Can a hip be realigned when doing a resurf?

[Guest guest]

Hi, all.

I'm new here, although not new to hippy sites in general.

I am due to have the second of both my hips replaced and have just

been told that I am a candidate for a resurf, and that my insurance

will pay for it!

Now I have to make a decision and need information.

Before I got AVN, all my life, of 51 years, both my legs were a bit

wobbly, e.g., always the slowest runner, feet slipped off bicycle

pedals if I didn't have pedal cages, etc. Most of the muscles just

weren't being used properly.

I had a metal/metal THR with a 38mm ball replace my first hip. I

asked the surgeon to lengthen my 1cm short leg during the operation.

He did that and also set my leg so that my foot pointed ahead better.

Now my leg is better than before. It is steady and I can tell that

the muscles are involved the way they should be (like my entire quad

works instead of just the bottom portion of it).

I need to find out if a resurfacing can move a hip so that the leg is

better aligned. From the basic mechanics of it, I was thinking it

could not, but I thought I would ask if anyone had any experience in

this area.

Thanks for the info.

Lar

[Guest guest]

At 08:28 PM 3/12/2003 +0000, you wrote:

>I need to find out if a resurfacing can move a hip so that the leg is

>better aligned. From the basic mechanics of it, I was thinking it

>could not, but I thought I would ask if anyone had any experience in

>this area.

My right foot turned outward over 45 degrees. My left hip had migrated up

my pelvis so my left leg was effectively a good 3/4 " shorter than the

right. People talk about the " hippy gait " --I had an Igor lurch

extrordinaire. My right hip was set where it should have been in the

first place, which a bit lower, so between surgeries, my leg length was

even more extreme. Dr. Boyd evened them right up during the second one,

and my right foot points straight ahead, I ditched all the special shoes

and heel lifts, and I continue getting stronger and improving my ROM. He

was VERY careful in setting the left one. There was a neurologist in the

OR monitoring the sciatic nerve so there was no damage to it. I did have

problems with my femoral nerve which took offense to the whole thing, but

things are pretty much back to normal now. Sensation is a bit " off " at

times, but I have full use of the leg and no dropfoot.

C+ 5/25/01 and 6/28/01

[Guest guest]

My left Leg was realigned through !5 degrees. That is toes pointing forward were

15 degrees or so pointing left. At first though thought surgeon had overdone it

because of how awkward it felt walking. He was right - its now great

Rog L BHR March 2001 R BHR May 2001 - Ronan Treacy

Re: Can a hip be realigned when doing a resurf?

Dear Lar,

You're the envy of everyone, to have such a cooperative

insurance company. Please tell us who covers you!

I'm not a doctor, but I bet there's an excellent chance your hip

can be " realigned. " Most of us have some kind of genetic legacy

of biomechanical imperfection that gets sorted out when we get

the new acetabular lining and resurfaced femoral ball. I would

just send all your bone scans to the ortho you're planning to go

to and ask his opinion. If you're not a good candidate for a good

outcome, he'll tell you.

Buena suerte!

Sheila

> Hi, all.

>

> I'm new here, although not new to hippy sites in general.

>

> I am due to have the second of both my hips replaced and

have just

> been told that I am a candidate for a resurf, and that my

insurance

> will pay for it!

>

> Now I have to make a decision and need information.

>

> Before I got AVN, all my life, of 51 years, both my legs were a bit

> wobbly, e.g., always the slowest runner, feet slipped off bicycle

> pedals if I didn't have pedal cages, etc. Most of the muscles

just

> weren't being used properly.

>

> I had a metal/metal THR with a 38mm ball replace my first hip.

I

> asked the surgeon to lengthen my 1cm short leg during the

operation.

> He did that and also set my leg so that my foot pointed ahead

better.

> Now my leg is better than before. It is steady and I can tell that

> the muscles are involved the way they should be (like my entire

quad

> works instead of just the bottom portion of it).

>

> I need to find out if a resurfacing can move a hip so that the leg

is

> better aligned. From the basic mechanics of it, I was thinking it

> could not, but I thought I would ask if anyone had any

experience in

> this area.

>

> Thanks for the info.

>

> Lar

[Guest guest]

My left Leg was realigned through !5 degrees. That is toes pointing forward were

15 degrees or so pointing left. At first though thought surgeon had overdone it

because of how awkward it felt walking. He was right - its now great

Rog L BHR March 2001 R BHR May 2001 - Ronan Treacy

Re: Can a hip be realigned when doing a resurf?

Dear Lar,

You're the envy of everyone, to have such a cooperative

insurance company. Please tell us who covers you!

