Re: newbie w/ questions BHR vs. C+?, osteonecrosis etc...

[Guest guest]

Hi,

My 2c worth is you'll be pushing to get a Resurface with advanced

AVN........but only a good and highly experienced surgeon will be able to

tell you that one............ for it will depend on where the AVN is, why

etc............and only they will know those sorts of answers...........You

will see some reference to a Dr De Smet in Belgium - he seems to be happy to

communicate about such things - his email address regularly appears.

Re the first question...........BHR v C+ etc ............ once we argued

about which THR or THR v BHR, now we have a few resurface versions we can

now argue which one..........smile. For many a long year it will simply be

people wanting to argue for there is no data on twins having one each and

lasting 15 years.........

2. People appear to go to Europe from US because that country has a lot of

insurance hassles and few doctors doing resurface.......... the rest of us

are more fortunate and can stay in our own countries where this is readily

available and our insurance coys obviously not so troublesome..............

3. I intend to keep my resurface as long as possible but how one looks after

the bone stock and the original state of the bone stock matters here to some

extent........... your capacity to keep yours would be very much related to

what that AVN is all about and the possibilities of it

continuing............only a good bone specialist could answer that

one............

4. For more info on ceramic hips I suggest you try Totallyhip list - there

are people there regularly getting ceramic hips who will happily answer you

with why they went down that path............ I would also hazzard a guess

that ceramic hips may be getting suggested because some doctors fear ion

issues and pregnant women........... again nothing is proven and as far as

devices go, most last quite a long time these days, sadly it is the human

bones where they attach and situation surrounding, that brings most of us to

grief with needing revisions...............

Edith LBHR Dr. L Walter Syd Aust 8/02

>

> I am new to this group. I am 22 years old and i have avascular

> necrosis in my hip. I have been told its pretty late stage (IV) as it

> is already collapsed.

>

> I have been researching my options namely, a THR, and resurfacing. I

> just have some questions which i do hope you can help with:

>

> 1. I dont seem to understand what is a BHR vs. the C+ vs. other forms

> of resurfacing?

>

> 2. Is there a difference between the resurfacing in Europe vs. what

> is done in the United states?

>

> 3. Is it possible to do resurfacing in late stage AVN? Has anyone

> here have this done?

>

> 4. How long do resurfacing lasts? If you could share with me what

> your surgoens have told you it would be so much appreciated.

>

> 5. I know this is a resufacing group, but would anyone know about

> ceramic hip replacement, one ortho suggested i get one of those

> because it lasts long.

>

> I hope you dont mind my questions, I am just really trying to look

> for answers and i know how important it will be since i am very young

> and hope to live a full life.

>

> Thank you very much.

>

> Sincerley,

>

> Mina

[Guest guest]

Hi,

My 2c worth is you'll be pushing to get a Resurface with advanced

AVN........but only a good and highly experienced surgeon will be able to

tell you that one............ for it will depend on where the AVN is, why

etc............and only they will know those sorts of answers...........You

will see some reference to a Dr De Smet in Belgium - he seems to be happy to

communicate about such things - his email address regularly appears.

Re the first question...........BHR v C+ etc ............ once we argued

about which THR or THR v BHR, now we have a few resurface versions we can

now argue which one..........smile. For many a long year it will simply be

people wanting to argue for there is no data on twins having one each and

lasting 15 years.........

2. People appear to go to Europe from US because that country has a lot of

insurance hassles and few doctors doing resurface.......... the rest of us

are more fortunate and can stay in our own countries where this is readily

available and our insurance coys obviously not so troublesome..............

3. I intend to keep my resurface as long as possible but how one looks after

the bone stock and the original state of the bone stock matters here to some

extent........... your capacity to keep yours would be very much related to

what that AVN is all about and the possibilities of it

continuing............only a good bone specialist could answer that

one............

