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,

Very sorry to hear you need more surgery.

You will end up with a large diameter metal / metal THR, whose

success inspired modern resurfacing. My Dad's pair are still going

strong after over thirty years.

Do you think that, given what he knows now Dr A would not have

recommended resurfacing for you on that side?

Thanks for letting us know.

All the best,

Vale

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,

Very sorry to hear you need more surgery.

You will end up with a large diameter metal / metal THR, whose

success inspired modern resurfacing. My Dad's pair are still going

strong after over thirty years.

Do you think that, given what he knows now Dr A would not have

recommended resurfacing for you on that side?

Thanks for letting us know.

All the best,

Vale

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Sorry to hear about your required revision. You have been an inspiration

to a lot of people and we will all be thinking of you. I have posted several

times regarding my revision to a large ball THR and I can tell you seven

months out I am feeling great and doing everything I expected with a

resurfacing. Having a big ball is so important whether it is resurfacing or

THR. I trail bike, work out at the gym, swim, etc with no discomfort. In

fact the doctor explained to me the mechanics of this THR could provide

better ROM which it has.

My recovery was much quicker than the original surgery even though the

uncemeted THR will require much more weight bearing discipline to allow

fixation to occur. I started PT right away being two weeks post op and that

really helped.

Best of luck. You will not notice the difference from the resurfacing.

Bob

Conserve Plus Left Hip April 2001

LTHR 09/02

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Sorry to hear about your required revision. You have been an inspiration

to a lot of people and we will all be thinking of you. I have posted several

times regarding my revision to a large ball THR and I can tell you seven

months out I am feeling great and doing everything I expected with a

resurfacing. Having a big ball is so important whether it is resurfacing or

THR. I trail bike, work out at the gym, swim, etc with no discomfort. In

fact the doctor explained to me the mechanics of this THR could provide

better ROM which it has.

My recovery was much quicker than the original surgery even though the

uncemeted THR will require much more weight bearing discipline to allow

fixation to occur. I started PT right away being two weeks post op and that

really helped.

Best of luck. You will not notice the difference from the resurfacing.

Bob

Conserve Plus Left Hip April 2001

LTHR 09/02

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,

:<( I'm sorry about your hip.

Thank you so much for being honest with us about your situation. We

hear so many success stories and it's just as important that we hear

when there are problems. These bone failures can happen at any time

and we need to remember that. It would not serve us well to live in

denial, the consequences could be devistating should it happen to us.

You're showing us that there are solutions.

My best and a big hug. 2/19/03 BHR DeSmet

> As I reported last fall I have had a radiolucency (a shadow near

the edge of

> the guide post) in my x-rays of my right hip for some time. Until

recently

> I had perfect function of the hip and no pain, except for a little

soreness

> on some days when I had been on my feet all day. Dr. Amstutz had

explained

> that it was due to the soft condition of the bone in that hip at

the time of

> the operation. It wasn't so much that there was a large cyst, but

there were

> many small crevices such that the top of the femoral head looked

like a

> sponge – in contrast to the left hip which had a smooth, hard

finish (he

> showed me pictures). After the visit last fall he gave me a

prescription

> for Fosamax, but was not certain if it would help the situation.

>

> A month or so ago I did start getting some pain. Oddly it started

as what

> was referred pain in my knee. Since I have some sort of unspecified

> arthritis (symptoms are somewhat like ankylosing spondylitis) I

wondered if

> my knee was starting to go out. However, occasionally I felt a

sharp pain

> in the hip if I was leaning forward and putting a lot of weight on

that leg.

> Then one day I began getting weight-bearing pain in that leg. It

was in the

> front of the thigh and running down to the knee. It was different

than the

> groin pain I had before surgery but it seemed clear it was from the

hip and

> with time I had some lingering pain at night, clearly in the hip.

So I went

> and had some more x-rays taken and sent them to Dr. Amstutz. There

was no

> significant difference in the x-rays, but it was clear to him from

the

> lucency and my symptoms that the cap had begun to come loose. He

told me it

> was unlikely to loosen catastrophically, but to lessen the pain and

any

> chance of that happening I began to use walking aides, and we

discussed my

> options.

>

> After a week of that and another x-ray view to get some

measurements we

> decided it was best to go ahead and swap the cap for a large

diameter THR on

> that side. The acetabular cup was holding rock-solid so it was

felt it was

> best to use that and keep the advantages of the large diameter

bearing.

> Because of the shape of my femur and Dr. Amstutz's choice for style

of

> uncemented stem, a custom part was ordered, and will be installed

on April

> 24.

>

> I don't want this to cause a lot of fear among my fellow resurfers;

I should

> point out some of the special situations that apply to my case. 1)

I had

> very soft bone on that side, the left side is still solid and no

> radiolucencies, 2) at the time of my surgery the center guide pin

was not

> being cemented, 3) now in certain cases additional securing holes

are

> drilled for cement to increase hold, 4) Dr. Amstutz told me that

the few

> cases they have of radiolucencies (a few percent of hips), only a

fraction

> of those have come loose, 5) there does seem to be a tendency of the

> radiolucencies to be in smaller patients (I am 5'7 " , 145 lb) where

there is

> less surface area on the underside of the cap. That said, at my

last visit

> with him I saw another of his patients who was quite petite (about

5'1 " and

> avg weight) and she was very happy with her resurfacing after 5

years, so it

> seems there is a combination of factors that contributed to this.

Clearly

> it does seem, however, that there might be costs in waiting too

long and

> having too much arthritic damage in the femoral head. Also, they

have

> learned more about the proper signs for eligible candidates since

the time

> of my surgery more than 3 years ago.

>

> Dr A said he could try to redo my cap using their current

techniques, but I

> felt it probably wasn't worth the chance that it would have to be

redone

> again – I'm thinking about setting foundations on sandy soil. I

also sensed

> that was not his strongest recommendation.

>

> So there it is, sorry if I haven't been giving a blow-by-blow of

all this

> while its been happening. I was holding out some hope that it

would get

> better on its own with the Fosamax and keeping off of it for a bit.

>

> My wife, Crystal, and I will be finalizing plans for the trip to LA

this

> weekend; my brother and sister-in-law have set us up with a condo in

> Oceanside for a few days to gain strength before the flight home.

I expect

> that since there is about a quarter of the work that had to be done

last

> time, the immediate recovery should go smoothly, even better than

before.

>

> -

> Bilateral C+, 1/20/2000

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> Dear ,

>

> I want to thank you so much for your post. I

> especially appreciate your balance and clarity

> regarding what is probably a great disappointment.

> Your voice continues to be of great support to all of

> us who have found surfacehippy to be a lifeline. None

> of us have any guarantees; we elect surface hip

> replacement thinking it's the best choice and hoping

> for longevity. We could be in your shoes at any time

> and it behooves us to know the range of options -

> which you have shared so well.

>

> I wish you all the best, and have a strong feeling

> that things will go well for you. Expect some good

> Midwestern mojo coming your way on April 24!

>

> Cate

> c2k/Dr. Gross/Oct 2001

>

Hi ! Cate expressed my feelings so well that I just want to

add my best wishes for your upcoming surgery; and my eternal thanks

for the changes you helped bring about in MY life with my new hip!!

Deb C+ 5-2-02

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> Dear ,

>

> I want to thank you so much for your post. I

> especially appreciate your balance and clarity

> regarding what is probably a great disappointment.

> Your voice continues to be of great support to all of

> us who have found surfacehippy to be a lifeline. None

> of us have any guarantees; we elect surface hip

> replacement thinking it's the best choice and hoping

> for longevity. We could be in your shoes at any time

> and it behooves us to know the range of options -

> which you have shared so well.

>

> I wish you all the best, and have a strong feeling

> that things will go well for you. Expect some good

> Midwestern mojo coming your way on April 24!

>

> Cate

> c2k/Dr. Gross/Oct 2001

>

Hi ! Cate expressed my feelings so well that I just want to

add my best wishes for your upcoming surgery; and my eternal thanks

for the changes you helped bring about in MY life with my new hip!!

Deb C+ 5-2-02

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--You've fought a good fight. Besides a conversion isn't the end

of the world. You forged the way for those like me.

When I grow up I still want to be like you.

Love you man, Cap

> As I reported last fall I have had a radiolucency (a shadow near

the edge of

> the guide post) in my x-rays of my right hip for some time. Until

recently

> I had perfect function of the hip and no pain, except for a little

soreness

> on some days when I had been on my feet all day. Dr. Amstutz had

explained

> that it was due to the soft condition of the bone in that hip at

the time of

> the operation. It wasn't so much that there was a large cyst, but

there were

> many small crevices such that the top of the femoral head looked

like a

> sponge – in contrast to the left hip which had a smooth, hard

finish (he

> showed me pictures). After the visit last fall he gave me a

prescription

> for Fosamax, but was not certain if it would help the situation.

>

> A month or so ago I did start getting some pain. Oddly it started

as what

> was referred pain in my knee. Since I have some sort of unspecified

> arthritis (symptoms are somewhat like ankylosing spondylitis) I

wondered if

> my knee was starting to go out. However, occasionally I felt a

sharp pain

> in the hip if I was leaning forward and putting a lot of weight on

that leg.

> Then one day I began getting weight-bearing pain in that leg. It

was in the

> front of the thigh and running down to the knee. It was different

than the

> groin pain I had before surgery but it seemed clear it was from the

hip and

> with time I had some lingering pain at night, clearly in the hip.

So I went

> and had some more x-rays taken and sent them to Dr. Amstutz. There

was no

> significant difference in the x-rays, but it was clear to him from

the

> lucency and my symptoms that the cap had begun to come loose. He

told me it

> was unlikely to loosen catastrophically, but to lessen the pain and

any

> chance of that happening I began to use walking aides, and we

discussed my

> options.

