Re: Hip resurface or THR??

[Guest guest]

hi Jeff, and welcome to the club...seems that you have similar problems to

mine; one think you can do is lose some weight, so there is less pressure on

your hips and learn for yourself about BHR procedure--it helps==try

activejoints.com

I think that BHR is a great solution for young and active.

Take care,

Miren

Hip resurface or THR??

I have now seen two seperate doctors who tell me that hip

resurfacing is unproven and too risky to consider. I am 38 years

old football player build 270lbs 6'4 " . Fairly active lifestyle with

two kids 1 and 3. Can anyone give me an opinion on what option I

should consider. I have been have hip problems for ten years, no to

the point where I can't bicycle without alot of pain. If I am on my

feet for more than twenty minutes, pain starts in. How long should

I wait? I have issues with my right hip but a few years down the

road I will need to look at my left hip. The Doctor says I was born

with my heads not all the way into my sockets. Any help would be

appreciated.

Jeff

[Guest guest]

hi Jeff, and welcome to the club...seems that you have similar problems to

mine; one think you can do is lose some weight, so there is less pressure on

your hips and learn for yourself about BHR procedure--it helps==try

activejoints.com

I think that BHR is a great solution for young and active.

Take care,

Miren

Hip resurface or THR??

I have now seen two seperate doctors who tell me that hip

resurfacing is unproven and too risky to consider. I am 38 years

old football player build 270lbs 6'4 " . Fairly active lifestyle with

two kids 1 and 3. Can anyone give me an opinion on what option I

should consider. I have been have hip problems for ten years, no to

the point where I can't bicycle without alot of pain. If I am on my

feet for more than twenty minutes, pain starts in. How long should

I wait? I have issues with my right hip but a few years down the

road I will need to look at my left hip. The Doctor says I was born

with my heads not all the way into my sockets. Any help would be

appreciated.

Jeff

[Guest guest]

Hi Jeff,

My OS also said metal to metal resurface / replacement was not proven ... but he

also said that with a THR I would be back on the table in 7 years ... he wanted

me to be comfortable with my choice ... referred me to a well known revision

expert (who personnally knows the BHR developers). This expert gave me 10 - 12

years before a revision. He thought I was being too conservative (I'm 49).

The Cormet 2000 (my implant) had 98 per cent survivorship at 7 years ... sounded

like a better option to me ... feel free to email me directly. No complaints

so far ... C2K 17Jan02 ... surgery by Dr Gross in S.C. My original local OS

still sees me for the follow-up.

Best wishes,

jeff_schloesser wrote:I have now seen two

seperate doctors who tell me that hip

resurfacing is unproven and too risky to consider. I am 38 years

old football player build 270lbs 6'4 " . Fairly active lifestyle with

two kids 1 and 3. Can anyone give me an opinion on what option I

should consider. I have been have hip problems for ten years, no to

the point where I can't bicycle without alot of pain. If I am on my

feet for more than twenty minutes, pain starts in. How long should

I wait? I have issues with my right hip but a few years down the

road I will need to look at my left hip. The Doctor says I was born

with my heads not all the way into my sockets. Any help would be

appreciated.

Jeff

[Guest guest]

Hi Jeff,

My OS also said metal to metal resurface / replacement was not proven ... but he

also said that with a THR I would be back on the table in 7 years ... he wanted

me to be comfortable with my choice ... referred me to a well known revision

expert (who personnally knows the BHR developers). This expert gave me 10 - 12

years before a revision. He thought I was being too conservative (I'm 49).

The Cormet 2000 (my implant) had 98 per cent survivorship at 7 years ... sounded

like a better option to me ... feel free to email me directly. No complaints

so far ... C2K 17Jan02 ... surgery by Dr Gross in S.C. My original local OS

still sees me for the follow-up.

Best wishes,

jeff_schloesser wrote:I have now seen two

seperate doctors who tell me that hip

resurfacing is unproven and too risky to consider. I am 38 years

old football player build 270lbs 6'4 " . Fairly active lifestyle with

two kids 1 and 3. Can anyone give me an opinion on what option I

should consider. I have been have hip problems for ten years, no to

the point where I can't bicycle without alot of pain. If I am on my

feet for more than twenty minutes, pain starts in. How long should

I wait? I have issues with my right hip but a few years down the

road I will need to look at my left hip. The Doctor says I was born

with my heads not all the way into my sockets. Any help would be

appreciated.