4. For more info on ceramic hips I suggest you try Totallyhip list - there

are people there regularly getting ceramic hips who will happily answer you

with why they went down that path............ I would also hazzard a guess

that ceramic hips may be getting suggested because some doctors fear ion

issues and pregnant women........... again nothing is proven and as far as

devices go, most last quite a long time these days, sadly it is the human

bones where they attach and situation surrounding, that brings most of us to

grief with needing revisions...............

Edith LBHR Dr. L Walter Syd Aust 8/02

>

> I am new to this group. I am 22 years old and i have avascular

> necrosis in my hip. I have been told its pretty late stage (IV) as it

> is already collapsed.

>

> I have been researching my options namely, a THR, and resurfacing. I

> just have some questions which i do hope you can help with:

>

> 1. I dont seem to understand what is a BHR vs. the C+ vs. other forms

> of resurfacing?

>

> 2. Is there a difference between the resurfacing in Europe vs. what

> is done in the United states?

>

> 3. Is it possible to do resurfacing in late stage AVN? Has anyone

> here have this done?

>

> 4. How long do resurfacing lasts? If you could share with me what

> your surgoens have told you it would be so much appreciated.

>

> 5. I know this is a resufacing group, but would anyone know about

> ceramic hip replacement, one ortho suggested i get one of those

> because it lasts long.

>

> I hope you dont mind my questions, I am just really trying to look

> for answers and i know how important it will be since i am very young

> and hope to live a full life.

>

> Thank you very much.

>

> Sincerley,

>

> Mina

[Guest guest]

Hi,

My 2c worth is you'll be pushing to get a Resurface with advanced

AVN........but only a good and highly experienced surgeon will be able to

tell you that one............ for it will depend on where the AVN is, why

etc............and only they will know those sorts of answers...........You

will see some reference to a Dr De Smet in Belgium - he seems to be happy to

communicate about such things - his email address regularly appears.

Re the first question...........BHR v C+ etc ............ once we argued

about which THR or THR v BHR, now we have a few resurface versions we can

now argue which one..........smile. For many a long year it will simply be

people wanting to argue for there is no data on twins having one each and

lasting 15 years.........

2. People appear to go to Europe from US because that country has a lot of

insurance hassles and few doctors doing resurface.......... the rest of us

are more fortunate and can stay in our own countries where this is readily

available and our insurance coys obviously not so troublesome..............

3. I intend to keep my resurface as long as possible but how one looks after

the bone stock and the original state of the bone stock matters here to some

extent........... your capacity to keep yours would be very much related to

what that AVN is all about and the possibilities of it

continuing............only a good bone specialist could answer that

one............

4. For more info on ceramic hips I suggest you try Totallyhip list - there

are people there regularly getting ceramic hips who will happily answer you

with why they went down that path............ I would also hazzard a guess

that ceramic hips may be getting suggested because some doctors fear ion

issues and pregnant women........... again nothing is proven and as far as

devices go, most last quite a long time these days, sadly it is the human

bones where they attach and situation surrounding, that brings most of us to

grief with needing revisions...............

Edith LBHR Dr. L Walter Syd Aust 8/02

>

> I am new to this group. I am 22 years old and i have avascular

> necrosis in my hip. I have been told its pretty late stage (IV) as it

> is already collapsed.

>

> I have been researching my options namely, a THR, and resurfacing. I

> just have some questions which i do hope you can help with:

>

> 1. I dont seem to understand what is a BHR vs. the C+ vs. other forms

> of resurfacing?

>

> 2. Is there a difference between the resurfacing in Europe vs. what

> is done in the United states?

>

> 3. Is it possible to do resurfacing in late stage AVN? Has anyone

> here have this done?

>

> 4. How long do resurfacing lasts? If you could share with me what

> your surgoens have told you it would be so much appreciated.

>

> 5. I know this is a resufacing group, but would anyone know about

> ceramic hip replacement, one ortho suggested i get one of those

> because it lasts long.