>

> After a week of that and another x-ray view to get some

measurements we

> decided it was best to go ahead and swap the cap for a large

diameter THR on

> that side. The acetabular cup was holding rock-solid so it was

felt it was

> best to use that and keep the advantages of the large diameter

bearing.

> Because of the shape of my femur and Dr. Amstutz's choice for style

of

> uncemented stem, a custom part was ordered, and will be installed

on April

> 24.

>

> I don't want this to cause a lot of fear among my fellow resurfers;

I should

> point out some of the special situations that apply to my case. 1)

I had

> very soft bone on that side, the left side is still solid and no

> radiolucencies, 2) at the time of my surgery the center guide pin

was not

> being cemented, 3) now in certain cases additional securing holes

are

> drilled for cement to increase hold, 4) Dr. Amstutz told me that

the few

> cases they have of radiolucencies (a few percent of hips), only a

fraction

> of those have come loose, 5) there does seem to be a tendency of the

> radiolucencies to be in smaller patients (I am 5'7 " , 145 lb) where

there is

> less surface area on the underside of the cap. That said, at my

last visit

> with him I saw another of his patients who was quite petite (about

5'1 " and

> avg weight) and she was very happy with her resurfacing after 5

years, so it

> seems there is a combination of factors that contributed to this.

Clearly

> it does seem, however, that there might be costs in waiting too

long and

> having too much arthritic damage in the femoral head. Also, they

have

> learned more about the proper signs for eligible candidates since

the time

> of my surgery more than 3 years ago.

>

> Dr A said he could try to redo my cap using their current

techniques, but I

> felt it probably wasn't worth the chance that it would have to be

redone

> again – I'm thinking about setting foundations on sandy soil. I

also sensed

> that was not his strongest recommendation.

>

> So there it is, sorry if I haven't been giving a blow-by-blow of

all this

> while its been happening. I was holding out some hope that it

would get

> better on its own with the Fosamax and keeping off of it for a bit.

>

> My wife, Crystal, and I will be finalizing plans for the trip to LA

this

> weekend; my brother and sister-in-law have set us up with a condo in

> Oceanside for a few days to gain strength before the flight home.

I expect

> that since there is about a quarter of the work that had to be done

last

> time, the immediate recovery should go smoothly, even better than

before.

>

> -

> Bilateral C+, 1/20/2000

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--You've fought a good fight. Besides a conversion isn't the end

of the world. You forged the way for those like me.

When I grow up I still want to be like you.

Love you man, Cap

> As I reported last fall I have had a radiolucency (a shadow near

the edge of

> the guide post) in my x-rays of my right hip for some time. Until

recently

> I had perfect function of the hip and no pain, except for a little

soreness

> on some days when I had been on my feet all day. Dr. Amstutz had

explained

> that it was due to the soft condition of the bone in that hip at

the time of

> the operation. It wasn't so much that there was a large cyst, but

there were

> many small crevices such that the top of the femoral head looked

like a

> sponge – in contrast to the left hip which had a smooth, hard

finish (he

> showed me pictures). After the visit last fall he gave me a

prescription

> for Fosamax, but was not certain if it would help the situation.

>

> A month or so ago I did start getting some pain. Oddly it started

as what

> was referred pain in my knee. Since I have some sort of unspecified

> arthritis (symptoms are somewhat like ankylosing spondylitis) I

wondered if

> my knee was starting to go out. However, occasionally I felt a

sharp pain

> in the hip if I was leaning forward and putting a lot of weight on

that leg.

> Then one day I began getting weight-bearing pain in that leg. It

was in the

> front of the thigh and running down to the knee. It was different

than the

> groin pain I had before surgery but it seemed clear it was from the

hip and

> with time I had some lingering pain at night, clearly in the hip.

So I went

> and had some more x-rays taken and sent them to Dr. Amstutz. There

was no

> significant difference in the x-rays, but it was clear to him from

the

> lucency and my symptoms that the cap had begun to come loose. He

told me it

> was unlikely to loosen catastrophically, but to lessen the pain and

any

> chance of that happening I began to use walking aides, and we

discussed my

> options.

>

> After a week of that and another x-ray view to get some

measurements we

> decided it was best to go ahead and swap the cap for a large

diameter THR on

> that side. The acetabular cup was holding rock-solid so it was

felt it was

> best to use that and keep the advantages of the large diameter

bearing.

> Because of the shape of my femur and Dr. Amstutz's choice for style

of

> uncemented stem, a custom part was ordered, and will be installed

on April

> 24.

>

> I don't want this to cause a lot of fear among my fellow resurfers;

I should

> point out some of the special situations that apply to my case. 1)

I had

> very soft bone on that side, the left side is still solid and no

> radiolucencies, 2) at the time of my surgery the center guide pin

was not

> being cemented, 3) now in certain cases additional securing holes

are

> drilled for cement to increase hold, 4) Dr. Amstutz told me that

the few

> cases they have of radiolucencies (a few percent of hips), only a

fraction

> of those have come loose, 5) there does seem to be a tendency of the

> radiolucencies to be in smaller patients (I am 5'7 " , 145 lb) where

there is

> less surface area on the underside of the cap. That said, at my

last visit

> with him I saw another of his patients who was quite petite (about

5'1 " and

> avg weight) and she was very happy with her resurfacing after 5

years, so it

> seems there is a combination of factors that contributed to this.

Clearly

> it does seem, however, that there might be costs in waiting too

long and

> having too much arthritic damage in the femoral head. Also, they

have

> learned more about the proper signs for eligible candidates since

the time

> of my surgery more than 3 years ago.

>

> Dr A said he could try to redo my cap using their current

techniques, but I

> felt it probably wasn't worth the chance that it would have to be

redone

> again – I'm thinking about setting foundations on sandy soil. I

also sensed

> that was not his strongest recommendation.

>

> So there it is, sorry if I haven't been giving a blow-by-blow of

all this

> while its been happening. I was holding out some hope that it

would get

> better on its own with the Fosamax and keeping off of it for a bit.

>

> My wife, Crystal, and I will be finalizing plans for the trip to LA

this

> weekend; my brother and sister-in-law have set us up with a condo in

> Oceanside for a few days to gain strength before the flight home.

I expect

> that since there is about a quarter of the work that had to be done

last

> time, the immediate recovery should go smoothly, even better than

before.

>

> -

> Bilateral C+, 1/20/2000

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Guest guest

I am so sorry to hear you are going to have to face another surgery.

You have been such a fountain of inspiration and information to all

of us. Maybe this is just an extra challenge god had given you so you

can understand and help someone else who may end up with the same

problem....even though you have helped so many already. Too many of

us believe so strongly that the only way is a resurf and we can't

imagine having anything else or the disappointment would be

unbearable. The reality is this though ....whatever does the job to

keep us moving, pain free, so we can enjoy living, laughing and yes,

loving in everyway we so choose. Our thoughts and prayers are with

you, for a speedy recovery, acceptance and a smile in your heart

because, this too you shall conquer. Roll on my friend, I'll be

chearing for you.

Dannielle

LH, C+ feb02

Ottawa, Canada (home of the idiot prime minister)

> As I reported last fall I have had a radiolucency (a shadow near

the edge of

> the guide post) in my x-rays of my right hip for some time. Until

recently

> I had perfect function of the hip and no pain, except for a little

soreness

> on some days when I had been on my feet all day. Dr. Amstutz had

explained

> that it was due to the soft condition of the bone in that hip at

the time of

> the operation. It wasn't so much that there was a large cyst, but

there were

> many small crevices such that the top of the femoral head looked

like a

> sponge – in contrast to the left hip which had a smooth, hard

finish (he

> showed me pictures). After the visit last fall he gave me a

prescription

> for Fosamax, but was not certain if it would help the situation.

>

> A month or so ago I did start getting some pain. Oddly it started

as what

> was referred pain in my knee. Since I have some sort of unspecified

> arthritis (symptoms are somewhat like ankylosing spondylitis) I

wondered if

> my knee was starting to go out. However, occasionally I felt a

sharp pain

> in the hip if I was leaning forward and putting a lot of weight on

that leg.

> Then one day I began getting weight-bearing pain in that leg. It

was in the

> front of the thigh and running down to the knee. It was different

than the

> groin pain I had before surgery but it seemed clear it was from the

hip and

> with time I had some lingering pain at night, clearly in the hip.

So I went

> and had some more x-rays taken and sent them to Dr. Amstutz. There

was no

> significant difference in the x-rays, but it was clear to him from

the

> lucency and my symptoms that the cap had begun to come loose. He

told me it

> was unlikely to loosen catastrophically, but to lessen the pain and

any

> chance of that happening I began to use walking aides, and we

discussed my

> options.

>

> After a week of that and another x-ray view to get some

measurements we

> decided it was best to go ahead and swap the cap for a large

diameter THR on

> that side. The acetabular cup was holding rock-solid so it was

felt it was

> best to use that and keep the advantages of the large diameter

bearing.

> Because of the shape of my femur and Dr. Amstutz's choice for style

of

> uncemented stem, a custom part was ordered, and will be installed

on April

> 24.

>

> I don't want this to cause a lot of fear among my fellow resurfers;

I should

> point out some of the special situations that apply to my case. 1)

I had

> very soft bone on that side, the left side is still solid and no

> radiolucencies, 2) at the time of my surgery the center guide pin

was not

> being cemented, 3) now in certain cases additional securing holes

are

> drilled for cement to increase hold, 4) Dr. Amstutz told me that

the few

> cases they have of radiolucencies (a few percent of hips), only a

fraction

> of those have come loose, 5) there does seem to be a tendency of the

> radiolucencies to be in smaller patients (I am 5'7 " , 145 lb) where

there is

> less surface area on the underside of the cap. That said, at my

last visit

> with him I saw another of his patients who was quite petite (about

5'1 " and

> avg weight) and she was very happy with her resurfacing after 5

years, so it

> seems there is a combination of factors that contributed to this.

