RE: THR benefits? any advice anyone?!!

[Guest guest]

Hi,

If you have a brief look at the archives you will see endless posts from

people telling how respected surgeons can be found to be anti

resurfacing........... Sadly it seems respectability doesn't necessarily

mean one is keeping up with the latest in techniques and prothesis. If you

are writing from US it also can have something to do with your country being

slow to accept the prothesis device. I live in Australia and early in the

history of Resurfacing being available here, one could find doctors who

enjoyed a good reputation saying the same. 4 years on this has altered

somewhat - these same doctors are lining up for training.

I could only ask if you are contemplating having an operation to remove a

plate from your hip and putting yourself through all that pain waiting to be

be bad enough for a THR, surely a Resurface device has to be one step ahead

which ever way you look at it. i.e. it only has to last 2 years to be better

and all things being equal you should at least enjoy a fairly pain free time

until the Resurface fails - if it ever does. Then a THR would be necessary

as suggested by that surgeon or some technology may have come along to make

an even better option available, be that a better variety of THR or

something else not known now. I really cannot think of why anyone who would

really want to put themselves through an operation and a couple of years of

pain and misery.........just to get ready to have another operation

later......

For your own information, a cruise of sites that have actual pictures of the

prothesis and what bone is removed and where they both go could well be

useful. Another consideration is the question of dislocation, for unless

the surgeon is suggesting a bigger headed THR you will have far less chance

of dislocation with a Resurface...........think about that and situations of

normal life where dislocation may be an issue. i.e. where you want to get

carried away with yourself and not have to stop and think will my hip

dislocate. At 22 you may want to have children in due course, another

consideration............

As for the benefits of a THR........ Well if you cannot have a Resurface for

one reason or another, or a Resurface fails, a THR is a really great

option....... it has been one of the more successful operations surgeons

have been able to offer patients and is a great improvement on spending ones

life in pain and misery.......... I cannot however think of any valid

reason why one would have a THR rather than a Resurface if a Resurface was

possible.

Edith LBHR Dr. L Walter Syd Aust 8/02

> I'm a 22 year old woman and I have pretty severe bone on bone

> osteoarthritis in my right hip as a result of congenital hip

> dislocation. The time has come to do something about it as it is

> affecting every aspect of my life. I've seen a few doctors and so

> far most seem to be pushing for me to go for hip resurfacing which I

> am very open minded about. However one doctor I have spoken to is

> completely against it - he wants to take the plate out of my hip,

>

[Guest guest]

DOes anyone know of why this other doctor (who is well respected in his field)

is so against resurfacing?

He may be one that remembers the failures of the old devices with the poly

liners. But he may not have bothered to learn about the newer metal/metal

devices.

What are the benefits of a THR over a resurf?

He gets to do revisions every ten years or so (more or less--likely less with

dysplastic patients).Cindy

C+ 5/25/01 and 6/28/01

_______________________________________________

[Guest guest]

---Hi, I was interested to read your post, as I also had congenital

hip dislocation as a child. I am 44 and had a resurf last March. I

didn't know anything about resurfacing until I went to see my

surgeon in Plymouth. (uk) He suggested it, as he said it was easier

than taking out the plate. I am grateful for that otherwise, I would

be none the wiser. Please feel free to ask any questions you may

have about my experience. Sheila.

In surfacehippy , " ecrow " wrote:

> Hi,

>

> If you have a brief look at the archives you will see endless

posts from

> people telling how respected surgeons can be found to be anti

> resurfacing........... Sadly it seems respectability doesn't

necessarily

> mean one is keeping up with the latest in techniques and

prothesis. If you

> are writing from US it also can have something to do with your

country being

> slow to accept the prothesis device. I live in Australia and

early in the

> history of Resurfacing being available here, one could find

doctors who

> enjoyed a good reputation saying the same. 4 years on this has

altered

> somewhat - these same doctors are lining up for training.

>

> I could only ask if you are contemplating having an operation to

remove a

> plate from your hip and putting yourself through all that pain

waiting to be

> be bad enough for a THR, surely a Resurface device has to be one

step ahead

> which ever way you look at it. i.e. it only has to last 2 years to

be better

> and all things being equal you should at least enjoy a fairly pain

free time

> until the Resurface fails - if it ever does. Then a THR would be

necessary

> as suggested by that surgeon or some technology may have come

along to make

> an even better option available, be that a better variety of THR or

> something else not known now. I really cannot think of why anyone

who would

> really want to put themselves through an operation and a couple of

years of

> pain and misery.........just to get ready to have another operation

> later......

>

> For your own information, a cruise of sites that have actual

pictures of the

> prothesis and what bone is removed and where they both go could

well be

> useful. Another consideration is the question of dislocation, for

unless

> the surgeon is suggesting a bigger headed THR you will have far

less chance

> of dislocation with a Resurface...........think about that and

situations of

> normal life where dislocation may be an issue. i.e. where you want

to get

> carried away with yourself and not have to stop and think will my

hip

> dislocate. At 22 you may want to have children in due course,

another

> consideration............

>

> As for the benefits of a THR........ Well if you cannot have a

Resurface for

> one reason or another, or a Resurface fails, a THR is a really

great

> option....... it has been one of the more successful operations

surgeons

> have been able to offer patients and is a great improvement on

spending ones

> life in pain and misery.......... I cannot however think of any

valid

> reason why one would have a THR rather than a Resurface if a

Resurface was

> possible.

>

> Edith LBHR Dr. L Walter Syd Aust 8/02

>

> > I'm a 22 year old woman and I have pretty severe bone on bone

> > osteoarthritis in my right hip as a result of congenital hip

> > dislocation. The time has come to do something about it as it is

> > affecting every aspect of my life. I've seen a few doctors and so

> > far most seem to be pushing for me to go for hip resurfacing

which I

> > am very open minded about. However one doctor I have spoken to is

> > completely against it - he wants to take the plate out of my hip,

> >