Attn: ! Mr Meek/acetabular protrusion

[Guest guest]

Dear ,

If you want to e-mail me off line at saf5201(at)aol.com, I'll be

happy to tell you everything I know: I don't want to re-bore all the

other members.

Also, did you search the archives? I know this has been

discussed here before. I'd also go to the journals on PubMed. I

did all this at one time years ago and read up on it, but I fear I

didn't keep any of the citations.

Alas, I cannot help you in regards to Mr. Meek, as I know nothing

about him, but I'd ask all the usual questions re the number of

procedures he's done, his rate of failure, and how he plans to

address your particular morphology.

I was surfed by Mr. Treacy in B-ham, & I had to have bone grafts,

too, but it was no big deal. I don't know what the procedure is like

sans bone grafts, but I had an oral surgery incorporating a bone

graft that was exponentially more painful & traumatic. I really

couldn't believe how easy the whole thing was.

As you've come to understand, protrusio is fairly rare, especially

compared to dysplasia, so there are a lot of orthopedists who

haven't seen a case, or, if they have, don't know the term for it. In

part this is because the solution for all these problems is pretty

much the same: Replace the defective parts! On the good side,

get ready to enjoy a better range of motion than you've ever had

in your life!

One sign of a.p. is an inability to have the same range of motion

as other people: Were you able to do splits and cartwheels as a

child, sit cross legged easily, rest your ankle over your knee so

the calf is flat across in front? In inability to do these things is

telling.

Best,

Sheila

> 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,

>