Re: longevity of BHR

[Guest guest]

> 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.

Denis,

Sorry to hear your wife's disappointing news. Don't apologise to us -

we need to know the bad news as well as the good.

Do you know in which way it failed, did the femoral neck fracture or

one of the components come loose?

I hope the THR goes well.

Regards,

[Guest guest]

> 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.

Denis,

Sorry to hear your wife's disappointing news. Don't apologise to us -

we need to know the bad news as well as the good.

Do you know in which way it failed, did the femoral neck fracture or

one of the components come loose?

I hope the THR goes well.

Regards,

[Guest guest]

> 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.

Denis,

Sorry to hear your wife's disappointing news. Don't apologise to us -

we need to know the bad news as well as the good.

Do you know in which way it failed, did the femoral neck fracture or

one of the components come loose?

I hope the THR goes well.

Regards,

[Guest guest]

> 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.

Denis,

Sorry to hear your wife's disappointing news. Don't apologise to us -

we need to know the bad news as well as the good.

Do you know in which way it failed, did the femoral neck fracture or

one of the components come loose?

I hope the THR goes well.

Regards,

[Guest guest]

> 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.

Denis,

Sorry to hear your wife's disappointing news. Don't apologise to us -

we need to know the bad news as well as the good.

Do you know in which way it failed, did the femoral neck fracture or

one of the components come loose?

I hope the THR goes well.

Regards,

[Guest guest]

Thanks for the post, Denis - we will keep your wife in our prayers.

There were never any guarantees given with the resufacing device -

it's a wonderful development and most of us are fortunate to have

had great success; but we need to see that sometimes, things don't

work out.

As for a response to how long will a resurf last?? Assuming no

surprises (see above paragraph) - I INTEND to wear mine out in about

20-30 years LOL!!! Having waaay too much fun...... but hopefully

by then something else will have come along to fix our ailing

joints???

Best wishes! Deb C+ 5-2-02

>

> >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.

>

>

>

>

>

>

>

>

>

> >

[Guest guest]

> 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.

As I understand it, it is more than just the metal being harder

wearing.

1) when you rub metal it gets smoother, whereas plastic gets rougher.

2) because of the plastic debris problems, metal / plastic THRs are

made smaller than a natural femur (or a resurfacing).

The ultra-smooth metal surface allied with the larger diameter femur

appears to allow the surfaces to " aquaplane " on synovial fluid. This

might reduce wear to negligible levels.

Seems believable to me. See http://www.midmedtec.co.uk/tribology.htm

Let's hope

Vale

[Guest guest]

> 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.

As I understand it, it is more than just the metal being harder

wearing.

1) when you rub metal it gets smoother, whereas plastic gets rougher.

2) because of the plastic debris problems, metal / plastic THRs are

made smaller than a natural femur (or a resurfacing).

The ultra-smooth metal surface allied with the larger diameter femur

appears to allow the surfaces to " aquaplane " on synovial fluid. This

might reduce wear to negligible levels.

Seems believable to me. See http://www.midmedtec.co.uk/tribology.htm

Let's hope

Vale

[Guest guest]

> 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.

As I understand it, it is more than just the metal being harder

wearing.

1) when you rub metal it gets smoother, whereas plastic gets rougher.

2) because of the plastic debris problems, metal / plastic THRs are

made smaller than a natural femur (or a resurfacing).

The ultra-smooth metal surface allied with the larger diameter femur

appears to allow the surfaces to " aquaplane " on synovial fluid. This

might reduce wear to negligible levels.

Seems believable to me. See http://www.midmedtec.co.uk/tribology.htm

Let's hope

Vale

[Guest guest]

In a message dated 12/20/2002 4:40:15 PM Pacific Standard Time,

jlmoulton@... writes:

> Amen Boxy!!

> Everything you said is VERY true. The OS's I have talked to (since

> I've been back in the states) about my BHR acted embarrassed or

> irritated. One doctor couldn't get my x-rays down off the wall fast

> enough because some excited young interns saw them and began were

> asking questions. I overheard him say, " Oh, resurfacing has been

> around a long time, (and then very quietly) but the final results

> are not good...not like with the proven THR! " Then he said, " I think

> this woman went to Sweden to have this done, you know that the FDA

> would never approve of this procedure! " (Sweden?!?!?) I felt like I

> had had an illegal abortion!

> Just for the record, the ONLY reason I consulted an OS here is to

> get Physical Therapy/Sports Rehab and have my insurance (idiots!)