>

> I hope you dont mind my questions, I am just really trying to look

> for answers and i know how important it will be since i am very young

> and hope to live a full life.

>

> Thank you very much.

>

> Sincerley,

>

> Mina

[Guest guest]

Mina:

I'm glad you came over to check out surfacehippy. You will probably

get alot of responses to your questions because alot of members of

this group have been in the same place.

While there are more of these resurfacing devices coming out every

month. Most of the references you will see on this site will refer to

the " big three " resurfacing devices:

BHR is Birmingham Hip Resurfacing made by Midland Medical Technologies

(of England).

Conserve Plus is another resurfacing device made by Medical

Technology (a U.S. Company).

Cormet 2000 is a resurfacing device made by Corin Medical, Ltd (of

England).

Each of these companies have websites that describe the devices in

varying levels of details. Links are available on the site

www.activejoints.com that I mentioned to you in my earlier message.

The three devices are very similar, there are some subtle differences

that may be of interest if you have particular issues (displaysia is

one example).

Resurfacing has been done longer in England and Europe (specifically

Belgium) than in the U.S. The significance of this is that the

surgeons in England and Europe have more experience. However, there

are several doctors in the U.S. that have considerable experience.

The other difference is the regulatory environment - in the U.S. only

two devices are available (Conserve Plus and Cormet 2000) and both of

those are available under an Investigative Device Exemption - this is

an extension of clinical trials. The clinical trials are part of the

process required to obtain FDA approval. The significance of this is

that it can make it a hassle to get reimbursed by your insurance

company (some won't pay for anything investigational).

I had Perthes and my hip was pretty messed up. Dr. Gross was able to

resuface it. I know we have members of this group that had hips worse

than mine - I will leave it to them to tell you about their

experiences.

The devices should last a long time because they are made of metal.

The real potential problem (as it is with a total hip replacement) is

if something comes loose or if the underlying bone dies or breaks.

I've heard the risks of AVN or breakage causing a failure as being in

the 1% range. If the underlying bone stays healthy it should last a

long time. Hopefully some of our long time resurfers will chime in

with their stories of the longevity of their resurf.

Ceramic on Ceramic should also be very low wear and thus should last a

long time. Because of the difference in strength of ceramic compared

to metal, they can't make the femoral ball as large - this means range

of motion won't be quite as good and you would have a slightly higher

risk of dislocation.

Also, I am not aware of any resurfacing device that is ceramic on

ceramic. So a ceramic on ceramic device would be a total hip

replacement which might limit your options as far as revision surgery

in the future.

I would recommend being very skeptical of any device that contains

polyethylene. Polyethylene wears and the plastic debris causes a

reaction in many people where the body attacks the debris and, in the

process, damages the bone in the area - possibly causing the device to

come loose. This is called Osteolysis.

There is an unknown with any metal on metal device (whether a

resurfacing or total hip replacement) and that is whether the minute

amounts of metal released in the body, caused by the wearing of the

joint, will cause any problems. There are no studies yet to show that

there is a problem but these devices have not been used long enough to

get good information. It's a possible risk that you must weigh.

I think you will find your questions welcomed here and hopefully you

will find answers that will help you in your search.

Best to you,

(47)

RC2K Dr. Gross 3/24/04

> Hi all,

>

> I am new to this group. I am 22 years old and i have avascular

> necrosis in my hip. I have been told its pretty late stage (IV) as

it

> is already collapsed.

>

> I have been researching my options namely, a THR, and resurfacing.

I

> just have some questions which i do hope you can help with:

>

> 1. I dont seem to understand what is a BHR vs. the C+ vs. other

forms

> of resurfacing?

>

> 2. Is there a difference between the resurfacing in Europe vs. what

> is done in the United states?

>

> 3. Is it possible to do resurfacing in late stage AVN? Has anyone

> here have this done?

