R: THR and activity - to Casey to Kathy

[Guest guest]

Hi Kathy,

I do have a THR.. and it's mostly thanks to this website! I am 32 and had my

heart set on a resurf, which after consulting with five different surgeons

proved not to be the best option for me due to deformity. I had Perthes as a

child so my femur head collapsed, recovered and was left deformed. Over the

last five years I really began to have problems but I never would have come

so close to accepting surgery so young if it hadn't been for reading about

all the things you can do after a resurf.

My OS explained to me that in my case the only way to get a hip with normal

function would be to put in a custom built uncemmented stem with large head

metal on metal. This stem was made to measure from the scans done pre-op.

That would allow my surgeon to rebuild my hip joint to give perfect bio

mechanical movement. Of course, I say " but what about....REVISION " after

reading lots of THR horror stories and only being 32 years old, " and what

about crossing my legs...and what about...all those restrictions? "

My OS told me that with this kind of THR I have no restrictions whatsoever.

The risk of dislocation is identical to that of a resurf..ie. practically

zero. Of course I need to fully recover first, and he told me that my

recovery should be as gradual and gentle as possible. At my six week check

up he told me no running or skipping yet, it may take me upto a year before

I can really begin to use my hip as if it were my natural joint but I will

not have to worry about anything for 25 to 30 years. Aparently the custom

built stem eliminates stress shielding because all of the bone holding the

stem is loaded uniformly (Nice theory..we will see)

After a full recovery I was advised to cross country ski, walk, cycle swim

and dance. If I want I can start downhill skiing but I don't think I ever

will. I was told that it would be better if I didn't play football or run

marathons, but tennis would be fine.

After years of limping, at only eight weeks post op I already feel like the

bionic man (and I'm still on one crutch!)

Casey

-----Messaggio originale-----

Da: khodderwilliams

Inviato: giovedì, 18. dicembre 2003 14:19

A: surfacehippy

Oggetto: THR and activity - to Casey

Casey

Do you have a THR? Which If so I'd be really interested to hear what

activities you're able to do and which prosthesis you have because

although I have a BHR, my sister will probably get a THR. I'd heard

before about the great ROM with large diameter THR, however, I

thought there were still issues with impact and other stresses on the

stem. I understood that the sideways (?)stresses on the THR stem can

eventually loosen it, although the Exeter hip (and probably others)

is designed to minimise this.

Kathy

[Guest guest]

Casey you are doing great. I am one year and in love with my revision.

Resurfacing is the best option for young people but large ball THR has great

promise. I am one who is a believer. For everyone that is resurfaced get 15

years

on yours and then go to a large ball THR. Life will be unchanged.

[Guest guest]

Thanks Casey

That's just what my sister needs to hear!

Best of luck with your recovery.

Kathy

> Hi Kathy,

>

> I do have a THR.. and it's mostly thanks to this website! I am 32

and had my

> heart set on a resurf, which after consulting with five different

surgeons

> proved not to be the best option for me due to deformity. I had

Perthes as a

> child so my femur head collapsed, recovered and was left deformed.

Over the

> last five years I really began to have problems but I never would

have come

> so close to accepting surgery so young if it hadn't been for

reading about

> all the things you can do after a resurf.

>

> My OS explained to me that in my case the only way to get a hip

with normal

> function would be to put in a custom built uncemmented stem with

large head

> metal on metal. This stem was made to measure from the scans done

pre-op.

> That would allow my surgeon to rebuild my hip joint to give perfect

bio

> mechanical movement. Of course, I say " but what about....REVISION "

after

> reading lots of THR horror stories and only being 32 years

old, " and what

> about crossing my legs...and what about...all those restrictions? "

>

> My OS told me that with this kind of THR I have no restrictions

whatsoever.

> The risk of dislocation is identical to that of a resurf..ie.

practically

> zero. Of course I need to fully recover first, and he told me that

my

> recovery should be as gradual and gentle as possible. At my six

week check

> up he told me no running or skipping yet, it may take me upto a

year before

> I can really begin to use my hip as if it were my natural joint but

I will

> not have to worry about anything for 25 to 30 years. Aparently the

custom

> built stem eliminates stress shielding because all of the bone

holding the

> stem is loaded uniformly (Nice theory..we will see)

>

> After a full recovery I was advised to cross country ski, walk,

cycle swim

> and dance. If I want I can start downhill skiing but I don't think

I ever

> will. I was told that it would be better if I didn't play football

or run

> marathons, but tennis would be fine.

>

> After years of limping, at only eight weeks post op I already feel

like the

> bionic man (and I'm still on one crutch!)

>

> Casey

>

>

>

> -----Messaggio originale-----

> Da: khodderwilliams [mailto:khh@c...]

> Inviato: giovedì, 18. dicembre 2003 14:19

> A: surfacehippy

> Oggetto: THR and activity - to Casey

>

>

> Casey

> Do you have a THR? Which If so I'd be really interested to hear

what

> activities you're able to do and which prosthesis you have because

> although I have a BHR, my sister will probably get a THR. I'd

heard

> before about the great ROM with large diameter THR, however, I

> thought there were still issues with impact and other stresses on

the

> stem. I understood that the sideways (?)stresses on the THR stem

can

> eventually loosen it, although the Exeter hip (and probably

others)

> is designed to minimise this.

> Kathy

>

>

>

>

>

>