BHR and AVN

[Guest guest]

Sie dürften Dr. DeSmet in Belgien versuchen berührend. Er, oder jemand auf

seinem Personal kann Deutsch sprechen. Ich sammle, daß Sie avascular Nekrose

haben, aber bin unsicher, wenn ich verstehe, daß Sie einen Bruch haben. Wenn Sie

Röntgenaufnahmen schicken können, soll er Ihnen erzählen können, wenn er einen

BHR für Sie machen könnte. Die besten Wünsche in Ihrer Suche! Cindy(Der nur

weiß, daß genug Deutsch den Hund macht, gehorcht: -)

_______________________________________________

[Guest guest]

Hallo,

Have De smet my x-ray per mailing gezeigt.

He says " is possible to do " with resurfacing. The problem ist the fracure. I

have a little AVN. The german recurfacer says all, that a resurfacing is

possible !!!???

Gruß

Gunnar

RE: BHR and AVN

Sie dürften Dr. DeSmet in Belgien versuchen berührend. Er, oder jemand auf

seinem Personal kann Deutsch sprechen. Ich sammle, daß Sie avascular Nekrose

haben, aber bin unsicher, wenn ich verstehe, daß Sie einen Bruch haben. Wenn

Sie Röntgenaufnahmen schicken können, soll er Ihnen erzählen können, wenn er

einen BHR für Sie machen könnte. Die besten Wünsche in Ihrer Suche!

Cindy(Der nur weiß, daß genug Deutsch den Hund macht, gehorcht: -)

_______________________________________________

[Guest guest]

Have De smet my x-ray per mailing gezeigt.He says " is possible to do " with

resurfacing. The problem ist the fracure. Ihave a little AVN. The german

recurfacer says all, that a resurfacing ispossible !!!???GrußGunnar

Ok gang, I tried with a German translator. Could someone else take a shot at

this? I don't speak enough German to get myself across the street and the

translator has turned it into semi-gibberish. It sounnds like Gunnar has sent

x-rays to Dr. DeSmet? Help!!!

Cindy

_______________________________________________

[Guest guest]

In a message dated 2/4/2004 1:54:24 AM Eastern Standard Time,

ringzemall@... writes:

> Ok gang, I tried with a German translator. Could someone else take a shot

> at this? I don't speak enough German to get myself across the street and

> the translator has turned it into semi-gibberish. It sounnds like Gunnar has

> sent x-rays to Dr. DeSmet? Help!!!

I put this in a translator and this is what came out, hope this helps you

out.

Bruce

Sie dürften Dr. DeSmet in Belgien versuchen berührend. Er, oder jemand auf

seinem Personal kann Deutsch sprechen. Ich sammle, daß Sie avascular Nekrose

haben, aber bin unsicher, wenn ich verstehe, daß Sie einen Bruch haben. Wenn Sie

Röntgenaufnahmen schicken können, soll er Ihnen erzählen können, wenn er einen

BHR für Sie machen könnte. Die besten Wünsche in Ihrer Suche!  Cindy(Der nur

weiß, daß genug Deutsch den Hund macht, gehorcht: -)

They might try Dr. DeSmet in Belgium affecting. He, or someone on its

personnel can speak German. I SAM LCL that you have avascular necrosis, but am

uncertain, if I understand that you have a break. If you can send radiographs,

it is

to be able to tell you, if it could make a BHR for you. The best desires in

your search! Cindy(Der only white that enough German makes the dog, obeys: -)

[Guest guest]

Gruß Cindy,

i am a Doctor in germ., ORL, i have an accident with ski. A fracture of the

hip, neck!! in 2/2002. And in 12/2002 i mam become an AVN, little ficat III,

with einbruch anterolateral. Now i will an operation with BHR. And i look

for examples in the net. Its a special situation. 48 years old. I must work.

I have pain.

All orthopäd. in germ., who resurfacing done, says, its possible. I look for

other poeple who had an neck fracture and AVN and BHR!!

