Re: resurface for acetabular OA?

[Guest guest]

bahpunbug:

Try thr JRI.com wbsite in LA. Talk to Chuck .

bahpunbug bahpunbug@...> wrote: Hello all, as are most people driven to

this group, I am desperate

for information and really frustrated. I am 31 y/o female with

bilateral hip OA. I have known I would have to have hip replacement

or the equivalent for many years and the time draws near. I was/want

to be very active and want a resurf if possible. But I keep hearing

that if your acetabular cartilage is in poor repair (as mine is) that

resurf is not recommended or may be even impossible. Does anyone out

there know the specifics on this? (I would ask my orthopedist if I

had any hope of an open minded response. I am in Birmingham Alabama

and haven't had any luck finding a sympathetic ortho.). Deepest

thanks.

---------------------------------

[Guest guest]

bahpunbug:

Try thr JRI.com wbsite in LA. Talk to Chuck .

bahpunbug bahpunbug@...> wrote: Hello all, as are most people driven to

this group, I am desperate

for information and really frustrated. I am 31 y/o female with

bilateral hip OA. I have known I would have to have hip replacement

or the equivalent for many years and the time draws near. I was/want

to be very active and want a resurf if possible. But I keep hearing

that if your acetabular cartilage is in poor repair (as mine is) that

resurf is not recommended or may be even impossible. Does anyone out

there know the specifics on this? (I would ask my orthopedist if I

had any hope of an open minded response. I am in Birmingham Alabama

and haven't had any luck finding a sympathetic ortho.). Deepest

thanks.

---------------------------------

[Guest guest]

bahpunbug:

Try thr JRI.com wbsite in LA. Talk to Chuck .

bahpunbug bahpunbug@...> wrote: Hello all, as are most people driven to

this group, I am desperate

for information and really frustrated. I am 31 y/o female with

bilateral hip OA. I have known I would have to have hip replacement

or the equivalent for many years and the time draws near. I was/want

to be very active and want a resurf if possible. But I keep hearing

that if your acetabular cartilage is in poor repair (as mine is) that

resurf is not recommended or may be even impossible. Does anyone out

there know the specifics on this? (I would ask my orthopedist if I

had any hope of an open minded response. I am in Birmingham Alabama

and haven't had any luck finding a sympathetic ortho.). Deepest

thanks.

---------------------------------

[Guest guest]

> But I keep hearing

> that if your acetabular cartilage is in poor repair (as mine is) that

> resurf is not recommended or may be even impossible. Does anyone out

> there know the specifics on this?

I've never heard this.You may be thinking of a hemi-resurfacing (just

resurfacing the femoral head). In a full metal-on-metal resurfacing,

the acetabular cartilage is *removed* prior to implantation of the

acetabular " cup " , so I don't see how this could possibly be true.

A lot of people in this group were bone-on-bone

when they were resurfaced. The critical issue for a full resurfacing

is the

condition of the *bone*. Only an orthopedist who actually *does*

resurfacing can tell you whether you're a candidate for the procedure.

You can start by contacting JRI (www.jri-oh.com), or any of the

resurfacing surgeons listed in the " Links " section of this group's web

page. I've found Chuck (not a doc, but the Executive Director at

JRI) and Dr. Koen De Smet (Belgium) to be really responsive and eager

to answer questions.

Steve (bilateral wanna-be)

[Guest guest]

> But I keep hearing

> that if your acetabular cartilage is in poor repair (as mine is) that

> resurf is not recommended or may be even impossible. Does anyone out

> there know the specifics on this?

I've never heard this.You may be thinking of a hemi-resurfacing (just

resurfacing the femoral head). In a full metal-on-metal resurfacing,

the acetabular cartilage is *removed* prior to implantation of the

acetabular " cup " , so I don't see how this could possibly be true.

A lot of people in this group were bone-on-bone

when they were resurfaced. The critical issue for a full resurfacing

is the

condition of the *bone*. Only an orthopedist who actually *does*

resurfacing can tell you whether you're a candidate for the procedure.

You can start by contacting JRI (www.jri-oh.com), or any of the

resurfacing surgeons listed in the " Links " section of this group's web

page. I've found Chuck (not a doc, but the Executive Director at

JRI) and Dr. Koen De Smet (Belgium) to be really responsive and eager

to answer questions.

Steve (bilateral wanna-be)

[Guest guest]

I think what you have heard is with regard to " hemi resurfacing " where

only the femoral ball is resurfaced.

A full resurface replaces both the femoral ball and the acetabular cup.

There is an excellent surgeon, Dr. Tom Gross, in Columbia, South

Carolina. He has a very informative web site at:

http://www.grossortho.com/

> Hello all, as are most people driven to this group, I am desperate

> for information and really frustrated. I am 31 y/o female with

> bilateral hip OA. I have known I would have to have hip replacement

> or the equivalent for many years and the time draws near. I was/want

> to be very active and want a resurf if possible. But I keep hearing

> that if your acetabular cartilage is in poor repair (as mine is) that

> resurf is not recommended or may be even impossible. Does anyone out

> there know the specifics on this? (I would ask my orthopedist if I

> had any hope of an open minded response. I am in Birmingham Alabama

> and haven't had any luck finding a sympathetic ortho.). Deepest

> thanks.

