Re: to all dysplasia people....please read...and anyone else who knows.

[Guest guest]

>

> what exactly is considered DYSPASIA??? at my last consult it was

> determined i had a slight leg length discrepancy that is probably the

> cause of my hip wearing out so young.

" Dysplasia " literally means " abnormal growth " or " abnormal development " .

Hip dysplasia is a condition where the socket (acetabulum)

is shallow and doesn't surround the head of the thigh bone (femur)

to the degree it does in a normal hip. As a result, the head of the

femur tends to " ride upward " out of the socket, especially under

load. People with dysplasia are prone to hip dislocation and

development of osteoarthritis. It can cause leg length discrepancies,

but so can a lot of other things.

It's more common in women than men.

If the dysplasia is too severe, then a standard acetabular cup can't be

used. The BHR has a special " dysplasia cup " which can be attached by

screws for this situation (as others have noted).

Have you been diagnosed with dysplasia?

Steve

[Guest guest]

>

> what exactly is considered DYSPASIA??? at my last consult it was

> determined i had a slight leg length discrepancy that is probably the

> cause of my hip wearing out so young.

" Dysplasia " literally means " abnormal growth " or " abnormal development " .

Hip dysplasia is a condition where the socket (acetabulum)

is shallow and doesn't surround the head of the thigh bone (femur)

to the degree it does in a normal hip. As a result, the head of the

femur tends to " ride upward " out of the socket, especially under

load. People with dysplasia are prone to hip dislocation and

development of osteoarthritis. It can cause leg length discrepancies,

but so can a lot of other things.

It's more common in women than men.

If the dysplasia is too severe, then a standard acetabular cup can't be

used. The BHR has a special " dysplasia cup " which can be attached by

screws for this situation (as others have noted).

Have you been diagnosed with dysplasia?

Steve

[Guest guest]

hi mary-

your description of leg length discrepency is very similar to mine.

my understanding of what dysplasia is, is that there is a deformity

in the bones of the hip joint. i think it can be either shallow hip sockets

that cause atypical wearing, or a mismatched shape of your femoral

head to the shape of your hip socket.

my understanding of the bhr " dysplasia cup " is that it has a screw that

let's the doctor anchor it to your pelvis if your hip socket seems too

shallow to hold the standard press-fit type cup.

if you send copies of your x-rays to any of these doctors, they can review

them and tell you if you have dysplasia and if you would still be a good

candidate for a resurfacing, i'm not sure about correcting length though.

i was diagnosed with mild dysplasia, i ended up with a standard bhr cup,

the doctor said it was not a problem.

i was also about 1 inch lower on my bad left side than my good right side

at a normal standing position.

i wore heal lifts for 5 years after a chiro-quack told me i had leg length

discrepency. it was only after i started having hip problems that i went

to a muscle manipulation specialist who measured my legs from a

sitting position and showed me they were the same length.

the apparent difference was because my posture was incorrect and i had

developed a twisted and tilted pelvis. the heal lifts only encouraged me to

hold an incorrect posture. i lost the heal lifts at his request.

now, 7 weeks after surgery, i look in the mirror and my hips are riding

about as level as i could imagine. my tight thigh and lower back muscles

are reversing and now i have more flexibility than i've had in years.

good luck, i hope my rambling is useful to you.

jeff

lbhr/desmet/11-19-03

to all dysplasia people....please read...and anyone

else who knows.

what exactly is considered DYSPASIA??? at my last consult it was

determined i had a slight leg length discrepancy that is probably the

cause of my hip wearing out so young. i grew a whopping 6 and 1/2

inches to 5'9'' in summer between the third and fourth grade..just

the summer..and then topped out at 5'11'' at maturity. i figure my

problems started there. because of this, and from that point on in

my life my mother recalls having to hem my clothing from the ground

up to get a level hem all the way around..instead of being able to do

it the easy way from the waist down. nothing was ever easy with me,

i guess. she remembers this differnce to be about a half inch and a

later in life accident that sent me to a chiropractor for relief

resulted in the chiropractor noticing that one of my hips was 5/8''

higher than the other and he leveled me out with a heel lift inside

my shoe that i have to admit i abandoned until my pain of hip

degeneration began..for a few months the heel lift helped again, but

then the pain again got worse and now i am at this point...needing

surgery.

at my OS consult for a conserve plus device the OS said that he

doesn't really think i should CHANGE that leg length discrepancy at

this point in time in my life as maybe the rest of my skeletal

structure is well adjusted to the discrepancy and lengthening it

could result in bigger problems or the feeling that one leg is WAY

longer than the other, forever.

here's my question for anyone that has been to de smet with dysplasia

problems. is that dysplasia??? and if so..did they wind up with a

dysplasia cup??? if that IS what is considered dysplasia...please

let me know the extent of your dysplasia...and if you have seen any

doc's in the US who CANNOT correct leg length discrepancy with the

two devices used here (which they can't, if they are congenital and

within slight reason)

my doc says i have to be prepared for a THR in the event that my leg

length is one that SHOULD be corrected...does de smet's BHR dyplasia

cup address my problem???

i am beside myself with fear that the wrong OS choice because of the

device limitations here may cause me to wake up with a THR...as i am

still willing to go to belgium if that is what might make the

difference.. " the adjustability " of the BHR. and..IS that REALLY the

kind of adjustability i am assuming it is???

