Re: It's a difficult decision at 30

February 9, 2004

I am 30 and my life expectancy is 40 years ahead (hopefully). And we know that a

THR can be done not more than 2 or 3 times at the most. Let's say each THR lasts

for 10 years (average), 3 x 10 = 30 and i am left with 10 years for the

resurfacing....

I know there are no proven research showing how long a resurfacing lasts, but

can any of you guys take a guess? or predict?Blue,

We all faced this same decision--to go with the devil you know vs. the devil you

don't. So far, the data is showing that resurfacing should far outlast THR's.

And if they don't, then your first THR is a primary THR. In the meantime, you

face little chance of dislocation and have very few restrictions on your

activities.

The women in my family live into their 90's, so even for me at 40, I was trying

to plan for the next 50-55 years, God willing. Not only do I have NO regrets, I

love my hips more each day. Mine are going on three years in a few months, and

things just keep getting better and better!

Cindy

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

_______________________________________________

February 9, 2004

I am 30 and my life expectancy is 40 years ahead (hopefully). And we know that a

THR can be done not more than 2 or 3 times at the most. Let's say each THR lasts

for 10 years (average), 3 x 10 = 30 and i am left with 10 years for the

resurfacing....

I know there are no proven research showing how long a resurfacing lasts, but

can any of you guys take a guess? or predict?Blue,

We all faced this same decision--to go with the devil you know vs. the devil you

don't. So far, the data is showing that resurfacing should far outlast THR's.

And if they don't, then your first THR is a primary THR. In the meantime, you

face little chance of dislocation and have very few restrictions on your

activities.

The women in my family live into their 90's, so even for me at 40, I was trying

to plan for the next 50-55 years, God willing. Not only do I have NO regrets, I

love my hips more each day. Mine are going on three years in a few months, and

things just keep getting better and better!

Cindy

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

_______________________________________________

February 9, 2004

I am 30 and my life expectancy is 40 years ahead (hopefully). And we know that a

THR can be done not more than 2 or 3 times at the most. Let's say each THR lasts

for 10 years (average), 3 x 10 = 30 and i am left with 10 years for the

resurfacing....

I know there are no proven research showing how long a resurfacing lasts, but

can any of you guys take a guess? or predict?Blue,

We all faced this same decision--to go with the devil you know vs. the devil you

don't. So far, the data is showing that resurfacing should far outlast THR's.

And if they don't, then your first THR is a primary THR. In the meantime, you

face little chance of dislocation and have very few restrictions on your

activities.

The women in my family live into their 90's, so even for me at 40, I was trying

to plan for the next 50-55 years, God willing. Not only do I have NO regrets, I

love my hips more each day. Mine are going on three years in a few months, and

things just keep getting better and better!

Cindy

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

_______________________________________________

February 10, 2004

In germany gives the alternative Druckscheibenprothese. Bei 30 jährigen

Patienten, nur 3 Dinge:

- Druckscheibe nach Huggler

- BHR

- Mayo Kurzschaft

the better statistical and long time results have the BHR.

Alternativ sog. Umstellungsosteotomie. Gelenkerhaltender Eingriff würde hier

gemacht.

Gunnar, germ.

RE: It's a difficult decision at 30

I am 30 and my life expectancy is 40 years ahead (hopefully). And we know that

a THR can be done not more than 2 or 3 times at the most. Let's say each THR

lasts for 10 years (average), 3 x 10 = 30 and i am left with 10 years for the

resurfacing....

I know there are no proven research showing how long a resurfacing lasts, but

can any of you guys take a guess? or predict?Blue,

We all faced this same decision--to go with the devil you know vs. the devil

you don't. So far, the data is showing that resurfacing should far outlast

THR's. And if they don't, then your first THR is a primary THR. In the

meantime, you face little chance of dislocation and have very few restrictions

on your activities.