Do you understand???

Thank you

Gunnar

Re: BHR and AVN

Have De smet my x-ray per mailing gezeigt.He says " is possible to do " with

resurfacing. The problem ist the fracure. Ihave a little AVN. The german

recurfacer says all, that a resurfacing ispossible !!!???GrußGunnar

Ok gang, I tried with a German translator. Could someone else take a shot

at this? I don't speak enough German to get myself across the street and

the translator has turned it into semi-gibberish. It sounnds like Gunnar

has sent x-rays to Dr. DeSmet? Help!!!

Cindy

_______________________________________________

[Guest guest]

Hallo all, hallo ed (!!),

" Two years ago I had a fracture in my left femoral neck due to a ski

accident. It was fixed with screws etc and after a couple of months

rehab

everything seemed to be fine. A year after the accident my left knee

started

to hurt real bad. It was diagnosed to be related to AVN in the hip

and Core

Decompression (CD) was applied. At that same time the screws for the

fracture were removed. Now after almost another year I have pain in

the hip

and am looking for a BHR resurf. Obviously I am concerned about the

shape of

my femoral neck even though Dr de Smet says he can do the BHR. I am

looking

for people with similar experiences to lessen my anxiety. So, my

question

is: are there any surfhippies with previous femoral fracture and/or

CD ?

I would be most grateful for your help. "

Gunnar, Germ.,

[Guest guest]

If Dr De Smet says he can do it, then rest assured, he can do it. I have seen

him take on very complex cases, and sometimes he warned that the person might

wake up with a Total Hip Repalcement. Inn other words, he wouldn't be able to

tell until he opened up the hip to see what was going on. If he didn't give

you that warning, then that tells me that you are definitely okay for a resurf

with him.

Sharry

BHR and AVN

Hallo all, hallo ed (!!),

" Two years ago I had a fracture in my left femoral neck due to a ski

accident. It was fixed with screws etc and after a couple of months

rehab

everything seemed to be fine. A year after the accident my left knee

started

to hurt real bad. It was diagnosed to be related to AVN in the hip

and Core

Decompression (CD) was applied. At that same time the screws for the

fracture were removed. Now after almost another year I have pain in

the hip

and am looking for a BHR resurf. Obviously I am concerned about the

shape of

my femoral neck even though Dr de Smet says he can do the BHR. I am

looking

for people with similar experiences to lessen my anxiety. So, my

question

is: are there any surfhippies with previous femoral fracture and/or

CD ?

I would be most grateful for your help. "

Gunnar, Germ.,

[Guest guest]

Hi Gunnar,

Sorry I have not quite got the story here...........

And you are worrying that if you have a doctor put a BHR on now it may cause

it to recrack where it was broken before...........???

I would think just where it cracked in the first place would be the

significant thing here.......... i.e. how much that interferred with the

blood supply to the head and how likely it would cause hassles later. The

big unknown I would think would be what happens when they hammer the

Resurface cap onto the femur...........that is when most cracking occurs

with most normal femurs - as told to me by my Doctor last week.......... If

you got a doctor who really knew what he was doing I would think you could

reduce that risk somewhat......

What a doctor may be looking at too is where the crack was in relation to

what bone gets shaved off - as they do remove a quantity to put the BHR

on............ This may end up being a bit like the people who have cyst

problems.........they cut them out and fill the hole with cement as I

understand it and they can still have a BHR............ maybe the way your

crack occurred a clever OS can get around that........ You maybe need to ask

for a bit more explanation of what they intend to do putting the cap

on........... And of course that explanation should be in your language so

you understand fully what they are saying..........

As is seen with postings here and as told to me by my surgeon last

week...........most resurfacings that are going to fail do so fairly

quickly......... either a crack happened when they hammered the cap on

and/or AVN occurs.......... I guess you alone can make the decision of how

happy you are to face the possibility of 2 operations within 6 months -

which is what you would have if the BHR fails. If well known and clever

surgeons are saying there is a high chance of success I suspect that the

original crack isn't critical to the BHR success........and an explanation

of that may help you settle your fate. A THR will not be the end of the

world and may well be streets ahead of lots of pain.........