>

> 4. How long do resurfacing lasts? If you could share with me what

> your surgoens have told you it would be so much appreciated.

>

> 5. I know this is a resufacing group, but would anyone know about

> ceramic hip replacement, one ortho suggested i get one of those

> because it lasts long.

>

> I hope you dont mind my questions, I am just really trying to look

> for answers and i know how important it will be since i am very

young

> and hope to live a full life.

>

> Thank you very much.

>

> Sincerley,

>

> Mina

[Guest guest]

OKay another question on top of all the other questions -

I noticed that you stated the three types of materials are very

similar with subtle differences that would matter only with

conditions like displaysia. I have displaysia and am considering a

conserve plus only because it is available in Ontario which is

closer to home and am hoping our medical coverage will kick in.

Any comments.

Ellen

-- In surfacehippy , " ecm56 " wrote:

> Mina:

>

> I'm glad you came over to check out surfacehippy. You will

probably

> get alot of responses to your questions because alot of members of

> this group have been in the same place.

>

> While there are more of these resurfacing devices coming out every

> month. Most of the references you will see on this site will

refer to

> the " big three " resurfacing devices:

>

> BHR is Birmingham Hip Resurfacing made by Midland Medical

Technologies

> (of England).

>

> Conserve Plus is another resurfacing device made by Medical

> Technology (a U.S. Company).

>

> Cormet 2000 is a resurfacing device made by Corin Medical, Ltd (of

> England).

>

> Each of these companies have websites that describe the devices in

> varying levels of details. Links are available on the site

> www.activejoints.com that I mentioned to you in my earlier message.

>

> The three devices are very similar, there are some subtle

differences

> that may be of interest if you have particular issues (displaysia

is

> one example).

>

> Resurfacing has been done longer in England and Europe

(specifically

> Belgium) than in the U.S. The significance of this is that the

> surgeons in England and Europe have more experience. However,

there

> are several doctors in the U.S. that have considerable experience.

>

> The other difference is the regulatory environment - in the U.S.

only

> two devices are available (Conserve Plus and Cormet 2000) and both

of

> those are available under an Investigative Device Exemption - this

is

> an extension of clinical trials. The clinical trials are part of

the

> process required to obtain FDA approval. The significance of this

is

> that it can make it a hassle to get reimbursed by your insurance

> company (some won't pay for anything investigational).

>

> I had Perthes and my hip was pretty messed up. Dr. Gross was able

to

> resuface it. I know we have members of this group that had hips

worse

> than mine - I will leave it to them to tell you about their

> experiences.

>

> The devices should last a long time because they are made of

metal.

> The real potential problem (as it is with a total hip replacement)

is

> if something comes loose or if the underlying bone dies or breaks.

> I've heard the risks of AVN or breakage causing a failure as being

in

> the 1% range. If the underlying bone stays healthy it should last

a

> long time. Hopefully some of our long time resurfers will chime in

> with their stories of the longevity of their resurf.

>

> Ceramic on Ceramic should also be very low wear and thus should

last a

> long time. Because of the difference in strength of ceramic

compared

> to metal, they can't make the femoral ball as large - this means

range

> of motion won't be quite as good and you would have a slightly

higher

> risk of dislocation.

>

> Also, I am not aware of any resurfacing device that is ceramic on

> ceramic. So a ceramic on ceramic device would be a total hip

> replacement which might limit your options as far as revision

surgery

> in the future.

>

> I would recommend being very skeptical of any device that contains

> polyethylene. Polyethylene wears and the plastic debris causes a

> reaction in many people where the body attacks the debris and, in

the

> process, damages the bone in the area - possibly causing the

device to

> come loose. This is called Osteolysis.

>

> There is an unknown with any metal on metal device (whether a

> resurfacing or total hip replacement) and that is whether the

minute

> amounts of metal released in the body, caused by the wearing of the

> joint, will cause any problems. There are no studies yet to show

that

> there is a problem but these devices have not been used long

enough to

> get good information. It's a possible risk that you must weigh.

