Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 Diane I hope my c+ will last a life time,but nothing is guaranteed.What I do have is a joint replacement that is more anatomically correct than a thr and a virgin femoral canal if a revision is required.If your surgeon fully expects m/m thrs to last a lifetime then why would he not expect a bhr to last as long?Personally I feel the bone cement is the only possible weakness in the resurfacings being done currently.In the end you have to do what you feel is best,good luck. Matt > > Hey you surfacehippies, > > I am getting REAL close to making a decision on going for a BHR. > > I had an appointment today with a traditional THR surgeon just to see > what was new and improved in what they had to offer. I was surprised > to hear him say that he fully expects the metal on metal implants to > last a lifetime. Even so, I still find the procedure and implant not > necessarily the best choice. His fellow told me that a BHR would not > last very long-didn't surprise me that he would be negative towards > it. > > Do you all feel that your BHR should last just as long as a THR or do > you see it more of a way to buy time before having a THR? There is no > right or wrong answer here. Just would like your input. > > Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 Diane I hope my c+ will last a life time,but nothing is guaranteed.What I do have is a joint replacement that is more anatomically correct than a thr and a virgin femoral canal if a revision is required.If your surgeon fully expects m/m thrs to last a lifetime then why would he not expect a bhr to last as long?Personally I feel the bone cement is the only possible weakness in the resurfacings being done currently.In the end you have to do what you feel is best,good luck. Matt > > Hey you surfacehippies, > > I am getting REAL close to making a decision on going for a BHR. > > I had an appointment today with a traditional THR surgeon just to see > what was new and improved in what they had to offer. I was surprised > to hear him say that he fully expects the metal on metal implants to > last a lifetime. Even so, I still find the procedure and implant not > necessarily the best choice. His fellow told me that a BHR would not > last very long-didn't surprise me that he would be negative towards > it. > > Do you all feel that your BHR should last just as long as a THR or do > you see it more of a way to buy time before having a THR? There is no > right or wrong answer here. Just would like your input. > > Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 Diane I hope my c+ will last a life time,but nothing is guaranteed.What I do have is a joint replacement that is more anatomically correct than a thr and a virgin femoral canal if a revision is required.If your surgeon fully expects m/m thrs to last a lifetime then why would he not expect a bhr to last as long?Personally I feel the bone cement is the only possible weakness in the resurfacings being done currently.In the end you have to do what you feel is best,good luck. Matt > > Hey you surfacehippies, > > I am getting REAL close to making a decision on going for a BHR. > > I had an appointment today with a traditional THR surgeon just to see > what was new and improved in what they had to offer. I was surprised > to hear him say that he fully expects the metal on metal implants to > last a lifetime. Even so, I still find the procedure and implant not > necessarily the best choice. His fellow told me that a BHR would not > last very long-didn't surprise me that he would be negative towards > it. > > Do you all feel that your BHR should last just as long as a THR or do > you see it more of a way to buy time before having a THR? There is no > right or wrong answer here. Just would like your input. > > Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 At 03:59 AM 12/20/2002 +0000, you wrote: >Do you all feel that your BHR should last just as long as a THR or do >you see it more of a way to buy time before having a THR? There is no >right or wrong answer here. Just would like your input. > >Diane, I went for the Conserve Plus (A BHR is actually a brand name for a metal/metal resurfacing device) with the hope that they will last me a lifetime. I did not go into this as buying time, but as solving the problem. Hopefully if for some reason down the road I would have to have a revision, I would be able to get another C+. I'm praying I never have to convert to THR. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 At 03:59 AM 12/20/2002 +0000, you wrote: >Do you all feel that your BHR should last just as long as a THR or do >you see it more of a way to buy time before having a THR? There is no >right or wrong answer here. Just would like your input. > >Diane, I went for the Conserve Plus (A BHR is actually a brand name for a metal/metal resurfacing device) with the hope that they will last me a lifetime. I did not go into this as buying time, but as solving the problem. Hopefully if for some reason down the road I would have to have a revision, I would be able to get another C+. I'm praying I never have to convert to THR. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 At 03:59 AM 12/20/2002 +0000, you wrote: >Do you all feel that your BHR should last just as long as a THR or do >you see it more of a way to buy time before having a THR? There is no >right or wrong answer here. Just would like your input. > >Diane, I went for the Conserve Plus (A BHR is actually a brand name for a metal/metal resurfacing device) with the hope that they will last me a lifetime. I did not go into this as buying time, but as solving the problem. Hopefully if for some reason down the road I would have to have a revision, I would be able to get another C+. I'm praying I never have to convert to THR. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 I'm with on this one. I don't see my BHR as a stop-gap before THR. Theoretically it should last a life time.... and hope mine will. Time alone will tell! If I had to do this all over again I would make the same choice. Arlene Sept 2002 BHR Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 I'm with on this one. I don't see my BHR as a stop-gap before THR. Theoretically it should last a life time.... and hope mine will. Time alone will tell! If I had to do this all over again I would make the same choice. Arlene Sept 2002 BHR Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 I'm with on this one. I don't see my BHR as a stop-gap before THR. Theoretically it should last a life time.... and hope mine will. Time alone will tell! If I had to do this all over again I would make the same choice. Arlene Sept 2002 BHR Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 Diane: Dr. De Smet told us that the BHR is actually modelled on the old metal on metal prosthetics that were lasting 30 years or more. He says that while there is not any data on the BHR past about 11 years, from all of his research and knowledge he can't see any reason why they wouldn't last many, many years. As for outlasting a THR - well they are already outlasting thrs on active people. Younger active people with a thr are having revisions much earlier (I think I read that an active person might get 7 years out of the thr) and to date there have been very few revisions of BHRs at 11 years. Check out some of the research in the files section. There is a lot of information there. Each surgeon of course has their own preference. The OS I spoke to in Vancouver does do BHRs (only since last summer) but he still prefers a thr as far as I can tell. Two of his partners are much more likely to recommend a BHR to a younger active person. I think many of them are simply afraid to some of the " new " stuff and they want to stick with what they know. Good luck, Pamela LBHR De Smet 23/10/02 > > Hey you surfacehippies, > > I am getting REAL close to making a decision on going for a BHR. > > I had an appointment today with a traditional THR surgeon just to see > what was new and improved in what they had to offer. I was surprised > to hear him say that he fully expects the metal on metal implants to > last a lifetime. Even so, I still find the procedure and implant not > necessarily the best choice. His fellow told me that a BHR would not > last very long-didn't surprise me that he would be negative towards > it. > > Do you all feel that your BHR should last just as long as a THR or do > you see it more of a way to buy time before having a THR? There is no > right or wrong answer here. Just would like your input. > > Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 Diane: Dr. De Smet told us that the BHR is actually modelled on the old metal on metal prosthetics that were lasting 30 years or more. He says that while there is not any data on the BHR past about 11 years, from all of his research and knowledge he can't see any reason why they wouldn't last many, many years. As for outlasting a THR - well they are already outlasting thrs on active people. Younger active people with a thr are having revisions much earlier (I think I read that an active person might get 7 years out of the thr) and to date there have been very few revisions of BHRs at 11 years. Check out some of the research in the files section. There is a lot of information there. Each surgeon of course has their own preference. The OS I spoke to in Vancouver does do BHRs (only since last summer) but he still prefers a thr as far as I can tell. Two of his partners are much more likely to recommend a BHR to a younger active person. I think many of them are simply afraid to some of the " new " stuff and they want to stick with what they know. Good luck, Pamela LBHR De Smet 23/10/02 > > Hey you surfacehippies, > > I am getting REAL close to making a decision on going for a BHR. > > I had an appointment today with a traditional THR surgeon just to see > what was new and improved in what they had to offer. I was surprised > to hear him say that he fully expects the metal on metal implants to > last a lifetime. Even so, I still find the procedure and implant not > necessarily the best choice. His fellow told me that a BHR would not > last very long-didn't surprise me that he would be negative towards > it. > > Do you all feel that your BHR should last just as long as a THR or do > you see it more of a way to buy time before having a THR? There is no > right or wrong answer here. Just would like your input. > > Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 Diane: Dr. De Smet told us that the BHR is actually modelled on the old metal on metal prosthetics that were lasting 30 years or more. He says that while there is not any data on the BHR past about 11 years, from all of his research and knowledge he can't see any reason why they wouldn't last many, many years. As for outlasting a THR - well they are already outlasting thrs on active people. Younger active people with a thr are having revisions much earlier (I think I read that an active person might get 7 years out of the thr) and