Re: Spirited Debate, Facts and Opinions

[Guest guest]

I seem to recall that Dr. Gross told me he would use a Corin M-o-M THR

with a 38 mm head if, for any reason, he could not do a resurf. He

was confident he could do the resurf but I insisted on discussing the

options if he could not. He did the resurf and I have a 48mm/54mm

Cormet 2000.

I recall Dr. Gross saying he couldn't use a larger device (than 38mm)

for the THR because of FDA issues - I think he said the larger head

Corin THR system was not FDA approved.

(47)

RC2K Dr. Gross 3/24/04

> > > > > Most you have seen me post here before. I have made no

> secret

> > > that

> > > > I

> > > > > have a relationship with Medical and have tried my

> best

> > > to

> > > > > not " ra ra " my product or any one Surgeon over another. I

> > > joined

> > > > > this group because I believe that resurfacing is the future

> of

> > > > total

> > > > > joints and thought that my " insider " knowledge may be of use

> > to

> > > > > some. The people that I work with are ALWAYS amazed how

> much

> > > the

> > > > > members of this board know and understand about resurfacing

> > and

> > > THR

> > > > > in general. You are without a doubt the most prepared

> > patients

> > > any

> > > > > surgeon would ever meet.

> > > > >

> > > > > Over the past few days, I have read some of the most

> > aggressive

> > > and

> > > > > non hippielike posts ever seen on this site. In the past, I

> > has

> > > > all

> > > > > been about resurfacing vs those non believers. Now, it

> seems

> > to

> > > > have

> > > > > spun into people taking shots at devices and surgeons. I

> was

> > > > > concerned that as FDA approval approached, things would

> start

> > to

> > > > heat

> > > > > up.

> > > > >

> > > > > One has to understand that this technology does represent a

> > > change

> > > > in

> > > > > the status quo of the U.S. orthopaedic world. The success

> of

> > > this

> > > > > type of product in Europe and the positive trials being

> > > conducted

> > > > by

> > > > > and Corin here in the states have awakend a sleeping

> > > > industry.

> > > > > It has been reported that " every " yes I said " every " major

> > > > > manufacturer of Orthopaedics in the U.S. is either buying

> > > current

> > > > > technology or rushing to get to the start of a clinical

> trial.

> > > > >

> > > > > I would suggest that disinformation campaigns will only get

> > > worse

> > > > as

> > > > > time moves along. I also would suggest that you all take

> some

> > > > > postings with a grain of salt. This web site is no secret

> to

> > > those

> > > > > throughout the industry.

> > > > >

> > > > > Here are the facts as they stand today. There are 3 major

> > > > > resurfacing components available today. Those are the BHR,

> > C2K,

> > > > and

> > > > > the C+. The components are very similiar and the

> > > instrumentation

> > > > is

> > > > > also nearly identical. Medical was first to trial in

> > the

> > > > U.S.

> > > > > and will most likely be the first apporoved by the FDA.

> Corin

> > > will

> > > > > be next and everyone else will try to leverage approval from

> > > those

> > > > > two successes.

> > > > >

> > > > > There will be adaptations and improvements to components and

> > > > > instrumentation as time goes along. The next wave will most

> > > likely

> > > > > be more cup options and better instrumentation for minimally

> > > > invasive

> > > > > surgical techniques. These will allow for less scaring and

> > > faster

> > > > > over all healing.

> > > > >

> > > > > The true difference now is in the Surgeon's experience and

> > > comfort

> > > > > level with the instruments and implants. Those in Europe

> have

> > > had

> > > > > approval for a long time and prohably have the most

> experience

> > > of

> > > > any

> > > > > group of surgeons.

> > > > >

> > > > > Here in the U.S. the clear leader is Dr. Amstuz with well

> over

> > > 800

> > > > > implanted on the west coast. The east coast has Dr.

> > > Mont

> > > > > with nearly 300 successful proceedures and a reputation for

> > > taking

> > > > on

> > > > > tough cases. That leaves eight other C+ sites with varing

> > > degrees

> > > > of

> > > > > experience. I dont know their actual numbers and dont

> intend

> > > to

> > > > > minimize their contribution, but I do not want to fabricate

> > > > anything

> > > > > either.

> > > > >

> > > > > I cannot speak for Corin, but I am sure that someone on this

> > > board

> > > > > can tell us who their most experienced surgeons are.

> > > > >

> > > > > Twenty years from now, we can sit back and tell our

> > > Grandchildren

> > > > > that we were there when it all started.

> > > > >

> > > > > Dave

> > > >

> > > > Hi Dave,

> > > > Thanks for the post. I appreciate your honesty. I also

> believe

> > > that

> > > > everytime you place a post on this website you should make it

> > > > absolutely clear to the readers of this website that you have

> a

> > > > conflict of interest and infuse some bias into your comments

> > > simply

> > > > due to the fact that you work for Medical. I believe

> > that

> > > if

> > > > you wish to stay unbiased all comments regarding the benefits

> of

> > > > Medical hip resurfacing should be avoided - that is

> > unless

> > > you

> > > > are willing to release perioperative, short, intermediate, and

> > > long-

> > > > term data regarding outcomes as well as complication types and

> > > rates

> > > > associated with your device. I also believe that it is

> > > inappropriate

> > > > for you to commment either directly or indirectly about other

> > hip

> > > > resurfacing devices unless: a.) You work for the other

> > respective

> > > > companies, b.) Have receiving hip resurfacing procedure done

> > with

> > > the

> > > > other devices, or c.)Have access to the results of studies

> > > performed

> > > > with other devices. However having said that I still

> appreciate

> > > the

> > > > general information you provide about hip resurfacing and

> would

> > > > welcome your continued input.

> > > > Regards,

> > > > Dr. Mark

> > > >

> > > >

> > > >