>

> I think you will find your questions welcomed here and hopefully

you

> will find answers that will help you in your search.

>

> Best to you,

>

> (47)

> RC2K Dr. Gross 3/24/04

>

>

> > Hi all,

> >

> > I am new to this group. I am 22 years old and i have avascular

> > necrosis in my hip. I have been told its pretty late stage (IV)

as

> it

> > is already collapsed.

> >

> > I have been researching my options namely, a THR, and

resurfacing.

> I

> > just have some questions which i do hope you can help with:

> >

> > 1. I dont seem to understand what is a BHR vs. the C+ vs. other

> forms

> > of resurfacing?

> >

> > 2. Is there a difference between the resurfacing in Europe vs.

what

> > is done in the United states?

> >

> > 3. Is it possible to do resurfacing in late stage AVN? Has

anyone

> > here have this done?

> >

> > 4. How long do resurfacing lasts? If you could share with me

what

> > your surgoens have told you it would be so much appreciated.

> >

> > 5. I know this is a resufacing group, but would anyone know

about

> > ceramic hip replacement, one ortho suggested i get one of those

> > because it lasts long.

> >

> > I hope you dont mind my questions, I am just really trying to

look

> > for answers and i know how important it will be since i am very

> young

> > and hope to live a full life.

> >

> > Thank you very much.

> >

> > Sincerley,

> >

> > Mina

[Guest guest]

Hi Mina,

I'm pretty much of a Newbie to all this too, I'm 46 yrs old and I

too have AVN. I don't know what they will find in August when I get

my next X-ray just before my surgery, but by Feb my femur was

already 1/4 collapsed. Probably one of the very best surgeons for

you to consult with is Dr Mont at Sinai hospital in

Baltimore, MD. His website is www.aboutavn.com and he especially

loves to help young people such as yourself. I probably would be

having him do my resurfacing surgery, but there was an insurance

issue. Also, he did not want to do any surgery on me until I was

really miserable. I desperately want the resurfacing surgery if it's

at all possible. I must not have alot of nerve endings in my hip

because I don't feel that bad, even though I've been told that my

hip " looks like crap " .

I don't know if it's too late for you to have resurfacing, but,

Dr Mont had said that the only way I wouldn't be a candidate for

resurfacing is if my leg length shortened significantly. I'm not

sure if that would mean that my femur head have to collapse, or

something else. However, he was more concerned that he not

intervene unnecessarily early even if it meant that I'd end up with

a THR. Because of your youth, I'm pretty sure that he'd treat you

quite differently. There is such a huge advantage in delaying THR

by getting resurfacing if it's at all possible for you.

I'm not sure, but I think the BHR is the acronym for the Birmingham

Hip Resurfacing which is the metal on metal device developed and

originally used in

Birmingham England. There also is something you will hear about

with similar initials: " BFH " this refers to the Big Femur Head THR

prosthesis made by Medical. If you can't be resurfaced, make

sure you can get a large diameter headed prosthesis.

Corin also makes a large diameter prosthesis.

I think the FDA resurfacing trials are done in the USA with either

the Corin Cormet 2000 device or the Medical Conserve Plus

device. I'm not sure which devices are now used if you go to Europe

for surgery.

One piece of advice is, get Peggy 's new book " Hip

Resurfacing or Hip Replacement, a Story of Choices " . YOu can order

it off of Amazon. She lists most of the surgeons in the US who

participate in the FDA trials. Also, you can contact Medical

and Corin medical. They have sales reps who will email or call you

back and give you the complete list of surgeons.

AVN, osteonecrosis and aseptic necrosis are all the same thing.

The surgeon that I'm seeing now, Dr s has done some

research on the ions that enter the blood with a metal on metal

hip. He seems to feel most comfortable with these, as opposed to

debris that enters the blood stream from a plastic hip. I don't

know much about the ceramic ones.

