Re: BHR suitable for Acetabular protrusion?

[Guest guest]

Hello

Sorry - this is the first I've heard of your condition. One point

though - you might consider posting copies of your X-Rays to one of

the resurfacing surgeons ASAP. Hips can degenerate to a point where

resurfacing is no longer an option. There are several surgeons

(including Mr Treacy) who will look at your X-Ray without requiring

an appointment. At least you will then know what your options are.

Hope this helps - and good luck.

Kathy

> Hello,

> I'm new to this group, having just found out about resurfacing. My

> query: Does anyone know if BHR is generally suitable for acetabular

> protrusion (aka protrusio acetabuli)? I couldn't find any posts on

> it. In case you're not familiar with it, acetabular protrusion

> is " where the socket of the hip joint is too deep and bulges into

the

> cavity of the pelvis " , and in my case has lead to very reduced

range

> of movement and pain and inflammation in both hips. I've had it for

> 15 years (I'm 35) and have had to progressively reduce my

activities

> to the point where I have difficulty walking for more than 10

minutes

> and can't do any weight-bearing sport (although I do row

> competitively and cycle regularly). Based on X-rays my orthopod was

> surprised that my problems weren't much more severe, and said he

> would recommend total hip replacement, but that I'm too young. I

will

> talk to another consultant about my suitability for BHR (not soon

> though, given the speed of the NHS), but I'd also be very grateful

> for feedback from this group.

> Thank you in advance,

>

[Guest guest]

Hello

Sorry - this is the first I've heard of your condition. One point

though - you might consider posting copies of your X-Rays to one of

the resurfacing surgeons ASAP. Hips can degenerate to a point where

resurfacing is no longer an option. There are several surgeons

(including Mr Treacy) who will look at your X-Ray without requiring

an appointment. At least you will then know what your options are.

Hope this helps - and good luck.

Kathy

> Hello,

> I'm new to this group, having just found out about resurfacing. My

> query: Does anyone know if BHR is generally suitable for acetabular

> protrusion (aka protrusio acetabuli)? I couldn't find any posts on

> it. In case you're not familiar with it, acetabular protrusion

> is " where the socket of the hip joint is too deep and bulges into

the

> cavity of the pelvis " , and in my case has lead to very reduced

range

> of movement and pain and inflammation in both hips. I've had it for

> 15 years (I'm 35) and have had to progressively reduce my

activities

> to the point where I have difficulty walking for more than 10

minutes

> and can't do any weight-bearing sport (although I do row

> competitively and cycle regularly). Based on X-rays my orthopod was

> surprised that my problems weren't much more severe, and said he

> would recommend total hip replacement, but that I'm too young. I

will

> talk to another consultant about my suitability for BHR (not soon

> though, given the speed of the NHS), but I'd also be very grateful

> for feedback from this group.

> Thank you in advance,

>

[Guest guest]

Hello

Sorry - this is the first I've heard of your condition. One point

though - you might consider posting copies of your X-Rays to one of

the resurfacing surgeons ASAP. Hips can degenerate to a point where

resurfacing is no longer an option. There are several surgeons

(including Mr Treacy) who will look at your X-Ray without requiring

an appointment. At least you will then know what your options are.

Hope this helps - and good luck.

Kathy

> Hello,

> I'm new to this group, having just found out about resurfacing. My

> query: Does anyone know if BHR is generally suitable for acetabular

> protrusion (aka protrusio acetabuli)? I couldn't find any posts on

> it. In case you're not familiar with it, acetabular protrusion

> is " where the socket of the hip joint is too deep and bulges into

the

> cavity of the pelvis " , and in my case has lead to very reduced

range

> of movement and pain and inflammation in both hips. I've had it for

> 15 years (I'm 35) and have had to progressively reduce my

activities

> to the point where I have difficulty walking for more than 10

minutes

> and can't do any weight-bearing sport (although I do row

> competitively and cycle regularly). Based on X-rays my orthopod was

> surprised that my problems weren't much more severe, and said he

> would recommend total hip replacement, but that I'm too young. I

will

> talk to another consultant about my suitability for BHR (not soon

> though, given the speed of the NHS), but I'd also be very grateful

> for feedback from this group.

> Thank you in advance,

>

[Guest guest]

Dear ,

At last!!! Another protrusio patient! I have/had the same condition

and was successfully resurfaced. (Still have one hip to go.) It

doesn't rule you out, but it can be tricky to do. You have lots of

experienced BHR surgeons in England, so I would just send

them your x-rays and get their opinions. In my case, I had a very

thin medial wall. Also, make sure your surgeon measures both

legs and discusses leg length issues with your surgeon pre-op.

Because your socket (& femur) is set in so deep, you need to

figure out if your length will be affected by having the anatomy

corrected.

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.

Just know that because you have a condition much rarer than

dysplasia, you're not dysqualified. Good luck. While I'm sorry you

are facing surgery, I'm comforted to have the company of a fellow

protrusio patient on the board.

All the best,

Sheila

-- In surfacehippy , " tanitaandpaul "

wrote:

> Hello,

> I'm new to this group, having just found out about resurfacing.

My

> query: Does anyone know if BHR is generally suitable for

acetabular

> protrusion (aka protrusio acetabuli)? I couldn't find any posts

on

> it. In case you're not familiar with it, acetabular protrusion

> is " where the socket of the hip joint is too deep and bulges into

the

> cavity of the pelvis " , and in my case has lead to very reduced

range

> of movement and pain and inflammation in both hips. I've had

it for

> 15 years (I'm 35) and have had to progressively reduce my

activities

> to the point where I have difficulty walking for more than 10

minutes

> and can't do any weight-bearing sport (although I do row

> competitively and cycle regularly). Based on X-rays my

orthopod was

> surprised that my problems weren't much more severe, and

said he

> would recommend total hip replacement, but that I'm too

young. I will

> talk to another consultant about my suitability for BHR (not

soon

> though, given the speed of the NHS), but I'd also be very

grateful

> for feedback from this group.

> Thank you in advance,

>