Re: Ok, but how long does resurfacing last with AVN?

[Guest guest]

Marie

Since I've been on this site (3 years) there have been a largish number of

resurfacing done with AVN patients. It depends on the state of your bone

structure whether or not you'll get an OS to give you resurfacing. As I'm

sure there will be replies from people with first hand knowledge, I'll bow

out but I'll repeat that you were not told the truth.

Rog BHR both hips 2001 Ronan Treacy

Ok, but how long does resurfacing last with AVN?

> Hi again, I wrote that original question about how long resurfacing

> lasts. I'm as suspicious as the next person when a sales rep whose

> company does not even carry the product tells me it's sub-optimal.

> In my first message about this, I forgot to mention in my first

> message that I have AVN in addition to my OA (luckily, unilateral). I

> have one of those idiopathic cases, so we don't expect me to get AVN

> anywhere else.

>

> I wonder if this rep looked up stats with resurfacing and AVN. I've

> read that it is predicted not to last as long with AVN as with OA. I

> just have not seen actual time estimates. My OS says that when he

> opens up my hip he'll see how deteriorated it is and depending on how

> much of my femur head has collapsed (it's probably about 35-40%), it's

> possible that I won't be a candidate for resurfacing. He said that

> there is a large " gray area " as to whether to try it or not if it's in

> moderately bad shape. Apparently it will require more bone glue if

> the is less good bone to work with. I told him that if it can buy me

> even 5 years before THR, it seems worth trying.

>

> So, does anyone know how long it might last, given that I have AVN?

>

> Marie

>

>

>

>

>

>

[Guest guest]

I would think it would be almost impossible to predict - it would

depend on how " bad " it was, how fast it was progressing . . . lots of

factors.

(47)

RC2K Dr. Gross 3/24/04

> Hi again, I wrote that original question about how long resurfacing

> lasts. I'm as suspicious as the next person when a sales rep whose

> company does not even carry the product tells me it's sub-optimal.

> In my first message about this, I forgot to mention in my first

> message that I have AVN in addition to my OA (luckily, unilateral). I

> have one of those idiopathic cases, so we don't expect me to get AVN

> anywhere else.

>

> I wonder if this rep looked up stats with resurfacing and AVN. I've

> read that it is predicted not to last as long with AVN as with OA. I

> just have not seen actual time estimates. My OS says that when he

> opens up my hip he'll see how deteriorated it is and depending on how

> much of my femur head has collapsed (it's probably about 35-40%), it's

> possible that I won't be a candidate for resurfacing. He said that

> there is a large " gray area " as to whether to try it or not if it's in

> moderately bad shape. Apparently it will require more bone glue if

> the is less good bone to work with. I told him that if it can buy me

> even 5 years before THR, it seems worth trying.

>

> So, does anyone know how long it might last, given that I have AVN?

>

> Marie

[Guest guest]

I would think it would be almost impossible to predict - it would

depend on how " bad " it was, how fast it was progressing . . . lots of

factors.

(47)

RC2K Dr. Gross 3/24/04

> Hi again, I wrote that original question about how long resurfacing

> lasts. I'm as suspicious as the next person when a sales rep whose

> company does not even carry the product tells me it's sub-optimal.

> In my first message about this, I forgot to mention in my first

> message that I have AVN in addition to my OA (luckily, unilateral). I

> have one of those idiopathic cases, so we don't expect me to get AVN

> anywhere else.

>

> I wonder if this rep looked up stats with resurfacing and AVN. I've

> read that it is predicted not to last as long with AVN as with OA. I

> just have not seen actual time estimates. My OS says that when he

> opens up my hip he'll see how deteriorated it is and depending on how

> much of my femur head has collapsed (it's probably about 35-40%), it's

> possible that I won't be a candidate for resurfacing. He said that

> there is a large " gray area " as to whether to try it or not if it's in

> moderately bad shape. Apparently it will require more bone glue if

> the is less good bone to work with. I told him that if it can buy me

> even 5 years before THR, it seems worth trying.

