Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 Hi Ray: I just visited Dr. March Philippon at the University of Pittsburg Medical Center for Sports Medicine on Thursday. I thought that there was a small chance that I might still be a hip arthroscopy candidate. Unfortuantely, that was not the case. I asked Dr. Philippon about the resurfacing procedure, to which he responded that it is a good procedure. However, he did mention that he has had to revise two resurfacings in patients less than a year after their initial surgeries. He is concerned about the stem thickness (too thin) and indicated that they might be subject to failure in active patients who are not slight of build. That concern gave me pause. Hopefully, others in the group will be able to provide insight into this issue as I am also perplexed as to what path to relief that I should follow. Ken > Hello all! > My name is Ray and I am a 35 yr old male with a thr on my left side > and I just found out about the resufacing procedure. I had my > consultation last month and I was told I was a great canidate but as > for now they don't want to do anything because my hip hasn't become > bad enough yet. As you all know, the pain and discomfort we have to > go through before we have surgery can be very difficult to deal with. > Right now I'm talking Advil and percocet to stay comfertable. Does > anyone have any info as far as pain managment is concerned? Also I > would really appreciate any pro's and con's on the resufacing > procedure that you all might have. Thank you to all who reply > Ray Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 Hi Ray: I just visited Dr. March Philippon at the University of Pittsburg Medical Center for Sports Medicine on Thursday. I thought that there was a small chance that I might still be a hip arthroscopy candidate. Unfortuantely, that was not the case. I asked Dr. Philippon about the resurfacing procedure, to which he responded that it is a good procedure. However, he did mention that he has had to revise two resurfacings in patients less than a year after their initial surgeries. He is concerned about the stem thickness (too thin) and indicated that they might be subject to failure in active patients who are not slight of build. That concern gave me pause. Hopefully, others in the group will be able to provide insight into this issue as I am also perplexed as to what path to relief that I should follow. Ken > Hello all! > My name is Ray and I am a 35 yr old male with a thr on my left side > and I just found out about the resufacing procedure. I had my > consultation last month and I was told I was a great canidate but as > for now they don't want to do anything because my hip hasn't become > bad enough yet. As you all know, the pain and discomfort we have to > go through before we have surgery can be very difficult to deal with. > Right now I'm talking Advil and percocet to stay comfertable. Does > anyone have any info as far as pain managment is concerned? Also I > would really appreciate any pro's and con's on the resufacing > procedure that you all might have. Thank you to all who reply > Ray Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 Hi Ray: I just visited Dr. March Philippon at the University of Pittsburg Medical Center for Sports Medicine on Thursday. I thought that there was a small chance that I might still be a hip arthroscopy candidate. Unfortuantely, that was not the case. I asked Dr. Philippon about the resurfacing procedure, to which he responded that it is a good procedure. However, he did mention that he has had to revise two resurfacings in patients less than a year after their initial surgeries. He is concerned about the stem thickness (too thin) and indicated that they might be subject to failure in active patients who are not slight of build. That concern gave me pause. Hopefully, others in the group will be able to provide insight into this issue as I am also perplexed as to what path to relief that I should follow. Ken > Hello all! > My name is Ray and I am a 35 yr old male with a thr on my left side > and I just found out about the resufacing procedure. I had my > consultation last month and I was told I was a great canidate but as > for now they don't want to do anything because my hip hasn't become > bad enough yet. As you all know, the pain and discomfort we have to > go through before we have surgery can be very difficult to deal with. > Right now I'm talking Advil and percocet to stay comfertable. Does > anyone have any info as far as pain managment is concerned? Also I > would really appreciate any pro's and con's on the resufacing > procedure that you all might have. Thank you to all who reply > Ray Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 Hi Ken, The 2 people I personally know with a Resurface are both largest - well one is more than largest......... Both are very active people, one is a farmer, the other takes people on long hikes through forests, rides and walks miles each day........ While they are in early days - one just under 12 months, the other well over, there hasn't been any suggestion of failure........ In fact the more heavier was refused a THR because of his weight......... and had to go with a BHR as the only option of pain relief......... When I last saw him he was lining up for another on the other hip.........so is obviously pretty happy........... Did Dr Philippon give any reason for these failures.......??? With what you are mentioning it seems to suggest that a surgeons skill with where the little stem ends up may be important here.........and more the cause for failure than the device idea itself......... Though from what I make of the whole thing via my xray it would seem that the stem is more there to pin the device in place and stop movement than anything else........ i.e. unlike the THR the stem doesn't do any weight bearing of any consequence.......... Edith > > I just visited Dr. March Philippon at the University of Pittsburg > Medical Center for Sports Medicine on Thursday. I thought that there > was a small chance that I might still be a hip arthroscopy > candidate. Unfortuantely, that was not the case. I asked Dr. > Philippon about the resurfacing procedure, to which he responded > that it is a good procedure. However, he did mention that he has > had to revise two resurfacings in patients less than a year after > their initial surgeries. He is concerned about the stem thickness > (too thin) and indicated that they might be subject to failure in > active patients who are not slight of build. That concern gave me > pause. Hopefully, others in the group will be able to provide > insight into this issue as I am also perplexed as to what path to > relief that I should follow. > > Ken Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 Hi Ken, The 2 people I personally know with a Resurface are both largest - well one is more than largest......... Both are very active people, one is a farmer, the other takes people on long hikes through forests, rides and walks miles each day........ While they are in early days - one just under 12 months, the other well over, there hasn't been any suggestion of failure........ In fact the more heavier was refused a THR because of his weight......... and had to go with a BHR as the only option of pain relief......... When I last saw him he was lining up for another on the other hip.........so is obviously pretty happy........... Did Dr Philippon give any reason for these failures.......??? With what you are mentioning it seems to suggest that a surgeons skill with where the little stem ends up may be important here.........and more the cause for failure than the device idea itself......... Though from what I make of the whole thing via my xray it would seem that the stem is more there to pin the device in place and stop movement than anything else........ i.e. unlike the THR the stem doesn't do any weight bearing of any consequence.......... Edith > > I just visited Dr. March Philippon at the University of Pittsburg > Medical Center for Sports Medicine on Thursday. I thought that there > was a small chance that I might still be a hip arthroscopy > candidate. Unfortuantely, that was not the case. I asked Dr. > Philippon about the resurfacing procedure, to which he responded > that it is a good procedure. However, he did mention that he has > had to revise two resurfacings in patients less than a year after > their initial surgeries. He is concerned about the stem thickness > (too thin) and indicated that they might be subject to failure in > active patients who are not slight of build. That concern gave me > pause. Hopefully, others in the group will be able to provide > insight into this issue as I am also perplexed as to what path to > relief that I should follow. > > Ken Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 Did Dr. Philippon tell you what kind of prostheses he had to revise and what the reason was for failure? We'd all be very curious to know!! Best, Sheila --- In surfacehippy , " Ken <profks@j...> " <profks@j...> wrote: > Hi Ray: > > I just visited Dr. March Philippon at the University of Pittsburg > Medical Center for Sports Medicine on Thursday. I thought that there > was a small chance that I might still be a hip arthroscopy > candidate. Unfortuantely, that was not the case. I asked Dr. > Philippon about the resurfacing procedure, to which he responded > that it is a good procedure. However, he did mention that he has > had to revise two resurfacings in patients less than a year after > their initial surgeries. He is concerned about the stem thickness > (too thin) and indicated that they might be subject to failure in > active patients who are not slight of build. That concern gave me > pause. Hopefully, others in the group will be able to provide > insight into this issue as I am also perplexed as to what path to > relief that I should follow. > > Ken > > > > > Hello all! > > My name is Ray and I am a 35 yr old male with a thr on my left > side > > and I just found out about the resufacing procedure. I had my > > consultation last month and I was told I was a great canidate but > as > > for now they don't want to do anything because my hip hasn't > become > > bad enough yet. As you all know, the pain and discomfort we have > to > > go through before we have surgery can be very difficult to deal > with. > > Right now I'm talking Advil and percocet to stay comfertable. > Does > > anyone have any info as far as pain managment is concerned? Also > I > > would really appreciate any pro's and con's on the resufacing > > procedure that you all might have. Thank you to all who reply > > Ray Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 > I asked Dr. > Philippon about the resurfacing procedure, to which he responded > that it is a good procedure. However, he did mention that he has > had to revise two resurfacings in patients less than a year after > their initial surgeries. He is concerned about the stem thickness > (too thin) and indicated that they might be subject to failure in > active patients who are not slight of build. That concern gave me > pause. I don't understand this. Surely the stem is there to locate the femoral component, not to provide strength. The thicker you make the stem, the wider the hole in the femoral neck and therefore the more likely a fracture. On the MMT site there is an analysis of the 17 failures in the first 1720 resurfacings. They break down as follows: 6 Infections 4 Fractured neck of femur 3 Cup loosenings 1 