to date there have been very few revisions of BHRs at 11 years. Check out some of the research in the files section. There is a lot of information there. Each surgeon of course has their own preference. The OS I spoke to in Vancouver does do BHRs (only since last summer) but he still prefers a thr as far as I can tell. Two of his partners are much more likely to recommend a BHR to a younger active person. I think many of them are simply afraid to some of the " new " stuff and they want to stick with what they know. Good luck, Pamela LBHR De Smet 23/10/02 > > Hey you surfacehippies, > > I am getting REAL close to making a decision on going for a BHR. > > I had an appointment today with a traditional THR surgeon just to see > what was new and improved in what they had to offer. I was surprised > to hear him say that he fully expects the metal on metal implants to > last a lifetime. Even so, I still find the procedure and implant not > necessarily the best choice. His fellow told me that a BHR would not > last very long-didn't surprise me that he would be negative towards > it. > > Do you all feel that your BHR should last just as long as a THR or do > you see it more of a way to buy time before having a THR? There is no > right or wrong answer here. Just would like your input. > > Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 Hi Diane, I really believe that a Resurf should last as long if not longer than a THR, especially in younger active patients. The " lifetime " I expect ahead of me at 31yrs old is probably not equal to the lifetime of say someone in their 50s...so if I am still around in my 70s I'll need a THR that will last 40 years...indeed possible but I think 20 yrs would still be a good result. When I get my resurf I will hope and pray that I will never look back but as there is no doctor on this earth that will guarantee me any number of years with either resurf or THR I need to hold on to as much of my bone as possible...just in case! Casey > > Hey you surfacehippies, > > I am getting REAL close to making a decision on going for a BHR. > > I had an appointment today with a traditional THR surgeon just to see > what was new and improved in what they had to offer. I was surprised > to hear him say that he fully expects the metal on metal implants to > last a lifetime. Even so, I still find the procedure and implant not > necessarily the best choice. His fellow told me that a BHR would not > last very long-didn't surprise me that he would be negative towards > it. > > Do you all feel that your BHR should last just as long as a THR or do > you see it more of a way to buy time before having a THR? There is no > right or wrong answer here. Just would like your input. > > Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 Hi Diane, I really believe that a Resurf should last as long if not longer than a THR, especially in younger active patients. The " lifetime " I expect ahead of me at 31yrs old is probably not equal to the lifetime of say someone in their 50s...so if I am still around in my 70s I'll need a THR that will last 40 years...indeed possible but I think 20 yrs would still be a good result. When I get my resurf I will hope and pray that I will never look back but as there is no doctor on this earth that will guarantee me any number of years with either resurf or THR I need to hold on to as much of my bone as possible...just in case! Casey > > Hey you surfacehippies, > > I am getting REAL close to making a decision on going for a BHR. > > I had an appointment today with a traditional THR surgeon just to see > what was new and improved in what they had to offer. I was surprised > to hear him say that he fully expects the metal on metal implants to > last a lifetime. Even so, I still find the procedure and implant not > necessarily the best choice. His fellow told me that a BHR would not > last very long-didn't surprise me that he would be negative towards > it. > > Do you all feel that your BHR should last just as long as a THR or do > you see it more of a way to buy time before having a THR? There is no > right or wrong answer here. Just would like your input. > > Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 Hi Diane, I really believe that a Resurf should last as long if not longer than a THR, especially in younger active patients. The " lifetime " I expect ahead of me at 31yrs old is probably not equal to the lifetime of say someone in their 50s...so if I am still around in my 70s I'll need a THR that will last 40 years...indeed possible but I think 20 yrs would still be a good result. When I get my resurf I will hope and pray that I will never look back but as there is no doctor on this earth that will guarantee me any number of years with either resurf or THR I need to hold on to as much of my bone as possible...just in case! Casey > > Hey you surfacehippies, > > I am getting REAL close to making a decision on going for a BHR. > > I had an appointment today with a traditional THR surgeon just to see > what was new and improved in what they had to offer. I was surprised > to hear him say that he fully expects the metal on metal implants to > last a lifetime. Even so, I still find the procedure and implant not > necessarily the best choice. His fellow told me that a BHR would not > last very long-didn't surprise me that he would be negative towards > it. > > Do you all feel that your BHR should last just as long as a THR or do > you see it more of a way to buy time before having a THR? There is no > right