Cemented and Cementless - thought you might be interested

[Guest guest]

Let me get this straight - Dr Amstutz did not tell you he was doing this until

long after he did it? Isn't that unethical? It sure makes the hair stand up on

the back of my neck. Are we not by definition, guinea pigs, without consent?

Sharry

Cemented and Cementless - thought you might be

interested

At my four month exam with Dr. Amstutz he indicated to me that they

used a cemented cap on the femoral head of one hip and a cementless

one on the other. Naturally I asked why not the same on both. He

indicated that they started using cement again a few years ago and

that the verdict was still out as to which method of fixation is

actually better. He said that rather than put all ther eggs in one

basket, they use one method on one hip and the other method on the

other hip - thus, taking a conservative approach.

I found this approach interesting and thought I would just share it

with the group.

Joe

Bilateral, C+, 5/8/03, Dr. Amstutz

[Guest guest]

>Are we not by definition, guinea pigs, without consent?

In each surgery there are many detail decisions that each surgeon

must make based on his opinion of the best method for the best

outcome possible. It is not unusual for the quality of bonestock to

vary with AVN cases, thus different techniques are needed for each

specific case, up to and including using different cementing

techniques on the left versus the right hip. It is extremely easy to

second guess the decisions made during a surgery, but if I did not

believe in my doctor's skills and decision making ability, I would

not have had the operation. I gave my doctor the room to do the best

job he could, with whatever he found when he opened up my hip. I

think everyone who has had this surgery signed multiple _consent_

forms before they were operated on? I know I did.

Mueller, not a Guinea Pig.

10-3-03 Beaule

[Guest guest]

>Are we not by definition, guinea pigs, without consent?

In each surgery there are many detail decisions that each surgeon

must make based on his opinion of the best method for the best

outcome possible. It is not unusual for the quality of bonestock to

vary with AVN cases, thus different techniques are needed for each

specific case, up to and including using different cementing

techniques on the left versus the right hip. It is extremely easy to

second guess the decisions made during a surgery, but if I did not

believe in my doctor's skills and decision making ability, I would

not have had the operation. I gave my doctor the room to do the best

job he could, with whatever he found when he opened up my hip. I

think everyone who has had this surgery signed multiple _consent_

forms before they were operated on? I know I did.

Mueller, not a Guinea Pig.

10-3-03 Beaule

[Guest guest]

>Are we not by definition, guinea pigs, without consent?

In each surgery there are many detail decisions that each surgeon

must make based on his opinion of the best method for the best

outcome possible. It is not unusual for the quality of bonestock to

vary with AVN cases, thus different techniques are needed for each

specific case, up to and including using different cementing

techniques on the left versus the right hip. It is extremely easy to

second guess the decisions made during a surgery, but if I did not

believe in my doctor's skills and decision making ability, I would

not have had the operation. I gave my doctor the room to do the best

job he could, with whatever he found when he opened up my hip. I

think everyone who has had this surgery signed multiple _consent_

forms before they were operated on? I know I did.

Mueller, not a Guinea Pig.

10-3-03 Beaule

[Guest guest]

Sharry,

I hope your amazement or dismay, is due to my earlier post - which I

have since updated and corrected.

Dr. Amstutz did use cement under the cap to each femoral head. The

difference lies in that cement has generally not been used on the

guide stem which goes into the femoral head. Dr. Amstutz began using

cement on the guide stems about three years ago, but primarily only

on those who had some questionable bone stock. He used cement on one

of my guide stems and not on the other, not because of any problems

due to bone stock, but because it was a conservative approach given

that the verdict is still out as to whether cement on the guide stems

is trully a better approach.

Did he discuss his conservative approach with me, no. Should he have,

I don't think it was necessary - though I am sure there are those who

would like to debate that. I would also say to you that to imply any

unethical behavior is premature on your part, and I think further

inquiry would have been more appropriate. I realize that my earlier

report may have contributed to your response, so I guess I am

partially to blame for that as well.

By the way, I am sure that many surgeons take conservative or

alternative approaches while in the midst of a surgery, because at

that moment something occurs to them that is in the best interest of

a patient. I think these surgeons are commendable for using

professional judgement and not feeling stymied because they didn't

consider discussing it with their patient in advance.

Joe

Bilateral, 5/8/03, C+ Dr. Amstutz

> Let me get this straight - Dr Amstutz did not tell you he was doing

this until long after he did it? Isn't that unethical? It sure

makes the hair stand up on the back of my neck. Are we not by

definition, guinea pigs, without consent?

> Sharry

> Cemented and Cementless - thought you

might be interested

>

>

> At my four month exam with Dr. Amstutz he indicated to me that

they

> used a cemented cap on the femoral head of one hip and a

cementless

> one on the other. Naturally I asked why not the same on both.