Clearly

> it does seem, however, that there might be costs in waiting too

long and

> having too much arthritic damage in the femoral head. Also, they

have

> learned more about the proper signs for eligible candidates since

the time

> of my surgery more than 3 years ago.

>

> Dr A said he could try to redo my cap using their current

techniques, but I

> felt it probably wasn't worth the chance that it would have to be

redone

> again – I'm thinking about setting foundations on sandy soil. I

also sensed

> that was not his strongest recommendation.

>

> So there it is, sorry if I haven't been giving a blow-by-blow of

all this

> while its been happening. I was holding out some hope that it

would get

> better on its own with the Fosamax and keeping off of it for a bit.

>

> My wife, Crystal, and I will be finalizing plans for the trip to LA

this

> weekend; my brother and sister-in-law have set us up with a condo in

> Oceanside for a few days to gain strength before the flight home.

I expect

> that since there is about a quarter of the work that had to be done

last

> time, the immediate recovery should go smoothly, even better than

before.

>

> -

> Bilateral C+, 1/20/2000

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,

I'm sure sorry to hear about the upcoming surgery. I'm positive you'll do

great though, and continue to be the inspiration for others that you have

been to me in the past. Wishing you all the best!

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- Good luck with doing what you have to do. Again...you're out there

leading the pack in uncharted territory for others to take example and

inspiration from. You have the support and gratitude of an untold amount of

folks for all you've done for us.

Brad B

Return to JRI

> As I reported last fall I have had a radiolucency (a shadow near the edge

of

> the guide post) in my x-rays of my right hip for some time. Until

recently

> I had perfect function of the hip and no pain, except for a little

soreness

> on some days when I had been on my feet all day. Dr. Amstutz had

explained

> that it was due to the soft condition of the bone in that hip at the time

of

> the operation. It wasn't so much that there was a large cyst, but there

were

> many small crevices such that the top of the femoral head looked like a

> sponge - in contrast to the left hip which had a smooth, hard finish (he

> showed me pictures). After the visit last fall he gave me a prescription

> for Fosamax, but was not certain if it would help the situation.

>

> A month or so ago I did start getting some pain. Oddly it started as what

> was referred pain in my knee. Since I have some sort of unspecified

> arthritis (symptoms are somewhat like ankylosing spondylitis) I wondered

if

> my knee was starting to go out. However, occasionally I felt a sharp pain

> in the hip if I was leaning forward and putting a lot of weight on that

leg.

> Then one day I began getting weight-bearing pain in that leg. It was in

the

> front of the thigh and running down to the knee. It was different than

the

> groin pain I had before surgery but it seemed clear it was from the hip

and

> with time I had some lingering pain at night, clearly in the hip. So I

went

> and had some more x-rays taken and sent them to Dr. Amstutz. There was no

> significant difference in the x-rays, but it was clear to him from the

> lucency and my symptoms that the cap had begun to come loose. He told me

it

> was unlikely to loosen catastrophically, but to lessen the pain and any

> chance of that happening I began to use walking aides, and we discussed my

> options.

>

> After a week of that and another x-ray view to get some measurements we

> decided it was best to go ahead and swap the cap for a large diameter THR

on

> that side. The acetabular cup was holding rock-solid so it was felt it

was

> best to use that and keep the advantages of the large diameter bearing.

> Because of the shape of my femur and Dr. Amstutz's choice for style of

> uncemented stem, a custom part was ordered, and will be installed on April

> 24.

>

> I don't want this to cause a lot of fear among my fellow resurfers; I

should

> point out some of the special situations that apply to my case. 1) I had

> very soft bone on that side, the left side is still solid and no

> radiolucencies, 2) at the time of my surgery the center guide pin was not

> being cemented, 3) now in certain cases additional securing holes are

> drilled for cement to increase hold, 4) Dr. Amstutz told me that the few

> cases they have of radiolucencies (a few percent of hips), only a fraction

> of those have come loose, 5) there does seem to be a tendency of the

> radiolucencies to be in smaller patients (I am 5'7 " , 145 lb) where there

is

> less surface area on the underside of the cap. That said, at my last

visit

> with him I saw another of his patients who was quite petite (about 5'1 "

and

> avg weight) and she was very happy with her resurfacing after 5 years, so

it

> seems there is a combination of factors that contributed to this. Clearly

> it does seem, however, that there might be costs in waiting too long and

> having too much arthritic damage in the femoral head. Also, they have

> learned more about the proper signs for eligible candidates since the time

> of my surgery more than 3 years ago.

>

> Dr A said he could try to redo my cap using their current techniques, but

I

> felt it probably wasn't worth the chance that it would have to be redone

> again - I'm thinking about setting foundations on sandy soil. I also

sensed

> that was not his strongest recommendation.

>

> So there it is, sorry if I haven't been giving a blow-by-blow of all this

> while its been happening. I was holding out some hope that it would get

> better on its own with the Fosamax and keeping off of it for a bit.

>

> My wife, Crystal, and I will be finalizing plans for the trip to LA this

> weekend; my brother and sister-in-law have set us up with a condo in

> Oceanside for a few days to gain strength before the flight home. I

expect

> that since there is about a quarter of the work that had to be done last

> time, the immediate recovery should go smoothly, even better than before.

>

> -

> Bilateral C+, 1/20/2000

>

>

>

>

>

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Share on other sites

Guest guest

- Good luck with doing what you have to do. Again...you're out there

leading the pack in uncharted territory for others to take example and

inspiration from. You have the support and gratitude of an untold amount of

folks for all you've done for us.

Brad B

Return to JRI

> As I reported last fall I have had a radiolucency (a shadow near the edge

of

> the guide post) in my x-rays of my right hip for some time. Until

recently

> I had perfect function of the hip and no pain, except for a little

soreness

> on some days when I had been on my feet all day. Dr. Amstutz had

explained

> that it was due to the soft condition of the bone in that hip at the time

of

> the operation. It wasn't so much that there was a large cyst, but there

were

> many small crevices such that the top of the femoral head looked like a

> sponge - in contrast to the left hip which had a smooth, hard finish (he

> showed me pictures). After the visit last fall he gave me a prescription

> for Fosamax, but was not certain if it would help the situation.

>

> A month or so ago I did start getting some pain. Oddly it started as what

> was referred pain in my knee. Since I have some sort of unspecified

> arthritis (symptoms are somewhat like ankylosing spondylitis) I wondered

if

> my knee was starting to go out. However, occasionally I felt a sharp pain

> in the hip if I was leaning forward and putting a lot of weight on that

leg.

> Then one day I began getting weight-bearing pain in that leg. It was in

the

> front of the thigh and running down to the knee. It was different than

the

> groin pain I had before surgery but it seemed clear it was from the hip

and

> with time I had some lingering pain at night, clearly in the hip. So I

went

> and had some more x-rays taken and sent them to Dr. Amstutz. There was no

> significant difference in the x-rays, but it was clear to him from the

> lucency and my symptoms that the cap had begun to come loose. He told me

it

> was unlikely to loosen catastrophically, but to lessen the pain and any

> chance of that happening I began to use walking aides, and we discussed my

> options.

>

> After a week of that and another x-ray view to get some measurements we

> decided it was best to go ahead and swap the cap for a large diameter THR

on

> that side. The acetabular cup was holding rock-solid so it was felt it

was

> best to use that and keep the advantages of the large diameter bearing.

> Because of the shape of my femur and Dr. Amstutz's choice for style of

> uncemented stem, a custom part was ordered, and will be installed on April

> 24.

>

> I don't want this to cause a lot of fear among my fellow resurfers; I

should

> point out some of the special situations that apply to my case. 1) I had

> very soft bone on that side, the left side is still solid and no

> radiolucencies, 2) at the time of my surgery the center guide pin was not

> being cemented, 3) now in certain cases additional securing holes are

> drilled for cement to increase hold, 4) Dr. Amstutz told me that the few

> cases they have of radiolucencies (a few percent of hips), only a fraction

> of those have come loose, 5) there does seem to be a tendency of the

> radiolucencies to be in smaller patients (I am 5'7 " , 145 lb) where there

is

> less surface area on the underside of the cap. That said, at my last

visit

> with him I saw another of his patients who was quite petite (about 5'1 "

and

> avg weight) and she was very happy with her resurfacing after 5 years, so

it

> seems there is a combination of factors that contributed to this. Clearly

> it does seem, however, that there might be costs in waiting too long and

> having too much arthritic damage in the femoral head. Also, they have

> learned more about the proper signs for eligible candidates since the time

> of my surgery more than 3 years ago.

>

> Dr A said he could try to redo my cap using their current techniques, but

I

> felt it probably wasn't worth the chance that it would have to be redone

> again - I'm thinking about setting foundations on sandy soil. I also

sensed

> that was not his strongest recommendation.

>

> So there it is, sorry if I haven't been giving a blow-by-blow of all this

> while its been happening. I was holding out some hope that it would get

> better on its own with the Fosamax and keeping off of it for a bit.

>

> My wife, Crystal, and I will be finalizing plans for the trip to LA this

> weekend; my brother and sister-in-law have set us up with a condo in

> Oceanside for a few days to gain strength before the flight home. I

expect

> that since there is about a quarter of the work that had to be done last

> time, the immediate recovery should go smoothly, even better than before.

>

> -

> Bilateral C+, 1/20/2000

>

>

>

>

>

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Share on other sites

Guest guest

G'day ,

Just wanted to add my best wishes and thoughts to you, and echo the

words of others.

All the best for your impending jri sojurn and I wish you the best

possible outcome for your troubles.