>

> So, does anyone know how long it might last, given that I have AVN?

>

> Marie

[Guest guest]

Marie, I was told by one orthopod that AVN (osteonecrosis) is the

only condition that he would recommend hemi-surface but without the

acetabular cap. Also the JRI " Manual for Prospective Patients "

refers to it on pg 7.

You are on the right track by doing the research and asking the

questions.

Pamela

2C+ 5/10/04 Dr. S

[Guest guest]

Marie, I was told by one orthopod that AVN (osteonecrosis) is the

only condition that he would recommend hemi-surface but without the

acetabular cap. Also the JRI " Manual for Prospective Patients "

refers to it on pg 7.

You are on the right track by doing the research and asking the

questions.

Pamela

2C+ 5/10/04 Dr. S

[Guest guest]

Hey Marie! I'm 51, pre-surgery, and have basically already been

through everything you're going through right now. My question is

this...are you absolutely sure you have AVN? Have you had an MRI? I

ask this because my original x-rays suggested AVN (and I worried and

worried about it) but a follow-up MRI and follow up x-rays proved

that I did NOT have AVN. Apparently it was just a shadow on that

first x-ray. ...even so, I'll chime in with all the others on this

site...I've heard of many folks who have had re-surf's with AVN.

Susie in Memphis

> Hi again, I wrote that original question about how long resurfacing

> lasts. I'm as suspicious as the next person when a sales rep whose

> company does not even carry the product tells me it's sub-optimal.

> In my first message about this, I forgot to mention in my first

> message that I have AVN in addition to my OA (luckily,

unilateral). I

> have one of those idiopathic cases, so we don't expect me to get AVN

> anywhere else.

>

> I wonder if this rep looked up stats with resurfacing and AVN. I've

> read that it is predicted not to last as long with AVN as with OA. I

> just have not seen actual time estimates. My OS says that when he

> opens up my hip he'll see how deteriorated it is and depending on

how

> much of my femur head has collapsed (it's probably about 35-40%),

it's

> possible that I won't be a candidate for resurfacing. He said that

> there is a large " gray area " as to whether to try it or not if it's

in

> moderately bad shape. Apparently it will require more bone glue if

> the is less good bone to work with. I told him that if it can buy

me

> even 5 years before THR, it seems worth trying.

>

> So, does anyone know how long it might last, given that I have AVN?

>

> Marie

[Guest guest]

Hey Marie! I'm 51, pre-surgery, and have basically already been

through everything you're going through right now. My question is

this...are you absolutely sure you have AVN? Have you had an MRI? I

ask this because my original x-rays suggested AVN (and I worried and

worried about it) but a follow-up MRI and follow up x-rays proved

that I did NOT have AVN. Apparently it was just a shadow on that

first x-ray. ...even so, I'll chime in with all the others on this

site...I've heard of many folks who have had re-surf's with AVN.

Susie in Memphis

> Hi again, I wrote that original question about how long resurfacing

> lasts. I'm as suspicious as the next person when a sales rep whose

> company does not even carry the product tells me it's sub-optimal.

> In my first message about this, I forgot to mention in my first

> message that I have AVN in addition to my OA (luckily,

unilateral). I

> have one of those idiopathic cases, so we don't expect me to get AVN

> anywhere else.

>

> I wonder if this rep looked up stats with resurfacing and AVN. I've

> read that it is predicted not to last as long with AVN as with OA. I

> just have not seen actual time estimates. My OS says that when he

> opens up my hip he'll see how deteriorated it is and depending on

how

> much of my femur head has collapsed (it's probably about 35-40%),

it's

> possible that I won't be a candidate for resurfacing. He said that

> there is a large " gray area " as to whether to try it or not if it's

in

> moderately bad shape. Apparently it will require more bone glue if

> the is less good bone to work with. I told him that if it can buy

me

> even 5 years before THR, it seems worth trying.