Femoral loosening 1 AVN 1 Collapsed femoral head from extensive AVN 1 Fractured acetabulum. No mention of problems with the stem. As you are in the USA, I am sure your OS was not talking about MMT's products, but they all look pretty similar in respect of stem design. Could he mean that the stem is too thick, perhaps? Regards, Vale Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 > I asked Dr. > Philippon about the resurfacing procedure, to which he responded > that it is a good procedure. However, he did mention that he has > had to revise two resurfacings in patients less than a year after > their initial surgeries. He is concerned about the stem thickness > (too thin) and indicated that they might be subject to failure in > active patients who are not slight of build. That concern gave me > pause. I don't understand this. Surely the stem is there to locate the femoral component, not to provide strength. The thicker you make the stem, the wider the hole in the femoral neck and therefore the more likely a fracture. On the MMT site there is an analysis of the 17 failures in the first 1720 resurfacings. They break down as follows: 6 Infections 4 Fractured neck of femur 3 Cup loosenings 1 Femoral loosening 1 AVN 1 Collapsed femoral head from extensive AVN 1 Fractured acetabulum. No mention of problems with the stem. As you are in the USA, I am sure your OS was not talking about MMT's products, but they all look pretty similar in respect of stem design. Could he mean that the stem is too thick, perhaps? Regards, Vale Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 > I asked Dr. > Philippon about the resurfacing procedure, to which he responded > that it is a good procedure. However, he did mention that he has > had to revise two resurfacings in patients less than a year after > their initial surgeries. He is concerned about the stem thickness > (too thin) and indicated that they might be subject to failure in > active patients who are not slight of build. That concern gave me > pause. I don't understand this. Surely the stem is there to locate the femoral component, not to provide strength. The thicker you make the stem, the wider the hole in the femoral neck and therefore the more likely a fracture. On the MMT site there is an analysis of the 17 failures in the first 1720 resurfacings. They break down as follows: 6 Infections 4 Fractured neck of femur 3 Cup loosenings 1 Femoral loosening 1 AVN 1 Collapsed femoral head from extensive AVN 1 Fractured acetabulum. No mention of problems with the stem. As you are in the USA, I am sure your OS was not talking about MMT's products, but they all look pretty similar in respect of stem design. Could he mean that the stem is too thick, perhaps? Regards, Vale Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 : My recollection is that he noted that the stem was the problem component. I will try to get clarification and then repost. Ken > > I asked Dr. > > Philippon about the resurfacing procedure, to which he responded > > that it is a good procedure. However, he did mention that he has > > had to revise two resurfacings in patients less than a year after > > their initial surgeries. He is concerned about the stem thickness > > (too thin) and indicated that they might be subject to failure in > > active patients who are not slight of build. That concern gave me > > pause. > > I don't understand this. Surely the stem is there to locate the > femoral component, not to provide strength. The thicker you make the > stem, the wider the hole in the femoral neck and therefore the more > likely a fracture. On the MMT site there is an analysis of the 17 > failures in the first 1720 resurfacings. They break down as follows: > > 6 Infections > 4 Fractured neck of femur > 3 Cup loosenings > 1 Femoral loosening > 1 AVN > 1 Collapsed femoral head from extensive AVN > 1 Fractured acetabulum. > > No mention of problems with the stem. As you are in the USA, I am > sure your OS was not talking about MMT's products, but they all look > pretty similar in respect of stem design. > > Could he mean that the stem is too thick, perhaps? > > Regards, > Vale Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 : My recollection is that he noted that the stem was the problem component. I will try to get clarification and then repost. Ken > > I asked Dr. > > Philippon about the resurfacing procedure, to which he responded > > that it is a good procedure. However, he did mention that he has > > had to revise two resurfacings in patients less than a year after > > their initial surgeries. He is concerned about the stem thickness > > (too thin) and indicated that they might be subject to failure in > > active patients who are not slight of build. That concern gave me > > pause. > > I don't understand this. Surely the stem is there to locate the > femoral component, not to provide strength. The thicker you make the > stem, the wider the hole in the femoral neck and therefore the more > likely a fracture. On the MMT site there is an analysis of the 17 > failures in the first 1720 resurfacings. They break down as follows: > > 6 Infections > 4 Fractured neck of femur > 3 Cup loosenings > 1 Femoral loosening > 1 AVN > 1 Collapsed femoral head from extensive AVN > 1 Fractured acetabulum. > > No mention of problems with the stem. As you are in the USA, I am > sure your OS was not talking about MMT's products, but they all look > pretty similar in respect of stem design. > > Could he mean that the stem is too thick, perhaps? > > Regards, > Vale Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 Hi Sheila: I will call Dr. Philippon's office tomroow and try to obtain that information. Ken > > > Hello all! > > > My name is Ray and I am a 35 yr old male with a thr on my > left > > side > > > and I just found out about the resufacing procedure. I had my > > > consultation last month and I was told I was a great canidate > but > > as > > > for now they don't want to do anything because my hip hasn't > > become > > > bad enough yet. As you all know, the pain and discomfort we > have > > to > > > go through before we have surgery can be very difficult to > deal > > with. > > > Right now I'm talking Advil and percocet to stay comfertable. > > Does > > > anyone have any info as far as pain managment is > concerned? Also > > I > > > would really appreciate any pro's and con's on the resufacing > > > procedure that you all might have. Thank you to all who reply > > > Ray Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 It is not a bearing stem---merely a guidepost for placement of the ball on your bone! Jude Re: RESURFACING MY RT HIP Did Dr. Philippon tell you what kind of prostheses he had to revise and what the reason was for failure? We'd all be very curious to know!! Best, Sheila --- In surfacehippy , " Ken <profks@j...> " <profks@j...> wrote: > Hi Ray: > > I just visited Dr. March Philippon at the University of Pittsburg > Medical Center for Sports Medicine on Thursday. I thought that there > was a small chance that I might still be a hip arthroscopy > candidate. Unfortuantely, that was not the case. I asked Dr. > Philippon about the resurfacing procedure, to which he responded > that it is a good procedure. However, he did mention that he has > had to revise two resurfacings in patients less than a year after > their initial surgeries. He is concerned about the stem thickness > (too thin) and indicated that they might be subject to failure in > active patients who are not slight of build. That concern gave me > pause. Hopefully, others in the group will be able to provide > insight into this issue as I am also perplexed as to what path to > relief that I should follow. > > Ken > > > > > Hello all! > > My name is Ray and I am a 35 yr old male with a thr on my left > side > > and I just found out about the resufacing procedure. I had my > > consultation last month and I was told I was a great canidate but > as > > for now they don't want to do anything because my hip hasn't > become > > bad enough yet. As you all know, the pain and discomfort we have > to > > go through before we have surgery can be very difficult to deal > with. > > Right now I'm talking Advil and percocet to stay comfertable. > Does > > anyone have any info as far as pain managment is concerned? Also > I > > would really appreciate any pro's and con's on the resufacing > > procedure that you all might have. Thank you to all who reply > > Ray Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 It is not a bearing stem---merely a guidepost for placement of the ball on your bone! Jude Re: RESURFACING MY RT HIP Did Dr. Philippon tell you what kind of prostheses he had to revise and what the reason was for failure? We'd all be very curious to know!! Best, Sheila --- In surfacehippy , " Ken <profks@j...> " <profks@j...> wrote: > Hi Ray: > > I just visited Dr. March Philippon at the University of Pittsburg > Medical Center for Sports Medicine on Thursday. I thought that there > was a small chance that I might still be a hip arthroscopy > candidate. Unfortuantely, that was not the case. I asked Dr. > Philippon about the resurfacing procedure, to which he responded > that it is a good procedure. However, he did mention that he has > had to revise two resurfacings in patients less than a year after > their initial surgeries. He is concerned about the stem thickness > (too thin) and indicated that they might be subject to failure in > active patients who are not slight of build. That concern gave me > pause. Hopefully, others in the group will be able to provide > insight into this issue as I am also perplexed as to what path to > relief that I should follow. > > Ken > > > > > Hello all! > > My name is Ray and I am a 35 yr old male with a thr on my left > side > > and I just found out about the resufacing procedure. I had my > > consultation last month and I was told I was a great canidate but > as > > for now they don't want to do anything because my hip hasn't > become > > bad enough yet. As you all know, the pain and discomfort we have > to > > go through before we have surgery can be very difficult to deal > with. > > Right now I'm talking Advil and percocet to stay comfertable. > Does > > anyone have any info as far as pain managment is concerned? Also > I > > would really appreciate any pro's and con's on the resufacing > > procedure that you all might have. Thank you to all who reply > > Ray Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 > > > I asked Dr. > > > Philippon about the resurfacing procedure, to which he responded > > > that it is a good procedure. However, he did mention that he > has > > > had to revise two resurfacings in patients less than a year > after > > > their initial surgeries. He is concerned about the stem > thickness > > > (too thin) and indicated that they might be subject to failure > in > > > active patients who are not slight of build. That concern gave > me > > > pause. > > > > I don't understand this. Surely the stem is there to locate the > > femoral component, not to provide strength. The thicker you make > the > > stem, the wider the hole in the femoral neck and therefore the > more > > likely a fracture. Ken, I find this whole discussion rather strange. There is no OS by the name of Philippon who performs the FULL metal/metal resurfacing in the US as far as I know. You need to clarify with him exactly what procedure and device to which you are referring. I am most certain that any of the patients in the US who have had the full resurfacing of which I am speaking