Edith LBHR Dr. L Walter, Syd Australia 8/02

Hallo,

Dr.De Smet tell me only of one xray per mail (unscharf, sicher nicht

endgültig aussagefähig):

the BHR is still (!!) possible to do! Thats okay for me.

Then i consult in germany some BHRér , every says: it is possible (70-100%).

I very undecided whats better!! The risk to broke the neck, loose the cup or

all the risks of THR.

That is my problem at the moment.

I can go with pain a distance from 2-3 km. It isnt good!!! But i can still

work, thats good.

And so i will go to BHR!

See you later,

Gunnar Kroker

Urbach, Germ.

48J., male, 177, 75kg, left hip damaged.

[Guest guest]

Hallo Dr. L Walter,

i have an skiing accident (see the artikle) with neck fracture in 2/2002, then 3

drills(!?) or scrabs(?) into the head (Schweiz). Now since 4/2003 its an ANV in

the femoral head, a small anterolateraler einbruch. Core decomp. and put out the

scrabs, then was better. I can go and work, ORL-Praxis with Belegbetten

operating.

Some resurfacer doctors in Germany (Prof.Kerschbaumer, Prof.Faensen, Prof.Menge,

u.a. ) says a BHR its possible or wollen versuchen and intraoperating see what

go.

I look for an example where a AVN postraumatic, 2 years ago neck fracture, was

give an BHR....((???) Do you understand?

A THR ist not the end of the world, but i have with the BHR a revision opinion

more with age 48.

Thank you so mutch,

Gunnar

Re: BHR and AVN

Hi Gunnar,

Sorry I have not quite got the story here...........

And you are worrying that if you have a doctor put a BHR on now it may cause

it to recrack where it was broken before...........???

I would think just where it cracked in the first place would be the

significant thing here.......... i.e. how much that interferred with the

blood supply to the head and how likely it would cause hassles later. The

big unknown I would think would be what happens when they hammer the

Resurface cap onto the femur...........that is when most cracking occurs

with most normal femurs - as told to me by my Doctor last week.......... If

you got a doctor who really knew what he was doing I would think you could

reduce that risk somewhat......

What a doctor may be looking at too is where the crack was in relation to

what bone gets shaved off - as they do remove a quantity to put the BHR

on............ This may end up being a bit like the people who have cyst

problems.........they cut them out and fill the hole with cement as I

understand it and they can still have a BHR............ maybe the way your

crack occurred a clever OS can get around that........ You maybe need to ask

for a bit more explanation of what they intend to do putting the cap

on........... And of course that explanation should be in your language so

you understand fully what they are saying..........

As is seen with postings here and as told to me by my surgeon last

week...........most resurfacings that are going to fail do so fairly

quickly......... either a crack happened when they hammered the cap on

and/or AVN occurs.......... I guess you alone can make the decision of how

happy you are to face the possibility of 2 operations within 6 months -

which is what you would have if the BHR fails. If well known and clever

surgeons are saying there is a high chance of success I suspect that the

original crack isn't critical to the BHR success........and an explanation

of that may help you settle your fate. A THR will not be the end of the

world and may well be streets ahead of lots of pain.........

Edith LBHR Dr. L Walter, Syd Australia 8/02

Hallo,

Dr.De Smet tell me only of one xray per mail (unscharf, sicher nicht

endgültig aussagefähig):

the BHR is still (!!) possible to do! Thats okay for me.

Then i consult in germany some BHRér , every says: it is possible (70-100%).

I very undecided whats better!! The risk to broke the neck, loose the cup or

all the risks of THR.

That is my problem at the moment.

I can go with pain a distance from 2-3 km. It isnt good!!! But i can still

work, thats good.

And so i will go to BHR!

See you later,

Gunnar Kroker

Urbach, Germ.

