Re: disparity in recovery times

[Guest guest]

Hi Todd,

Good grief................ I have proved that you can regenerate muscles

atropied for 35 years........... 3 weeks pales when compared to

that............ My muscles may never be as good as back then but they are

now good enough to have me walking pretty well.......... Guess it depends on

how much of a hurry one is in........... circumstances with need to work

etc............ and believe me I was pretty determined to 'make' the leg

work to get off crutches to save my failing shoulder...........

Edith LBHR Dr. L Walter Syd Aust 8/02

> Thanks for the response. Are you doing well with that. Three weeks WOULD

seem important to me as the sudden onset of atrophy is real. I broke my

right tibia in a snowboarding accident six years ago and the onset of

atrophy was very soon as I couldn't use my right leg (no weight bearing) for

six weeks, and I payed a price for that in that I overused my my

degenerative hip on the left side. It all equals out. that is why I ask how

soon I can use my new joint.

> Todd

>

[Guest guest]

Sorry for any and all confusion, Chris...As far as I know, Dr Amstutz

uses the Conserve Plus M/M Surface Hip Replacement System which

allows for revision to a matching large diameter M/M THR prosthetic if

ever needed. BHR and Cormet have similar designs. In theory and based

upon use data to date, wear is minimal and longevity for each device

appears to be excellent. Dr A has written extensively on the concept

and evolution of resurfacing and has papers and a video on the C+ and

it's application. These are available FOC on the Medial web

site (www.wmt.com) although I'm sure if you ask him for copies when

you see him he'd be happy to provide them. The acetabular cup is

generally an uncemented press fit device designed to be fixed in place

with bone ingrowth into it's rough exterior and the femoral " ball "

portion is presently affixed onto/into the existing chamfored femoral

head and neck with bone cement. Unless the cup is in some way damaged

or worn, it should not need replacement if a revision becomes

necessary. That is obviously a case-by-case determination but it's

part of the design concept. The surgical approaches vary (see 's

very detailed and eloquent post on the subject) and followup

recommendations also vary, although as I've clumsily explained in my

several recent posts, the real difference seems to be one of risk

assumption on the part of a given OS. My questions to Dr Amstutz would

be the same ones I suggested in my first reply to you. Listen to him,

hear what he has to say and get a feel for how you feel about him

doing your surgery. Give Drew a call at and allow him to

share his experience with Dr Amstutz and JRI directly with you. He's

recently been there with him for bilat resurf. I've recently been to

Belgium with Dr De Smet for bilat resurf. I'm at or

anytime and would be happy to share my experience as

well. Others have posted great satisfaction with their experiences at

centers in the US, UK, Belgium and Australia. (I'll apologize in

advance for any omission...these are just the posts I've seen).

Resuracing seems to me and others far more knowlegable to be the way

of the present and immediate future. You're in the right taxi.

Destination and fare are still optional.

Take good care!

We're all here to help!!

Steve Vince

> > > Hi Gang,

> > > Anybody care to get technical and try to tell me why the

> Dr. De

> > > Smet recovery times are so much quicker than the U.S. recovery

> > > times? Is it just caution, or are there technique differences.

> (This

> > > sounds like a good one for you, Dr. Steve). And I'm still

> interested

> > > in hearing peoples experiences at JRI in Los Angeles, I'm seeing

> Dr.

> > > amstutz on wedesday feb 18 for a consultation before I make up

> my

> > > mind about U.S. vs. Belgium.

> > > And thanks for the frank discussion on sex....I wanted to

> ask,

> > > but didnt' want to come off as a perv...

> > > Chris

[Guest guest]

Sorry for any and all confusion, Chris...As far as I know, Dr Amstutz

uses the Conserve Plus M/M Surface Hip Replacement System which

allows for revision to a matching large diameter M/M THR prosthetic if

ever needed. BHR and Cormet have similar designs. In theory and based

upon use data to date, wear is minimal and longevity for each device

appears to be excellent. Dr A has written extensively on the concept

and evolution of resurfacing and has papers and a video on the C+ and

it's application. These are available FOC on the Medial web

site (www.wmt.com) although I'm sure if you ask him for copies when

you see him he'd be happy to provide them. The acetabular cup is

generally an uncemented press fit device designed to be fixed in place

with bone ingrowth into it's rough exterior and the femoral " ball "