OOOOrrrroooo

Skip

> As I reported last fall I have had a radiolucency (a shadow near

the edge of

> the guide post) in my x-rays of my right hip for some time. Until

recently

> I had perfect function of the hip and no pain, except for a little

soreness

> on some days when I had been on my feet all day. Dr. Amstutz had

explained

> that it was due to the soft condition of the bone in that hip at

the time of

> the operation. It wasn't so much that there was a large cyst, but

there were

> many small crevices such that the top of the femoral head looked

like a

> sponge – in contrast to the left hip which had a smooth, hard

finish (he

> showed me pictures). After the visit last fall he gave me a

prescription

> for Fosamax, but was not certain if it would help the situation.

>

> A month or so ago I did start getting some pain. Oddly it started

as what

> was referred pain in my knee. Since I have some sort of unspecified

> arthritis (symptoms are somewhat like ankylosing spondylitis) I

wondered if

> my knee was starting to go out. However, occasionally I felt a

sharp pain

> in the hip if I was leaning forward and putting a lot of weight on

that leg.

> Then one day I began getting weight-bearing pain in that leg. It

was in the

> front of the thigh and running down to the knee. It was different

than the

> groin pain I had before surgery but it seemed clear it was from the

hip and

> with time I had some lingering pain at night, clearly in the hip.

So I went

> and had some more x-rays taken and sent them to Dr. Amstutz. There

was no

> significant difference in the x-rays, but it was clear to him from

the

> lucency and my symptoms that the cap had begun to come loose. He

told me it

> was unlikely to loosen catastrophically, but to lessen the pain and

any

> chance of that happening I began to use walking aides, and we

discussed my

> options.

>

> After a week of that and another x-ray view to get some

measurements we

> decided it was best to go ahead and swap the cap for a large

diameter THR on

> that side. The acetabular cup was holding rock-solid so it was

felt it was

> best to use that and keep the advantages of the large diameter

bearing.

> Because of the shape of my femur and Dr. Amstutz's choice for style

of

> uncemented stem, a custom part was ordered, and will be installed

on April

> 24.

>

> I don't want this to cause a lot of fear among my fellow resurfers;

I should

> point out some of the special situations that apply to my case. 1)

I had

> very soft bone on that side, the left side is still solid and no

> radiolucencies, 2) at the time of my surgery the center guide pin

was not

> being cemented, 3) now in certain cases additional securing holes

are

> drilled for cement to increase hold, 4) Dr. Amstutz told me that

the few

> cases they have of radiolucencies (a few percent of hips), only a

fraction

> of those have come loose, 5) there does seem to be a tendency of the

> radiolucencies to be in smaller patients (I am 5'7 " , 145 lb) where

there is

> less surface area on the underside of the cap. That said, at my

last visit

> with him I saw another of his patients who was quite petite (about

5'1 " and

> avg weight) and she was very happy with her resurfacing after 5

years, so it

> seems there is a combination of factors that contributed to this.

Clearly

> it does seem, however, that there might be costs in waiting too

long and

> having too much arthritic damage in the femoral head. Also, they

have

> learned more about the proper signs for eligible candidates since

the time

> of my surgery more than 3 years ago.

>

> Dr A said he could try to redo my cap using their current

techniques, but I

> felt it probably wasn't worth the chance that it would have to be

redone

> again – I'm thinking about setting foundations on sandy soil. I

also sensed

> that was not his strongest recommendation.

>

> So there it is, sorry if I haven't been giving a blow-by-blow of

all this

> while its been happening. I was holding out some hope that it

would get

> better on its own with the Fosamax and keeping off of it for a bit.

>

> My wife, Crystal, and I will be finalizing plans for the trip to LA

this

> weekend; my brother and sister-in-law have set us up with a condo in

> Oceanside for a few days to gain strength before the flight home.

I expect

> that since there is about a quarter of the work that had to be done

last

> time, the immediate recovery should go smoothly, even better than

before.

>

> -

> Bilateral C+, 1/20/2000

Link to comment
Share on other sites

Guest guest

G'day ,

Just wanted to add my best wishes and thoughts to you, and echo the

words of others.

All the best for your impending jri sojurn and I wish you the best

possible outcome for your troubles.

OOOOrrrroooo

Skip

> As I reported last fall I have had a radiolucency (a shadow near

the edge of

> the guide post) in my x-rays of my right hip for some time. Until

recently

> I had perfect function of the hip and no pain, except for a little

soreness

> on some days when I had been on my feet all day. Dr. Amstutz had

explained

> that it was due to the soft condition of the bone in that hip at

the time of

> the operation. It wasn't so much that there was a large cyst, but

there were

> many small crevices such that the top of the femoral head looked

like a

> sponge – in contrast to the left hip which had a smooth, hard

finish (he

> showed me pictures). After the visit last fall he gave me a

prescription

> for Fosamax, but was not certain if it would help the situation.

>

> A month or so ago I did start getting some pain. Oddly it started

as what

> was referred pain in my knee. Since I have some sort of unspecified

> arthritis (symptoms are somewhat like ankylosing spondylitis) I

wondered if

> my knee was starting to go out. However, occasionally I felt a

sharp pain

> in the hip if I was leaning forward and putting a lot of weight on

that leg.

> Then one day I began getting weight-bearing pain in that leg. It

was in the

> front of the thigh and running down to the knee. It was different

than the

> groin pain I had before surgery but it seemed clear it was from the

hip and

> with time I had some lingering pain at night, clearly in the hip.

So I went

> and had some more x-rays taken and sent them to Dr. Amstutz. There

was no

> significant difference in the x-rays, but it was clear to him from

the

> lucency and my symptoms that the cap had begun to come loose. He

told me it

> was unlikely to loosen catastrophically, but to lessen the pain and

any

> chance of that happening I began to use walking aides, and we

discussed my

> options.

>

> After a week of that and another x-ray view to get some

measurements we

> decided it was best to go ahead and swap the cap for a large

diameter THR on

> that side. The acetabular cup was holding rock-solid so it was

felt it was

> best to use that and keep the advantages of the large diameter

bearing.

> Because of the shape of my femur and Dr. Amstutz's choice for style

of

> uncemented stem, a custom part was ordered, and will be installed

on April

> 24.

>

> I don't want this to cause a lot of fear among my fellow resurfers;

I should

> point out some of the special situations that apply to my case. 1)

I had

> very soft bone on that side, the left side is still solid and no

> radiolucencies, 2) at the time of my surgery the center guide pin

was not

> being cemented, 3) now in certain cases additional securing holes

are

> drilled for cement to increase hold, 4) Dr. Amstutz told me that

the few

> cases they have of radiolucencies (a few percent of hips), only a

fraction

> of those have come loose, 5) there does seem to be a tendency of the

> radiolucencies to be in smaller patients (I am 5'7 " , 145 lb) where

there is

> less surface area on the underside of the cap. That said, at my

last visit

> with him I saw another of his patients who was quite petite (about

5'1 " and

> avg weight) and she was very happy with her resurfacing after 5

years, so it

> seems there is a combination of factors that contributed to this.

Clearly

> it does seem, however, that there might be costs in waiting too

long and

> having too much arthritic damage in the femoral head. Also, they

have

> learned more about the proper signs for eligible candidates since

the time

> of my surgery more than 3 years ago.

>

> Dr A said he could try to redo my cap using their current

techniques, but I

> felt it probably wasn't worth the chance that it would have to be

redone

> again – I'm thinking about setting foundations on sandy soil. I

also sensed

> that was not his strongest recommendation.

>

> So there it is, sorry if I haven't been giving a blow-by-blow of

all this

> while its been happening. I was holding out some hope that it

would get

> better on its own with the Fosamax and keeping off of it for a bit.

>

> My wife, Crystal, and I will be finalizing plans for the trip to LA

this

> weekend; my brother and sister-in-law have set us up with a condo in

> Oceanside for a few days to gain strength before the flight home.

I expect

> that since there is about a quarter of the work that had to be done

last

> time, the immediate recovery should go smoothly, even better than

before.

>

> -

> Bilateral C+, 1/20/2000

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Share on other sites

Guest guest

Good luck with your surgery, . It's unfortunate this happened

at all, but especially to you, who have given us so much. I send you

lots of positive energy for a successful outcome. Best Wishes,

Donna Goodley

> As I reported last fall I have had a radiolucency (a shadow near

the edge of

> the guide post) in my x-rays of my right hip for some time. Until

recently

> I had perfect function of the hip and no pain, except for a little

soreness

> on some days when I had been on my feet all day. Dr. Amstutz had

explained

> that it was due to the soft condition of the bone in that hip at

the time of

> the operation. It wasn't so much that there was a large cyst, but

there were

> many small crevices such that the top of the femoral head looked

like a

> sponge – in contrast to the left hip which had a smooth, hard

finish (he

> showed me pictures). After the visit last fall he gave me a

prescription

> for Fosamax, but was not certain if it would help the situation.

>

> A month or so ago I did start getting some pain. Oddly it started

as what

> was referred pain in my knee. Since I have some sort of unspecified

> arthritis (symptoms are somewhat like ankylosing spondylitis) I

wondered if

> my knee was starting to go out. However, occasionally I felt a

sharp pain

> in the hip if I was leaning forward and putting a lot of weight on

that leg.

> Then one day I began getting weight-bearing pain in that leg. It

was in the

> front of the thigh and running down to the knee. It was different

than the

> groin pain I had before surgery but it seemed clear it was from the

hip and

> with time I had some lingering pain at night, clearly in the hip.

So I went

> and had some more x-rays taken and sent them to Dr. Amstutz. There

was no

> significant difference in the x-rays, but it was clear to him from

the

> lucency and my symptoms that the cap had begun to come loose. He

told me it

> was unlikely to loosen catastrophically, but to lessen the pain and

any

> chance of that happening I began to use walking aides, and we

discussed my

> options.

>

> After a week of that and another x-ray view to get some

measurements we

> decided it was best to go ahead and swap the cap for a large

diameter THR on

> that side. The acetabular cup was holding rock-solid so it was

felt it was

> best to use that and keep the advantages of the large diameter

bearing.

