Published: 25 May 2013
Last Updated: 25 May 2013
Created: 25 May 2013
Nekko's Hip Resurfacing with Professor Migaud 2011
April 13, 2011
My doctor is Professor Migaud, one of the very few surgeons in France that
has a strong experience in hip resurfacing. He did (and does) a lot of research
about hip and knee reconstruction and revision of infected prosthesis.
I immediately got a great confidence when I met him for the fist time, two years
ago. This was not the case for others surgeons I met before, because they were
more focused on THP as the common standard.
In addition to this, he gave me very clear answers to my need of "knowing the
logic behind the why".
I have stopped Karate due to high pain/stiffness in my hip and I would like to
come back in 12 months after surgery.
I am a 52 male, French guy, and was diagnosed with OA on the left hip in 2009. I
am also a runner and Karate wado-ryu practitioner and I could not imagine
stopping (now) these physical activities.
My first search was about finding on the net the right surgeon in France that
can offer some alternative solutions.
Resurfacing is not so common in my country compared to UK or USA. Most of the
surgeons are "THP" minded and I had to meet 3 of these gentlemen. The last one,
Dr Migaud, from Hospital University of Lille, was the right one. He is one of
the very few surgeons in France who owns a real experience in hip resurfacing
(more than 250 HR) . He has also expertise on hip reconstruction and revision of
infected prosthesis. In addition to this, he knows very well the problem of
martial arts, dancers, and athletes with early OA. I immediately got confidence
Alternative solution 2 years before surgery
So, in 2009, he proposed me SYNVISCtm (hyalauronic acid ) injections into the
hip joint, in order to save some time before surgery. This acts as a bumper but
doesn't create any new cartilage. I had one injection every 6 months and it has
helped me a to get back some range of motion without too much pain.
Unfortunately, pain has increased drastically at the beginning of year 2011 and
time has come to apply for a resurfacing procedure. Another reason is that I do
not wanted to take anti-inflammatories and pain killers ad vitam eternam.
Before Surgery: helpful things
I must say that this site has been a great help for me before and after surgery.
Thanks again, Pat and all of you, resurfaced brothers and sisters.
Another helpful point is to establish a good and understandable communication
with your surgeon. Since we are all "wired" differently, we have different
behaviour when facing major surgery.
There are those who want to know and there are others who doesn't. As an
engineer, I am one of these guys who wants to understand the "logic behind the
I know it is not obvious, because most of us are not especially medicaly
trained, and I have to get familiar with terms like approach, acetabulum,
femoral head, BHR, MoM, THR, and so on....
So, I have sent many questions to Dr Migaud and he answered to all of them, very
quickly, with clear explanations.
I did not perform intensive exercises before surgery, just trying to get relax
and mentally prepared. The only unexpected event was a (very) hard sinusitis 48
hours before procedure. I must admit this event has put me under stress because
of having the surgery delayed for several months.Fortunetely, the procedure has
been delayed for only 3 weeks, which was a very good new for me.
I have been taken off my room around 11:00 am and got some oral premedication.
Surgery started with spinal anesthesia. All the bottom of the body is numb while
you are 100 % conscious. Asbolutely painless. This would be my choice again if I
had to redo it.
Surgery went well, without complications and lasted about 90 minutes.
I woke up in the recovery room, fully alert with a clear head and no pain or
I stayed there until I was able to move slighly my toes, meaning that the
effects of spinal anesthesia has gone away. It took about 2 hours for this.
Then, I was transfered back in my room.
Blood drain pipes pulled out from the scar. Wake up (!) , standing and a few
walking on 2 crutches (about 10 feet/ 3 meters distance)
Dr Migaud showed me on the X-ray print the device called "Conserve+" he put in
my hip. We also discussed about how surgenty went. I got a 52 mm diameter
Infusion needles removed; morphine stopped; walking on 2 crutches (50 feet / 15
meters distance). PT started (one hour)
Walking on 2 crutches (100 feet / 30 meters distance) PT (one hour).
This is Sunday. Dr Migaud came for a visit in the afternoon. Simple and
straightforward. Just a really nice guy.
Walking on 2 crutches (200 feet / 60 meters distance). PT (one hour,center
feeling, slow weight transfert left leg/right leg)
PT (one hour,stairs climbing / descending using 2 crutches and One crutch + wall
PT (one hour, tring to walk with use only one cructh. Painful. Got back using 2
Back to home. after 4 hours ambulance transfer. No PT today
2 weeks post op:
Now, I can use one crutch instead of two. Pain level is very low excepted on the
"rear side" of the knee. I have read on this forum many topics about knee pain
after surgery but was mostly about "front side" pain on the knee. I suppose this
is part of the healing process...
3 weeks post op:
Still need a cane but pain has gone off. Staples has been removed and shows a
Thanks to PT, I have been able to "reprogram" my brain in order to have a 50 %
natural weigh distribution on each leg. I have used a weigh scale and a big book
with the same thickness as the weigh scale. Left foot on the weigh scale and
right foot on the book is a good way to sense the correct position. Next PT
sessions will be dedicated to reduce the remaining stiffness I can feel in my
4 weeks post op:
Having my muscles under tension. Got serious pain (again) in the rear side of
the knee. Perhaps should I ask my PT about more stretching exercises. My
immediate goal is to get rid of these cramps and then throw the cane away.
5 weeks post op:
Pain at rear side of the knee has totally gone, thanks to stretching exercises.
No need for using a crutch but I am walking with a slight limp. Now focusing of
getting more stability / less limp during walking.
6 weeks post op:
Check up with Dr Migaud. ROM tested OK. Got some pain when jumping on the
operated leg only. Pain gone after a few hours.
With the French health system, all the direct medical expenses are 100 %
supported by the "Securite Sociale" meaning that I had to pay only extra costs
for having a single room, telephone and TV set (about 60 USD/day). I never had
such heavy surgery in my life, but I appreciate our "good old health system"
even if I have paid a very small amount of my salary during all these past
I got the Wright Conserve+ Cemented version, 52 mm femoral cup diameter
August 14, 2011
I will have my 3 months-post op check soon. Everything is fine when using the
bionic hip in "normal" conditions. No pain / no limping.
I just got some heavy groin pain when doing some very moderate stretching of the
iliopsoas (see attached). The same pain occurs when I am walking from normal
"speed" to faster, just by increasing the length between two steps. When I
switch back to "normal" conditions, pain goes off.
May 17, 2012
I had my surgery about one year now and before that, it has been postponed
for a hard sinusitis. I have just to take some antibiotics and wait for a couple
of weeks. You will probably have to do the same. Be patient and you will have
you surgery in optimal conditions.
May 25, 2013
Just to say that I reach the Two-Year mark now. Still very happy with my C+