Jeff

[Guest guest]

Hi Jeff,

My OS also said metal to metal resurface / replacement was not proven ... but he

also said that with a THR I would be back on the table in 7 years ... he wanted

me to be comfortable with my choice ... referred me to a well known revision

expert (who personnally knows the BHR developers). This expert gave me 10 - 12

years before a revision. He thought I was being too conservative (I'm 49).

The Cormet 2000 (my implant) had 98 per cent survivorship at 7 years ... sounded

like a better option to me ... feel free to email me directly. No complaints

so far ... C2K 17Jan02 ... surgery by Dr Gross in S.C. My original local OS

still sees me for the follow-up.

Best wishes,

jeff_schloesser wrote:I have now seen two

seperate doctors who tell me that hip

resurfacing is unproven and too risky to consider. I am 38 years

old football player build 270lbs 6'4 " . Fairly active lifestyle with

two kids 1 and 3. Can anyone give me an opinion on what option I

should consider. I have been have hip problems for ten years, no to

the point where I can't bicycle without alot of pain. If I am on my

feet for more than twenty minutes, pain starts in. How long should

I wait? I have issues with my right hip but a few years down the

road I will need to look at my left hip. The Doctor says I was born

with my heads not all the way into my sockets. Any help would be

appreciated.

Jeff

[Guest guest]

Hi Jeff

The sooner you get your hips sorted the better. Delaying will mean your hips

will be in a worse state and your recovery rate will be longer (most of us on

this site believe that the fitter you are going into the operation the shorter

the time will be for recovery).

I'm 6' 5 " and in excess of 300lbs and had resurfacing 2 years ago here in the UK

where it has a history of 60 years+. Your doctors are wrong in saying it's too

risky. The problem for you is it is up for FDA approval because it is fairly

new in the US. In a lot of other countries it has a stronger history.

Resurfacing will buy you time before you'll need THR if you ever will. THR

doesn't last for a lifetime and a replacement THR gets more difficult.

Resurfacing generally allows you a more active lifestyle than THR - less

restrictions placed on you by the OS (Orthopaedic Surgeon).

I suggest you speak to an OS that does full resurfacing for his opinion. You

should be able to go through past emails, on this site, to get information that

will help you find one. Otherwise just ask on this site for recommendations in

your area.

Rog

BHR (March & May 2001) - Ronan Treacy

Hip resurface or THR??

I have now seen two seperate doctors who tell me that hip

resurfacing is unproven and too risky to consider. I am 38 years

old football player build 270lbs 6'4 " . Fairly active lifestyle with

two kids 1 and 3. Can anyone give me an opinion on what option I

should consider. I have been have hip problems for ten years, no to

the point where I can't bicycle without alot of pain. If I am on my

feet for more than twenty minutes, pain starts in. How long should

I wait? I have issues with my right hip but a few years down the

road I will need to look at my left hip. The Doctor says I was born

with my heads not all the way into my sockets. Any help would be

appreciated.

Jeff

[Guest guest]

Hi Jeff,

It may help you to think about what they are actually saying about

resurfacing being too risky.........??? Is this related to your actual

situation with the shape of the pelvis etc. or are they just repeating

something from past knowledge etc.........performances of past technology???

Thus how credible is their claims.

The current version of Resurface prothesis have been around for a few years

now and routinely used in countries such as UK and Australia where one has

to accept we have pretty good medical standards. I am not seeing reports

pointing to a fundamental flaw in them which one would have thought wouldn't

take too many years to show up with humans of all sizes and varieties

wearing them.....

When put in by a doctor who knows well what he is doing, problems seem to be

few......... just thinking about the device and how it sits etc within the

body, does permit a bit of commonsense to see where the problems could

lie.......... Like something happening to crack the femur near the

prothesis - though my surgeon told me recently he could see no earthly

reason why that was any more likely on my BHR side than normal one. Some

placement hassles with the stick bit - and or cement........ and again a

good surgeon should be the answer to that and personal luck - for no matter

how many precautions we take we can still be run over by the proverbial

car.......