The women in my family live into their 90's, so even for me at 40, I was

trying to plan for the next 50-55 years, God willing. Not only do I have NO

regrets, I love my hips more each day. Mine are going on three years in a few

months, and things just keep getting better and better!

Cindy

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

_______________________________________________

February 10, 2004

In germany gives the alternative Druckscheibenprothese. Bei 30 jährigen

Patienten, nur 3 Dinge:

- Druckscheibe nach Huggler

- BHR

- Mayo Kurzschaft

the better statistical and long time results have the BHR.

Alternativ sog. Umstellungsosteotomie. Gelenkerhaltender Eingriff würde hier

gemacht.

Gunnar, germ.

RE: It's a difficult decision at 30

I am 30 and my life expectancy is 40 years ahead (hopefully). And we know that

a THR can be done not more than 2 or 3 times at the most. Let's say each THR

lasts for 10 years (average), 3 x 10 = 30 and i am left with 10 years for the

resurfacing....

I know there are no proven research showing how long a resurfacing lasts, but

can any of you guys take a guess? or predict?Blue,

We all faced this same decision--to go with the devil you know vs. the devil

you don't. So far, the data is showing that resurfacing should far outlast

THR's. And if they don't, then your first THR is a primary THR. In the

meantime, you face little chance of dislocation and have very few restrictions

on your activities.

The women in my family live into their 90's, so even for me at 40, I was

trying to plan for the next 50-55 years, God willing. Not only do I have NO

regrets, I love my hips more each day. Mine are going on three years in a few

months, and things just keep getting better and better!

Cindy

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

_______________________________________________

February 10, 2004

In germany gives the alternative Druckscheibenprothese. Bei 30 jährigen

Patienten, nur 3 Dinge:

- Druckscheibe nach Huggler

- BHR

- Mayo Kurzschaft

the better statistical and long time results have the BHR.

Alternativ sog. Umstellungsosteotomie. Gelenkerhaltender Eingriff würde hier

gemacht.

Gunnar, germ.

RE: It's a difficult decision at 30

I am 30 and my life expectancy is 40 years ahead (hopefully). And we know that

a THR can be done not more than 2 or 3 times at the most. Let's say each THR

lasts for 10 years (average), 3 x 10 = 30 and i am left with 10 years for the

resurfacing....

I know there are no proven research showing how long a resurfacing lasts, but

can any of you guys take a guess? or predict?Blue,

We all faced this same decision--to go with the devil you know vs. the devil

you don't. So far, the data is showing that resurfacing should far outlast

THR's. And if they don't, then your first THR is a primary THR. In the

meantime, you face little chance of dislocation and have very few restrictions

on your activities.

The women in my family live into their 90's, so even for me at 40, I was

trying to plan for the next 50-55 years, God willing. Not only do I have NO

regrets, I love my hips more each day. Mine are going on three years in a few

months, and things just keep getting better and better!

Cindy

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

_______________________________________________

February 10, 2004

There is at least one case of a M on M THR having already lasted 30 yrs

(details will be in the archive here - i think it was Dr de Smet or Mr

McMinn or Mr Treacy who x-rayed him the last year or 2 (the bloke was the

father of a resurfer).

So - it could be possible for a M on M resurface to also last a long

time....

To:

surfacehippy

cc:

Subject: It's a

difficult decision at 30

" Blue Moon "

bibix_lb@...>

10/02/2004 07:06

I don't know if you remember me. I posted few weeks ago.

I am suffering from an Osteoarthritis in both my hips since at least

2 years and i am only 30.

Thanks to you guys and to this group i have taken the final decision

of having a resurfacing which is a comon sense decision.

But now i am facing a mathematical equation.

I am 30 and my life expectancy is 40 years ahead (hopefully).

And we know that a THR can be done not more than 2 or 3 times at the

most.

Let's say each THR lasts for 10 years (average), 3 x 10 = 30 and i

am left with 10 years for the resurfacing.... BUT that is if i can

have 3 THR.