> pay for it. I think they ought to pay for SOMETHING

Couldn't help jumping in here. I had my BHR in Oct. 2001 and prior to that,

reviewed the procedure with local OS's in the San Francisco Bay Area. The

first one I went to had the same reaction as the one above, and then went on

to talk about the problems he had with his THR's, like dislocation,

septisemia and loosening. After hearing that, I asked an MD friend for a

referral to an OS with an open mind.

Fortunately I got one and although the second OS wouldn't dream of doing

resurfacing himself, had at least heard about the McMinn Treacy team and

respected them greatly.

When I went to get my x-rays to take with me to Birmingham for my one year

checkup with Mr. Treacy (I was going to Oxford anyway for a karate seminar),

the second OS brought one of the orthopedic fellows in and said " Will you

look at this guy! Check out these x-rays " They then marveled at how I put my

shoes and socks on and my range of motion with lots of " oohs " and " aahs " .

Unfortunately (or fortunately) I'm ready for a BHR on the other side now, and

am really looking forward to getting bilateral range of motion back so that I

can kick people in the head again. Other people might have less grandiose

goals but I wouldn't mind going back to the first (skeptical) OS to

demonstrate a roundhouse kick to the head a few months after I have the

second one done - no contact of course but I'd love to see the surprised look

on his face.

Des Tuck

[Guest guest]

In a message dated 12/20/2002 4:40:15 PM Pacific Standard Time,

jlmoulton@... writes:

> Amen Boxy!!

> Everything you said is VERY true. The OS's I have talked to (since

> I've been back in the states) about my BHR acted embarrassed or

> irritated. One doctor couldn't get my x-rays down off the wall fast

> enough because some excited young interns saw them and began were

> asking questions. I overheard him say, " Oh, resurfacing has been

> around a long time, (and then very quietly) but the final results

> are not good...not like with the proven THR! " Then he said, " I think

> this woman went to Sweden to have this done, you know that the FDA

> would never approve of this procedure! " (Sweden?!?!?) I felt like I

> had had an illegal abortion!

> Just for the record, the ONLY reason I consulted an OS here is to

> get Physical Therapy/Sports Rehab and have my insurance (idiots!)

> pay for it. I think they ought to pay for SOMETHING

Couldn't help jumping in here. I had my BHR in Oct. 2001 and prior to that,

reviewed the procedure with local OS's in the San Francisco Bay Area. The

first one I went to had the same reaction as the one above, and then went on

to talk about the problems he had with his THR's, like dislocation,

septisemia and loosening. After hearing that, I asked an MD friend for a

referral to an OS with an open mind.

Fortunately I got one and although the second OS wouldn't dream of doing

resurfacing himself, had at least heard about the McMinn Treacy team and

respected them greatly.

When I went to get my x-rays to take with me to Birmingham for my one year

checkup with Mr. Treacy (I was going to Oxford anyway for a karate seminar),

the second OS brought one of the orthopedic fellows in and said " Will you

look at this guy! Check out these x-rays " They then marveled at how I put my

shoes and socks on and my range of motion with lots of " oohs " and " aahs " .

Unfortunately (or fortunately) I'm ready for a BHR on the other side now, and

am really looking forward to getting bilateral range of motion back so that I

can kick people in the head again. Other people might have less grandiose

goals but I wouldn't mind going back to the first (skeptical) OS to

demonstrate a roundhouse kick to the head a few months after I have the

second one done - no contact of course but I'd love to see the surprised look

on his face.

Des Tuck

[Guest guest]

This is not entirely accurate.

A THR (Total Hip Replacement) can be Metal-on-Metal. The significant

difference is that in a THR the surgeon cuts off the top of the femur

and hollows it out to accept the prosthesis which extends down into

the newly hollowed out shaft of the femur. I have an acquaintance who

has recently received a MOM THR.

Biomet, for example, has an FDA approved MOM THR prosthesis.

In resurfacing (of which the Birmingham, thus BHR or Birmingham Hip

Replacement, is one model) the top of the femur is reshaped to accept

a new " ball " which is placed over the remaining portion of the

original ball. The femur is not cut off and hollowed out so

significantly more bone is preserved.

In addition to being less invasive, it also preserves that bone for

use in the future in case the resurfacing fails and you then need to

have a THR (this is called " revision " surgery). As you can imagine,

once the top of the femur is cut off, the options for additional

surgery are reduced because there is less material to work with.

's web site (http://www.activejoints.com/) has some links to

several sites with more information including diagrams and drawings.

The wear issue is a real unknown. Some people have gotten over 20

years out of the THR with the plastic liner. Others get only a few

years (less than 5). It does seem that the plastic debris may be a

contributing factor to loosening of the implanted prosthesis. This is

apparently due to the body " attacking " the plastic debris particles

and this reaction may also damage the bone surrounding the prosthesis.