Then there is the top cup bit that a person I know personally has just had a

hassle with. Again I don't think enough thought was given to his personal

situation of being overweight and healing better before he went charging off

pretending to be normal. Again surgeon experience.

The commonly said thing to someone your age is 'well at least it will buy

you time until the inevitable THR'. Why inevitable gets me as I cannot have

a THR because of risk of past bone infection being activated. So a BHR was a

miracle from heaven that has to last me for some time or whatever time the

heavens permit. Each day I treasure.........and thus I smile that someone

thinks that this wonderful device I wear is somehow an unacceptable

risk............ living as I did before was a horror story.........

Edith

In the end you will just have to gather all you can about your own personal

story......... an opinion from a doctor who routinely does Resurface would

be a good starting point and if the guys giving you that advice now are,

then sadly you may have little choice.

I look forward to hearing how you fare in the future.

Edith

> I have now seen two seperate doctors who tell me that hip

> resurfacing is unproven and too risky to consider. I am 38 years

> old football player build 270lbs 6'4 " . Fairly active lifestyle with

> two kids 1 and 3. Can anyone give me an opinion on what option I

> should consider. I have been have hip problems for ten years, no to

> the point where I can't bicycle without alot of pain. If I am on my

> feet for more than twenty minutes, pain starts in. How long should

> I wait? I have issues with my right hip but a few years down the

> road I will need to look at my left hip. The Doctor says I was born

> with my heads not all the way into my sockets. Any help would be

> appreciated.

> Jeff

[Guest guest]

Hi Jeff,

It may help you to think about what they are actually saying about

resurfacing being too risky.........??? Is this related to your actual

situation with the shape of the pelvis etc. or are they just repeating

something from past knowledge etc.........performances of past technology???

Thus how credible is their claims.

The current version of Resurface prothesis have been around for a few years

now and routinely used in countries such as UK and Australia where one has

to accept we have pretty good medical standards. I am not seeing reports

pointing to a fundamental flaw in them which one would have thought wouldn't

take too many years to show up with humans of all sizes and varieties

wearing them.....

When put in by a doctor who knows well what he is doing, problems seem to be

few......... just thinking about the device and how it sits etc within the

body, does permit a bit of commonsense to see where the problems could

lie.......... Like something happening to crack the femur near the

prothesis - though my surgeon told me recently he could see no earthly

reason why that was any more likely on my BHR side than normal one. Some

placement hassles with the stick bit - and or cement........ and again a

good surgeon should be the answer to that and personal luck - for no matter

how many precautions we take we can still be run over by the proverbial

car.......

Then there is the top cup bit that a person I know personally has just had a

hassle with. Again I don't think enough thought was given to his personal

situation of being overweight and healing better before he went charging off

pretending to be normal. Again surgeon experience.

The commonly said thing to someone your age is 'well at least it will buy

you time until the inevitable THR'. Why inevitable gets me as I cannot have

a THR because of risk of past bone infection being activated. So a BHR was a

miracle from heaven that has to last me for some time or whatever time the

heavens permit. Each day I treasure.........and thus I smile that someone

thinks that this wonderful device I wear is somehow an unacceptable

risk............ living as I did before was a horror story.........

Edith

In the end you will just have to gather all you can about your own personal

story......... an opinion from a doctor who routinely does Resurface would

be a good starting point and if the guys giving you that advice now are,

then sadly you may have little choice.

I look forward to hearing how you fare in the future.

Edith

> I have now seen two seperate doctors who tell me that hip

> resurfacing is unproven and too risky to consider. I am 38 years

> old football player build 270lbs 6'4 " . Fairly active lifestyle with

> two kids 1 and 3. Can anyone give me an opinion on what option I

> should consider. I have been have hip problems for ten years, no to

> the point where I can't bicycle without alot of pain. If I am on my

> feet for more than twenty minutes, pain starts in. How long should

> I wait? I have issues with my right hip but a few years down the

> road I will need to look at my left hip. The Doctor says I was born

> with my heads not all the way into my sockets. Any help would be

> appreciated.