or wrong answer here. Just would like your input. > > Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 Hi, Well I can only hope mine lasts for at least 20 years as I cannot have a THR.......... the initial bone inflammation disease makes that too dicy when it requires spikes down bone marrow ............. well it was always given as to why I couldn't have a hip replacement all the years before BHR's came along........... this suggests to me that it isn't the healthiest thing to do to a bone............. and I am certainly not going back to a fused hip.............. However I suspect unless something comes along soon that repairs spines the issue of how long the BHR lasts will be the least of my problems.............smile.......... So I am just enjoying each day as it comes and loving the sensation of being able to sit......... and get on with the life I have been given back.......... Edith BHR Aug 02 Sydney Aust..... > Hey you surfacehippies, > > I am getting REAL close to making a decision on going for a BHR. > > I had an appointment today with a traditional THR surgeon just to see > what was new and improved in what they had to offer. I was surprised > to hear him say that he fully expects the metal on metal implants to > last a lifetime. Even so, I still find the procedure and implant not > necessarily the best choice. His fellow told me that a BHR would not > last very long-didn't surprise me that he would be negative towards > it. > > Do you all feel that your BHR should last just as long as a THR or do > you see it more of a way to buy time before having a THR? There is no > right or wrong answer here. Just would like your input. > > Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 Hi, Well I can only hope mine lasts for at least 20 years as I cannot have a THR.......... the initial bone inflammation disease makes that too dicy when it requires spikes down bone marrow ............. well it was always given as to why I couldn't have a hip replacement all the years before BHR's came along........... this suggests to me that it isn't the healthiest thing to do to a bone............. and I am certainly not going back to a fused hip.............. However I suspect unless something comes along soon that repairs spines the issue of how long the BHR lasts will be the least of my problems.............smile.......... So I am just enjoying each day as it comes and loving the sensation of being able to sit......... and get on with the life I have been given back.......... Edith BHR Aug 02 Sydney Aust..... > Hey you surfacehippies, > > I am getting REAL close to making a decision on going for a BHR. > > I had an appointment today with a traditional THR surgeon just to see > what was new and improved in what they had to offer. I was surprised > to hear him say that he fully expects the metal on metal implants to > last a lifetime. Even so, I still find the procedure and implant not > necessarily the best choice. His fellow told me that a BHR would not > last very long-didn't surprise me that he would be negative towards > it. > > Do you all feel that your BHR should last just as long as a THR or do > you see it more of a way to buy time before having a THR? There is no > right or wrong answer here. Just would like your input. > > Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 Hi, A THR is metal on plastic. A BHR is metal on metal. The BHR joint has a longer mechanical life because the two surfaces are hard wearing. My understanding is that in a THR the metal ball wears away the plasic socket making the joint looser. Also the plastic fragments decrease the joint's efficiency and, in an active patient, it wears out in 12-15 years. A BHR is also more secure in the joint such that a BHR patient has a wider range of motion than a THR patient who faces increased dislocation risk if engaged in active sports. BHR life expectancies would seem to be in the 20-25 years or more range at the moment although the longest-lived patients would be around 11 years I believe. Chris > > Hey you surfacehippies, > > I am getting REAL close to making a decision on going for a BHR. > > I had an appointment today with a traditional THR surgeon just to see > what was new and improved in what they had to offer. I was surprised > to hear him say that he fully expects the metal on metal implants to > last a lifetime. Even so, I still find the procedure and implant not > necessarily the best choice. His fellow told me that a BHR would not > last very long-didn't surprise me that he would be negative towards > it. > > Do you all feel that your BHR should last just as long as a THR or do > you see it more of a way to buy time before having a THR? There is no > right or wrong answer here. Just would like your input. > > Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 Hi, A THR is metal on plastic. A BHR is metal on metal. The BHR joint has a longer mechanical life because the two surfaces are hard wearing. My understanding is that in a THR the metal ball wears away the plasic socket making the joint looser. Also the plastic fragments decrease the joint's efficiency and, in an active patient, it wears out in 12-15 years. A BHR is also more secure in the joint such that a BHR patient has a wider range of motion than a THR patient who faces increased dislocation risk if engaged in active sports. BHR life expectancies would seem to be in the 20-25 years or more range at the moment although the longest-lived patients would be around 11 years I believe. Chris > > Hey