.... you see where i am getting at?

I know there are no proven research showing how long a resurfacing

lasts, but can any of you guys take a guess? or predict?

Mind you, it's a difficult decision but i have taken it already.

Thanks,

blue

February 10, 2004

There is at least one case of a M on M THR having already lasted 30 yrs

(details will be in the archive here - i think it was Dr de Smet or Mr

McMinn or Mr Treacy who x-rayed him the last year or 2 (the bloke was the

father of a resurfer).

So - it could be possible for a M on M resurface to also last a long

time....

To:

surfacehippy

cc:

Subject: It's a

difficult decision at 30

" Blue Moon "

bibix_lb@...>

10/02/2004 07:06

I don't know if you remember me. I posted few weeks ago.

I am suffering from an Osteoarthritis in both my hips since at least

2 years and i am only 30.

Thanks to you guys and to this group i have taken the final decision

of having a resurfacing which is a comon sense decision.

But now i am facing a mathematical equation.

I am 30 and my life expectancy is 40 years ahead (hopefully).

And we know that a THR can be done not more than 2 or 3 times at the

most.

Let's say each THR lasts for 10 years (average), 3 x 10 = 30 and i

am left with 10 years for the resurfacing.... BUT that is if i can

have 3 THR.

.... you see where i am getting at?

I know there are no proven research showing how long a resurfacing

lasts, but can any of you guys take a guess? or predict?

Mind you, it's a difficult decision but i have taken it already.

Thanks,

blue

February 10, 2004

There is at least one case of a M on M THR having already lasted 30 yrs

(details will be in the archive here - i think it was Dr de Smet or Mr

McMinn or Mr Treacy who x-rayed him the last year or 2 (the bloke was the

father of a resurfer).

So - it could be possible for a M on M resurface to also last a long

time....

To:

surfacehippy

cc:

Subject: It's a

difficult decision at 30

" Blue Moon "

bibix_lb@...>

10/02/2004 07:06

I don't know if you remember me. I posted few weeks ago.

I am suffering from an Osteoarthritis in both my hips since at least

2 years and i am only 30.

Thanks to you guys and to this group i have taken the final decision

of having a resurfacing which is a comon sense decision.

But now i am facing a mathematical equation.

I am 30 and my life expectancy is 40 years ahead (hopefully).

And we know that a THR can be done not more than 2 or 3 times at the

most.

Let's say each THR lasts for 10 years (average), 3 x 10 = 30 and i

am left with 10 years for the resurfacing.... BUT that is if i can

have 3 THR.

.... you see where i am getting at?

I know there are no proven research showing how long a resurfacing

lasts, but can any of you guys take a guess? or predict?

Mind you, it's a difficult decision but i have taken it already.

Thanks,

blue

February 10, 2004

Hi

I asked Mr Treacy that question - 'any idea how long my resurfaced

hip might last?' - and he just shrugged. The thing is, even if it

only lasts 10 years you're still ahead of the game. Also as the

resurf will let you be very active you'll be building up that bone

density so that when / if you need a revision it will be placed in

relatively strong bone stock.

Good luck

Kathy

> I don't know if you remember me. I posted few weeks ago.

> I am suffering from an Osteoarthritis in both my hips since at

least

> 2 years and i am only 30.

>

> Thanks to you guys and to this group i have taken the final

decision

> of having a resurfacing which is a comon sense decision.

>

> But now i am facing a mathematical equation.

> I am 30 and my life expectancy is 40 years ahead (hopefully).

> And we know that a THR can be done not more than 2 or 3 times at

the

> most.

> Let's say each THR lasts for 10 years (average), 3 x 10 = 30 and i

> am left with 10 years for the resurfacing.... BUT that is if i can

> have 3 THR.

>

> ... you see where i am getting at?

>

> I know there are no proven research showing how long a resurfacing

> lasts, but can any of you guys take a guess? or predict?