[Guest guest]

I think what you have heard is with regard to " hemi resurfacing " where

only the femoral ball is resurfaced.

A full resurface replaces both the femoral ball and the acetabular cup.

There is an excellent surgeon, Dr. Tom Gross, in Columbia, South

Carolina. He has a very informative web site at:

http://www.grossortho.com/

> Hello all, as are most people driven to this group, I am desperate

> for information and really frustrated. I am 31 y/o female with

> bilateral hip OA. I have known I would have to have hip replacement

> or the equivalent for many years and the time draws near. I was/want

> to be very active and want a resurf if possible. But I keep hearing

> that if your acetabular cartilage is in poor repair (as mine is) that

> resurf is not recommended or may be even impossible. Does anyone out

> there know the specifics on this? (I would ask my orthopedist if I

> had any hope of an open minded response. I am in Birmingham Alabama

> and haven't had any luck finding a sympathetic ortho.). Deepest

> thanks.

[Guest guest]

I think what you have heard is with regard to " hemi resurfacing " where

only the femoral ball is resurfaced.

A full resurface replaces both the femoral ball and the acetabular cup.

There is an excellent surgeon, Dr. Tom Gross, in Columbia, South

Carolina. He has a very informative web site at:

http://www.grossortho.com/

> Hello all, as are most people driven to this group, I am desperate

> for information and really frustrated. I am 31 y/o female with

> bilateral hip OA. I have known I would have to have hip replacement

> or the equivalent for many years and the time draws near. I was/want

> to be very active and want a resurf if possible. But I keep hearing

> that if your acetabular cartilage is in poor repair (as mine is) that

> resurf is not recommended or may be even impossible. Does anyone out

> there know the specifics on this? (I would ask my orthopedist if I

> had any hope of an open minded response. I am in Birmingham Alabama

> and haven't had any luck finding a sympathetic ortho.). Deepest

> thanks.

[Guest guest]

> Hello all, as are most people driven to this group, I am desperate

> for information and really frustrated. I am 31 y/o female with

> bilateral hip OA. I have known I would have to have hip

replacement

> or the equivalent for many years and the time draws near. I

was/want

> to be very active and want a resurf if possible. But I keep

hearing

> that if your acetabular cartilage is in poor repair (as mine is)

that

> resurf is not recommended or may be even impossible

Hi, and welcome to the group.

Cartilage has nothing to do with it. They remove it all anyway. I

was bone on bone. There's a wonderful surgeon relatively close to

you in SC, named Gross. His website is www.grossortho.com.

You can send him your x-rays by e-mail, and they'll tell you within a

few days whether or not you're a candidate. You don't have to visit.

The staff is wonderful, caring and accomodating, work with many

insurances and are extra accomodating to out of town patients.

You're so young to be in pain, giving up so much of your life to

inactivity when the pain gets unbearable. Don't wait - get it

checked out, and if you can, get your resurf ASAP. The time you

spend out of commission is negligible (only 3 weeks for me)It is a

decision you will not regret.

Lois the second

Gross, 8/6/03

[Guest guest]

Hi, I am 47 and had my resurface done because of OA in the acetabulum and a

bone cyst. I have CHD and was able to have a conserve plus on 8/18/03.

Please write if you would like more info. Eileen

[Guest guest]

I am not sure if 'acetabular cartilage' is the same problem as I had, but just

in case...the medial wall of the acetabulum of my right hip (inside wall next to

abdomen) was so thin it was almost non-existent. One OS told me it couldn't be

fixed with a resurf, but Dr De Smet said otherwise, and he did it successfully

in August. You can fedex your xrays to him and hear back very quickly as to

whether you are a good candidate. Armed with that information, you could

approach US surgeons, confident that you know it's possible. Several people on

this site can give you the names of US surgeons who are expert at resurfs. If

you don't have medical coverage, it might be cheaper to go to Dr De Smet in

Belgium, as several people on this site have opted for.

Sharry

resurface for acetabular OA?

Hello all, as are most people driven to this group, I am desperate

for information and really frustrated. I am 31 y/o female with

bilateral hip OA. I have known I would have to have hip replacement

or the equivalent for many years and the time draws near. I was/want

to be very active and want a resurf if possible. But I keep hearing

that if your acetabular cartilage is in poor repair (as mine is) that

resurf is not recommended or may be even impossible. Does anyone out

there know the specifics on this? (I would ask my orthopedist if I

had any hope of an open minded response. I am in Birmingham Alabama

and haven't had any luck finding a sympathetic ortho.). Deepest

thanks.

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