Guest guest Posted January 16, 2004 Report Share Posted January 16, 2004 Hi everyone: Sorry that I haven't posted in a while, but like most post op resurfers I have been busy. In sum: I am a diagnostic radiologist in a hospital practice in North carolina. At age 58 I was active but not an athelete. I deveoped OA left hip over about 3 years and prior to surgery could only walk 150 feet with a cane. my surgery (L) C+, Dr. Vail at Duke, 3/31/03. I returned to fulltime work at my hospital 17 days after surgery. Used crutches at surgeons request to 6 weeks, cane 2 weeks after that. No physical therapy. I have resumed my normal activities. No medication. Problems : 1. an attack of acute gout in the opposite foot immediately after surgery. This is an occasional known complication after any kind of major surgery where muscle damage can occur. It related to Purine metabolic pathways. Now cured and will not likely recur. I have never had gout before and current bood tests are normal. 2. Post op my operated leg is probably 1/2 inch longer than before. This resulted in pain in the opposite foot after about 5 months because the wight was transfered from the 1st Metatarsal (ball of foot at great toe) to the 2nd metatarsal (at 2nd toe). This is called " pre-dislocation syndrome " . Without treatment, separation is noted between 2nd and 3rd toes with pain. The " tarsal plate " which supports the toes is damaged. This has been sucessfully treated with a 1/4 inch sole added to my right shoes and a 1/4 inch " Dr. Sholes " foam insert in the shoe. It is even better with a fitted " orthotic " insert in the shoe. I no longer am really aware of the hip problem. My gait has improved. 3. I need to work weak muscles along lateral and posterior of operated hip. To test: Stand on good leg. You should balance normally. When standing on operated side, leaning outward (laterally) to achieve balance means weak muscles. This results in slight lurching especially when tired. This has improved alot in the last few months. Forget about the metal ion and other non-issues. The alloys used for resurfacing are being used in total hips too. Medical has just gotten FDA approval of a total hip prosthesis with the same femoral head and acetabular cup used for resurfacing. It fits on a total hip femoral stem that was approved some time ago. I invite all resurfacers to meet me Feb 21st through 28th when I will be skiing (and celebrating my 59th birthday) in Aspen/Snowmass Colorado. 11,000 feet and beautiful. DOES RESURFACING WORK? (MD) in NC (L) wright C+, 3/31/03 Dr. Vail at Duke Hospital (NC) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2004 Report Share Posted January 17, 2004 Hi , Glad to hear you are doing so well.......... and you have answered a question for me - i.e. why I got gout in my own big toe not so long ago........no history of it before....... I know all about those weak muscles causing the lurching.........smile.........though now when I remember to actually step out that is happening less and less........... Amazing how muscles all work so much together to get that 'normal' gait.........and one only has to have one or 2 not functioning to have problems............ Best of luck with the future..........and sorry I cannot join you in Aspen for a ski............smile Edith LBHR Dr. L Walter Syd Aust 8/02 > > Sorry that I haven't posted in a while, but like most post op > resurfers I have been busy. > > In sum: I am a diagnostic radiologist in a hospital practice in > North carolina. At age 58 I was active but not an athelete. I > deveoped OA left hip over about 3 years and prior to surgery could > only walk 150 feet with a cane. > > my surgery (L) C+, Dr. Vail at Duke, 3/31/03. I returned to > fulltime work at my hospital 17 days after surgery. Used crutches > at surgeons request to 6 weeks, cane 2 weeks after that. No > physical therapy. I have resumed my normal activities. No > medication. > > Problems : > 1. an attack of acute gout in the opposite foot immediately after > surgery. This is an occasional known complication after any kind of > major surgery where muscle damage can occur. It related to Purine > metabolic pathways. Now cured and will not likely recur. I have > never had gout before and current bood tests are normal. > > 2. Post op my operated leg is probably 1/2 inch longer than > before. This resulted in pain in the opposite foot after about 5 > months because the wight was transfered from the 1st Metatarsal > (ball of foot at great toe) to