Time is of the essence for you. MAKE SURE YOU TELL THE SURGEON'S

RECEPTIONIST OR ASSISTANT THAT YOU HAVE ADVANCED AVN and they should

fit you in to their sched ASAP.

Keep us posted! Good luck!

Marie

- In surfacehippy , " miner_deguzman "

wrote:

> Hi all,

>

> I am new to this group. I am 22 years old and i have avascular

> necrosis in my hip. I have been told its pretty late stage (IV) as

it

> is already collapsed.

>

> I have been researching my options namely, a THR, and resurfacing.

I

> just have some questions which i do hope you can help with:

>

> 1. I dont seem to understand what is a BHR vs. the C+ vs. other

forms

> of resurfacing?

>

> 2. Is there a difference between the resurfacing in Europe vs.

what

> is done in the United states?

>

> 3. Is it possible to do resurfacing in late stage AVN? Has anyone

> here have this done?

>

> 4. How long do resurfacing lasts? If you could share with me what

> your surgoens have told you it would be so much appreciated.

>

> 5. I know this is a resufacing group, but would anyone know about

> ceramic hip replacement, one ortho suggested i get one of those

> because it lasts long.

>

> I hope you dont mind my questions, I am just really trying to look

> for answers and i know how important it will be since i am very

young

> and hope to live a full life.

>

> Thank you very much.

>

> Sincerley,

>

> Mina

[Guest guest]

Hi Mina,

I'm pretty much of a Newbie to all this too, I'm 46 yrs old and I

too have AVN. I don't know what they will find in August when I get

my next X-ray just before my surgery, but by Feb my femur was

already 1/4 collapsed. Probably one of the very best surgeons for

you to consult with is Dr Mont at Sinai hospital in

Baltimore, MD. His website is www.aboutavn.com and he especially

loves to help young people such as yourself. I probably would be

having him do my resurfacing surgery, but there was an insurance

issue. Also, he did not want to do any surgery on me until I was

really miserable. I desperately want the resurfacing surgery if it's

at all possible. I must not have alot of nerve endings in my hip

because I don't feel that bad, even though I've been told that my

hip " looks like crap " .

I don't know if it's too late for you to have resurfacing, but,

Dr Mont had said that the only way I wouldn't be a candidate for

resurfacing is if my leg length shortened significantly. I'm not

sure if that would mean that my femur head have to collapse, or

something else. However, he was more concerned that he not

intervene unnecessarily early even if it meant that I'd end up with

a THR. Because of your youth, I'm pretty sure that he'd treat you

quite differently. There is such a huge advantage in delaying THR

by getting resurfacing if it's at all possible for you.

I'm not sure, but I think the BHR is the acronym for the Birmingham

Hip Resurfacing which is the metal on metal device developed and

originally used in

Birmingham England. There also is something you will hear about

with similar initials: " BFH " this refers to the Big Femur Head THR

prosthesis made by Medical. If you can't be resurfaced, make

sure you can get a large diameter headed prosthesis.

Corin also makes a large diameter prosthesis.

I think the FDA resurfacing trials are done in the USA with either

the Corin Cormet 2000 device or the Medical Conserve Plus

device. I'm not sure which devices are now used if you go to Europe

for surgery.

One piece of advice is, get Peggy 's new book " Hip

Resurfacing or Hip Replacement, a Story of Choices " . YOu can order

it off of Amazon. She lists most of the surgeons in the US who

participate in the FDA trials. Also, you can contact Medical

and Corin medical. They have sales reps who will email or call you

back and give you the complete list of surgeons.

AVN, osteonecrosis and aseptic necrosis are all the same thing.

The surgeon that I'm seeing now, Dr s has done some

research on the ions that enter the blood with a metal on metal

hip. He seems to feel most comfortable with these, as opposed to

debris that enters the blood stream from a plastic hip. I don't

know much about the ceramic ones.

