idea that a

patient is too young for a hip replacement has changed in the last few

years. With the new types of hardware, metal on metal, or ceramic on

metal, these new 'sporty' hips offer longevity. I was told I was too

young for a hip replacement at 47, I was to wait until 60, I ended up

with a cane and wheelchair. In my small town (Palm Springs, Ca.)no one

would touch me. The Ortho doc's here are use to the golf crowd and

where extremely HIV and homophobic (um, republician?). After a couple

years of horrible pain I found a younger surgeon and got bi. lat. total

hips. It changed my life. Many young people get THR's these days,

especially in urban areas where Ortho MD's are use to treating HIV'ers

and younger patients in general. There is a support group called

http://members.tripod.com/totallyhip1/ it's a nice group and there's a

fair amount of discussion regarding AVN and it's effects on younger

patients.

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