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Re: Re: Ceramic on ceramic

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Ceramics are for THR only

Mike Trautman

C2K, Sep 03

Ceramic on ceramic

> >

> >

> > Thank you to everyone who offered me advice on my forthcoming

> BHR and

> > planned pregnancy.

> >

> > I would like to share with you the advice my surgeon has given

> me and

> > ask you what you think.

> >

> > Before my first post I asked him about metal ions and received

> this

> > response:

> > " The ions issue is a great unknown. Raised levels are seen as

> there is

> > some early wear as the new hip beds in. Nobody knows if raised

> ions

> > will

> > damage a foetus. There will be patients who have given birth

> having

> > had

> > a BHR but I cannot think of one in my practice at this moment.

> > To avoid any anxiety the way forward is not to have a BHR but a

> > standard

> > shape hip with ceramic on ceramic articulation. This produces

> less

> > wear

> > than a BHR, you can just be as active and there is no raised

> ions. We

> > can discuss this at the pre admission clinic. I would go for a

> ceramic

> > hip. "

> >

> > I then asked him about the durability and received this response,

> > " The results of ceramic and ceramic hips go back many years and

> the

> > wear

> > is better than metal on metal. You can just be as active with

> ceramic

> > on

> > ceramic as you can be with metal on metal. If I were in your

> shoes

> > there

> > would be no need for thought. Ceramic on ceramic wins. "

> >

> > The research I have done about the ceramic on ceramic device did

> not

> > indicate that it had been around as long. Infact it suggested

> that

> > trial were only just coming to an end.

> >

> > What do other people think about the advice I have been given

> and

> > what would you do in my circumstances?

> >

> > Thanks

> >

> > Joy

> >

> >

> >

> >

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All resurfacing prostheses are metal on metal. Due to the high success rate

there should be little reason to change the design. The ceramic THR is

available for those that want ceramic. Resurfacing doesn't lend itself to

substituting metal with ceramics i.e. a thin cup (inserted into the pelvis) is

OK in metal but not ceramics.

Rog

Ceramic on ceramic

>

>

> Thank you to everyone who offered me advice on my forthcoming

BHR and

> planned pregnancy.

>

> I would like to share with you the advice my surgeon has given

me and

> ask you what you think.

>

> Before my first post I asked him about metal ions and received

this

> response:

> " The ions issue is a great unknown. Raised levels are seen as

there is

> some early wear as the new hip beds in. Nobody knows if raised

ions

> will

> damage a foetus. There will be patients who have given birth

having

> had

> a BHR but I cannot think of one in my practice at this moment.

> To avoid any anxiety the way forward is not to have a BHR but a

> standard

> shape hip with ceramic on ceramic articulation. This produces

less

> wear

> than a BHR, you can just be as active and there is no raised

ions. We

> can discuss this at the pre admission clinic. I would go for a

ceramic

> hip. "

>

> I then asked him about the durability and received this response,

> " The results of ceramic and ceramic hips go back many years and

the

> wear

> is better than metal on metal. You can just be as active with

ceramic

> on

> ceramic as you can be with metal on metal. If I were in your

shoes

> there

> would be no need for thought. Ceramic on ceramic wins. "

>

> The research I have done about the ceramic on ceramic device did

not

> indicate that it had been around as long. Infact it suggested

that

> trial were only just coming to an end.

>

> What do other people think about the advice I have been given

and

> what would you do in my circumstances?

>

> Thanks

>

> Joy

>

>

>

>

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At 07:45 PM 11/5/2003 -0600, you wrote:

>Ceramics are for THR only

I don't think that is correct. I think there is a ceramic/poly device that

has been out and FDA approved. I can't find the maker off the top of my

head, but I seem to recall someone asking about it and many disuaded her

from it, and she now has a metal/metal resurf. A search in the archives

might bring it up...

Cindy

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

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