> Because of the shape of my femur and Dr. Amstutz's choice for style

of

> uncemented stem, a custom part was ordered, and will be installed

on April

> 24.

>

> I don't want this to cause a lot of fear among my fellow resurfers;

I should

> point out some of the special situations that apply to my case. 1)

I had

> very soft bone on that side, the left side is still solid and no

> radiolucencies, 2) at the time of my surgery the center guide pin

was not

> being cemented, 3) now in certain cases additional securing holes

are

> drilled for cement to increase hold, 4) Dr. Amstutz told me that

the few

> cases they have of radiolucencies (a few percent of hips), only a

fraction

> of those have come loose, 5) there does seem to be a tendency of the

> radiolucencies to be in smaller patients (I am 5'7 " , 145 lb) where

there is

> less surface area on the underside of the cap. That said, at my

last visit

> with him I saw another of his patients who was quite petite (about

5'1 " and

> avg weight) and she was very happy with her resurfacing after 5

years, so it

> seems there is a combination of factors that contributed to this.

Clearly

> it does seem, however, that there might be costs in waiting too

long and

> having too much arthritic damage in the femoral head. Also, they

have

> learned more about the proper signs for eligible candidates since

the time

> of my surgery more than 3 years ago.

>

> Dr A said he could try to redo my cap using their current

techniques, but I

> felt it probably wasn't worth the chance that it would have to be

redone

> again – I'm thinking about setting foundations on sandy soil. I

also sensed

> that was not his strongest recommendation.

>

> So there it is, sorry if I haven't been giving a blow-by-blow of

all this

> while its been happening. I was holding out some hope that it

would get

> better on its own with the Fosamax and keeping off of it for a bit.

>

> My wife, Crystal, and I will be finalizing plans for the trip to LA

this

> weekend; my brother and sister-in-law have set us up with a condo in

> Oceanside for a few days to gain strength before the flight home.

I expect

> that since there is about a quarter of the work that had to be done

last

> time, the immediate recovery should go smoothly, even better than

before.

>

> -

> Bilateral C+, 1/20/2000

Link to comment
Share on other sites

Guest guest

Good luck with your surgery, . It's unfortunate this happened

at all, but especially to you, who have given us so much. I send you

lots of positive energy for a successful outcome. Best Wishes,

Donna Goodley

> As I reported last fall I have had a radiolucency (a shadow near

the edge of

> the guide post) in my x-rays of my right hip for some time. Until

recently

> I had perfect function of the hip and no pain, except for a little

soreness

> on some days when I had been on my feet all day. Dr. Amstutz had

explained

> that it was due to the soft condition of the bone in that hip at

the time of

> the operation. It wasn't so much that there was a large cyst, but

there were

> many small crevices such that the top of the femoral head looked

like a

> sponge – in contrast to the left hip which had a smooth, hard

finish (he

> showed me pictures). After the visit last fall he gave me a

prescription

> for Fosamax, but was not certain if it would help the situation.

>

> A month or so ago I did start getting some pain. Oddly it started

as what

> was referred pain in my knee. Since I have some sort of unspecified

> arthritis (symptoms are somewhat like ankylosing spondylitis) I

wondered if

> my knee was starting to go out. However, occasionally I felt a

sharp pain

> in the hip if I was leaning forward and putting a lot of weight on

that leg.

> Then one day I began getting weight-bearing pain in that leg. It

was in the

> front of the thigh and running down to the knee. It was different

than the

> groin pain I had before surgery but it seemed clear it was from the

hip and

> with time I had some lingering pain at night, clearly in the hip.

So I went

> and had some more x-rays taken and sent them to Dr. Amstutz. There

was no

> significant difference in the x-rays, but it was clear to him from

the

> lucency and my symptoms that the cap had begun to come loose. He

told me it

> was unlikely to loosen catastrophically, but to lessen the pain and

any

> chance of that happening I began to use walking aides, and we

discussed my

> options.

>

> After a week of that and another x-ray view to get some

measurements we

> decided it was best to go ahead and swap the cap for a large

diameter THR on

> that side. The acetabular cup was holding rock-solid so it was

felt it was

> best to use that and keep the advantages of the large diameter

bearing.

> Because of the shape of my femur and Dr. Amstutz's choice for style

of

> uncemented stem, a custom part was ordered, and will be installed

on April

> 24.

>

> I don't want this to cause a lot of fear among my fellow resurfers;

I should

> point out some of the special situations that apply to my case. 1)

I had

> very soft bone on that side, the left side is still solid and no

> radiolucencies, 2) at the time of my surgery the center guide pin

was not

> being cemented, 3) now in certain cases additional securing holes

are

> drilled for cement to increase hold, 4) Dr. Amstutz told me that

the few

> cases they have of radiolucencies (a few percent of hips), only a

fraction

> of those have come loose, 5) there does seem to be a tendency of the

> radiolucencies to be in smaller patients (I am 5'7 " , 145 lb) where

there is

> less surface area on the underside of the cap. That said, at my

last visit

> with him I saw another of his patients who was quite petite (about

5'1 " and

> avg weight) and she was very happy with her resurfacing after 5

years, so it

> seems there is a combination of factors that contributed to this.

Clearly

> it does seem, however, that there might be costs in waiting too

long and

> having too much arthritic damage in the femoral head. Also, they

have

> learned more about the proper signs for eligible candidates since

the time

> of my surgery more than 3 years ago.

>

> Dr A said he could try to redo my cap using their current

techniques, but I

> felt it probably wasn't worth the chance that it would have to be

redone

> again – I'm thinking about setting foundations on sandy soil. I

also sensed

> that was not his strongest recommendation.

>

> So there it is, sorry if I haven't been giving a blow-by-blow of

all this

> while its been happening. I was holding out some hope that it

would get

> better on its own with the Fosamax and keeping off of it for a bit.

>

> My wife, Crystal, and I will be finalizing plans for the trip to LA

this

> weekend; my brother and sister-in-law have set us up with a condo in

> Oceanside for a few days to gain strength before the flight home.

I expect

> that since there is about a quarter of the work that had to be done

last

> time, the immediate recovery should go smoothly, even better than

before.

>

> -

> Bilateral C+, 1/20/2000

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Share on other sites

Guest guest

:

I feel badly that you have to undergo surgery. Nobody wants to and it

isn't

fun. I am just 10 days post-op and it will be awhile before one's memory

of

doing " it " fades. However, I (or we or us) would never have it any other

way.

It is pain that drives us to surgery and a severly compromised lifestyle and

has

rendered the joyful not-so.

On the flip side, who isn't thankful that there is a REAL solution to our

problem

lurking out there? Resurf or THR, does it matter? I think not. While

Resurf

may be our first course of action, the THR is just merely a sibling. They

are

all designed to improve your quality of life.

The good news? From everything I have read that was posted, THR is a

quicker one

to recover from. When that new part comes (can you engrave your name on

it?) it

will bring you a better lifestyle.

Take care.

Lois C+ Dr. Mont 3/27/03

Return to JRI

As I reported last fall I have had a radiolucency (a shadow near the edge of

the guide post) in my x-rays of my right hip for some time. Until recently

I had perfect function of the hip and no pain, except for a little soreness

on some days when I had been on my feet all day. Dr. Amstutz had explained

that it was due to the soft condition of the bone in that hip at the time of

the operation. It wasn’t so much that there was a large cyst, but there were

many small crevices such that the top of the femoral head looked like a

sponge – in contrast to the left hip which had a smooth, hard finish (he

showed me pictures). After the visit last fall he gave me a prescription

for Fosamax, but was not certain if it would help the situation.

A month or so ago I did start getting some pain. Oddly it started as what

was referred pain in my knee. Since I have some sort of unspecified

arthritis (symptoms are somewhat like ankylosing spondylitis) I wondered if

my knee was starting to go out. However, occasionally I felt a sharp pain

in the hip if I was leaning forward and putting a lot of weight on that leg.

Then one day I began getting weight-bearing pain in that leg. It was in the

front of the thigh and running down to the knee. It was different than the

groin pain I had before surgery but it seemed clear it was from the hip and

with time I had some lingering pain at night, clearly in the hip. So I went

and had some more x-rays taken and sent them to Dr. Amstutz. There was no

significant difference in the x-rays, but it was clear to him from the

lucency and my symptoms that the cap had begun to come loose. He told me it

was unlikely to loosen catastrophically, but to lessen the pain and any

chance of that happening I began to use walking aides, and we discussed my

options.

After a week of that and another x-ray view to get some measurements we

decided it was best to go ahead and swap the cap for a large diameter THR on

that side. The acetabular cup was holding rock-solid so it was felt it was

best to use that and keep the advantages of the large diameter bearing.

Because of the shape of my femur and Dr. Amstutz’s choice for style of

uncemented stem, a custom part was ordered, and will be installed on April

24.

I don’t want this to cause a lot of fear among my fellow resurfers; I should

point out some of the special situations that apply to my case. 1) I had

very soft bone on that side, the left side is still solid and no

radiolucencies, 2) at the time of my surgery the center guide pin was not

being cemented, 3) now in certain cases additional securing holes are

drilled for cement to increase hold, 4) Dr. Amstutz told me that the few

cases they have of radiolucencies (a few percent of hips), only a fraction

of those have come loose, 5) there does seem to be a tendency of the

radiolucencies to be in smaller patients (I am 5’7”, 145 lb) where there is

less surface area on the underside of the cap. That said, at my last visit

with him I saw another of his patients who was quite petite (about 5’1” and

avg weight) and she was very happy with her resurfacing after 5 years, so it

seems there is a combination of factors that contributed to this. Clearly

it does seem, however, that there might be costs in waiting too long and

having too much arthritic damage in the femoral head. Also, they have

learned more about the proper signs for eligible candidates since the time

of my surgery more than 3 years ago.