the 2nd metatarsal (at 2nd toe). > This is called " pre-dislocation syndrome " . Without treatment, > separation is noted between 2nd and 3rd toes with pain. The " tarsal > plate " which supports the toes is damaged. > This has been sucessfully treated with a 1/4 inch sole added to my > right shoes and a 1/4 inch " Dr. Sholes " foam insert in the shoe. It > is even better with a fitted " orthotic " insert in the shoe. > > I no longer am really aware of the hip problem. My gait has > improved. > 3. I need to work weak muscles along lateral and posterior of > operated hip. To test: Stand on good leg. You should balance > normally. When standing on operated side, leaning outward > (laterally) to achieve balance means weak muscles. This results in > slight lurching especially when tired. This has improved alot in > the last few months. > > Forget about the metal ion and other non-issues. The alloys used > for resurfacing are being used in total hips too. Medical > has just gotten FDA approval of a total hip prosthesis with the same > femoral head and acetabular cup used for resurfacing. It fits on a > total hip femoral stem that was approved some time ago. > > I invite all resurfacers to meet me Feb 21st through 28th when I > will be skiing (and celebrating my 59th birthday) in Aspen/Snowmass > Colorado. 11,000 feet and beautiful. > > DOES RESURFACING WORK? > > (MD) in NC > (L) wright C+, 3/31/03 Dr. Vail at Duke Hospital (NC) > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 17, 2004 Report Share Posted January 17, 2004 Hi GREAT NEWS!! Thank you for taking the time to send such a complete posting. It is very encouraging to many of us...including the ones who have to get the second one done soon!! Enjoy your skiing. ine C2K 04/03 > Hi everyone: > > Sorry that I haven't posted in a while, but like most post op > resurfers I have been busy. > > In sum: I am a diagnostic radiologist in a hospital practice in > North carolina. At age 58 I was active but not an athelete. I > deveoped OA left hip over about 3 years and prior to surgery could > only walk 150 feet with a cane. > > my surgery (L) C+, Dr. Vail at Duke, 3/31/03. I returned to > fulltime work at my hospital 17 days after surgery. Used crutches > at surgeons request to 6 weeks, cane 2 weeks after that. No > physical therapy. I have resumed my normal activities. No > medication. > > Problems : > 1. an attack of acute gout in the opposite foot immediately after > surgery. This is an occasional known complication after any kind of > major surgery where muscle damage can occur. It related to Purine > metabolic pathways. Now cured and will not likely recur. I have > never had gout before and current bood tests are normal. > > 2. Post op my operated leg is probably 1/2 inch longer than > before. This resulted in pain in the opposite foot after about 5 > months because the wight was transfered from the 1st Metatarsal > (ball of foot at great toe) to the 2nd metatarsal (at 2nd toe). > This is called " pre-dislocation syndrome " . Without treatment, > separation is noted between 2nd and 3rd toes with pain. The " tarsal > plate " which supports the toes is damaged. > This has been sucessfully treated with a 1/4 inch sole added to my > right shoes and a 1/4 inch " Dr. Sholes " foam insert in the shoe. It > is even better with a fitted " orthotic " insert in the shoe. > > I no longer am really aware of the hip problem. My gait has > improved. > 3. I need to work weak muscles along lateral and posterior of > operated hip. To test: Stand on good leg. You should balance > normally. When standing on operated side, leaning outward > (laterally) to achieve balance means weak muscles. This results in > slight lurching especially when tired. This has improved alot in > the last few months. > > Forget about the metal ion and other non-issues. The alloys used > for resurfacing are being used in total hips too. Medical > has just gotten FDA approval of a total hip prosthesis with the same > femoral head and acetabular cup used for resurfacing. It fits on a > total hip femoral stem that was approved some time ago. > > I invite all resurfacers to meet me Feb 21st through 28th when I > will be skiing (and celebrating my 59th birthday) in Aspen/Snowmass > Colorado. 11,000 feet and beautiful. > > DOES RESURFACING WORK? > > (MD) in NC > (L) wright C+, 3/31/03 Dr. Vail at Duke Hospital (NC) Quote Link to comment Share on other sites More sharing options...
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