>

> Mind you, it's a difficult decision but i have taken it already.

>

> Thanks,

> blue

February 10, 2004

Hi

I asked Mr Treacy that question - 'any idea how long my resurfaced

hip might last?' - and he just shrugged. The thing is, even if it

only lasts 10 years you're still ahead of the game. Also as the

resurf will let you be very active you'll be building up that bone

density so that when / if you need a revision it will be placed in

relatively strong bone stock.

Good luck

Kathy

> I don't know if you remember me. I posted few weeks ago.

> I am suffering from an Osteoarthritis in both my hips since at

least

> 2 years and i am only 30.

>

> Thanks to you guys and to this group i have taken the final

decision

> of having a resurfacing which is a comon sense decision.

>

> But now i am facing a mathematical equation.

> I am 30 and my life expectancy is 40 years ahead (hopefully).

> And we know that a THR can be done not more than 2 or 3 times at

the

> most.

> Let's say each THR lasts for 10 years (average), 3 x 10 = 30 and i

> am left with 10 years for the resurfacing.... BUT that is if i can

> have 3 THR.

>

> ... you see where i am getting at?

>

> I know there are no proven research showing how long a resurfacing

> lasts, but can any of you guys take a guess? or predict?

>

> Mind you, it's a difficult decision but i have taken it already.

>

> Thanks,

> blue

February 10, 2004

I have an in-law with a metal-on-polyethylene THR that has lasted over

30 years (not that I would recommend you go with that). Metal on

Metal should last even longer.

Let's break down the equation:

M-o-M bearing surfaces are the same for THR or Resurf so they

(theoretically) should have the same useful life. Resurf (by virtue

of preserving more bone) gives a better chance for a successful

revision (if needed) = advantage resurf.

The upper part (acetabular shell) is the same for THR or Resurf. If

one works the other should work. Tie goes to resurf for the same

reason as above.

The significant difference is in the femoral component. As mentioned

above, the bearing surface should not be the problem. The real

problem area is the attachment of the femoral ball to your femur. If

that lasts, you're in luck. If it doesn't, the likely option will be

revision (THR). Whatever time the resurf lasts is added to the likely

useful life of the THR. Also, the resurf may buy you time during

which technology will improve (it has improved dramatically in just

the last 10 years).

I think you go for the resurf if you can.

> There is at least one case of a M on M THR having already lasted 30

yrs

> (details will be in the archive here - i think it was Dr de Smet or

Mr

> McMinn or Mr Treacy who x-rayed him the last year or 2 (the bloke

was the

> father of a resurfer).

>

> So - it could be possible for a M on M resurface to also last a long

> time....

>

> To:

surfacehippy

> cc:

> Subject:

It's a difficult decision at 30

>

> " Blue Moon "

>

> 10/02/2004 07:06

>

> I don't know if you remember me. I posted few weeks ago.

> I am suffering from an Osteoarthritis in both my hips since at least

> 2 years and i am only 30.

>

> Thanks to you guys and to this group i have taken the final decision

> of having a resurfacing which is a comon sense decision.

>

> But now i am facing a mathematical equation.

> I am 30 and my life expectancy is 40 years ahead (hopefully).

> And we know that a THR can be done not more than 2 or 3 times at the

> most.

> Let's say each THR lasts for 10 years (average), 3 x 10 = 30 and i

> am left with 10 years for the resurfacing.... BUT that is if i can

> have 3 THR.

>

> ... you see where i am getting at?

>

> I know there are no proven research showing how long a resurfacing

> lasts, but can any of you guys take a guess? or predict?

>

> Mind you, it's a difficult decision but i have taken it already.

>

> Thanks,

> blue

>

February 10, 2004

The theoretical wear models are extremely upbeat for resurf longevity.

Ask Koen de Smet what his projections are based on his vast experience

with these. I expect my wife will be able to use mine as Christmas

tree ornaments when I'm finally recycled and I'll be 57 next month!