> Jeff

[Guest guest]

Hi Jeff,

It may help you to think about what they are actually saying about

resurfacing being too risky.........??? Is this related to your actual

situation with the shape of the pelvis etc. or are they just repeating

something from past knowledge etc.........performances of past technology???

Thus how credible is their claims.

The current version of Resurface prothesis have been around for a few years

now and routinely used in countries such as UK and Australia where one has

to accept we have pretty good medical standards. I am not seeing reports

pointing to a fundamental flaw in them which one would have thought wouldn't

take too many years to show up with humans of all sizes and varieties

wearing them.....

When put in by a doctor who knows well what he is doing, problems seem to be

few......... just thinking about the device and how it sits etc within the

body, does permit a bit of commonsense to see where the problems could

lie.......... Like something happening to crack the femur near the

prothesis - though my surgeon told me recently he could see no earthly

reason why that was any more likely on my BHR side than normal one. Some

placement hassles with the stick bit - and or cement........ and again a

good surgeon should be the answer to that and personal luck - for no matter

how many precautions we take we can still be run over by the proverbial

car.......

Then there is the top cup bit that a person I know personally has just had a

hassle with. Again I don't think enough thought was given to his personal

situation of being overweight and healing better before he went charging off

pretending to be normal. Again surgeon experience.

The commonly said thing to someone your age is 'well at least it will buy

you time until the inevitable THR'. Why inevitable gets me as I cannot have

a THR because of risk of past bone infection being activated. So a BHR was a

miracle from heaven that has to last me for some time or whatever time the

heavens permit. Each day I treasure.........and thus I smile that someone

thinks that this wonderful device I wear is somehow an unacceptable

risk............ living as I did before was a horror story.........

Edith

In the end you will just have to gather all you can about your own personal

story......... an opinion from a doctor who routinely does Resurface would

be a good starting point and if the guys giving you that advice now are,

then sadly you may have little choice.

I look forward to hearing how you fare in the future.

Edith

> I have now seen two seperate doctors who tell me that hip

> resurfacing is unproven and too risky to consider. I am 38 years

> old football player build 270lbs 6'4 " . Fairly active lifestyle with

> two kids 1 and 3. Can anyone give me an opinion on what option I

> should consider. I have been have hip problems for ten years, no to

> the point where I can't bicycle without alot of pain. If I am on my

> feet for more than twenty minutes, pain starts in. How long should

> I wait? I have issues with my right hip but a few years down the

> road I will need to look at my left hip. The Doctor says I was born

> with my heads not all the way into my sockets. Any help would be

> appreciated.

> Jeff

[Guest guest]

DON'T WAIT! You could damage your hip sufficiently that you will not

have as many options open to you.

Resurfacing uses the same materials as " FDA approved " devices. In

fact, all of the parts are " FDA approved " - in a ridiculous twist,

they are just not approved to all be installed together.

Metal-on-Metal articulations are well proven (in total hip systems)

and hemi-resurfacing is well proven - combining the concepts is not

proven. Gotta love the FDA (here in the US).

> I have now seen two seperate doctors who tell me that hip

> resurfacing is unproven and too risky to consider. I am 38 years

> old football player build 270lbs 6'4 " . Fairly active lifestyle with

> two kids 1 and 3. Can anyone give me an opinion on what option I

> should consider. I have been have hip problems for ten years, no to

> the point where I can't bicycle without alot of pain. If I am on my

> feet for more than twenty minutes, pain starts in. How long should

> I wait? I have issues with my right hip but a few years down the

> road I will need to look at my left hip. The Doctor says I was born

> with my heads not all the way into my sockets. Any help would be

> appreciated.

> Jeff

[Guest guest]

DON'T WAIT! You could damage your hip sufficiently that you will not

have as many options open to you.

Resurfacing uses the same materials as " FDA approved " devices. In

fact, all of the parts are " FDA approved " - in a ridiculous twist,

they are just not approved to all be installed together.

Metal-on-Metal articulations are well proven (in total hip systems)

and hemi-resurfacing is well proven - combining the concepts is not

proven. Gotta love the FDA (here in the US).