Dr A said he could try to redo my cap using their current techniques, but I

felt it probably wasn’t worth the chance that it would have to be redone

again – I’m thinking about setting foundations on sandy soil. I also sensed

that was not his strongest recommendation.

So there it is, sorry if I haven’t been giving a blow-by-blow of all this

while its been happening. I was holding out some hope that it would get

better on its own with the Fosamax and keeping off of it for a bit.

My wife, Crystal, and I will be finalizing plans for the trip to LA this

weekend; my brother and sister-in-law have set us up with a condo in

Oceanside for a few days to gain strength before the flight home. I expect

that since there is about a quarter of the work that had to be done last

time, the immediate recovery should go smoothly, even better than before.

-

Bilateral C+, 1/20/2000

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Share on other sites

Guest guest

:

I feel badly that you have to undergo surgery. Nobody wants to and it

isn't

fun. I am just 10 days post-op and it will be awhile before one's memory

of

doing " it " fades. However, I (or we or us) would never have it any other

way.

It is pain that drives us to surgery and a severly compromised lifestyle and

has

rendered the joyful not-so.

On the flip side, who isn't thankful that there is a REAL solution to our

problem

lurking out there? Resurf or THR, does it matter? I think not. While

Resurf

may be our first course of action, the THR is just merely a sibling. They

are

all designed to improve your quality of life.

The good news? From everything I have read that was posted, THR is a

quicker one

to recover from. When that new part comes (can you engrave your name on

it?) it

will bring you a better lifestyle.

Take care.

Lois C+ Dr. Mont 3/27/03

Return to JRI

As I reported last fall I have had a radiolucency (a shadow near the edge of

the guide post) in my x-rays of my right hip for some time. Until recently

I had perfect function of the hip and no pain, except for a little soreness

on some days when I had been on my feet all day. Dr. Amstutz had explained

that it was due to the soft condition of the bone in that hip at the time of

the operation. It wasn’t so much that there was a large cyst, but there were

many small crevices such that the top of the femoral head looked like a

sponge – in contrast to the left hip which had a smooth, hard finish (he

showed me pictures). After the visit last fall he gave me a prescription

for Fosamax, but was not certain if it would help the situation.

A month or so ago I did start getting some pain. Oddly it started as what

was referred pain in my knee. Since I have some sort of unspecified

arthritis (symptoms are somewhat like ankylosing spondylitis) I wondered if

my knee was starting to go out. However, occasionally I felt a sharp pain

in the hip if I was leaning forward and putting a lot of weight on that leg.

Then one day I began getting weight-bearing pain in that leg. It was in the

front of the thigh and running down to the knee. It was different than the

groin pain I had before surgery but it seemed clear it was from the hip and

with time I had some lingering pain at night, clearly in the hip. So I went

and had some more x-rays taken and sent them to Dr. Amstutz. There was no

significant difference in the x-rays, but it was clear to him from the

lucency and my symptoms that the cap had begun to come loose. He told me it

was unlikely to loosen catastrophically, but to lessen the pain and any

chance of that happening I began to use walking aides, and we discussed my

options.

After a week of that and another x-ray view to get some measurements we

decided it was best to go ahead and swap the cap for a large diameter THR on

that side. The acetabular cup was holding rock-solid so it was felt it was

best to use that and keep the advantages of the large diameter bearing.

Because of the shape of my femur and Dr. Amstutz’s choice for style of

uncemented stem, a custom part was ordered, and will be installed on April

24.

I don’t want this to cause a lot of fear among my fellow resurfers; I should

point out some of the special situations that apply to my case. 1) I had

very soft bone on that side, the left side is still solid and no

radiolucencies, 2) at the time of my surgery the center guide pin was not

being cemented, 3) now in certain cases additional securing holes are

drilled for cement to increase hold, 4) Dr. Amstutz told me that the few

cases they have of radiolucencies (a few percent of hips), only a fraction

of those have come loose, 5) there does seem to be a tendency of the

radiolucencies to be in smaller patients (I am 5’7”, 145 lb) where there is

less surface area on the underside of the cap. That said, at my last visit

with him I saw another of his patients who was quite petite (about 5’1” and

avg weight) and she was very happy with her resurfacing after 5 years, so it

seems there is a combination of factors that contributed to this. Clearly

it does seem, however, that there might be costs in waiting too long and

having too much arthritic damage in the femoral head. Also, they have

learned more about the proper signs for eligible candidates since the time

of my surgery more than 3 years ago.

Dr A said he could try to redo my cap using their current techniques, but I

felt it probably wasn’t worth the chance that it would have to be redone

again – I’m thinking about setting foundations on sandy soil. I also sensed

that was not his strongest recommendation.

So there it is, sorry if I haven’t been giving a blow-by-blow of all this

while its been happening. I was holding out some hope that it would get

better on its own with the Fosamax and keeping off of it for a bit.

My wife, Crystal, and I will be finalizing plans for the trip to LA this

weekend; my brother and sister-in-law have set us up with a condo in

Oceanside for a few days to gain strength before the flight home. I expect

that since there is about a quarter of the work that had to be done last

time, the immediate recovery should go smoothly, even better than before.

-

Bilateral C+, 1/20/2000

Link to comment
Share on other sites

Guest guest

I am indebted to you . I will never forget stumbling upon your website and

wondering, " Who IS this guy? " The rest is resurface history. We all know that

we are test subjects. We have made a choice and recognize the risks. You have

been an inspiration and great source of information to so many. I am all

pulling for you, praying for you and certainly wishing you the best. I hope you

continue to keep us so well informed.

Sincerely,

Judy Toelle

Return to JRI

As I reported last fall I have had a radiolucency (a shadow near the edge of

the guide post) in my x-rays of my right hip for some time. Until recently

I had perfect function of the hip and no pain, except for a little soreness

on some days when I had been on my feet all day. Dr. Amstutz had explained

that it was due to the soft condition of the bone in that hip at the time of

the operation. It wasn’t so much that there was a large cyst, but there were

many small crevices such that the top of the femoral head looked like a

sponge – in contrast to the left hip which had a smooth, hard finish (he

showed me pictures). After the visit last fall he gave me a prescription

for Fosamax, but was not certain if it would help the situation.

A month or so ago I did start getting some pain. Oddly it started as what

was referred pain in my knee. Since I have some sort of unspecified

arthritis (symptoms are somewhat like ankylosing spondylitis) I wondered if

my knee was starting to go out. However, occasionally I felt a sharp pain

in the hip if I was leaning forward and putting a lot of weight on that leg.

Then one day I began getting weight-bearing pain in that leg. It was in the

front of the thigh and running down to the knee. It was different than the

groin pain I had before surgery but it seemed clear it was from the hip and

with time I had some lingering pain at night, clearly in the hip. So I went

and had some more x-rays taken and sent them to Dr. Amstutz. There was no

significant difference in the x-rays, but it was clear to him from the

lucency and my symptoms that the cap had begun to come loose. He told me it

was unlikely to loosen catastrophically, but to lessen the pain and any

chance of that happening I began to use walking aides, and we discussed my

options.

After a week of that and another x-ray view to get some measurements we

decided it was best to go ahead and swap the cap for a large diameter THR on

that side. The acetabular cup was holding rock-solid so it was felt it was

best to use that and keep the advantages of the large diameter bearing.

Because of the shape of my femur and Dr. Amstutz’s choice for style of

uncemented stem, a custom part was ordered, and will be installed on April

24.

I don’t want this to cause a lot of fear among my fellow resurfers; I should

point out some of the special situations that apply to my case. 1) I had

very soft bone on that side, the left side is still solid and no

radiolucencies, 2) at the time of my surgery the center guide pin was not

being cemented, 3) now in certain cases additional securing holes are

drilled for cement to increase hold, 4) Dr. Amstutz told me that the few

cases they have of radiolucencies (a few percent of hips), only a fraction

of those have come loose, 5) there does seem to be a tendency of the

radiolucencies to be in smaller patients (I am 5’7â€, 145 lb) where there is

less surface area on the underside of the cap. That said, at my last visit

with him I saw another of his patients who was quite petite (about 5’1†and

avg weight) and she was very happy with her resurfacing after 5 years, so it

seems there is a combination of factors that contributed to this. Clearly

it does seem, however, that there might be costs in waiting too long and

having too much arthritic damage in the femoral head. Also, they have

learned more about the proper signs for eligible candidates since the time

of my surgery more than 3 years ago.

Dr A said he could try to redo my cap using their current techniques, but I

felt it probably wasn’t worth the chance that it would have to be redone

again – I’m thinking about setting foundations on sandy soil. I also sensed

that was not his strongest recommendation.

So there it is, sorry if I haven’t been giving a blow-by-blow of all this

while its been happening. I was holding out some hope that it would get

better on its own with the Fosamax and keeping off of it for a bit.

My wife, Crystal, and I will be finalizing plans for the trip to LA this

weekend; my brother and sister-in-law have set us up with a condo in

Oceanside for a few days to gain strength before the flight home. I expect

that since there is about a quarter of the work that had to be done last

time, the immediate recovery should go smoothly, even better than before.

-

Bilateral C+, 1/20/2000

Link to comment
Share on other sites

Guest guest

I am indebted to you . I will never forget stumbling upon your website and

wondering, " Who IS this guy? " The rest is resurface history. We all know that

we are test subjects. We have made a choice and recognize the risks. You have

been an inspiration and great source of information to so many. I am all

pulling for you, praying for you and certainly wishing you the best. I hope you

continue to keep us so well informed.