portion is presently affixed onto/into the existing chamfored femoral

head and neck with bone cement. Unless the cup is in some way damaged

or worn, it should not need replacement if a revision becomes

necessary. That is obviously a case-by-case determination but it's

part of the design concept. The surgical approaches vary (see 's

very detailed and eloquent post on the subject) and followup

recommendations also vary, although as I've clumsily explained in my

several recent posts, the real difference seems to be one of risk

assumption on the part of a given OS. My questions to Dr Amstutz would

be the same ones I suggested in my first reply to you. Listen to him,

hear what he has to say and get a feel for how you feel about him

doing your surgery. Give Drew a call at and allow him to

share his experience with Dr Amstutz and JRI directly with you. He's

recently been there with him for bilat resurf. I've recently been to

Belgium with Dr De Smet for bilat resurf. I'm at or

anytime and would be happy to share my experience as

well. Others have posted great satisfaction with their experiences at

centers in the US, UK, Belgium and Australia. (I'll apologize in

advance for any omission...these are just the posts I've seen).

Resuracing seems to me and others far more knowlegable to be the way

of the present and immediate future. You're in the right taxi.

Destination and fare are still optional.

Take good care!

We're all here to help!!

Steve Vince

> > > Hi Gang,

> > > Anybody care to get technical and try to tell me why the

> Dr. De

> > > Smet recovery times are so much quicker than the U.S. recovery

> > > times? Is it just caution, or are there technique differences.

> (This

> > > sounds like a good one for you, Dr. Steve). And I'm still

> interested

> > > in hearing peoples experiences at JRI in Los Angeles, I'm seeing

> Dr.

> > > amstutz on wedesday feb 18 for a consultation before I make up

> my

> > > mind about U.S. vs. Belgium.

> > > And thanks for the frank discussion on sex....I wanted to

> ask,

> > > but didnt' want to come off as a perv...

> > > Chris

[Guest guest]

Sorry for any and all confusion, Chris...As far as I know, Dr Amstutz

uses the Conserve Plus M/M Surface Hip Replacement System which

allows for revision to a matching large diameter M/M THR prosthetic if

ever needed. BHR and Cormet have similar designs. In theory and based

upon use data to date, wear is minimal and longevity for each device

appears to be excellent. Dr A has written extensively on the concept

and evolution of resurfacing and has papers and a video on the C+ and

it's application. These are available FOC on the Medial web

site (www.wmt.com) although I'm sure if you ask him for copies when

you see him he'd be happy to provide them. The acetabular cup is

generally an uncemented press fit device designed to be fixed in place

with bone ingrowth into it's rough exterior and the femoral " ball "

portion is presently affixed onto/into the existing chamfored femoral

head and neck with bone cement. Unless the cup is in some way damaged

or worn, it should not need replacement if a revision becomes

necessary. That is obviously a case-by-case determination but it's

part of the design concept. The surgical approaches vary (see 's

very detailed and eloquent post on the subject) and followup

recommendations also vary, although as I've clumsily explained in my

several recent posts, the real difference seems to be one of risk

assumption on the part of a given OS. My questions to Dr Amstutz would

be the same ones I suggested in my first reply to you. Listen to him,

hear what he has to say and get a feel for how you feel about him

doing your surgery. Give Drew a call at and allow him to

share his experience with Dr Amstutz and JRI directly with you. He's

recently been there with him for bilat resurf. I've recently been to

Belgium with Dr De Smet for bilat resurf. I'm at or

anytime and would be happy to share my experience as

well. Others have posted great satisfaction with their experiences at

centers in the US, UK, Belgium and Australia. (I'll apologize in

advance for any omission...these are just the posts I've seen).

Resuracing seems to me and others far more knowlegable to be the way

of the present and immediate future. You're in the right taxi.

Destination and fare are still optional.

Take good care!

We're all here to help!!

Steve Vince

> > > Hi Gang,

> > > Anybody care to get technical and try to tell me why the

> Dr. De

> > > Smet recovery times are so much quicker than the U.S. recovery

> > > times? Is it just caution, or are there technique differences.

> (This

> > > sounds like a good one for you, Dr. Steve). And I'm still

> interested

> > > in hearing peoples experiences at JRI in Los Angeles, I'm seeing

> Dr.

> > > amstutz on wedesday feb 18 for a consultation before I make up

> my

> > > mind about U.S. vs. Belgium.

> > > And thanks for the frank discussion on sex....I wanted to

> ask,

> > > but didnt' want to come off as a perv...