> I have now seen two seperate doctors who tell me that hip

> resurfacing is unproven and too risky to consider. I am 38 years

> old football player build 270lbs 6'4 " . Fairly active lifestyle with

> two kids 1 and 3. Can anyone give me an opinion on what option I

> should consider. I have been have hip problems for ten years, no to

> the point where I can't bicycle without alot of pain. If I am on my

> feet for more than twenty minutes, pain starts in. How long should

> I wait? I have issues with my right hip but a few years down the

> road I will need to look at my left hip. The Doctor says I was born

> with my heads not all the way into my sockets. Any help would be

> appreciated.

> Jeff

[Guest guest]

DON'T WAIT! You could damage your hip sufficiently that you will not

have as many options open to you.

Resurfacing uses the same materials as " FDA approved " devices. In

fact, all of the parts are " FDA approved " - in a ridiculous twist,

they are just not approved to all be installed together.

Metal-on-Metal articulations are well proven (in total hip systems)

and hemi-resurfacing is well proven - combining the concepts is not

proven. Gotta love the FDA (here in the US).

> I have now seen two seperate doctors who tell me that hip

> resurfacing is unproven and too risky to consider. I am 38 years

> old football player build 270lbs 6'4 " . Fairly active lifestyle with

> two kids 1 and 3. Can anyone give me an opinion on what option I

> should consider. I have been have hip problems for ten years, no to

> the point where I can't bicycle without alot of pain. If I am on my

> feet for more than twenty minutes, pain starts in. How long should

> I wait? I have issues with my right hip but a few years down the

> road I will need to look at my left hip. The Doctor says I was born

> with my heads not all the way into my sockets. Any help would be

> appreciated.

> Jeff

[Guest guest]

ANOTHER PERSPECTIVE: I had bilateral metal-on-metal hip resurfacing (

Conserve-Plus) in the clinical trial in Baltimore with Dr. Mont in December

2000 . Both femoral components have broken.

I had revision surgery on right hip 1/20/03, left on 03/03/03, (tho' both

were done a week apart in B'more). My doctor in Chicago here says bone was

dying under the component, causing the part to shift, bend (on the right one

anyway) and eventually break.

My initial diagnosis was OA - no sign of necrosis pre-op.

My advice : make sure you are clearly apprised on the risks of the

possibility of revision surgery. It is no fun going through surgery once,

let alone twice. (or 4 times...) W. Bolduc

>

>Reply-To: surfacehippy

>To: surfacehippy

>Subject: Re: Hip resurface or THR??

>Date: Wed, 19 Mar 2003 16:19:02 -0000

>

>DON'T WAIT! You could damage your hip sufficiently that you will not

>have as many options open to you.

>

>Resurfacing uses the same materials as " FDA approved " devices. In

>fact, all of the parts are " FDA approved " - in a ridiculous twist,

>they are just not approved to all be installed together.

>Metal-on-Metal articulations are well proven (in total hip systems)

>and hemi-resurfacing is well proven - combining the concepts is not

>proven. Gotta love the FDA (here in the US).

>

>

>

>

> > I have now seen two seperate doctors who tell me that hip

> > resurfacing is unproven and too risky to consider. I am 38 years

> > old football player build 270lbs 6'4 " . Fairly active lifestyle with

> > two kids 1 and 3. Can anyone give me an opinion on what option I

> > should consider. I have been have hip problems for ten years, no to

> > the point where I can't bicycle without alot of pain. If I am on my

> > feet for more than twenty minutes, pain starts in. How long should

> > I wait? I have issues with my right hip but a few years down the

> > road I will need to look at my left hip. The Doctor says I was born

> > with my heads not all the way into my sockets. Any help would be

> > appreciated.

> > Jeff

>

>

>

>

[Guest guest]

ANOTHER PERSPECTIVE: I had bilateral metal-on-metal hip resurfacing (

Conserve-Plus) in the clinical trial in Baltimore with Dr. Mont in December

2000 . Both femoral components have broken.

I had revision surgery on right hip 1/20/03, left on 03/03/03, (tho' both

were done a week apart in B'more). My doctor in Chicago here says bone was

dying under the component, causing the part to shift, bend (on the right one

anyway) and eventually break.