48J., male, 177, 75kg, left hip damaged.

[Guest guest]

Hi Gunnar,

Sorry the language problem.........my name is Edith and I am not a doctor -

I always put my Dr name down the bottom of the posts...........

You have certainly had a lot of hassles with the hip.............. and no

doubt have a few scars around it now which is also going to have a bearing

on how good you get to be after any extras.

I am gathering that your doctors are saying that they think a BHR may work

though they may get in there and discover that the bone isn't good enough.

Plus the AVN can reappear after the Resurface even without the hassles of

the past fracture........... there is a report available now from a Dr. in

US that gives some idea of the percentage chance of that happening after a

Resurface, when it was already in existance......... I think gave the

reference to that article a few days ago..............

In the 2 years I have been receiving emails from this list I have never seen

anyone write about having a BHR after the femur was fractured....... so you

may only get that sort of information from a surgeon who has done a lot of

BHR's......... I cannot imagine any US surgeon taking on such a case as they

are needing pretty good results to get the Resurface operation into US so

they do little experimenting at this point....... Germany, UK, Australia and

of course the good Dr. Smet are about the only places where information may

be available. And even here in Australia we have only had surgeons doing it

for around 5 years - which isn't a lot of history.

I do understand why you would be happier with a BHR (I certainly am) -

though there are many who will argue with you that the newer THR's can be

expected to last well......... In fact there is a guy on the other hip list

who is younger than you and puts quite a deal of effort into convincing

people that a THR is better and has 2 of his own. Your situation seems to

come down to your willingness to face undergoing a revision early because

the fracture and AVN may mean the BHR fails early. I think only your

surgeons could advise on those odds as even finding someone else with

similiar problems may not really give much idea. Everyone has such different

histories, bone structure etc. and therefore comparisons will not really

give you much to go on..............

Edith LBHR Dr. L Walter Syd Aust 8/02

i have an skiing accident (see the artikle) with neck fracture in 2/2002,

then 3 drills(!?) or scrabs(?) into the head (Schweiz). Now since 4/2003 its

an ANV in the femoral head, a small anterolateraler einbruch. Core decomp.

and put out the scrabs, then was better. I can go and work, ORL-Praxis with

Belegbetten operating.

Some resurfacer doctors in Germany (Prof.Kerschbaumer, Prof.Faensen,

Prof.Menge, u.a. ) says a BHR its possible or wollen versuchen and

intraoperating see what go.

I look for an example where a AVN postraumatic, 2 years ago neck fracture,

was give an BHR....((???) Do you understand?

A THR ist not the end of the world, but i have with the BHR a revision

opinion more with age 48.

Thank you so mutch,

Gunnar

[Guest guest]

Hi Gunnar,

Sorry the language problem.........my name is Edith and I am not a doctor -

I always put my Dr name down the bottom of the posts...........

You have certainly had a lot of hassles with the hip.............. and no

doubt have a few scars around it now which is also going to have a bearing

on how good you get to be after any extras.

I am gathering that your doctors are saying that they think a BHR may work

though they may get in there and discover that the bone isn't good enough.

Plus the AVN can reappear after the Resurface even without the hassles of

the past fracture........... there is a report available now from a Dr. in

US that gives some idea of the percentage chance of that happening after a

Resurface, when it was already in existance......... I think gave the

reference to that article a few days ago..............

In the 2 years I have been receiving emails from this list I have never seen

anyone write about having a BHR after the femur was fractured....... so you

may only get that sort of information from a surgeon who has done a lot of

BHR's......... I cannot imagine any US surgeon taking on such a case as they

are needing pretty good results to get the Resurface operation into US so

they do little experimenting at this point....... Germany, UK, Australia and

of course the good Dr. Smet are about the only places where information may

be available. And even here in Australia we have only had surgeons doing it

for around 5 years - which isn't a lot of history.