>

> So, does anyone know how long it might last, given that I have AVN?

>

> Marie

[Guest guest]

Marie,

I definitely did have AVN before my resurf in March of 2002 with

DeSmet. It did not show up on the X-Rays, but when he opened me up

he found a fairly bad case--- probably the result of high doses of

oral prednisone I had to take for an asthma condition.

Anyway, Dr. DeSmet went ahead with the resurf. He commented at the

time that some surgeons might have gone with a THR after seeing the

status of my femur, but that he felt confident a resurf would work.

He told me that the AVN should not pose any long term problems since

it was a problem only at the end of the femur and that part had been

removed-- giving me the impression that AVN is a localized disorder

and doesn't " regrow " once it has been removed. I hope this is the

case.

One point I must add is that in recent weeks I have felt some

tightness and discomfort in my hip. (I posted about this) I have an

appointment for next Thursday with a local orthopod to get some X-

Rays which I will send to Dr. D. Hopefully there is nothing wrong,

but I will post what is found.

Schiller

RBHR DeSmet 3/12/02

surfacehippy , " hipcnm " wrote:

> Hi again, I wrote that original question about how long resurfacing

> lasts. I'm as suspicious as the next person when a sales rep whose

> company does not even carry the product tells me it's sub-optimal.

> In my first message about this, I forgot to mention in my first

> message that I have AVN in addition to my OA (luckily,

unilateral). I

> have one of those idiopathic cases, so we don't expect me to get AVN

> anywhere else.

>

> I wonder if this rep looked up stats with resurfacing and AVN. I've

> read that it is predicted not to last as long with AVN as with OA. I

> just have not seen actual time estimates. My OS says that when he

> opens up my hip he'll see how deteriorated it is and depending on

how

> much of my femur head has collapsed (it's probably about 35-40%),

it's

> possible that I won't be a candidate for resurfacing. He said that

> there is a large " gray area " as to whether to try it or not if it's

in

> moderately bad shape. Apparently it will require more bone glue if

> the is less good bone to work with. I told him that if it can buy

me

> even 5 years before THR, it seems worth trying.

>

> So, does anyone know how long it might last, given that I have AVN?

>

> Marie

[Guest guest]

I have AVN and had a resuface on 3/5/04. There was a definite

collapse, but they were still able to do the resurface. So far, so

good.

Beaule C+ 3/5/04

> Hi again, I wrote that original question about how long resurfacing

> lasts. I'm as suspicious as the next person when a sales rep whose

> company does not even carry the product tells me it's sub-optimal.

> In my first message about this, I forgot to mention in my first

> message that I have AVN in addition to my OA (luckily,

unilateral). I

> have one of those idiopathic cases, so we don't expect me to get AVN

> anywhere else.

>

> I wonder if this rep looked up stats with resurfacing and AVN. I've

> read that it is predicted not to last as long with AVN as with OA. I

> just have not seen actual time estimates. My OS says that when he

> opens up my hip he'll see how deteriorated it is and depending on

how

> much of my femur head has collapsed (it's probably about 35-40%),

it's

> possible that I won't be a candidate for resurfacing. He said that

> there is a large " gray area " as to whether to try it or not if it's

in

> moderately bad shape. Apparently it will require more bone glue if

> the is less good bone to work with. I told him that if it can buy

me

> even 5 years before THR, it seems worth trying.

>

> So, does anyone know how long it might last, given that I have AVN?

>

> Marie

[Guest guest]

Bastards...BC that is!\

Sorry, I couldn't resist, hippies! Just a lil' venting over here...

L

In surfacehippy , tim jones wrote:

> yeah they reccomend that because in most cases the natural

cartilage is undamaged ............. i reccomend the full. i got the

hemi cause beaule said i was a good candidate and bluecross will

cover that for some reason, but not full. but hopefully soon they

will.