My initial diagnosis was OA - no sign of necrosis pre-op.

My advice : make sure you are clearly apprised on the risks of the

possibility of revision surgery. It is no fun going through surgery once,

let alone twice. (or 4 times...) W. Bolduc

>

>Reply-To: surfacehippy

>To: surfacehippy

>Subject: Re: Hip resurface or THR??

>Date: Wed, 19 Mar 2003 16:19:02 -0000

>

>DON'T WAIT! You could damage your hip sufficiently that you will not

>have as many options open to you.

>

>Resurfacing uses the same materials as " FDA approved " devices. In

>fact, all of the parts are " FDA approved " - in a ridiculous twist,

>they are just not approved to all be installed together.

>Metal-on-Metal articulations are well proven (in total hip systems)

>and hemi-resurfacing is well proven - combining the concepts is not

>proven. Gotta love the FDA (here in the US).

>

>

>

>

> > I have now seen two seperate doctors who tell me that hip

> > resurfacing is unproven and too risky to consider. I am 38 years

> > old football player build 270lbs 6'4 " . Fairly active lifestyle with

> > two kids 1 and 3. Can anyone give me an opinion on what option I

> > should consider. I have been have hip problems for ten years, no to

> > the point where I can't bicycle without alot of pain. If I am on my

> > feet for more than twenty minutes, pain starts in. How long should

> > I wait? I have issues with my right hip but a few years down the

> > road I will need to look at my left hip. The Doctor says I was born

> > with my heads not all the way into my sockets. Any help would be

> > appreciated.

> > Jeff

>

>

>

>

[Guest guest]

:

I appreciate your posting and hope that your revision surgery has

gone as well as possible. Obviously, this unfortunate event is

something that we all worry about. My heartfelt best wishes to you.

in NC

> > > I have now seen two seperate doctors who tell me that hip

> > > resurfacing is unproven and too risky to consider. I am 38

years

> > > old football player build 270lbs 6'4 " . Fairly active

lifestyle with

> > > two kids 1 and 3. Can anyone give me an opinion on what

option I

> > > should consider. I have been have hip problems for ten years,

no to

> > > the point where I can't bicycle without alot of pain. If I am

on my

> > > feet for more than twenty minutes, pain starts in. How long

should

> > > I wait? I have issues with my right hip but a few years down

the

> > > road I will need to look at my left hip. The Doctor says I was

born

> > > with my heads not all the way into my sockets. Any help would

be

> > > appreciated.

> > > Jeff

> >

> >

> >

> >

[Guest guest]

:

I appreciate your posting and hope that your revision surgery has

gone as well as possible. Obviously, this unfortunate event is

something that we all worry about. My heartfelt best wishes to you.

in NC

> > > I have now seen two seperate doctors who tell me that hip

> > > resurfacing is unproven and too risky to consider. I am 38

years

> > > old football player build 270lbs 6'4 " . Fairly active

lifestyle with

> > > two kids 1 and 3. Can anyone give me an opinion on what

option I

> > > should consider. I have been have hip problems for ten years,

no to

> > > the point where I can't bicycle without alot of pain. If I am

on my

> > > feet for more than twenty minutes, pain starts in. How long

should

> > > I wait? I have issues with my right hip but a few years down

the

> > > road I will need to look at my left hip. The Doctor says I was

born

> > > with my heads not all the way into my sockets. Any help would

be

> > > appreciated.

> > > Jeff

> >

> >

> >

> >

[Guest guest]

:

I appreciate your posting and hope that your revision surgery has

gone as well as possible. Obviously, this unfortunate event is

something that we all worry about. My heartfelt best wishes to you.

in NC

> > > I have now seen two seperate doctors who tell me that hip

> > > resurfacing is unproven and too risky to consider. I am 38

years

> > > old football player build 270lbs 6'4 " . Fairly active

lifestyle with

> > > two kids 1 and 3. Can anyone give me an opinion on what

option I

> > > should consider. I have been have hip problems for ten years,

no to

> > > the point where I can't bicycle without alot of pain. If I am

on my

> > > feet for more than twenty minutes, pain starts in. How long

should

> > > I wait? I have issues with my right hip but a few years down

the

> > > road I will need to look at my left hip. The Doctor says I was

born

> > > with my heads not all the way into my sockets. Any help would

be

> > > appreciated.

