Mr Meek/acetabular protrusion

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Thanks to Kathy and Sheila for your replies.

I've made a few enquiries, and it seems my most likely option is to

have the resurfacing done on the NHS by Mr Meek at the Glasgow

Southern General Hospital. I'd appreciate any feedback from anyone

who has experience of Mr Meek, or any surgeons doing resurfacing in

the Glasgow area.

I was very glad to find out from Sheila that resurfacing is possible

at least in principle for acetabular protrusion. I've since had a

chat with Mr Hay at the Ross Hall Hospital (Glasgow) who also does

resurfacing (but only privately) and who has seen my x-rays, and he

thinks it should be possible.

The rest of this email is about acetabular protrusion, and so will

probably interest few readers.

> I'm perplexed, though, by your comment that you've only had p.a.

> for 15 years. I understood the morphology to be a " genetic

> variation " (the kind euphemism for " defect " ) with symptoms that

> become more annoying with time as the OA chews up the joint. I

> knew there was something wrong with my ROM from the time I

> was 3.

Sheila - I'm afraid I know very little about AP, so I'd appreciate

any info you or anyone else can pass on to me. There doesn't appear

to be any literature on resurfacing for AP, but a common feature of

THR seems to be that bone grafts are required to fill the cavity made

over time as the femoral head pushes the acetabulum through the

pelvis.

As for the cause of AP, again I'd be delighted for any info. All the

OS's I've seen told me the cause is unknown (at least in my type of

case where it's an isolated problem - it's also associated with more

widespread bone problems like Marfan's syndrome). As I said, I had no

idea that I had it until I was 20. I suppose my case is just slower

than yours. Yours is the only other case I know about - I don't know

what the general rule is.

Many thanks for your help and good luck with your other hip.

Best wishes,