Re: Re: two weeks away

[Guest guest]

Mattosma:

Really appreciated your rationale on long term strategy. It makes sense. I like

you dont relish the thought of many surgeries ahead of me. Slightly ahead of you

in age 52. Your thinking is sound to me. appreciate your perspective.

Phil UK. On the bottom of the waiting list.

Re: two weeks away

You and I are similar. I am a 45-year old vascular surgeon still

very active, professionally and personally. I would like to avoid

surgery on my hip if possible (I can't), and I certainly would like

to avoid a second future hip surgery (not likely at my age and

activitie). Therefore I believe the long-term goal is find the best

combination of 2-3 procedures to treat my hip disease.

I believe that hip resurfacing (HRP) performed initially is the best

option. Long-term results beyond 10 years do not exist as of yet.

However, despite the lack of good long-term data I believe HRP will

provide me with optimal pain relief, the best anatomically correct

repair, greatest range of motion, greatest chance to resume any

and/or all athletic activities (if I so choose to do so), and the

ideal way to ensure that any future secondary or tertiary revision

hip surgery is made as simple and straightforward as possible.

If I need multiple surgeries I would rather hope that my hip surgery

history over the next 30-40 years look like this:

Primary HRP followed by a primary THR followed by a secondary

revision THR (if necessary). I believe that this is a much less

riskier surgical plan as compared to the more traditional surgical

approach of:

Primary THR followed by secondary revision THR followed by tertiary

revision THR. I do not know if this helps you at all but I know for

myself that the next 5-15 years are very important to me and I want

to be as " actively normal " as I can with little or no physical or

pain restrictions. I believe that HRP is the best method to

accomplish this goal.

Finally, it has been my experience in surgery that the patient who

can maintain a positive mindset before, during, and after surgey will

discovery that his/her recovery will be healthier, better tolerated,

and to some extent, less painful and shorter in perceived duration.

Good-luck to you. Keep me updated as you move along in your recovery.

Regards,

Mark

r

> > Hi Guys,

> > I'm two weeks away from my resurfacing, & trying to keep a

> good

> > attitude. Of course my hip pain has tried to go into hiding...but

> I

> > remember the dark days. I suppose I'm still clinging to the fear

> > that this whole procedure will be the start of a whole " series "

of

> > surgeries (although they will probably be 5-15 years

apart)....and

> > I'm only 44. Who knows, maybe I'll get 30 years out of this

> > resurfacing and all my fret will be for nothing. But the waiting

> is

> > the hard part...since it gives me time to think too much. Anyway,

> > I'm still a daily reader, so keep the happy endings coming.

> > Chris

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