> > > Jeff

> >

> >

> >

> >

[Guest guest]

Jeff:

From your description, you are implying at least a degree of " Hip

dysplasia " , which has resulted in arthritis. You definitely need to

be seen by a Resurfacing specialist for evaluation. It is possible

that your case may require the use of the Dysplasia cup which is

currently only available for the BHR prosthesis. Only a review of

your Xrays and your physical situation by a resurfacing orthopedist

can answer that question. the BHR is not currently available in the

US.

in NC

" The Doctor says I was born

with my heads not all the way into my sockets. Any help would be

appreciated. "

>

[Guest guest]

Jeff:

From your description, you are implying at least a degree of " Hip

dysplasia " , which has resulted in arthritis. You definitely need to

be seen by a Resurfacing specialist for evaluation. It is possible

that your case may require the use of the Dysplasia cup which is

currently only available for the BHR prosthesis. Only a review of

your Xrays and your physical situation by a resurfacing orthopedist

can answer that question. the BHR is not currently available in the

US.

in NC

" The Doctor says I was born

with my heads not all the way into my sockets. Any help would be

appreciated. "

>

[Guest guest]

Jeff:

From your description, you are implying at least a degree of " Hip

dysplasia " , which has resulted in arthritis. You definitely need to

be seen by a Resurfacing specialist for evaluation. It is possible

that your case may require the use of the Dysplasia cup which is

currently only available for the BHR prosthesis. Only a review of

your Xrays and your physical situation by a resurfacing orthopedist

can answer that question. the BHR is not currently available in the

US.

in NC

" The Doctor says I was born

with my heads not all the way into my sockets. Any help would be

appreciated. "

>

[Guest guest]

Hi ,

One hardly knows how to express one's sadness at hearing this........ it

must have been awful for you to face additional operations after such a

short time. You didn't mention what happened in how it was decided there was

a problem and how much pain you had to cope with before that was

established. One presumes that wasn't pleasant either........

I do wish you all the best with your recovery and if and when you feel up to

it I am sure we would all like an account of the lead up and establishing of

the problem etc.

Edith - hoping this never happens to her............

> ANOTHER PERSPECTIVE: I had bilateral metal-on-metal hip resurfacing

(

> Conserve-Plus) in the clinical trial in Baltimore with Dr. Mont in

December

> 2000 . Both femoral components have broken.

>

> I had revision surgery on right hip 1/20/03, left on 03/03/03, (tho' both

> were done a week apart in B'more). My doctor in Chicago here says bone

was

> dying under the component, causing the part to shift, bend (on the right

one

> anyway) and eventually break.

>

> My initial diagnosis was OA - no sign of necrosis pre-op.

>

> My advice : make sure you are clearly apprised on the risks of the

> possibility of revision surgery. It is no fun going through surgery once,

> let alone twice. (or 4 times...) W. Bolduc

>

[Guest guest]

:

I am sorry to hear about your experience. I hope all is going well

now. Dr. Mont mentioned to me that he had several patients that had

experienced failures a few years back and, as a result, he was being

more conservative about recommending resurfacing when the bone stock

was in bad shape. That was his reason for saying I had about a 50:50

shot - he said he can't be sure until he can examine the condition of

the bone.

Thanks for sharing your experience with all of us! And best of luck

to you.

> > > I have now seen two seperate doctors who tell me that hip

> > > resurfacing is unproven and too risky to consider. I am 38 years

> > > old football player build 270lbs 6'4 " . Fairly active lifestyle with

> > > two kids 1 and 3. Can anyone give me an opinion on what option I

> > > should consider. I have been have hip problems for ten years, no to

> > > the point where I can't bicycle without alot of pain. If I am on my

> > > feet for more than twenty minutes, pain starts in. How long should

> > > I wait? I have issues with my right hip but a few years down the

> > > road I will need to look at my left hip. The Doctor says I was born

> > > with my heads not all the way into my sockets. Any help would be

> > > appreciated.