He

> indicated that they started using cement again a few years ago

and

> that the verdict was still out as to which method of fixation is

> actually better. He said that rather than put all ther eggs in

one

> basket, they use one method on one hip and the other method on

the

> other hip - thus, taking a conservative approach.

>

> I found this approach interesting and thought I would just share

it

> with the group.

>

> Joe

> Bilateral, C+, 5/8/03, Dr. Amstutz

>

>

>

[Guest guest]

Sharry,

I hope your amazement or dismay, is due to my earlier post - which I

have since updated and corrected.

Dr. Amstutz did use cement under the cap to each femoral head. The

difference lies in that cement has generally not been used on the

guide stem which goes into the femoral head. Dr. Amstutz began using

cement on the guide stems about three years ago, but primarily only

on those who had some questionable bone stock. He used cement on one

of my guide stems and not on the other, not because of any problems

due to bone stock, but because it was a conservative approach given

that the verdict is still out as to whether cement on the guide stems

is trully a better approach.

Did he discuss his conservative approach with me, no. Should he have,

I don't think it was necessary - though I am sure there are those who

would like to debate that. I would also say to you that to imply any

unethical behavior is premature on your part, and I think further

inquiry would have been more appropriate. I realize that my earlier

report may have contributed to your response, so I guess I am

partially to blame for that as well.

By the way, I am sure that many surgeons take conservative or

alternative approaches while in the midst of a surgery, because at

that moment something occurs to them that is in the best interest of

a patient. I think these surgeons are commendable for using

professional judgement and not feeling stymied because they didn't

consider discussing it with their patient in advance.

Joe

Bilateral, 5/8/03, C+ Dr. Amstutz

> Let me get this straight - Dr Amstutz did not tell you he was doing

this until long after he did it? Isn't that unethical? It sure

makes the hair stand up on the back of my neck. Are we not by

definition, guinea pigs, without consent?

> Sharry

> Cemented and Cementless - thought you

might be interested

>

>

> At my four month exam with Dr. Amstutz he indicated to me that

they

> used a cemented cap on the femoral head of one hip and a

cementless

> one on the other. Naturally I asked why not the same on both.

He

> indicated that they started using cement again a few years ago

and

> that the verdict was still out as to which method of fixation is

> actually better. He said that rather than put all ther eggs in

one

> basket, they use one method on one hip and the other method on

the

> other hip - thus, taking a conservative approach.

>

> I found this approach interesting and thought I would just share

it

> with the group.

>

> Joe

> Bilateral, C+, 5/8/03, Dr. Amstutz

>

>

>

[Guest guest]

Joe

I commend you for your stance on the decision being made by the OS. They only

know the quality of your bone stock after they have opened you up. I would like

to know from those who dispute your view how the surgeon could wake up his

patient from the anaesthetic in order to discuss the situation and then proceed

again :-)

Rog

BHR Treacy 2001 (L & R)

Cemented and Cementless - thought you

might be interested

>

>

> At my four month exam with Dr. Amstutz he indicated to me that

they

> used a cemented cap on the femoral head of one hip and a

cementless

> one on the other. Naturally I asked why not the same on both.

He

> indicated that they started using cement again a few years ago

and

> that the verdict was still out as to which method of fixation is

> actually better. He said that rather than put all ther eggs in

one

> basket, they use one method on one hip and the other method on

the

> other hip - thus, taking a conservative approach.

>

> I found this approach interesting and thought I would just share

it

> with the group.

>

> Joe

> Bilateral, C+, 5/8/03, Dr. Amstutz

>

>

>

[Guest guest]

Joe

I commend you for your stance on the decision being made by the OS. They only

know the quality of your bone stock after they have opened you up. I would like

to know from those who dispute your view how the surgeon could wake up his

patient from the anaesthetic in order to discuss the situation and then proceed

again :-)

Rog

BHR Treacy 2001 (L & R)

Cemented and Cementless - thought you

might be interested

>

>

> At my four month exam with Dr. Amstutz he indicated to me that

they

> used a cemented cap on the femoral head of one hip and a

cementless

> one on the other. Naturally I asked why not the same on both.

He

> indicated that they started using cement again a few years ago

and

> that the verdict was still out as to which method of fixation is

> actually better. He said that rather than put all ther eggs in

one

> basket, they use one method on one hip and the other method on

the

> other hip - thus, taking a conservative approach.

>

> I found this approach interesting and thought I would just share

it

> with the group.