I'm not a doctor, but I bet there's an excellent chance your hip

can be " realigned. " Most of us have some kind of genetic legacy

of biomechanical imperfection that gets sorted out when we get

the new acetabular lining and resurfaced femoral ball. I would

just send all your bone scans to the ortho you're planning to go

to and ask his opinion. If you're not a good candidate for a good

outcome, he'll tell you.

Buena suerte!

Sheila

> Hi, all.

>

> I'm new here, although not new to hippy sites in general.

>

> I am due to have the second of both my hips replaced and

have just

> been told that I am a candidate for a resurf, and that my

insurance

> will pay for it!

>

> Now I have to make a decision and need information.

>

> Before I got AVN, all my life, of 51 years, both my legs were a bit

> wobbly, e.g., always the slowest runner, feet slipped off bicycle

> pedals if I didn't have pedal cages, etc. Most of the muscles

just

> weren't being used properly.

>

> I had a metal/metal THR with a 38mm ball replace my first hip.

I

> asked the surgeon to lengthen my 1cm short leg during the

operation.

> He did that and also set my leg so that my foot pointed ahead

better.

> Now my leg is better than before. It is steady and I can tell that

> the muscles are involved the way they should be (like my entire

quad

> works instead of just the bottom portion of it).

>

> I need to find out if a resurfacing can move a hip so that the leg

is

> better aligned. From the basic mechanics of it, I was thinking it

> could not, but I thought I would ask if anyone had any

experience in

> this area.

>

> Thanks for the info.

>

> Lar

[Guest guest]

My left Leg was realigned through !5 degrees. That is toes pointing forward were

15 degrees or so pointing left. At first though thought surgeon had overdone it

because of how awkward it felt walking. He was right - its now great

Rog L BHR March 2001 R BHR May 2001 - Ronan Treacy

Re: Can a hip be realigned when doing a resurf?

Dear Lar,

You're the envy of everyone, to have such a cooperative

insurance company. Please tell us who covers you!

I'm not a doctor, but I bet there's an excellent chance your hip

can be " realigned. " Most of us have some kind of genetic legacy

of biomechanical imperfection that gets sorted out when we get

the new acetabular lining and resurfaced femoral ball. I would

just send all your bone scans to the ortho you're planning to go

to and ask his opinion. If you're not a good candidate for a good

outcome, he'll tell you.

Buena suerte!

Sheila

> Hi, all.

>

> I'm new here, although not new to hippy sites in general.

>

> I am due to have the second of both my hips replaced and

have just

> been told that I am a candidate for a resurf, and that my

insurance

> will pay for it!

>

> Now I have to make a decision and need information.

>

> Before I got AVN, all my life, of 51 years, both my legs were a bit

> wobbly, e.g., always the slowest runner, feet slipped off bicycle

> pedals if I didn't have pedal cages, etc. Most of the muscles

just

> weren't being used properly.

>

> I had a metal/metal THR with a 38mm ball replace my first hip.

I

> asked the surgeon to lengthen my 1cm short leg during the

operation.

> He did that and also set my leg so that my foot pointed ahead

better.

> Now my leg is better than before. It is steady and I can tell that

> the muscles are involved the way they should be (like my entire

quad

> works instead of just the bottom portion of it).

>

> I need to find out if a resurfacing can move a hip so that the leg

is

> better aligned. From the basic mechanics of it, I was thinking it

> could not, but I thought I would ask if anyone had any

experience in

> this area.

>

> Thanks for the info.

>

> Lar

[Guest guest]

<snip/>

>I need to find out if a resurfacing can move a hip so that the leg is

>better aligned. From the basic mechanics of it, I was thinking it

>could not, but I thought I would ask if anyone had any experience in

>this area.

<snip/>

Well, if you mean move the actual pelvic socket, I don't think that's

possible even. The ball of my hip was so deformed that the leg was

actually moved laterally (away from my centerline) a good inch. They put it

back where it belongs and even lengthened it a bit. Works great.

Cheers,

-- J

rBHR Aug. 1, 2001 Mr.McMinn

[Guest guest]

<snip/>

>I need to find out if a resurfacing can move a hip so that the leg is

>better aligned. From the basic mechanics of it, I was thinking it

>could not, but I thought I would ask if anyone had any experience in

>this area.

<snip/>

Well, if you mean move the actual pelvic socket, I don't think that's

possible even. The ball of my hip was so deformed that the leg was

actually moved laterally (away from my centerline) a good inch. They put it

back where it belongs and even lengthened it a bit. Works great.

Cheers,

-- J

rBHR Aug. 1, 2001 Mr.McMinn