would most certainly return to their original surgeon if they have had any failure. They would not go to Dr. Philippon. You need to discuss your questions with one of the surgeons who actually does the full resurfacing. I found in my search for this procedure most of the OS I talked to were not even aware of the " new " devices and FULL resurfacing. One insisted that he had revised a resurfacing. He had revised a hemi-resurfacing which is a completely different animal than full resurfacing. In other words I think Dr. Philippon is " full of it. " In the almost two years that I have been posting to this site there has been absolutely no controversy regarding the stem as a possible component for failure in any of the three devices used for FULL M/M surfing. You need to read up on these three devices so you will have the information you need when you talk to this doc again. Also look up the list of the surgeons in the US who actually do this procedure. Send one of them your x-rays and get an informed opinion as to whether or not you are a candidate for the procedure. Also, I agree with what Vale is saying. Trudy bilat Cormet 1/02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 > > > I asked Dr. > > > Philippon about the resurfacing procedure, to which he responded > > > that it is a good procedure. However, he did mention that he > has > > > had to revise two resurfacings in patients less than a year > after > > > their initial surgeries. He is concerned about the stem > thickness > > > (too thin) and indicated that they might be subject to failure > in > > > active patients who are not slight of build. That concern gave > me > > > pause. > > > > I don't understand this. Surely the stem is there to locate the > > femoral component, not to provide strength. The thicker you make > the > > stem, the wider the hole in the femoral neck and therefore the > more > > likely a fracture. Ken, I find this whole discussion rather strange. There is no OS by the name of Philippon who performs the FULL metal/metal resurfacing in the US as far as I know. You need to clarify with him exactly what procedure and device to which you are referring. I am most certain that any of the patients in the US who have had the full resurfacing of which I am speaking would most certainly return to their original surgeon if they have had any failure. They would not go to Dr. Philippon. You need to discuss your questions with one of the surgeons who actually does the full resurfacing. I found in my search for this procedure most of the OS I talked to were not even aware of the " new " devices and FULL resurfacing. One insisted that he had revised a resurfacing. He had revised a hemi-resurfacing which is a completely different animal than full resurfacing. In other words I think Dr. Philippon is " full of it. " In the almost two years that I have been posting to this site there has been absolutely no controversy regarding the stem as a possible component for failure in any of the three devices used for FULL M/M surfing. You need to read up on these three devices so you will have the information you need when you talk to this doc again. Also look up the list of the surgeons in the US who actually do this procedure. Send one of them your x-rays and get an informed opinion as to whether or not you are a candidate for the procedure. Also, I agree with what Vale is saying. Trudy bilat Cormet 1/02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 Thanks Trudy - I will call Dr. Philippon's office tomorrow and try to get an exact description of his concern. Dr. Philippon does not do metal-on-metal replacements or resurfacings. I believe he is using one of the new metal and cross- linked poly devices. If you go to Google.com and type in his name you will find that he has quite a reputation in the sports medicine community. However, I agree that the revisions may have been of hemi rather than full resurfacing operations. I will seek what information I can obtain and report back. Ken > > > > I asked Dr. > > > > Philippon about the resurfacing procedure, to which he > responded > > > > that it is a good procedure. However, he did mention that he > > has > > > > had to revise two resurfacings in patients less than a year > > after > > > > their initial surgeries. He is concerned about the stem > > thickness > > > > (too thin) and indicated that they might be subject to failure > > in > > > > active patients who are not slight of build. That concern gave > > me > > > > pause. > > > > > > I don't understand this. Surely the stem is there to locate the > > > femoral component, not to provide strength. The thicker you make > > the > > > stem, the wider the hole in the femoral neck and therefore the > > more > > > likely a fracture. > > Ken, > I find this whole discussion rather strange. There is no OS by the > name of Philippon who performs the FULL metal/metal resurfacing in > the US as far as I know. You need to clarify with him exactly what > procedure and device to which you are referring. I am most certain > that any of the patients in the US who have had the full resurfacing > of which I am speaking would most certainly return to their original > surgeon if they have had any failure. They would not go to Dr. > Philippon. You need to discuss your questions with one of the > surgeons who actually does the full resurfacing. I found in my > search for this procedure most of the OS I talked to were not even > aware of the " new " devices and FULL resurfacing. One insisted that > he had revised a resurfacing. He had revised a hemi-resurfacing > which is a completely different animal than full resurfacing. In > other words I think Dr. Philippon is " full of it. " > In the almost two years that I have been posting to this site there > has been absolutely no controversy regarding the stem as a possible > component for failure in any of the three devices used for FULL M/M > surfing. You need to read up on these three devices so you will have > the information you need when you talk to this doc again. Also look > up the list of the surgeons in the US who actually do this > procedure. Send one of them your x-rays and get an informed opinion > as to whether or not you are a candidate for the procedure. > Also, I agree with what Vale is saying. > Trudy > bilat Cormet 1/02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 12, 2003 Report Share Posted January 12, 2003 Thanks Trudy - I will call Dr. Philippon's office tomorrow and try to get an exact description of his concern. Dr. Philippon does not do metal-on-metal replacements or resurfacings. I believe he is using one of the new metal and cross- linked poly devices. If you go to Google.com and type in his name you will find that he has quite a reputation in the sports medicine community. However, I agree that the revisions may have been of hemi rather than full resurfacing operations. I will seek what information I can obtain and report back. Ken > > > > I asked Dr. > > > > Philippon about the resurfacing procedure, to which he > responded > > > > that it is a good procedure. However, he did mention that he > > has > > > > had to revise two resurfacings in patients less than a year > > after > > > > their initial surgeries. He is concerned about the stem > > thickness > > > > (too thin) and indicated that they might be subject to failure > > in > > > > active patients who are not slight of build. That concern gave > > me > > > > pause. > > > > > > I don't understand this. Surely the stem is there to locate the > > > femoral component, not to provide strength. The thicker you make > > the > > > stem, the wider the hole in the femoral neck and therefore the > > more > > > likely a fracture. > > Ken, > I find this whole discussion rather strange. There is no OS by the > name of Philippon who performs the FULL metal/metal resurfacing in > the US as far as I know. You need to clarify with him exactly what > procedure and device to which you are referring. I am most certain > that any of the patients in the US who have had the full resurfacing > of which I am speaking would most certainly return to their original > surgeon if they have had any failure. They would not go to Dr. > Philippon. You need to discuss your questions with one of the > surgeons who actually does the full resurfacing. I found in my > search for this procedure most of the OS I talked to were not even > aware of the " new " devices and FULL resurfacing. One insisted that > he had revised a resurfacing. He had revised a hemi-resurfacing > which is a completely different animal than full resurfacing. In > other words I think Dr. Philippon is " full of it. " > In the almost two years that I have been posting to this site there > has been absolutely no controversy regarding the stem as a possible > component for failure in any of the three devices used for FULL M/M > surfing. You need to read up on these three devices so you will have > the information you need when you talk to this doc again. Also look > up the list of the surgeons in the US who actually do this > procedure. Send one of them your x-rays and get an informed opinion > as to whether or not you are a candidate for the procedure. > Also, I agree with what Vale is saying. > Trudy > bilat Cormet 1/02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2003 Report Share Posted January 13, 2003 Ken and Trudy: You are both right. Dr. on is reknowned for arthroscopic repair of early problems in the hip. Resurfacing is for those of us who have lost the articular cartilage (and sometimes the underlying bone). Right now very few surgeons in the US are participating in the investigative trials. only they can perform resurfacing. See article from the Pittsburgh newspaper below: Tuesday, August 21, 2001 By Anita Srikameswaran, Post-Gazette Staff Writer A renowned orthopedic surgeon who operated on the hips of golfer Greg Norman, skater Tara Lipinski and NFL quarterback Jay Fiedler is joining UPMC Health System to initiate research into medical problems associated with golf. At a news conference set for this morning, Norman and hospital officials will announce that Dr. Marc Philippon has been hired to direct the new sports-hip medicine program at the UPMC Center for Sports Medicine. Philippon is a world leader in arthroscopic hip surgery and has invented instruments to better perform the minimally invasive procedure. He is a consultant to the National Hockey League Players Association, the Miami Dolphins and the Florida Marlins. He previously practiced at Holy Cross Hospital in Fort Lauderdale, Fla. The French-Canadian did his specialty training at the University of Miami after completing medical school at McMaster University in Hamilton, Ontario. Philippon performs about 125 arthroscopic hip operations per year. Few hip surgeons do the procedure routinely in part because of the technical difficulty of getting fiber optic instruments to a joint that is near major blood vessels and nerves. " It's a very dangerous procedure if you're not careful, " the surgeon told the Florida newspaper last year. Golfer Norman endured several years of hip pain before meeting Philippon, who diagnosed a tear in the labrum, a ring of cartilage that stabilizes the joint. The golfer posted on his Web site an edited videotape of his June 2000 operation along with information from and about the doctors. Soon afterward, golfers Steve Elkington and Jesper Parnevik went to Philippon with their woes. And other athletes sought him out, including Lipinski, winner of a figure skating gold