>

> Joe

> Bilateral, C+, 5/8/03, Dr. Amstutz

>

>

>

[Guest guest]

Joe

I commend you for your stance on the decision being made by the OS. They only

know the quality of your bone stock after they have opened you up. I would like

to know from those who dispute your view how the surgeon could wake up his

patient from the anaesthetic in order to discuss the situation and then proceed

again :-)

Rog

BHR Treacy 2001 (L & R)

Cemented and Cementless - thought you

might be interested

>

>

> At my four month exam with Dr. Amstutz he indicated to me that

they

> used a cemented cap on the femoral head of one hip and a

cementless

> one on the other. Naturally I asked why not the same on both.

He

> indicated that they started using cement again a few years ago

and

> that the verdict was still out as to which method of fixation is

> actually better. He said that rather than put all ther eggs in

one

> basket, they use one method on one hip and the other method on

the

> other hip - thus, taking a conservative approach.

>

> I found this approach interesting and thought I would just share

it

> with the group.

>

> Joe

> Bilateral, C+, 5/8/03, Dr. Amstutz

>

>

>

[Guest guest]

Joe

I know we all think our docs are the best, but most of the people in this

forum are here because they did question conventional medical wisdom in the

first place, as for example, not wanting to have the traditional THR. If I

question an OS's judgement as to how a resurf was done, I see it as being in the

same vein. This issue seems to raise a lot of hackles, but I'll stick with my

view that we need to be crtical consumers and we deserve to know ahead of time

what our options are and what our docs are going to do to us. We are trusting

them, after all, with invading our bodies. Call me an idealist, but so be

it...

I wish you all the best in your recovery, Joe, regardless of what I think

about the OS.

Sharry

Cemented and Cementless - thought you

might be interested

>

>

> At my four month exam with Dr. Amstutz he indicated to me that

they

> used a cemented cap on the femoral head of one hip and a

cementless

> one on the other. Naturally I asked why not the same on both.

He

> indicated that they started using cement again a few years ago

and

> that the verdict was still out as to which method of fixation is

> actually better. He said that rather than put all ther eggs in

one

> basket, they use one method on one hip and the other method on

the

> other hip - thus, taking a conservative approach.

>

> I found this approach interesting and thought I would just share

it

> with the group.

>

> Joe

> Bilateral, C+, 5/8/03, Dr. Amstutz

>

>

>

[Guest guest]

Joe

I know we all think our docs are the best, but most of the people in this

forum are here because they did question conventional medical wisdom in the

first place, as for example, not wanting to have the traditional THR. If I

question an OS's judgement as to how a resurf was done, I see it as being in the

same vein. This issue seems to raise a lot of hackles, but I'll stick with my

view that we need to be crtical consumers and we deserve to know ahead of time

what our options are and what our docs are going to do to us. We are trusting

them, after all, with invading our bodies. Call me an idealist, but so be

it...

I wish you all the best in your recovery, Joe, regardless of what I think

about the OS.

Sharry

Cemented and Cementless - thought you

might be interested

>

>

> At my four month exam with Dr. Amstutz he indicated to me that

they

> used a cemented cap on the femoral head of one hip and a

cementless

> one on the other. Naturally I asked why not the same on both.

He

> indicated that they started using cement again a few years ago

and

> that the verdict was still out as to which method of fixation is

> actually better. He said that rather than put all ther eggs in

one

> basket, they use one method on one hip and the other method on

the

> other hip - thus, taking a conservative approach.

>

> I found this approach interesting and thought I would just share

it

> with the group.

>

> Joe

> Bilateral, C+, 5/8/03, Dr. Amstutz

>

>

>

[Guest guest]

Joe

I know we all think our docs are the best, but most of the people in this

forum are here because they did question conventional medical wisdom in the

first place, as for example, not wanting to have the traditional THR. If I

question an OS's judgement as to how a resurf was done, I see it as being in the

same vein. This issue seems to raise a lot of hackles, but I'll stick with my

view that we need to be crtical consumers and we deserve to know ahead of time

what our options are and what our docs are going to do to us. We are trusting

them, after all, with invading our bodies. Call me an idealist, but so be

it...

I wish you all the best in your recovery, Joe, regardless of what I think

about the OS.

Sharry

Cemented and Cementless - thought you

might be interested

>

>

> At my four month exam with Dr. Amstutz he indicated to me that

they

> used a cemented cap on the femoral head of one hip and a

cementless

> one on the other. Naturally I asked why not the same on both.

He

> indicated that they started using cement again a few years ago

and

> that the verdict was still out as to which method of fixation is

> actually better. He said that rather than put all ther eggs in

one

> basket, they use one method on one hip and the other method on

the

> other hip - thus, taking a conservative approach.

>

> I found this approach interesting and thought I would just share

it

> with the group.

>

> Joe

> Bilateral, C+, 5/8/03, Dr. Amstutz

>

>

>