you surfacehippies, > > I am getting REAL close to making a decision on going for a BHR. > > I had an appointment today with a traditional THR surgeon just to see > what was new and improved in what they had to offer. I was surprised > to hear him say that he fully expects the metal on metal implants to > last a lifetime. Even so, I still find the procedure and implant not > necessarily the best choice. His fellow told me that a BHR would not > last very long-didn't surprise me that he would be negative towards > it. > > Do you all feel that your BHR should last just as long as a THR or do > you see it more of a way to buy time before having a THR? There is no > right or wrong answer here. Just would like your input. > > Diane Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 My wife is about to undergo a THR this afternoon after the failure of her BHP last weekend. The BHR was carried out three weeks previously and everything was going so well. There seems no explanation for the failure at present since she had no fall and had been very careful with her angles etc. She is obviously bitterly disappointed. I have to say that the surgeon originally recommended THR but after persuasive argument from my wife that it would buy her time and enable her to be more active(she is 55),the surgeon was quite willing to do it if possible! He was pleased with how the operation went and the X rays looked great! At this moment I know no more. Sorry to put a dampener on others positive experiences. Denis Re: longevity of BHR At 03:59 AM 12/20/2002 +0000, you wrote: >Do you all feel that your BHR should last just as long as a THR or do >you see it more of a way to buy time before having a THR? There is no >right or wrong answer here. Just would like your input. > >Diane, I went for the Conserve Plus (A BHR is actually a brand name for a metal/metal resurfacing device) with the hope that they will last me a lifetime. I did not go into this as buying time, but as solving the problem. Hopefully if for some reason down the road I would have to have a revision, I would be able to get another C+. I'm praying I never have to convert to THR. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 My wife is about to undergo a THR this afternoon after the failure of her BHP last weekend. The BHR was carried out three weeks previously and everything was going so well. There seems no explanation for the failure at present since she had no fall and had been very careful with her angles etc. She is obviously bitterly disappointed. I have to say that the surgeon originally recommended THR but after persuasive argument from my wife that it would buy her time and enable her to be more active(she is 55),the surgeon was quite willing to do it if possible! He was pleased with how the operation went and the X rays looked great! At this moment I know no more. Sorry to put a dampener on others positive experiences. Denis Re: longevity of BHR At 03:59 AM 12/20/2002 +0000, you wrote: >Do you all feel that your BHR should last just as long as a THR or do >you see it more of a way to buy time before having a THR? There is no >right or wrong answer here. Just would like your input. > >Diane, I went for the Conserve Plus (A BHR is actually a brand name for a metal/metal resurfacing device) with the hope that they will last me a lifetime. I did not go into this as buying time, but as solving the problem. Hopefully if for some reason down the road I would have to have a revision, I would be able to get another C+. I'm praying I never have to convert to THR. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 My wife is about to undergo a THR this afternoon after the failure of her BHP last weekend. The BHR was carried out three weeks previously and everything was going so well. There seems no explanation for the failure at present since she had no fall and had been very careful with her angles etc. She is obviously bitterly disappointed. I have to say that the surgeon originally recommended THR but after persuasive argument from my wife that it would buy her time and enable her to be more active(she is 55),the surgeon was quite willing to do it if possible! He was pleased with how the operation went and the X rays looked great! At this moment I know no more. Sorry to put a dampener on others positive experiences. Denis Re: longevity of BHR At 03:59 AM 12/20/2002 +0000, you wrote: >Do you all feel that your BHR should last just as long as a THR or do >you see it more of a way to buy time before having a THR? There is no >right or wrong answer here. Just would like your input. > >Diane, I went for the Conserve Plus (A BHR is actually a brand name for a metal/metal resurfacing device) with the hope that they will last me a lifetime. I did not go into this as buying time, but as solving the problem. Hopefully if for some reason down the road I would have to have a revision, I would be able to get another C+. I'm praying I never have to convert to THR. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 THR's can also be metal on metal and ceramic on ceramic. I'm not sure if you can get metal on ceramic. I'd check the Totally Hip web site for more details. Doug right bhr June 2002 left bhr November 2002 >>> twyko64@... 12/20/02 06:01AM >>> <html><body> <tt> Hi,<BR> A THR is metal on plastic. A BHR is metal on metal. The BHR joint has a longer mechanical life because the two surfaces are hard wearing. My understanding is that in a THR the metal ball wears away the plasic socket making the joint looser. Also the plastic fragments decrease the joint's efficiency and, in an active patient, it wears out in 12-15 years.