medal in the 1998 Winter Olympics. She, too, had a torn labrum, as well as cartilage damage and early arthritis. She underwent arthroscopic hip surgery last September. She skates now as a professional. Philippon said he has been seeing more hip injuries in golfers, football players and figure skaters. But it's not just a problem for those in competitive sports. " There's a lot of undiagnosed pathology out there in people who have persistent hip pain, " he told the Fort Lauderdale Sun- Sentinel. " These injuries are usually caused by twisting motions, over and over. It's from athletic stress, but also from getting older. " in NC > Thanks Trudy - I will call Dr. Philippon's office tomorrow and try > to get an exact description of his concern. > > Dr. Philippon does not do metal-on-metal replacements or > resurfacings. I believe he is using one of the new metal and cross- > linked poly devices. > > If you go to Google.com and type in his name you will find that he > has quite a reputation in the sports medicine community. However, I > agree that the revisions may have been of hemi rather than full > resurfacing operations. I will seek what information I can obtain > and report back. > > Ken > > .....In > > other words I think Dr. Philippon is " full of it. " > > In the almost two years that I have been posting to this site > there > > has been absolutely no controversy regarding the stem as a > possible > > component for failure in any of the three devices used for FULL > M/M > > surfing. You need to read up on these three devices so you will > have > > the information you need when you talk to this doc again. Also > look > > up the list of the surgeons in the US who actually do this > > procedure. Send one of them your x-rays and get an informed > opinion > > as to whether or not you are a candidate for the procedure. > > Also, I agree with what Vale is saying. > > Trudy > > bilat Cormet 1/02 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2003 Report Share Posted January 13, 2003 , Thanks for the info on someone who seems to be one of the " greats " in orthopedic surgery. He has his niche and may not know all that much about full m/m resurfacing and the trials in progress. Trudy > Ken and Trudy: > > You are both right. Dr. on is reknowned for arthroscopic > repair of early problems in the hip. Resurfacing is for those of us > who have lost the articular cartilage (and sometimes the underlying > bone). Right now very few surgeons in the US are participating in > the investigative trials. only they can perform resurfacing. > > See article from the Pittsburgh newspaper below: > Tuesday, August 21, 2001 > > By Anita Srikameswaran, Post-Gazette Staff Writer > > A renowned orthopedic surgeon who operated on the hips of golfer > Greg Norman, skater Tara Lipinski and NFL quarterback Jay Fiedler is > joining UPMC Health System to initiate research into medical > problems associated with golf. > > At a news conference set for this morning, Norman and hospital > officials will announce that Dr. Marc Philippon has been hired to > direct the new sports-hip medicine program at the UPMC Center for > Sports Medicine. > > Philippon is a world leader in arthroscopic hip surgery and has > invented instruments to better perform the minimally invasive > procedure. > > He is a consultant to the National Hockey League Players > Association, the Miami Dolphins and the Florida Marlins. He > previously practiced at Holy Cross Hospital in Fort Lauderdale, Fla. > > The French-Canadian did his specialty training at the University of > Miami after completing medical school at McMaster University in > Hamilton, Ontario. > > Philippon performs about 125 arthroscopic hip operations per year. > Few hip surgeons do the procedure routinely in part because of the > technical difficulty of getting fiber optic instruments to a joint > that is near major blood vessels and nerves. > > " It's a very dangerous procedure if you're not careful, " the surgeon > told the Florida newspaper last year. > > Golfer Norman endured several years of hip pain before meeting > Philippon, who diagnosed a tear in the labrum, a ring of cartilage > that stabilizes the joint. The golfer posted on his Web site an > edited videotape of his June 2000 operation along with information > from and about the doctors. Soon afterward, golfers Steve Elkington > and Jesper Parnevik went to Philippon with their woes. > > And other athletes sought him out, including Lipinski, winner of a > figure skating gold medal in the 1998 Winter Olympics. She, too, had > a torn labrum, as well as cartilage damage and early arthritis. She > underwent arthroscopic hip surgery last September. She skates now as > a professional. > > Philippon said he has been seeing more hip injuries in golfers, > football players and figure skaters. But it's not just a problem for > those in competitive sports. > > " There's a lot of undiagnosed pathology out there in people who have > persistent hip pain, " he told the Fort Lauderdale Sun- > Sentinel. " These injuries are usually caused by twisting motions, > over and over. It's from athletic stress, but also from getting > older. " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2003 Report Share Posted January 13, 2003 Hi Trudy: I had to go to the ACtivejoints site to find the name of the resurfacing surgeon who Dr. Philippon spoke of last Thursday. His name is Dr. Harlan Amstutz. I will be calling Dr. Philippon's office shrtly to try to get the answers to the questions that arose this weekend. Ken > > Ken and Trudy: > > > > You are both right. Dr. on is reknowned for arthroscopic > > repair of early problems in the hip. Resurfacing is for those of > us > > who have lost the articular cartilage (and sometimes the underlying > > bone). Right