> > > Jeff

> >

> >

> >

> >

[Guest guest]

:

I am sorry to hear about your experience. I hope all is going well

now. Dr. Mont mentioned to me that he had several patients that had

experienced failures a few years back and, as a result, he was being

more conservative about recommending resurfacing when the bone stock

was in bad shape. That was his reason for saying I had about a 50:50

shot - he said he can't be sure until he can examine the condition of

the bone.

Thanks for sharing your experience with all of us! And best of luck

to you.

> > > I have now seen two seperate doctors who tell me that hip

> > > resurfacing is unproven and too risky to consider. I am 38 years

> > > old football player build 270lbs 6'4 " . Fairly active lifestyle with

> > > two kids 1 and 3. Can anyone give me an opinion on what option I

> > > should consider. I have been have hip problems for ten years, no to

> > > the point where I can't bicycle without alot of pain. If I am on my

> > > feet for more than twenty minutes, pain starts in. How long should

> > > I wait? I have issues with my right hip but a few years down the

> > > road I will need to look at my left hip. The Doctor says I was born

> > > with my heads not all the way into my sockets. Any help would be

> > > appreciated.

> > > Jeff

> >

> >

> >

> >

[Guest guest]

:

I am sorry to hear about your experience. I hope all is going well

now. Dr. Mont mentioned to me that he had several patients that had

experienced failures a few years back and, as a result, he was being

more conservative about recommending resurfacing when the bone stock

was in bad shape. That was his reason for saying I had about a 50:50

shot - he said he can't be sure until he can examine the condition of

the bone.

Thanks for sharing your experience with all of us! And best of luck

to you.

> > > I have now seen two seperate doctors who tell me that hip

> > > resurfacing is unproven and too risky to consider. I am 38 years

> > > old football player build 270lbs 6'4 " . Fairly active lifestyle with

> > > two kids 1 and 3. Can anyone give me an opinion on what option I

> > > should consider. I have been have hip problems for ten years, no to

> > > the point where I can't bicycle without alot of pain. If I am on my

> > > feet for more than twenty minutes, pain starts in. How long should

> > > I wait? I have issues with my right hip but a few years down the

> > > road I will need to look at my left hip. The Doctor says I was born

> > > with my heads not all the way into my sockets. Any help would be

> > > appreciated.

> > > Jeff

> >

> >

> >

> >

[Guest guest]

Dear ,

Thank you for sharing what must be a horrible memory. I'm so

sorry your resurfacings didn't last. It's also quite amazing to me

that BOTH of your surgeries were unsuccessful. I know we

would all be interested in knowing any retrospective thoughts on

why your components gave out so early. Am I correct in

understanding they lasted for two years and THEN failed? Or did

you experience problems from the get go?

Premature failure is a risk in all hip operations and every

patient's terror. One of the things that drove me into the arms of

resurfacing was the shockingly high rate of THR failures &

complications in younger, active patients. I knew resurfacing

carried risks, but I rationalized that even if my resurfacing failed

and I wound up with a THR, I would be no worse off - with the

chance of winding up much better - than if I went straight to a

THR at the age of 44. For athletic patients under 65, the whole

issue is a bit of a Hobson's choice, and I'm sure you made the

best choice you could given the options. I'm curious about your

pre-op bone scans, and whether your bone quality or

osteoporosis played a role in this fiasco.

Anyway, I hope you enjoyed at least two good years with your

resurfacing and really hope your new THRs give you an eternity

of sturdy reliability - you have sure earned a lengthy respite from

the knife.

Sheila

> > > I have now seen two seperate doctors who tell me that hip

> > > resurfacing is unproven and too risky to consider. I am 38

years

> > > old football player build 270lbs 6'4 " . Fairly active lifestyle

with

> > > two kids 1 and 3. Can anyone give me an opinion on what

option I

> > > should consider. I have been have hip problems for ten

years, no to

> > > the point where I can't bicycle without alot of pain. If I am on

my

> > > feet for more than twenty minutes, pain starts in. How long

should

> > > I wait? I have issues with my right hip but a few years down

the

> > > road I will need to look at my left hip. The Doctor says I was

born

> > > with my heads not all the way into my sockets. Any help

would be

> > > appreciated.

> > > Jeff

> >

> >

> >

> >