<twyko64@y...> wrote:

> 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.

[Guest guest]

This is not entirely accurate.

A THR (Total Hip Replacement) can be Metal-on-Metal. The significant

difference is that in a THR the surgeon cuts off the top of the femur

and hollows it out to accept the prosthesis which extends down into

the newly hollowed out shaft of the femur. I have an acquaintance who

has recently received a MOM THR.

Biomet, for example, has an FDA approved MOM THR prosthesis.

In resurfacing (of which the Birmingham, thus BHR or Birmingham Hip

Replacement, is one model) the top of the femur is reshaped to accept

a new " ball " which is placed over the remaining portion of the

original ball. The femur is not cut off and hollowed out so

significantly more bone is preserved.

In addition to being less invasive, it also preserves that bone for

use in the future in case the resurfacing fails and you then need to

have a THR (this is called " revision " surgery). As you can imagine,

once the top of the femur is cut off, the options for additional

surgery are reduced because there is less material to work with.

's web site (http://www.activejoints.com/) has some links to

several sites with more information including diagrams and drawings.

The wear issue is a real unknown. Some people have gotten over 20

years out of the THR with the plastic liner. Others get only a few

years (less than 5). It does seem that the plastic debris may be a

contributing factor to loosening of the implanted prosthesis. This is

apparently due to the body " attacking " the plastic debris particles

and this reaction may also damage the bone surrounding the prosthesis.

<twyko64@y...> wrote:

> 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.

[Guest guest]

This is not entirely accurate.

A THR (Total Hip Replacement) can be Metal-on-Metal. The significant

difference is that in a THR the surgeon cuts off the top of the femur

and hollows it out to accept the prosthesis which extends down into

the newly hollowed out shaft of the femur. I have an acquaintance who

has recently received a MOM THR.

Biomet, for example, has an FDA approved MOM THR prosthesis.

In resurfacing (of which the Birmingham, thus BHR or Birmingham Hip

Replacement, is one model) the top of the femur is reshaped to accept

a new " ball " which is placed over the remaining portion of the

original ball. The femur is not cut off and hollowed out so

significantly more bone is preserved.

In addition to being less invasive, it also preserves that bone for

use in the future in case the resurfacing fails and you then need to

have a THR (this is called " revision " surgery). As you can imagine,

once the top of the femur is cut off, the options for additional

surgery are reduced because there is less material to work with.

's web site (http://www.activejoints.com/) has some links to

several sites with more information including diagrams and drawings.

The wear issue is a real unknown. Some people have gotten over 20

years out of the THR with the plastic liner. Others get only a few

years (less than 5). It does seem that the plastic debris may be a

contributing factor to loosening of the implanted prosthesis. This is

apparently due to the body " attacking " the plastic debris particles

and this reaction may also damage the bone surrounding the prosthesis.

<twyko64@y...> wrote:

> 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.

[Guest guest]

Hey you surfacehippies,

His fellow told me that a BHR would not last very long-didn't

surprise me that he would be negative towards it.

____

why did it not surprise you that he would be negative towards it?

It's curiosity that makes me ask this. No one from the orthopedic

community gave me any support when it came to my ultimate decision...

(except one rather awesome ortho finally) it was basically from the

warm hearts of my fellow surf-mates... That seems rather strange

doesn't it???? You would think that anyone who enjoys a career as an

ortho or anyone else, would want to know the latest...and PLUG

it..... whether or not they actually performed the procedures

themselves or not. If I were in the field and heard about a new, up-

to-date technique that looked SO promising, me, loving helping others

rather than benefit my own pocketbook would pass along this

information.( I'm wondering if it's some law that prevents them from

doing so since it's not FDA approved??) Anyhow..... I didn't really

need anyone to tell me~ my instincts, and looking at the pretty

picture of a hip implant withOUT cutting off the femoral head was in

itself a miracle..... not everyone is able to have this done... Next

best thing... THR.... and with that are many options... ceramic, M/M,

M/modern poly.... It shocks the shit out of me how people can be so

negative towards us resurfers... we're just pushing ahead of the

crowd... If we're candidates.... Hail to the people who have tried

and not succeeded... at least they tried.

[Guest guest]

Hey you surfacehippies,

His fellow told me that a BHR would not last very long-didn't

surprise me that he would be negative towards it.

____

why did it not surprise you that he would be negative towards it?

It's curiosity that makes me ask this. No one from the orthopedic

community gave me any support when it came to my ultimate decision...