Most importantly, you'll be able to enjoy a normal existence now with

minimal risk for future. As you said, you've made your decision. I'm

confident you've made the right one!

Regards,

Dr Steve Vince

Bilat BHR De Smet Jan 6, 2004

> I don't know if you remember me. I posted few weeks ago.

> I am suffering from an Osteoarthritis in both my hips since at least

> 2 years and i am only 30.

>

> Thanks to you guys and to this group i have taken the final decision

> of having a resurfacing which is a comon sense decision.

>

> But now i am facing a mathematical equation.

> I am 30 and my life expectancy is 40 years ahead (hopefully).

> And we know that a THR can be done not more than 2 or 3 times at the

> most.

> Let's say each THR lasts for 10 years (average), 3 x 10 = 30 and i

> am left with 10 years for the resurfacing.... BUT that is if i can

> have 3 THR.

>

> ... you see where i am getting at?

>

> I know there are no proven research showing how long a resurfacing

> lasts, but can any of you guys take a guess? or predict?

>

> Mind you, it's a difficult decision but i have taken it already.

>

> Thanks,

> blue

February 10, 2004

I am 30 years old and suffer from arthritus in my right hip. I'm currently

waiting for approvals to have a resurf done. My doctor is going to use the

wright implant that uses the came cup as there THR. So if I latter on need a THR

they wont have to replace the cup, also if that wears out the ball and liner of

the cup only is replaced allowing them to not have to replace the stem.

February 10, 2004

I am 30 years old and suffer from arthritus in my right hip. I'm currently

waiting for approvals to have a resurf done. My doctor is going to use the

wright implant that uses the came cup as there THR. So if I latter on need a THR

they wont have to replace the cup, also if that wears out the ball and liner of

the cup only is replaced allowing them to not have to replace the stem.

February 10, 2004

I am 30 years old and suffer from arthritus in my right hip. I'm currently

waiting for approvals to have a resurf done. My doctor is going to use the

wright implant that uses the came cup as there THR. So if I latter on need a THR

they wont have to replace the cup, also if that wears out the ball and liner of

the cup only is replaced allowing them to not have to replace the stem.

February 10, 2004

I am the resurfer whose father who has now put 31 years on his pair

of large diameter metal on metal THRs. They are still fine.

Also, I posted a few weeks ago (message 22093) recent emails from two

of the case studies on the MMT website. They are now nine years on

from surgery. One is the World Singles and Mens Doubles Badminton

champion in his age group and the other is an active fell runner.

They are both still delighted with their BHRs.

The third is still a competitive judo fighter.

This does not guarantee that everyone's resurfacings are going to

last for ever, but it does establish that even with a very high level

of exercise the devices are capable of lasting nine years.

The results seem so good at this stage that I find it hard to believe

that the average life is going to be worse than 15 years.

Regards,

Vale

BHR, McMinn Nov 1999

> There is at least one case of a M on M THR having already lasted 30

yrs

> (details will be in the archive here - i think it was Dr de Smet or

Mr

> McMinn or Mr Treacy who x-rayed him the last year or 2 (the bloke

was the

> father of a resurfer).

>

> So - it could be possible for a M on M resurface to also last a long

> time....

>

> To:

surfacehippy

>

cc:

> Subject:

It's a difficult decision at

30

>

> " Blue

Moon "

>

> 10/02/2004

07:06

>

> I don't know if you remember me. I posted few weeks ago.

> I am suffering from an Osteoarthritis in both my hips since at least

> 2 years and i am only 30.

>

> Thanks to you guys and to this group i have taken the final decision

> of having a resurfacing which is a comon sense decision.

>

> But now i am facing a mathematical equation.

> I am 30 and my life expectancy is 40 years ahead (hopefully).

> And we know that a THR can be done not more than 2 or 3 times at the

> most.

> Let's say each THR lasts for 10 years (average), 3 x 10 = 30 and i

> am left with 10 years for the resurfacing.... BUT that is if i can

> have 3 THR.