<BR> <BR> A BHR is also more secure in the joint such that a BHR patient has a wider range of motion than a THR patient who faces increased dislocation risk if engaged in active sports.<BR> <BR> BHR life expectancies would seem to be in the 20-25 years or more range at the moment although the longest-lived patients would be around 11 years I believe.<BR> Chris<BR> <BR> <BR> & gt; <BR> & gt; Hey you surfacehippies,<BR> & gt; <BR> & gt; I am getting REAL close to making a decision on going for a BHR. <BR> & gt; <BR> & gt; I had an appointment today with a traditional THR surgeon just to see <BR> & gt; what was new and improved in what they had to offer. I was surprised <BR> & gt; to hear him say that he fully expects the metal on metal implants to <BR> & gt; last a lifetime. Even so, I still find the procedure and implant not <BR> & gt; necessarily the best choice. His fellow told me that a BHR would not <BR> & gt; last very long-didn't surprise me that he would be negative towards <BR> & gt; it.<BR> & gt; <BR> & gt; Do you all feel that your BHR should last just as long as a THR or do <BR> & gt; you see it more of a way to buy time before having a THR? There is no <BR> & gt; right or wrong answer here. Just would like your input.<BR> & gt; <BR> & gt; Diane<BR> <BR> </tt> <br> <tt> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 THR's can also be metal on metal and ceramic on ceramic. I'm not sure if you can get metal on ceramic. I'd check the Totally Hip web site for more details. Doug right bhr June 2002 left bhr November 2002 >>> twyko64@... 12/20/02 06:01AM >>> <html><body> <tt> Hi,<BR> A THR is metal on plastic. A BHR is metal on metal. The BHR joint has a longer mechanical life because the two surfaces are hard wearing. My understanding is that in a THR the metal ball wears away the plasic socket making the joint looser. Also the plastic fragments decrease the joint's efficiency and, in an active patient, it wears out in 12-15 years.<BR> <BR> A BHR is also more secure in the joint such that a BHR patient has a wider range of motion than a THR patient who faces increased dislocation risk if engaged in active sports.<BR> <BR> BHR life expectancies would seem to be in the 20-25 years or more range at the moment although the longest-lived patients would be around 11 years I believe.<BR> Chris<BR> <BR> <BR> & gt; <BR> & gt; Hey you surfacehippies,<BR> & gt; <BR> & gt; I am getting REAL close to making a decision on going for a BHR. <BR> & gt; <BR> & gt; I had an appointment today with a traditional THR surgeon just to see <BR> & gt; what was new and improved in what they had to offer. I was surprised <BR> & gt; to hear him say that he fully expects the metal on metal implants to <BR> & gt; last a lifetime. Even so, I still find the procedure and implant not <BR> & gt; necessarily the best choice. His fellow told me that a BHR would not <BR> & gt; last very long-didn't surprise me that he would be negative towards <BR> & gt; it.<BR> & gt; <BR> & gt; Do you all feel that your BHR should last just as long as a THR or do <BR> & gt; you see it more of a way to buy time before having a THR? There is no <BR> & gt; right or wrong answer here. Just would like your input.<BR> & gt; <BR> & gt; Diane<BR> <BR> </tt> <br> <tt> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2002 Report Share Posted December 20, 2002 THR's can also be metal on metal and ceramic on ceramic. I'm not sure if you can get metal on ceramic. I'd check the Totally Hip web site for more details. Doug right bhr June 2002 left bhr November 2002 >>> twyko64@... 12/20/02 06:01AM >>> <html><body> <tt> Hi,<BR> A THR is metal on plastic. A BHR is metal on metal. The BHR joint has a longer mechanical life because the two surfaces are hard wearing. My understanding is that in a THR the metal ball wears away the plasic socket making the joint looser. Also the plastic fragments decrease the joint's efficiency and, in an active patient, it wears out in 12-15 years.<BR> <BR> A BHR is also more secure in the joint such that a BHR patient has a wider range of motion than a THR patient who faces increased dislocation risk if engaged in active sports.<BR> <BR> BHR life expectancies would seem to be in the 20-25 years or more range at the moment although the longest-lived patients would be around 11 years I believe.<BR> Chris<BR> <BR> <BR> & gt; <BR> & gt; Hey you surfacehippies,<BR> & gt; <BR> & gt; I am getting REAL close to making a decision on going for a BHR. <BR> & gt; <BR> & gt; I had an appointment today with a traditional THR surgeon just to see <BR> & gt; what was new and improved in what they had to offer. I was surprised <BR> & gt; to hear him say that he fully expects the metal on metal implants to <BR> & gt; last a lifetime. Even so, I still find the procedure and implant not <BR> & gt; necessarily the best choice. His fellow told me that a BHR would not <BR> & gt; last very long-didn't surprise me that he would be negative towards <BR> & gt; it.<BR> & gt; <BR> & gt; Do you all feel that your BHR should last just as long as a THR or do <BR> & gt; you see it more of a way to buy time before having a THR? There is no <BR> & gt; right or wrong answer here. Just would like your input.<BR> & gt; <BR> & gt; Diane<BR> <BR> </tt> <br> <tt> Quote Link to comment Share on other sites More sharing options...
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