> > > Chris

[Guest guest]

Todd - Yes I am getting along excellently thank you. I see your

point and yes atrophy did play into my recovery. In talking with my

physical therapist she (and Dr. A also indicated) that it would take

a year for me to feel 100%. With that said, I was up and around on

the crutches the day after surgery and progressed/increased my time

on them everyday. I just listened to my body - some days I could do

a lot, some days I was very tired and couldn't do too much. Went

back to work from my home after 2 weeks, back to work at the office

part time after 4 weeks and back full time after 6. Started PT 6

weeks and 1 day out and just want as hard as they would let me. 8

months out now and I workout 5-6 days a week, 1 with my trainer and 5

days of cardio which is mostly biking or the eliptical machine. But

yes I had very bad atrophy and I am still building my strength back.

I took the approach that if they (Dr. A or my PT) told me to stand on

my head with my thumb up my a.. I would have, as I only want to do

this once if possible (even if not probable) and if it does fail I

didn't want to be in a position where anyone (especially me) could

say I over did it. Hope this helps a bit. Regards, Drew

> Thanks for the response. Are you doing well with that. Three weeks

WOULD seem important to me as the sudden onset of atrophy is real. I

broke my right tibia in a snowboarding accident six years ago and the

onset of atrophy was very soon as I couldn't use my right leg (no

weight bearing) for six weeks, and I payed a price for that in that I

overused my my degenerative hip on the left side. It all equals out.

that is why I ask how soon I can use my new joint.

> Todd

[Guest guest]

Todd - Yes I am getting along excellently thank you. I see your

point and yes atrophy did play into my recovery. In talking with my

physical therapist she (and Dr. A also indicated) that it would take

a year for me to feel 100%. With that said, I was up and around on

the crutches the day after surgery and progressed/increased my time

on them everyday. I just listened to my body - some days I could do

a lot, some days I was very tired and couldn't do too much. Went

back to work from my home after 2 weeks, back to work at the office

part time after 4 weeks and back full time after 6. Started PT 6

weeks and 1 day out and just want as hard as they would let me. 8

months out now and I workout 5-6 days a week, 1 with my trainer and 5

days of cardio which is mostly biking or the eliptical machine. But

yes I had very bad atrophy and I am still building my strength back.

I took the approach that if they (Dr. A or my PT) told me to stand on

my head with my thumb up my a.. I would have, as I only want to do

this once if possible (even if not probable) and if it does fail I

didn't want to be in a position where anyone (especially me) could

say I over did it. Hope this helps a bit. Regards, Drew

> Thanks for the response. Are you doing well with that. Three weeks

WOULD seem important to me as the sudden onset of atrophy is real. I

broke my right tibia in a snowboarding accident six years ago and the

onset of atrophy was very soon as I couldn't use my right leg (no

weight bearing) for six weeks, and I payed a price for that in that I

overused my my degenerative hip on the left side. It all equals out.

that is why I ask how soon I can use my new joint.

> Todd

[Guest guest]

Todd - Yes I am getting along excellently thank you. I see your

point and yes atrophy did play into my recovery. In talking with my

physical therapist she (and Dr. A also indicated) that it would take

a year for me to feel 100%. With that said, I was up and around on

the crutches the day after surgery and progressed/increased my time

on them everyday. I just listened to my body - some days I could do

a lot, some days I was very tired and couldn't do too much. Went

back to work from my home after 2 weeks, back to work at the office

part time after 4 weeks and back full time after 6. Started PT 6

weeks and 1 day out and just want as hard as they would let me. 8

months out now and I workout 5-6 days a week, 1 with my trainer and 5

days of cardio which is mostly biking or the eliptical machine. But

yes I had very bad atrophy and I am still building my strength back.

I took the approach that if they (Dr. A or my PT) told me to stand on

my head with my thumb up my a.. I would have, as I only want to do

this once if possible (even if not probable) and if it does fail I

didn't want to be in a position where anyone (especially me) could

say I over did it. Hope this helps a bit. Regards, Drew

> Thanks for the response. Are you doing well with that. Three weeks

WOULD seem important to me as the sudden onset of atrophy is real. I

broke my right tibia in a snowboarding accident six years ago and the

onset of atrophy was very soon as I couldn't use my right leg (no

weight bearing) for six weeks, and I payed a price for that in that I

overused my my degenerative hip on the left side. It all equals out.

that is why I ask how soon I can use my new joint.

> Todd

[Guest guest]

Developed " lump " over resurfaced hip a few days. Am 3 weeks post resurface.

Had done a little more tht day as felt great, also slight redness. Have been

resting and now lump is smaller and redness decreasing.

Anyone else experience this.

Have had call into surgeon past few days and will try again to reach him.

Diane