(except one rather awesome ortho finally) it was basically from the

warm hearts of my fellow surf-mates... That seems rather strange

doesn't it???? You would think that anyone who enjoys a career as an

ortho or anyone else, would want to know the latest...and PLUG

it..... whether or not they actually performed the procedures

themselves or not. If I were in the field and heard about a new, up-

to-date technique that looked SO promising, me, loving helping others

rather than benefit my own pocketbook would pass along this

information.( I'm wondering if it's some law that prevents them from

doing so since it's not FDA approved??) Anyhow..... I didn't really

need anyone to tell me~ my instincts, and looking at the pretty

picture of a hip implant withOUT cutting off the femoral head was in

itself a miracle..... not everyone is able to have this done... Next

best thing... THR.... and with that are many options... ceramic, M/M,

M/modern poly.... It shocks the shit out of me how people can be so

negative towards us resurfers... we're just pushing ahead of the

crowd... If we're candidates.... Hail to the people who have tried

and not succeeded... at least they tried.

[Guest guest]

Dr. De Smet mentioned someting about the BHR lasting aprox. 40

years. That is his educated guess....no one has had a BHR longer

than about 12+ years....but they are still going strong.

> >

> > 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

[Guest guest]

Dr. De Smet mentioned someting about the BHR lasting aprox. 40

years. That is his educated guess....no one has had a BHR longer

than about 12+ years....but they are still going strong.

> >

> > 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

[Guest guest]

Amen Boxy!!

Everything you said is VERY true. The OS's I have talked to (since

I've been back in the states) about my BHR acted embarrassed or

irritated. One doctor couldn't get my x-rays down off the wall fast

enough because some excited young interns saw them and began were

asking questions. I overheard him say, " Oh, resurfacing has been

around a long time, (and then very quietly) but the final results

are not good...not like with the proven THR! " Then he said, " I think

this woman went to Sweden to have this done, you know that the FDA

would never approve of this procedure! " (Sweden?!?!?) I felt like I

had had an illegal abortion!

Just for the record, the ONLY reason I consulted an OS here is to

get Physical Therapy/Sports Rehab and have my insurance (idiots!)

pay for it. I think they ought to pay for SOMETHING!

Lynda

> Hey you surfacehippies,

> His fellow told me that a BHR would not last very long-didn't

> surprise me that he would be negative towards it.

> ____

>

> why did it not surprise you that he would be negative towards it?

> It's curiosity that makes me ask this. No one from the orthopedic

> community gave me any support when it came to my ultimate

decision...

> (except one rather awesome ortho finally) it was basically from

the

> warm hearts of my fellow surf-mates... That seems rather strange

> doesn't it???? You would think that anyone who enjoys a career as

an

> ortho or anyone else, would want to know the latest...and PLUG

> it..... whether or not they actually performed the procedures

> themselves or not. If I were in the field and heard about a new,

up-

> to-date technique that looked SO promising, me, loving helping

others

> rather than benefit my own pocketbook would pass along this

> information.( I'm wondering if it's some law that prevents them

from

> doing so since it's not FDA approved??) Anyhow..... I didn't

really

> need anyone to tell me~ my instincts, and looking at the pretty

> picture of a hip implant withOUT cutting off the femoral head was

in

> itself a miracle..... not everyone is able to have this done...

Next

> best thing... THR.... and with that are many options... ceramic,

M/M,

> M/modern poly.... It shocks the shit out of me how people can be

so

> negative towards us resurfers... we're just pushing ahead of the

> crowd... If we're candidates.... Hail to the people who have tried

> and not succeeded... at least they tried.

[Guest guest]

Amen Boxy!!

Everything you said is VERY true. The OS's I have talked to (since

I've been back in the states) about my BHR acted embarrassed or

irritated. One doctor couldn't get my x-rays down off the wall fast

enough because some excited young interns saw them and began were

asking questions. I overheard him say, " Oh, resurfacing has been

around a long time, (and then very quietly) but the final results

are not good...not like with the proven THR! " Then he said, " I think

this woman went to Sweden to have this done, you know that the FDA

would never approve of this procedure! " (Sweden?!?!?) I felt like I

had had an illegal abortion!

Just for the record, the ONLY reason I consulted an OS here is to

get Physical Therapy/Sports Rehab and have my insurance (idiots!)

pay for it. I think they ought to pay for SOMETHING!

Lynda

> Hey you surfacehippies,

> His fellow told me that a BHR would not last very long-didn't

> surprise me that he would be negative towards it.

> ____

>

> why did it not surprise you that he would be negative towards it?

> It's curiosity that makes me ask this. No one from the orthopedic

> community gave me any support when it came to my ultimate

decision...

