Re: Re: Why American Doctors Cringe - Setting TheRecord Straight

[Guest guest]

Dave-

This is a contorversial topic and can be explored in the archives. The BHR is

cast. Midland Medical feels that a cast in porosity which is then coated with

hydroxyapatite creates a unified stronger surface which promotes bone

integration. They feel the heat treated sintering process could possibly

weaken, break, and the beads could create abrasion between the 2 surfaces. Check

out Midlands site for the explanation. I AM NOT trying to open a can of worms-

you asked.

All of the manufacturers have minor differences and of course feel that their

method is the best. How many angels can you place on the head of a pin? If in

fact there are angels. And would they be willing to stand on the head of a pin?

Jude

Re: Why American Doctors Cringe - Setting The Record

> Straight

>

> Hi, Rog!

>

> Happy New Year to you!

>

> Technically, it is true that Charnley " experimented " with resurfacing

> but he did not pursue it in any serious way which is why he is not

> credited with the development of resurfacing. Technically, the first

> who did was Dr. Trantieri in Italy in 1973. The other surgeons

> developing resurfacing systems inn the early 70's included Amstutz

> (US), Mueller (Switzerland), Wagner (Germany), Freeman (UK) and Eicher

> (US).

>

> An interesting " aside " : Amstutz' " chamfered cylinder " design of the

> femoral shell (THARIES) became the standard and all subsequent designs

> have essentially copied this concept including McMinn's first CORIN

> device as well as the BHR device.

>

> All the best!

>

> Chuck

> JRI

>

>

>>>>> I'm just trying to get the record straight here and am looking

>>>>> for verification or disqualification of this statement. I

> believe

>>>>> that the reason why American Doctors are so conservative about

>>>> what

>>>>> they want their patients to do or not do is NOT because they

>>> don't

>>>>> trust the devices but because they want to see the devices get

>>>>> approved so that insurance companies will cover all of us

> looking

>>>> to

>>>>> get a hip resurface.

>>>>>

>>>>> At least that is the impression that I got with Dr.

>>>> Kennedy

>>>>> and his group down in Sarasota, Florida. They loved the

> devices

>>>> but

>>>>> want to go easy until this thing is FINALLY approved by the FDA.

>>>>> The P.A. Mark in his office liked to share stories of people

>>>> pushing

>>>>> it past the limit even though he told me to go easy. One

> guy for

>>>>> example worked on a fishing boat and invited Mark to come

> see him

>>>> at

>>>>> work and go off-shore fishing for free basically. When Mark

>>> first

>>>>> got there he saw this patient who was 5 months after surgery

>>> slide

>>>>> down the mast of the boat and bounce off a cooler and jump

> on the

>>>>> deck, smiling all the time and saying " works pretty good,

> doesn't

>>>>> it? " . He told of another (a foot doctor) who went back to work

>>>>> only 4 weeks after surgery and I went back to work after 4.5

>>> weeks.

>>>>>

>>>>> So once again I think the American doctors may be getting a bum

>>>> rap

>>>>> for trying to look out for our best long term interests

> which are

>>>> to

>>>>> get these things out there for all patients. Also, we have to

>>>> admit

>>>>> that the lawsuit frenzy in this country has some down sides.

>>>>>

>>>>> Jeff (01-03-03 C2K)

>>>>>

>>>>> P.S. I walked and jogged last night as I tried to imitate

> normal

>>>>> Americans trying to get back in shape after making a New Years

>>>>> resolution.

>>

>>

>>