Guest guest Posted June 13, 2003 Report Share Posted June 13, 2003 I am a inclined to believe that the opinion of Dr. De Smet would be the first and last place to look for a tough case...you just have no idea the brilliance of this man...He seems to be able to tackle the worst case scenarios with a smile and a confident nod...I would want his opinion anyway no matter what ...It isnt hard to get either just email him and tell him your story then send him your xrays and you will be dealt with in a matter of hours from the time he gets them. Best of Luck to You!. Sue 3/11/03 RBHR Koen De Smet. <A HREF= " Koen.desmetskynet (DOT) " > Koen.desmet@...</A> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2003 Report Share Posted June 13, 2003 At 12:33 AM 6/13/2003 +0000, you wrote: >I sent my xrays and letter of referral to Dr. KIM in Ottawa and >was just informed by telephone by his assistant that the Doctor >concluded that I was not a candidate for resurfacing because I have >an Abnormal Hip Anatomy...A THR was the suggested. >. Did you find out what was abnormal about your anatomy? Mine was VERY abnormal, and I got two Conserve Plus devices courtesy of Dr. Boyd in Salem OR. Some surgeons don't seem to want to tackle tough cases, and others relish the challenge. C+ 5/25/01 and 6/28/01 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2003 Report Share Posted June 13, 2003 Several people here have commented that Dr De Smet seems to like a challenge - the more difficult the case, the more interested he seems to be (gets bored with the same old same old, I guess). So before accepting Dr Kim's opinion, If I were you I'd sure want to see what Dr De Smet said. I jsut got my xrays taken today and can fedex them to Dr De Smet tomorrow. I will be a wreck until I hear back from him that I am an okay candidate for a resurf. If it's a go, my operation date is August 27th (yeehah!). Sharry British Columbia Abnormal Hip Anatomy I sent my xrays and letter of referral to Dr. KIM in Ottawa and was just informed by telephone by his assistant that the Doctor concluded that I was not a candidate for resurfacing because I have an Abnormal Hip Anatomy...A THR was the suggested. . I'm male...52yrs...6'1 " , 285lbs, history of arthritis in one hip only...I suffered Osteomyelitis at 9 yrs and Leg Perthies at 11yrs. Can anyone help where I should go? Should I contact Dr DeSmet... Your input his appreciated... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2003 Report Share Posted June 13, 2003 Hi Try de Smet but also try Ronan Treacy & McMinn - they are all known to take on cases that others won't. Treacy & McMinn can be contacted via 0121 685 4000 (International code required)- This will give you The Royal Orthopaedic Hospital at Birmingham, England. Both have NHS secretaries there. They will put you in touch with their private secretaries who will also be able to give you different hospital options should you wish. Rog L & R BHR Treacy 2001 Abnormal Hip Anatomy I sent my xrays and letter of referral to Dr. KIM in Ottawa and was just informed by telephone by his assistant that the Doctor concluded that I was not a candidate for resurfacing because I have an Abnormal Hip Anatomy...A THR was the suggested. . I'm male...52yrs...6'1 " , 285lbs, history of arthritis in one hip only...I suffered Osteomyelitis at 9 yrs and Leg Perthies at 11yrs. Can anyone help where I should go? Should I contact Dr DeSmet... Your input his appreciated... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2003 Report Share Posted June 13, 2003 Hi, Can I ask where the osteomylitis was...........??? In my history the doctors usually freak out about it and I even had the anaesthestist tell me the night before surgery under no circumstances should I be having the hip replacement because of a history of it.............. The OS thought differently thankgoodness.......... and a BHR was successfully done........... but I was please to get the BHR over the THR because of the less invasive nature of it as far as issuing invites to osteomylitis went............. Most doctors believe it never leaves the system thus they believe to have any bone surgery has a high risk factor. Personally I would be seeking other opinions from some surgeon who has had a wide experience with a BHR if at all possible - simply to reduce your risk factors..........the Dr DeSmet would appear to be such a doctor if you can afford to go out of the country.......... Edith LBHR Dr. L Walter Sydney Australia 8/02 > I sent my xrays and letter of referral to Dr. KIM in Ottawa and > was just informed by telephone by his assistant that the Doctor > concluded that I was not a candidate for resurfacing because I have > an Abnormal Hip Anatomy...A THR was the suggested. > . > I'm male...52yrs...6'1 " , 285lbs, history of arthritis in one hip > only...I suffered Osteomyelitis at 9 yrs and Leg Perthies at 11yrs. > > Can anyone help where I should go? Should I contact Dr DeSmet... > > Your input his appreciated... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2003 Report Share Posted June 13, 2003 > I sent my xrays and letter of referral to Dr. KIM in Ottawa and > was just informed by telephone by his assistant that the Doctor > concluded that I was not a candidate for resurfacing because I have > an Abnormal Hip Anatomy...A THR was the suggested. > . > I'm male...52yrs...6'1 " , 285lbs, history of arthritis in one hip > only...I suffered Osteomyelitis at 9 yrs and Leg Perthies at 11yrs. > > Can anyone help where I should go? Should I contact Dr DeSmet... > > Your input his appreciated... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2003 Report Share Posted June 13, 2003 hip-clinic.com This will be the best thing you have EVER done for yourself. > I sent my xrays and letter of referral to Dr. KIM in Ottawa and > was just informed by telephone by his assistant that the Doctor > concluded that I was not a candidate for resurfacing because I have > an Abnormal Hip Anatomy...A THR was the suggested. > . > I'm male...52yrs...6'1 " , 285lbs, history of arthritis in one hip > only...I suffered Osteomyelitis at 9 yrs and Leg Perthies at 11yrs. > > Can anyone help where I should go? Should I contact Dr DeSmet... > > Your input his appreciated... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 13, 2003 Report Share Posted June 13, 2003 What is Osteomylitis? Thanks alyce 5/23/03 C2K Kennedy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 14, 2003 Report Share Posted June 14, 2003 Hi Alyce, Osteomylitis is a bacterial infection that by definition lodges in the bone making its home in the bone marrow.......... However there are some individuals like myself where the infection also lodges in the muscles and that turns the medical faternity inside out and one can almost die while they argue - but that it another story............. Like all infections, the severity of it varies from individual to individual and the resultant amount of damage it does to the bone........... I had it severely in hips, wrist, shoulder and back - others have it in only one or 2 spots....... but then again even one spot can result in severe damage.......... Old treatments were lance to the bone abscess and heal from inside out - you can imagine the scars............ (sometimes they scraped the dead bone away to facilitate healing as idiot bone can just grow over the dead stuff trapping it inside) Antibotics were a godsend but it can turn up resistant to antibotics - another nightmare.......... It appears for a variety of reasons - usually because the bone is hurt in some way........... car accidents etc....... I initially hit the side of my hip on a sharp corner playing as a kid...........had an infected cut on my foot about the same time and away it went and it spread to other parts for various other reasons. Sadly noone thought of putting me into a cotton wool existance immediately........ but generally people are not that vunerable to secondaries.......... It also has a habit of invading joints if these are close by the infection point............ thus it can bring further nightmares to the patients life via the damage and/or loss of a joint........... Most doctors believe that once you have it, the infection never leaves the system........ I think that is partly because of how hard it is to get anything to penetrate the bone marrow and its habit of being able to lie low and reappear 20 or 30 + years down the track......... Thus to touch my bones via surgery is taking risks that most OS would prefer not to do.......... My OS told me though that he had never had a case re errupt on him in all his years of surgery.............. which is one reason I was happy to take the chance........ and he with me. When various hip replacements don't work because of 'bone infections' it is one possible infection that they are talking about............Usually nothing to do with a previous infections - just the dice roll of the moment - picked up from whereever these things come from.......... Another is getting a dose of one of the golden staf infections...... Long ago some Canadian doctor thought up another cure which the Russians in their wisdom continued to play with during the dark days of their isolation.......... It uses things called 'bacterophages'(sure to have spelt that wrong)...... they are little counter creatures who love to live on infection bacteria. From bits I have read/seen they adore osteomylitis and golden staf bacteria. The major hassle being that they cannot be patented and mass sold...... though I understand they are now doing a number in the film they put on burn patients as they also adore the major infection agent that kills most burn people. So we may see them start popping up more and more as the hassle with antibotic resistant bacteria gets worse. Sorry about the long story........... but it is a story dear to my heart.......... there are lots on the Web if you still want to know more about it or want a more medical story.........mainly around Orthopedic sites. Edith LBHR Dr. L Walter Sydney Australia 8/02 > What is Osteomylitis? > > Thanks > alyce > 5/23/03 C2K Kennedy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 17, 2003 Report Share Posted June 17, 2003 In a message dated 6/17/2003 11:13:26 AM Pacific Daylight Time, gueneveren@... writes: > It is indeed true that abnormal anatomy can be a contraindiction for > resurfacing. De Smet himself refused to resurface me for that reason, > and told me that a THR would give me better mechanics and therefore > last longer for me. Bad mechanics can make even a resurfacing fail. > Do check with De Smet, though; he's awfully good at that and I > considered him the last word before I went and got my THR. > This is absolutely true, although it should also be noted that abnormal anatomy can be the reason for resurfacing. In my case, it was. I had " pistol grip " hips, which means that the femoral heads resembled the shape of a pistol grip rather than the rounded shape that they were supposed to have. The actual cause is speculative, but it was most likely congenital. The other possibility is that when I was a child, I engaged in an excessive amount of jumping up and down stairs, and that could arguably have resulted in a flattening of the femoral head when the bone was soft. Who knows? In any event, I now have precision machined caps on my femoral heads, which is much better than the ones I had for the first 48 years of my life. These are matched by compatible acetabular cups. I am now four weeks post-op, walking with one cane and none inside the house. I walk about two and a half miles each morning. I hope to declare July 4 my Independence Day from the cane. Des Tuck RBHR 10/20/01 LBHR 5/20/03 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 17, 2003 Report Share Posted June 17, 2003 It is indeed true that abnormal anatomy can be a contraindiction for resurfacing. De Smet himself refused to resurface me for that reason, and told me that a THR would give me better mechanics and therefore last longer for me. Bad mechanics can make even a resurfacing fail. Do check with De Smet, though; he's awfully good at that and I considered him the last word before I went and got my THR. My mechanics really are so much better now. I support surfs, for sure, but sometimes they aren't the best. For me, I guess not. I would not want to have to go through two ops (for surf, then failure) when I could do one for a mechanics restoring THR. Take care, check with De Smet. And even if it can't be done...well, it is not the end of the world. THRs can sometimes be better and last longer depending on the situation. guenevere > Several people here have commented that Dr De Smet seems to like a challenge - the more difficult the case, the more interested he seems to be (gets bored with the same old same old, I guess). So before accepting Dr Kim's opinion, If I were you I'd sure want to see what Dr De Smet said. > I jsut got my xrays taken today and can fedex them to Dr De Smet tomorrow. I will be a wreck until I hear back from him that I am an okay candidate for a resurf. If it's a go, my operation date is August 27th (yeehah!). > Sharry > British Columbia > Abnormal Hip Anatomy > > > I sent my xrays and letter of referral to Dr. KIM in Ottawa and > was just informed by telephone by his assistant that the Doctor > concluded that I was not a candidate for resurfacing because I have > an Abnormal Hip Anatomy...A THR was the suggested. > . > I'm male...52yrs...6'1 " , 285lbs, history of arthritis in one hip > only...I suffered Osteomyelitis at 9 yrs and Leg Perthies at 11yrs. > > Can anyone help where I should go? Should I contact Dr DeSmet... > > Your input his appreciated... > > > > > Quote Link to comment Share on other sites More sharing options...
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