> (except one rather awesome ortho finally) it was basically from

the

> warm hearts of my fellow surf-mates... That seems rather strange

> doesn't it???? You would think that anyone who enjoys a career as

an

> ortho or anyone else, would want to know the latest...and PLUG

> it..... whether or not they actually performed the procedures

> themselves or not. If I were in the field and heard about a new,

up-

> to-date technique that looked SO promising, me, loving helping

others

> rather than benefit my own pocketbook would pass along this

> information.( I'm wondering if it's some law that prevents them

from

> doing so since it's not FDA approved??) Anyhow..... I didn't

really

> need anyone to tell me~ my instincts, and looking at the pretty

> picture of a hip implant withOUT cutting off the femoral head was

in

> itself a miracle..... not everyone is able to have this done...

Next

> best thing... THR.... and with that are many options... ceramic,

M/M,

> M/modern poly.... It shocks the shit out of me how people can be

so

> negative towards us resurfers... we're just pushing ahead of the

> crowd... If we're candidates.... Hail to the people who have tried

> and not succeeded... at least they tried.

[Guest guest]

Thanks for the posting. At the moment we are concentrating on the here and now!

The real analysis will develop as we move on!

Jills op. has gone OK and she has been fitted with an 'Exitor'(or other

spelling)which the surgeon informed me was his original choice. The surgeon by

the way had the courtesy to phone me up personally after both operations, I do

not know if this is standard procedure for all surgical operations!

Two operations in four weeks is one hell of an ordeal to go through in all sorts

of terms both physical and mental for her. I will hold my peace regarding other

aspects we have encountered, for the moment, since my prime concern is Jills

recovery.

All for now!

Denis

A Brummie!

Re: longevity of BHR

> 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.

Denis,

Sorry to hear your wife's disappointing news. Don't apologise to us -

we need to know the bad news as well as the good.

Do you know in which way it failed, did the femoral neck fracture or

one of the components come loose?

I hope the THR goes well.

Regards,

[Guest guest]

Thanks for the posting. At the moment we are concentrating on the here and now!

The real analysis will develop as we move on!

Jills op. has gone OK and she has been fitted with an 'Exitor'(or other

spelling)which the surgeon informed me was his original choice. The surgeon by

the way had the courtesy to phone me up personally after both operations, I do

not know if this is standard procedure for all surgical operations!

Two operations in four weeks is one hell of an ordeal to go through in all sorts

of terms both physical and mental for her. I will hold my peace regarding other

aspects we have encountered, for the moment, since my prime concern is Jills

recovery.

All for now!

Denis

A Brummie!

Re: longevity of BHR

> 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.

Denis,

Sorry to hear your wife's disappointing news. Don't apologise to us -

we need to know the bad news as well as the good.

Do you know in which way it failed, did the femoral neck fracture or

one of the components come loose?

I hope the THR goes well.

Regards,

[Guest guest]

Denis,

Thanks for the update. Good to hear it has gone well.

I think that is " Exeter " (as in Devon). Before I ever heard of

resurfacing but knew that my hip would need attention one day, I

watched a TV programme about THRs, especially about the new designs

which are constantly being produced.

The expert in this programme said that he would want to know of a

good reason not to use one of three " tried and trusted " designs -

" Charnley " , " Stanmore " or " Exeter " .

Obviously we are very interested in what happened with the BHR, but I

can quite understand that your focus is completely on getting your

wife well. All the best to her.

> > 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.

>

> Denis,

>

> Sorry to hear your wife's disappointing news. Don't apologise to

us -

> we need to know the bad news as well as the good.

>

> Do you know in which way it failed, did the femoral neck fracture

or

> one of the components come loose?

>

> I hope the THR goes well.

>

> Regards,

>

>

>

>

[Guest guest]

Denis,

Thanks for the update. Good to hear it has gone well.

I think that is " Exeter " (as in Devon). Before I ever heard of

resurfacing but knew that my hip would need attention one day, I

watched a TV programme about THRs, especially about the new designs

which are constantly being produced.

The expert in this programme said that he would want to know of a

good reason not to use one of three " tried and trusted " designs -

" Charnley " , " Stanmore " or " Exeter " .

Obviously we are very interested in what happened with the BHR, but I

can quite understand that your focus is completely on getting your

wife well. All the best to her.

> > 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.

>

> Denis,

>

> Sorry to hear your wife's disappointing news. Don't apologise to

us -

> we need to know the bad news as well as the good.

>

> Do you know in which way it failed, did the femoral neck fracture

or

> one of the components come loose?

>

> I hope the THR goes well.

>

> Regards,

>

>

>

>