Sincerely,

Judy Toelle

Return to JRI

As I reported last fall I have had a radiolucency (a shadow near the edge of

the guide post) in my x-rays of my right hip for some time. Until recently

I had perfect function of the hip and no pain, except for a little soreness

on some days when I had been on my feet all day. Dr. Amstutz had explained

that it was due to the soft condition of the bone in that hip at the time of

the operation. It wasn’t so much that there was a large cyst, but there were

many small crevices such that the top of the femoral head looked like a

sponge – in contrast to the left hip which had a smooth, hard finish (he

showed me pictures). After the visit last fall he gave me a prescription

for Fosamax, but was not certain if it would help the situation.

A month or so ago I did start getting some pain. Oddly it started as what

was referred pain in my knee. Since I have some sort of unspecified

arthritis (symptoms are somewhat like ankylosing spondylitis) I wondered if

my knee was starting to go out. However, occasionally I felt a sharp pain

in the hip if I was leaning forward and putting a lot of weight on that leg.

Then one day I began getting weight-bearing pain in that leg. It was in the

front of the thigh and running down to the knee. It was different than the

groin pain I had before surgery but it seemed clear it was from the hip and

with time I had some lingering pain at night, clearly in the hip. So I went

and had some more x-rays taken and sent them to Dr. Amstutz. There was no

significant difference in the x-rays, but it was clear to him from the

lucency and my symptoms that the cap had begun to come loose. He told me it

was unlikely to loosen catastrophically, but to lessen the pain and any

chance of that happening I began to use walking aides, and we discussed my

options.

After a week of that and another x-ray view to get some measurements we

decided it was best to go ahead and swap the cap for a large diameter THR on

that side. The acetabular cup was holding rock-solid so it was felt it was

best to use that and keep the advantages of the large diameter bearing.

Because of the shape of my femur and Dr. Amstutz’s choice for style of

uncemented stem, a custom part was ordered, and will be installed on April

24.

I don’t want this to cause a lot of fear among my fellow resurfers; I should

point out some of the special situations that apply to my case. 1) I had

very soft bone on that side, the left side is still solid and no

radiolucencies, 2) at the time of my surgery the center guide pin was not

being cemented, 3) now in certain cases additional securing holes are

drilled for cement to increase hold, 4) Dr. Amstutz told me that the few

cases they have of radiolucencies (a few percent of hips), only a fraction

of those have come loose, 5) there does seem to be a tendency of the

radiolucencies to be in smaller patients (I am 5’7â€, 145 lb) where there is

less surface area on the underside of the cap. That said, at my last visit

with him I saw another of his patients who was quite petite (about 5’1†and

avg weight) and she was very happy with her resurfacing after 5 years, so it

seems there is a combination of factors that contributed to this. Clearly

it does seem, however, that there might be costs in waiting too long and

having too much arthritic damage in the femoral head. Also, they have

learned more about the proper signs for eligible candidates since the time

of my surgery more than 3 years ago.

Dr A said he could try to redo my cap using their current techniques, but I

felt it probably wasn’t worth the chance that it would have to be redone

again – I’m thinking about setting foundations on sandy soil. I also sensed

that was not his strongest recommendation.

So there it is, sorry if I haven’t been giving a blow-by-blow of all this

while its been happening. I was holding out some hope that it would get

better on its own with the Fosamax and keeping off of it for a bit.

My wife, Crystal, and I will be finalizing plans for the trip to LA this

weekend; my brother and sister-in-law have set us up with a condo in

Oceanside for a few days to gain strength before the flight home. I expect

that since there is about a quarter of the work that had to be done last

time, the immediate recovery should go smoothly, even better than before.

-

Bilateral C+, 1/20/2000

Link to comment
Share on other sites

Guest guest

,

I extend praise and wish to thank you for the time and effort you have

invested to inform the masses of this new and exciting procedure.

ly, so many of us would have experienced life-long limitations

had we not been informed by the the product of your work. It's risk

takers and educators like you that open the door for the rest of us

and we appreciate all your contributions.

All hippies have been warned of the possibility of failure before

taking the plung but I think it's safe to assume none of us ever

expect to hear a revision will be required, especially three years

out. Stand proud, you were dealt a bad hand (and soft bone).

Hippies, both current and future, will learn from your experience by

understanding the cause for your revised resurfacing rather than

dwelling on the negative.

Good luck in LA and we all pray for your speedy recovery.

Steve C

BHR 1-2003

> As I reported last fall I have had a radiolucency (a shadow near the

edge of the guide post) in my x-rays of my right hip for some time.

Until recently I had perfect function of the hip and no pain, except

for a little soreness on some days when I had been on my feet all day.

Dr. Amstutz had explained that it was due to the soft condition of

the bone in that hip at the time of the operation. It wasn't so much

that there was a large cyst, but there were many small crevices such

that the top of the femoral head looked like a sponge – in contrast to

the left hip which had a smooth, hard finish (he showed me pictures).

After the visit last fall he gave me a prescription for Fosamax, but

was not certain if it would help the situation.

>

> A month or so ago I did start getting some pain. Oddly it started

as what was referred pain in my knee. Since I have some sort of

unspecified arthritis (symptoms are somewhat like ankylosing

spondylitis) I wondered if my knee was starting to go out. However,

occasionally I felt a sharp pain in the hip if I was leaning forward

and putting a lot of weight on that leg. Then one day I began getting

weight-bearing pain in that leg. It was in the front of the thigh and

running down to the knee. It was different than the groin pain I had

before surgery but it seemed clear it was from the hip and with time I

had some lingering pain at night, clearly in the hip. So I went and

had some more x-rays taken and sent them to Dr. Amstutz. There was no

significant difference in the x-rays, but it was clear to him from the

lucency and my symptoms that the cap had begun to come loose. He told

me it was unlikely to loosen catastrophically, but to lessen the pain

and any chance of that happening I began to use walking aides, and we

discussed my options.

>

> After a week of that and another x-ray view to get some measurements

we decided it was best to go ahead and swap the cap for a large

diameter THR on that side. The acetabular cup was holding rock-solid

so it was felt it was best to use that and keep the advantages of the

large diameter bearing. Because of the shape of my femur and Dr.

Amstutz's choice for style of uncemented stem, a custom part was

ordered, and will be installed on April 24.

>

> I don't want this to cause a lot of fear among my fellow resurfers;

I should point out some of the special situations that apply to my

case. 1) I had very soft bone on that side, the left side is still

solid and no radiolucencies, 2) at the time of my surgery the center

guide pin was not being cemented, 3) now in certain cases additional

securing holes are drilled for cement to increase hold, 4) Dr. Amstutz

told me that the few cases they have of radiolucencies (a few percent

of hips), only a fraction of those have come loose, 5) there does seem

to be a tendency of the radiolucencies to be in smaller patients (I am

5'7 " , 145 lb) where there is less surface area on the underside of the

cap. That said, at my last visit with him I saw another of his

patients who was quite petite (about 5'1 " and avg weight) and she was

very happy with her resurfacing after 5 years, so it seems there is a

combination of factors that contributed to this. Clearly it does

seem, however, that there might be costs in waiting too long and

having too much arthritic damage in the femoral head. Also, they have

learned more about the proper signs for eligible candidates since the

time of my surgery more than 3 years ago.

>

> Dr A said he could try to redo my cap using their current

techniques, but I felt it probably wasn't worth the chance that it

would have to be redone again – I'm thinking about setting foundations

on sandy soil. I also sensed that was not his strongest recommendation.

>

> So there it is, sorry if I haven't been giving a blow-by-blow of all

this while its been happening. I was holding out some hope that it

would get better on its own with the Fosamax and keeping off of it for

a bit.

>

> My wife, Crystal, and I will be finalizing plans for the trip to LA

thisweekend; my brother and sister-in-law have set us up with a condo

in Oceanside for a few days to gain strength before the flight home.

I expect that since there is about a quarter of the work that had to

be done last time, the immediate recovery should go smoothly, even

better than before.

>

> -

> Bilateral C+, 1/20/2000

Link to comment
Share on other sites

Guest guest

,

I extend praise and wish to thank you for the time and effort you have

invested to inform the masses of this new and exciting procedure.

ly, so many of us would have experienced life-long limitations

had we not been informed by the the product of your work. It's risk

takers and educators like you that open the door for the rest of us

and we appreciate all your contributions.

All hippies have been warned of the possibility of failure before

taking the plung but I think it's safe to assume none of us ever

expect to hear a revision will be required, especially three years

out. Stand proud, you were dealt a bad hand (and soft bone).

Hippies, both current and future, will learn from your experience by

understanding the cause for your revised resurfacing rather than

dwelling on the negative.

Good luck in LA and we all pray for your speedy recovery.

Steve C

BHR 1-2003

> As I reported last fall I have had a radiolucency (a shadow near the

edge of the guide post) in my x-rays of my right hip for some time.

Until recently I had perfect function of the hip and no pain, except

for a little soreness on some days when I had been on my feet all day.

Dr. Amstutz had explained that it was due to the soft condition of

the bone in that hip at the time of the operation. It wasn't so much

that there was a large cyst, but there were many small crevices such

that the top of the femoral head looked like a sponge – in contrast to

the left hip which had a smooth, hard finish (he showed me pictures).

After the visit last fall he gave me a prescription for Fosamax, but

was not certain if it would help the situation.

>

> A month or so ago I did start getting some pain. Oddly it started

as what was referred pain in my knee. Since I have some sort of

unspecified arthritis (symptoms are somewhat like ankylosing

spondylitis) I wondered if my knee was starting to go out. However,

occasionally I felt a sharp pain in the hip if I was leaning forward

and putting a lot of weight on that leg. Then one day I began getting

weight-bearing pain in that leg. It was in the front of the thigh and

running down to the knee. It was different than the groin pain I had

before surgery but it seemed clear it was from the hip and with time I

had some lingering pain at night, clearly in the hip. So I went and

had some more x-rays taken and sent them to Dr. Amstutz. There was no

significant difference in the x-rays, but it was clear to him from the

lucency and my symptoms that the cap had begun to come loose. He told

me it was unlikely to loosen catastrophically, but to lessen the pain

and any chance of that happening I began to use walking aides, and we

discussed my options.