Time is of the essence for you. MAKE SURE YOU TELL THE SURGEON'S

RECEPTIONIST OR ASSISTANT THAT YOU HAVE ADVANCED AVN and they should

fit you in to their sched ASAP.

Keep us posted! Good luck!

Marie

- In surfacehippy , " miner_deguzman "

wrote:

> Hi all,

>

> I am new to this group. I am 22 years old and i have avascular

> necrosis in my hip. I have been told its pretty late stage (IV) as

it

> is already collapsed.

>

> I have been researching my options namely, a THR, and resurfacing.

I

> just have some questions which i do hope you can help with:

>

> 1. I dont seem to understand what is a BHR vs. the C+ vs. other

forms

> of resurfacing?

>

> 2. Is there a difference between the resurfacing in Europe vs.

what

> is done in the United states?

>

> 3. Is it possible to do resurfacing in late stage AVN? Has anyone

> here have this done?

>

> 4. How long do resurfacing lasts? If you could share with me what

> your surgoens have told you it would be so much appreciated.

>

> 5. I know this is a resufacing group, but would anyone know about

> ceramic hip replacement, one ortho suggested i get one of those

> because it lasts long.

>

> I hope you dont mind my questions, I am just really trying to look

> for answers and i know how important it will be since i am very

young

> and hope to live a full life.

>

> Thank you very much.

>

> Sincerley,

>

> Mina

[Guest guest]

> OKay another question on top of all the other questions -

>

> I noticed that you stated the three types of materials are very

> similar with subtle differences that would matter only with

> conditions like displaysia. I have displaysia and am considering a

> conserve plus only because it is available in Ontario which is

> closer to home and am hoping our medical coverage will kick in.

It depends on how bad your dysplasia is. The BHR has a special

" dysplasia cup " which can be fixed with screws for patients with

severe dysplasia. is (according to a very recent post from

Chuck of JRI) developing such a cup for the C+, but I don't know

when it will be available. If your surgeon is confident he can

resurface with you with a C+, then it's probably not an issue.

Steve (bilat C+ 4/20/04, Amstutz)

[Guest guest]

> OKay another question on top of all the other questions -

>

> I noticed that you stated the three types of materials are very

> similar with subtle differences that would matter only with

> conditions like displaysia. I have displaysia and am considering a

> conserve plus only because it is available in Ontario which is

> closer to home and am hoping our medical coverage will kick in.

It depends on how bad your dysplasia is. The BHR has a special

" dysplasia cup " which can be fixed with screws for patients with

severe dysplasia. is (according to a very recent post from

Chuck of JRI) developing such a cup for the C+, but I don't know

when it will be available. If your surgeon is confident he can

resurface with you with a C+, then it's probably not an issue.

Steve (bilat C+ 4/20/04, Amstutz)

[Guest guest]

Ellen:

I was alluding to the BHR having an acetabular component that can be

affixed with screws. Also, there is a Cormet 2000 acetabular

component with a peg. I understand there is a Conserve Plus with a

screw option in development - maybe someone else can update that

information.

Each of these may offer a surgeon different options in dealing with

displaysia.

(47)

RC2K Dr. Gross 3/24/04

> > > Hi all,

> > >

> > > I am new to this group. I am 22 years old and i have avascular

> > > necrosis in my hip. I have been told its pretty late stage (IV)

> as

> > it

> > > is already collapsed.

> > >

> > > I have been researching my options namely, a THR, and

> resurfacing.

> > I

> > > just have some questions which i do hope you can help with:

> > >

> > > 1. I dont seem to understand what is a BHR vs. the C+ vs. other

> > forms

> > > of resurfacing?

> > >

> > > 2. Is there a difference between the resurfacing in Europe vs.

> what

> > > is done in the United states?

> > >

> > > 3. Is it possible to do resurfacing in late stage AVN? Has

> anyone

> > > here have this done?