>

> ... you see where i am getting at?

>

> I know there are no proven research showing how long a resurfacing

> lasts, but can any of you guys take a guess? or predict?

>

> Mind you, it's a difficult decision but i have taken it already.

>

> Thanks,

> blue

>

February 10, 2004

There is a family friend who has had 8 THRs (4 in each hip), so it is possible

to have more than 3 THRs in a lifetime. He's about 75 right now. He had his

first THR when he was about 30.

From: Blue Moon

To: surfacehippy

Date: Tue, 10 Feb 2004 07:06:25 -0000

Subject: It's a difficult decision at 30

_______________________________________________

No banners. No pop-ups. No kidding.

Introducing My Way - http://www.myway.com

February 10, 2004

There is a family friend who has had 8 THRs (4 in each hip), so it is possible

to have more than 3 THRs in a lifetime. He's about 75 right now. He had his

first THR when he was about 30.

From: Blue Moon

To: surfacehippy

Date: Tue, 10 Feb 2004 07:06:25 -0000

Subject: It's a difficult decision at 30

_______________________________________________

No banners. No pop-ups. No kidding.

Introducing My Way - http://www.myway.com

February 10, 2004

There is a family friend who has had 8 THRs (4 in each hip), so it is possible

to have more than 3 THRs in a lifetime. He's about 75 right now. He had his

first THR when he was about 30.

From: Blue Moon

To: surfacehippy

Date: Tue, 10 Feb 2004 07:06:25 -0000

Subject: It's a difficult decision at 30

_______________________________________________

No banners. No pop-ups. No kidding.

Introducing My Way - http://www.myway.com

February 10, 2004

Hi,

My 2 cents worth is that there isn't a lot to be gained with looking at how

long you may want a prothesis to last and scarying yourself that the numbers

may go against you long term. Many things can conspire to go against us

long term and your hips could end up being the best part of

you.........smile.

All going well with the new hips you will be able to exercise properly and

take more care of your body than is possible with arthritis in both

hips......... If the worst comes to the worst there is life even with failed

THR's............ there is the wheel chair option and some exist quite

happily with only gristle for a joint............(one of my friends dad

lived out the last 15 yrs of his life quite actively like this living past

90). The most significant point will be that during the time you have your

prothesis you should be able to exercise and keep fit etc so that if wheel

chairs or no joint become the end result you should be able to cope

better.......... perish the thought but it is the reality if both

fail..........

I lived with a fused hip for 35 years......... getting the resurface was a

risk that just about every doctor I ever encountered vetoed until I met the

below one who correctly figured that the risks were not as great as had been

made out by 99% of other doctors. I had to realistically figure that they

could be right and I could end up with a big mess at 53 and that there would

be no option but a wheel chair. Sometimes you simply have to throw the dice

and take the chance.............. As far as I am concerned each day is now a

bonus and every year out of a wheel chair a joy.........

Edith LBRH Dr. L Walter Syd Aust 8/02

> I don't know if you remember me. I posted few weeks ago.

> I am suffering from an Osteoarthritis in both my hips since at least

> 2 years and i am only 30.

>

> Thanks to you guys and to this group i have taken the final decision

> of having a resurfacing which is a comon sense decision.

>

> But now i am facing a mathematical equation.

> I am 30 and my life expectancy is 40 years ahead (hopefully).

> And we know that a THR can be done not more than 2 or 3 times at the

> most.

> Let's say each THR lasts for 10 years (average), 3 x 10 = 30 and i

> am left with 10 years for the resurfacing.... BUT that is if i can

> have 3 THR.

>

> ... you see where i am getting at?

>

> I know there are no proven research showing how long a resurfacing

> lasts, but can any of you guys take a guess? or predict?

>

> Mind you, it's a difficult decision but i have taken it already.

>

> Thanks,

> blue

>

February 10, 2004