I do understand why you would be happier with a BHR (I certainly am) -

though there are many who will argue with you that the newer THR's can be

expected to last well......... In fact there is a guy on the other hip list

who is younger than you and puts quite a deal of effort into convincing

people that a THR is better and has 2 of his own. Your situation seems to

come down to your willingness to face undergoing a revision early because

the fracture and AVN may mean the BHR fails early. I think only your

surgeons could advise on those odds as even finding someone else with

similiar problems may not really give much idea. Everyone has such different

histories, bone structure etc. and therefore comparisons will not really

give you much to go on..............

Edith LBHR Dr. L Walter Syd Aust 8/02

i have an skiing accident (see the artikle) with neck fracture in 2/2002,

then 3 drills(!?) or scrabs(?) into the head (Schweiz). Now since 4/2003 its

an ANV in the femoral head, a small anterolateraler einbruch. Core decomp.

and put out the scrabs, then was better. I can go and work, ORL-Praxis with

Belegbetten operating.

Some resurfacer doctors in Germany (Prof.Kerschbaumer, Prof.Faensen,

Prof.Menge, u.a. ) says a BHR its possible or wollen versuchen and

intraoperating see what go.

I look for an example where a AVN postraumatic, 2 years ago neck fracture,

was give an BHR....((???) Do you understand?

A THR ist not the end of the world, but i have with the BHR a revision

opinion more with age 48.

Thank you so mutch,

Gunnar

[Guest guest]

Hi Gunnar,

Sorry the language problem.........my name is Edith and I am not a doctor -

I always put my Dr name down the bottom of the posts...........

You have certainly had a lot of hassles with the hip.............. and no

doubt have a few scars around it now which is also going to have a bearing

on how good you get to be after any extras.

I am gathering that your doctors are saying that they think a BHR may work

though they may get in there and discover that the bone isn't good enough.

Plus the AVN can reappear after the Resurface even without the hassles of

the past fracture........... there is a report available now from a Dr. in

US that gives some idea of the percentage chance of that happening after a

Resurface, when it was already in existance......... I think gave the

reference to that article a few days ago..............

In the 2 years I have been receiving emails from this list I have never seen

anyone write about having a BHR after the femur was fractured....... so you

may only get that sort of information from a surgeon who has done a lot of

BHR's......... I cannot imagine any US surgeon taking on such a case as they

are needing pretty good results to get the Resurface operation into US so

they do little experimenting at this point....... Germany, UK, Australia and

of course the good Dr. Smet are about the only places where information may

be available. And even here in Australia we have only had surgeons doing it

for around 5 years - which isn't a lot of history.

I do understand why you would be happier with a BHR (I certainly am) -

though there are many who will argue with you that the newer THR's can be

expected to last well......... In fact there is a guy on the other hip list

who is younger than you and puts quite a deal of effort into convincing

people that a THR is better and has 2 of his own. Your situation seems to

come down to your willingness to face undergoing a revision early because

the fracture and AVN may mean the BHR fails early. I think only your

surgeons could advise on those odds as even finding someone else with

similiar problems may not really give much idea. Everyone has such different

histories, bone structure etc. and therefore comparisons will not really

give you much to go on..............

Edith LBHR Dr. L Walter Syd Aust 8/02

i have an skiing accident (see the artikle) with neck fracture in 2/2002,

then 3 drills(!?) or scrabs(?) into the head (Schweiz). Now since 4/2003 its

an ANV in the femoral head, a small anterolateraler einbruch. Core decomp.

and put out the scrabs, then was better. I can go and work, ORL-Praxis with

Belegbetten operating.

Some resurfacer doctors in Germany (Prof.Kerschbaumer, Prof.Faensen,

Prof.Menge, u.a. ) says a BHR its possible or wollen versuchen and

intraoperating see what go.

I look for an example where a AVN postraumatic, 2 years ago neck fracture,

was give an BHR....((???) Do you understand?

A THR ist not the end of the world, but i have with the BHR a revision

opinion more with age 48.

Thank you so mutch,

Gunnar