>

> After a week of that and another x-ray view to get some measurements

we decided it was best to go ahead and swap the cap for a large

diameter THR on that side. The acetabular cup was holding rock-solid

so it was felt it was best to use that and keep the advantages of the

large diameter bearing. Because of the shape of my femur and Dr.

Amstutz's choice for style of uncemented stem, a custom part was

ordered, and will be installed on April 24.

>

> I don't want this to cause a lot of fear among my fellow resurfers;

I should point out some of the special situations that apply to my

case. 1) I had very soft bone on that side, the left side is still

solid and no radiolucencies, 2) at the time of my surgery the center

guide pin was not being cemented, 3) now in certain cases additional

securing holes are drilled for cement to increase hold, 4) Dr. Amstutz

told me that the few cases they have of radiolucencies (a few percent

of hips), only a fraction of those have come loose, 5) there does seem

to be a tendency of the radiolucencies to be in smaller patients (I am

5'7 " , 145 lb) where there is less surface area on the underside of the

cap. That said, at my last visit with him I saw another of his

patients who was quite petite (about 5'1 " and avg weight) and she was

very happy with her resurfacing after 5 years, so it seems there is a

combination of factors that contributed to this. Clearly it does

seem, however, that there might be costs in waiting too long and

having too much arthritic damage in the femoral head. Also, they have

learned more about the proper signs for eligible candidates since the

time of my surgery more than 3 years ago.

>

> Dr A said he could try to redo my cap using their current

techniques, but I felt it probably wasn't worth the chance that it

would have to be redone again – I'm thinking about setting foundations

on sandy soil. I also sensed that was not his strongest recommendation.

>

> So there it is, sorry if I haven't been giving a blow-by-blow of all

this while its been happening. I was holding out some hope that it

would get better on its own with the Fosamax and keeping off of it for

a bit.

>

> My wife, Crystal, and I will be finalizing plans for the trip to LA

thisweekend; my brother and sister-in-law have set us up with a condo

in Oceanside for a few days to gain strength before the flight home.

I expect that since there is about a quarter of the work that had to

be done last time, the immediate recovery should go smoothly, even

better than before.

>

> -

> Bilateral C+, 1/20/2000

Link to comment
Share on other sites

Guest guest

The best of luck, . I really appreciate all you have done for surface

hippydome. Wisconsin will be rooting for you.

in Oshkosh.

C+ 5/23/01, DMC

Return to JRI

As I reported last fall I have had a radiolucency (a shadow near the edge of

the guide post) in my x-rays of my right hip for some time. Until recently

I had perfect function of the hip and no pain, except for a little soreness

on some days when I had been on my feet all day. Dr. Amstutz had explained

that it was due to the soft condition of the bone in that hip at the time of

the operation. It wasn’t so much that there was a large cyst, but there were

many small crevices such that the top of the femoral head looked like a

sponge – in contrast to the left hip which had a smooth, hard finish (he

showed me pictures). After the visit last fall he gave me a prescription

for Fosamax, but was not certain if it would help the situation.

A month or so ago I did start getting some pain. Oddly it started as what

was referred pain in my knee. Since I have some sort of unspecified

arthritis (symptoms are somewhat like ankylosing spondylitis) I wondered if

my knee was starting to go out. However, occasionally I felt a sharp pain

in the hip if I was leaning forward and putting a lot of weight on that leg.

Then one day I began getting weight-bearing pain in that leg. It was in the

front of the thigh and running down to the knee. It was different than the

groin pain I had before surgery but it seemed clear it was from the hip and

with time I had some lingering pain at night, clearly in the hip. So I went

and had some more x-rays taken and sent them to Dr. Amstutz. There was no

significant difference in the x-rays, but it was clear to him from the

lucency and my symptoms that the cap had begun to come loose. He told me it

was unlikely to loosen catastrophically, but to lessen the pain and any

chance of that happening I began to use walking aides, and we discussed my

options.

After a week of that and another x-ray view to get some measurements we

decided it was best to go ahead and swap the cap for a large diameter THR on

that side. The acetabular cup was holding rock-solid so it was felt it was

best to use that and keep the advantages of the large diameter bearing.

Because of the shape of my femur and Dr. Amstutz’s choice for style of

uncemented stem, a custom part was ordered, and will be installed on April

24.

I don’t want this to cause a lot of fear among my fellow resurfers; I should

point out some of the special situations that apply to my case. 1) I had

very soft bone on that side, the left side is still solid and no

radiolucencies, 2) at the time of my surgery the center guide pin was not

being cemented, 3) now in certain cases additional securing holes are

drilled for cement to increase hold, 4) Dr. Amstutz told me that the few

cases they have of radiolucencies (a few percent of hips), only a fraction

of those have come loose, 5) there does seem to be a tendency of the

radiolucencies to be in smaller patients (I am 5’7”, 145 lb) where there is

less surface area on the underside of the cap. That said, at my last visit

with him I saw another of his patients who was quite petite (about 5’1” and

avg weight) and she was very happy with her resurfacing after 5 years, so it

seems there is a combination of factors that contributed to this. Clearly

it does seem, however, that there might be costs in waiting too long and

having too much arthritic damage in the femoral head. Also, they have

learned more about the proper signs for eligible candidates since the time

of my surgery more than 3 years ago.

Dr A said he could try to redo my cap using their current techniques, but I

felt it probably wasn’t worth the chance that it would have to be redone

again – I’m thinking about setting foundations on sandy soil. I also sensed

that was not his strongest recommendation.

So there it is, sorry if I haven’t been giving a blow-by-blow of all this

while its been happening. I was holding out some hope that it would get

better on its own with the Fosamax and keeping off of it for a bit.

My wife, Crystal, and I will be finalizing plans for the trip to LA this

weekend; my brother and sister-in-law have set us up with a condo in

Oceanside for a few days to gain strength before the flight home. I expect

that since there is about a quarter of the work that had to be done last

time, the immediate recovery should go smoothly, even better than before.

-

Bilateral C+, 1/20/2000

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The best of luck, . I really appreciate all you have done for surface

hippydome. Wisconsin will be rooting for you.

in Oshkosh.

C+ 5/23/01, DMC

Return to JRI

As I reported last fall I have had a radiolucency (a shadow near the edge of

the guide post) in my x-rays of my right hip for some time. Until recently

I had perfect function of the hip and no pain, except for a little soreness

on some days when I had been on my feet all day. Dr. Amstutz had explained

that it was due to the soft condition of the bone in that hip at the time of

the operation. It wasn’t so much that there was a large cyst, but there were

many small crevices such that the top of the femoral head looked like a

sponge – in contrast to the left hip which had a smooth, hard finish (he

showed me pictures). After the visit last fall he gave me a prescription

for Fosamax, but was not certain if it would help the situation.

A month or so ago I did start getting some pain. Oddly it started as what

was referred pain in my knee. Since I have some sort of unspecified

arthritis (symptoms are somewhat like ankylosing spondylitis) I wondered if

my knee was starting to go out. However, occasionally I felt a sharp pain

in the hip if I was leaning forward and putting a lot of weight on that leg.

Then one day I began getting weight-bearing pain in that leg. It was in the

front of the thigh and running down to the knee. It was different than the

groin pain I had before surgery but it seemed clear it was from the hip and

with time I had some lingering pain at night, clearly in the hip. So I went

and had some more x-rays taken and sent them to Dr. Amstutz. There was no

significant difference in the x-rays, but it was clear to him from the

lucency and my symptoms that the cap had begun to come loose. He told me it

was unlikely to loosen catastrophically, but to lessen the pain and any

chance of that happening I began to use walking aides, and we discussed my

options.

After a week of that and another x-ray view to get some measurements we

decided it was best to go ahead and swap the cap for a large diameter THR on

that side. The acetabular cup was holding rock-solid so it was felt it was

best to use that and keep the advantages of the large diameter bearing.

Because of the shape of my femur and Dr. Amstutz’s choice for style of

uncemented stem, a custom part was ordered, and will be installed on April

24.

I don’t want this to cause a lot of fear among my fellow resurfers; I should

point out some of the special situations that apply to my case. 1) I had

very soft bone on that side, the left side is still solid and no

radiolucencies, 2) at the time of my surgery the center guide pin was not

being cemented, 3) now in certain cases additional securing holes are

drilled for cement to increase hold, 4) Dr. Amstutz told me that the few

cases they have of radiolucencies (a few percent of hips), only a fraction

of those have come loose, 5) there does seem to be a tendency of the

radiolucencies to be in smaller patients (I am 5’7”, 145 lb) where there is

less surface area on the underside of the cap. That said, at my last visit

with him I saw another of his patients who was quite petite (about 5’1” and

avg weight) and she was very happy with her resurfacing after 5 years, so it

seems there is a combination of factors that contributed to this. Clearly

it does seem, however, that there might be costs in waiting too long and

having too much arthritic damage in the femoral head. Also, they have

learned more about the proper signs for eligible candidates since the time

of my surgery more than 3 years ago.

Dr A said he could try to redo my cap using their current techniques, but I

felt it probably wasn’t worth the chance that it would have to be redone

again – I’m thinking about setting foundations on sandy soil. I also sensed

that was not his strongest recommendation.

So there it is, sorry if I haven’t been giving a blow-by-blow of all this

while its been happening. I was holding out some hope that it would get

better on its own with the Fosamax and keeping off of it for a bit.

My wife, Crystal, and I will be finalizing plans for the trip to LA this

weekend; my brother and sister-in-law have set us up with a condo in

Oceanside for a few days to gain strength before the flight home. I expect

that since there is about a quarter of the work that had to be done last

time, the immediate recovery should go smoothly, even better than before.

-

Bilateral C+, 1/20/2000

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