MLW

needing a left and maybe a right down the road.

[Guest guest]

hi mary-

your description of leg length discrepency is very similar to mine.

my understanding of what dysplasia is, is that there is a deformity

in the bones of the hip joint. i think it can be either shallow hip sockets

that cause atypical wearing, or a mismatched shape of your femoral

head to the shape of your hip socket.

my understanding of the bhr " dysplasia cup " is that it has a screw that

let's the doctor anchor it to your pelvis if your hip socket seems too

shallow to hold the standard press-fit type cup.

if you send copies of your x-rays to any of these doctors, they can review

them and tell you if you have dysplasia and if you would still be a good

candidate for a resurfacing, i'm not sure about correcting length though.

i was diagnosed with mild dysplasia, i ended up with a standard bhr cup,

the doctor said it was not a problem.

i was also about 1 inch lower on my bad left side than my good right side

at a normal standing position.

i wore heal lifts for 5 years after a chiro-quack told me i had leg length

discrepency. it was only after i started having hip problems that i went

to a muscle manipulation specialist who measured my legs from a

sitting position and showed me they were the same length.

the apparent difference was because my posture was incorrect and i had

developed a twisted and tilted pelvis. the heal lifts only encouraged me to

hold an incorrect posture. i lost the heal lifts at his request.

now, 7 weeks after surgery, i look in the mirror and my hips are riding

about as level as i could imagine. my tight thigh and lower back muscles

are reversing and now i have more flexibility than i've had in years.

good luck, i hope my rambling is useful to you.

jeff

lbhr/desmet/11-19-03

to all dysplasia people....please read...and anyone

else who knows.

what exactly is considered DYSPASIA??? at my last consult it was

determined i had a slight leg length discrepancy that is probably the

cause of my hip wearing out so young. i grew a whopping 6 and 1/2

inches to 5'9'' in summer between the third and fourth grade..just

the summer..and then topped out at 5'11'' at maturity. i figure my

problems started there. because of this, and from that point on in

my life my mother recalls having to hem my clothing from the ground

up to get a level hem all the way around..instead of being able to do

it the easy way from the waist down. nothing was ever easy with me,

i guess. she remembers this differnce to be about a half inch and a

later in life accident that sent me to a chiropractor for relief

resulted in the chiropractor noticing that one of my hips was 5/8''

higher than the other and he leveled me out with a heel lift inside

my shoe that i have to admit i abandoned until my pain of hip

degeneration began..for a few months the heel lift helped again, but

then the pain again got worse and now i am at this point...needing

surgery.

at my OS consult for a conserve plus device the OS said that he

doesn't really think i should CHANGE that leg length discrepancy at

this point in time in my life as maybe the rest of my skeletal

structure is well adjusted to the discrepancy and lengthening it

could result in bigger problems or the feeling that one leg is WAY

longer than the other, forever.

here's my question for anyone that has been to de smet with dysplasia

problems. is that dysplasia??? and if so..did they wind up with a

dysplasia cup??? if that IS what is considered dysplasia...please

let me know the extent of your dysplasia...and if you have seen any

doc's in the US who CANNOT correct leg length discrepancy with the

two devices used here (which they can't, if they are congenital and

within slight reason)

my doc says i have to be prepared for a THR in the event that my leg

length is one that SHOULD be corrected...does de smet's BHR dyplasia

cup address my problem???

i am beside myself with fear that the wrong OS choice because of the

device limitations here may cause me to wake up with a THR...as i am

still willing to go to belgium if that is what might make the

difference.. " the adjustability " of the BHR. and..IS that REALLY the

kind of adjustability i am assuming it is???

MLW

needing a left and maybe a right down the road.

[Guest guest]

I was born with dysplasia in my left hip and struggled since the age

of 18. I received a femoral osteotomy at the age of 37 so that after

a resurface my leg length would be the same. This has been successful

and I am now 15 months post op BHR with even leg length. I did not

need the dysplasia screws although this may have been an option if

required. My ops were in Melbourne, Australia and my OS is

Young.

Dasher

Osteotomy Nov 2001

LBHR Oct 2002

Melbourne, Australia - D Young