> > >

> > > 4. How long do resurfacing lasts? If you could share with me

> what

> > > your surgoens have told you it would be so much appreciated.

> > >

> > > 5. I know this is a resufacing group, but would anyone know

> about

> > > ceramic hip replacement, one ortho suggested i get one of those

> > > because it lasts long.

> > >

> > > I hope you dont mind my questions, I am just really trying to

> look

> > > for answers and i know how important it will be since i am very

> > young

> > > and hope to live a full life.

> > >

> > > Thank you very much.

> > >

> > > Sincerley,

> > >

> > > Mina

[Guest guest]

Ellen:

I was alluding to the BHR having an acetabular component that can be

affixed with screws. Also, there is a Cormet 2000 acetabular

component with a peg. I understand there is a Conserve Plus with a

screw option in development - maybe someone else can update that

information.

Each of these may offer a surgeon different options in dealing with

displaysia.

(47)

RC2K Dr. Gross 3/24/04

> > > Hi all,

> > >

> > > I am new to this group. I am 22 years old and i have avascular

> > > necrosis in my hip. I have been told its pretty late stage (IV)

> as

> > it

> > > is already collapsed.

> > >

> > > I have been researching my options namely, a THR, and

> resurfacing.

> > I

> > > just have some questions which i do hope you can help with:

> > >

> > > 1. I dont seem to understand what is a BHR vs. the C+ vs. other

> > forms

> > > of resurfacing?

> > >

> > > 2. Is there a difference between the resurfacing in Europe vs.

> what

> > > is done in the United states?

> > >

> > > 3. Is it possible to do resurfacing in late stage AVN? Has

> anyone

> > > here have this done?

> > >

> > > 4. How long do resurfacing lasts? If you could share with me

> what

> > > your surgoens have told you it would be so much appreciated.

> > >

> > > 5. I know this is a resufacing group, but would anyone know

> about

> > > ceramic hip replacement, one ortho suggested i get one of those

> > > because it lasts long.

> > >

> > > I hope you dont mind my questions, I am just really trying to

> look

> > > for answers and i know how important it will be since i am very

> > young

> > > and hope to live a full life.

> > >

> > > Thank you very much.

> > >

> > > Sincerley,

> > >

> > > Mina

[Guest guest]

Ellen:

I was alluding to the BHR having an acetabular component that can be

affixed with screws. Also, there is a Cormet 2000 acetabular

component with a peg. I understand there is a Conserve Plus with a

screw option in development - maybe someone else can update that

information.

Each of these may offer a surgeon different options in dealing with

displaysia.

(47)

RC2K Dr. Gross 3/24/04

> > > Hi all,

> > >

> > > I am new to this group. I am 22 years old and i have avascular

> > > necrosis in my hip. I have been told its pretty late stage (IV)

> as

> > it

> > > is already collapsed.

> > >

> > > I have been researching my options namely, a THR, and

> resurfacing.

> > I

> > > just have some questions which i do hope you can help with:

> > >

> > > 1. I dont seem to understand what is a BHR vs. the C+ vs. other

> > forms

> > > of resurfacing?

> > >

> > > 2. Is there a difference between the resurfacing in Europe vs.

> what

> > > is done in the United states?

> > >

> > > 3. Is it possible to do resurfacing in late stage AVN? Has

> anyone

> > > here have this done?

> > >

> > > 4. How long do resurfacing lasts? If you could share with me

> what

> > > your surgoens have told you it would be so much appreciated.

> > >

> > > 5. I know this is a resufacing group, but would anyone know

> about

> > > ceramic hip replacement, one ortho suggested i get one of those

> > > because it lasts long.

> > >

> > > I hope you dont mind my questions, I am just really trying to

> look

> > > for answers and i know how important it will be since i am very

> > young

> > > and hope to live a full life.

> > >

> > > Thank you very much.

> > >

> > > Sincerley,

> > >

> > > Mina