now very few surgeons in the US are participating in > > the investigative trials. only they can perform resurfacing. > > > > See article from the Pittsburgh newspaper below: > > Tuesday, August 21, 2001 > > > > By Anita Srikameswaran, Post-Gazette Staff Writer > > > > A renowned orthopedic surgeon who operated on the hips of golfer > > Greg Norman, skater Tara Lipinski and NFL quarterback Jay Fiedler > is > > joining UPMC Health System to initiate research into medical > > problems associated with golf. > > > > At a news conference set for this morning, Norman and hospital > > officials will announce that Dr. Marc Philippon has been hired to > > direct the new sports-hip medicine program at the UPMC Center for > > Sports Medicine. > > > > Philippon is a world leader in arthroscopic hip surgery and has > > invented instruments to better perform the minimally invasive > > procedure. > > > > He is a consultant to the National Hockey League Players > > Association, the Miami Dolphins and the Florida Marlins. He > > previously practiced at Holy Cross Hospital in Fort Lauderdale, Fla. > > > > The French-Canadian did his specialty training at the University of > > Miami after completing medical school at McMaster University in > > Hamilton, Ontario. > > > > Philippon performs about 125 arthroscopic hip operations per year. > > Few hip surgeons do the procedure routinely in part because of the > > technical difficulty of getting fiber optic instruments to a joint > > that is near major blood vessels and nerves. > > > > " It's a very dangerous procedure if you're not careful, " the > surgeon > > told the Florida newspaper last year. > > > > Golfer Norman endured several years of hip pain before meeting > > Philippon, who diagnosed a tear in the labrum, a ring of cartilage > > that stabilizes the joint. The golfer posted on his Web site an > > edited videotape of his June 2000 operation along with information > > from and about the doctors. Soon afterward, golfers Steve Elkington > > and Jesper Parnevik went to Philippon with their woes. > > > > And other athletes sought him out, including Lipinski, winner of a > > figure skating gold medal in the 1998 Winter Olympics. She, too, > had > > a torn labrum, as well as cartilage damage and early arthritis. She > > underwent arthroscopic hip surgery last September. She skates now > as > > a professional. > > > > Philippon said he has been seeing more hip injuries in golfers, > > football players and figure skaters. But it's not just a problem > for > > those in competitive sports. > > > > " There's a lot of undiagnosed pathology out there in people who > have > > persistent hip pain, " he told the Fort Lauderdale Sun- > > Sentinel. " These injuries are usually caused by twisting motions, > > over and over. It's from athletic stress, but also from getting > > older. " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2003 Report Share Posted January 13, 2003 > Hi Trudy: > > I had to go to the ACtivejoints site to find the name of the > resurfacing surgeon who Dr. Philippon spoke of last Thursday. His > name is Dr. Harlan Amstutz. I will be calling Dr. Philippon's > office shrtly to try to get the answers to the questions that arose > this weekend. Ken, Amstutz is the pioneer of resurfacing in this country. You need to read the paper he has written on it in collaboration with Grigoris. I believe the link to that is in the files also. At least Philippon knows of the number one guy. Again though, the idea of the stem being the weak link is a new thought. It is not in any of the reading that I've seen and I've read pretty much all of it. When you speak with Philippon be sure to get his sources (papers, coonferences etc.) for this thought not just that he heard it mentioned somewhere. Trudy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2003 Report Share Posted January 13, 2003 > Hi Trudy: > > I had to go to the ACtivejoints site to find the name of the > resurfacing surgeon who Dr. Philippon spoke of last Thursday. His > name is Dr. Harlan Amstutz. I will be calling Dr. Philippon's > office shrtly to try to get the answers to the questions that arose > this weekend. Ken, Amstutz is the pioneer of resurfacing in this country. You need to read the paper he has written on it in collaboration with Grigoris. I believe the link to that is in the files also. At least Philippon knows of the number one guy. Again though, the idea of the stem being the weak link is a new thought. It is not in any of the reading that I've seen and I've read pretty much all of it. When you speak with Philippon be sure to get his sources (papers, coonferences etc.) for this thought not just that he heard it mentioned somewhere. Trudy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2003 Report Share Posted January 13, 2003 > Hi Trudy: > > I had to go to the ACtivejoints site to find the name of the > resurfacing surgeon who Dr. Philippon spoke of last Thursday. His > name is Dr. Harlan Amstutz. I will be calling Dr. Philippon's > office shrtly to try to get the answers to the questions that arose > this weekend. Ken, Amstutz is the pioneer of resurfacing in this country. You need to read the paper he has written on it in collaboration with Grigoris. I believe the link to that is in the files also. At least Philippon knows of the number one guy. Again though, the idea of the stem being the weak link is a new thought. It is not in any of the reading that I've seen and I've read pretty much all of it. When you speak with Philippon be sure to get his sources (papers, coonferences etc.) for this thought not just that he heard it mentioned somewhere. Trudy Quote Link to comment Share on other sites More sharing options...
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