Reasons for not being able to have HR

[Mike D]

What are the most common reasons for not being a candidate for resurfacing?
I'm seeing Mr Treacy next monday but can't get rid of the thought of being told I'm not suitable.
He's the man to tell me, I'm sure of that- but what's the main reasons for being refused? Cheers,Mike.

[Dannywayoflife]

Hay mike wow that's come around fast! I don't know what the most common reasons are. I would have thought that leaving it too long and allowing arthritis to go too far, poor bone density, AVN, massive trauma etc. Mr Treacy has done some super super complex cases successfully so try not to worry too much.

[Mike D]

I know each case is individual but roughly how long can you have bone on bone before it's done too much damage?
Are we talking a few months, or over a year?

[Dannywayoflife]

I think it's quite a long time mate. I was bone on bone for a year and I was a very straight forward case

[Tin Soldier]

I'm with Danny on those.  It's been awhile since I looked into that stuff, but I do recall AVN and bone density issues being talked about as common problems for HR candidacy.  Moderate to severe displasia seems like it could throw some problems in.  It's an interesting perspective, because a lot of us seem to have come at it from the other side, where we expect most ortho's to suggest THR right off the bat and then after doing research you find out that the really experienced HR docs don't actually turn down very many cases for HR.   

I'm not sure about the bone on bone deal.  I think it all depends on how much bone is available to work with.  Probabaly very specific to the individual.    I would think a doc could make a pretty good guess just from looking at the x-rays.  Like Danny said, I think a lot of folks here have said they were bone on bone for a number of years and still have enough bone and shape to work with.   

Good luck

[Neild5]

Mike,

I was diagnosed with OA in 1992 in both hips, was bone on bone in 2006 and had my left hip resurfaced in 2011 and the right one 7 weeks ago.  The major reasons for not being a candidate for hip resurfacing are bone density issues, previous fractures and extremely large bone cysts.  The first is more of an issue with females and Mr. Tracey is willing to tackle the toughest of cases so do not lose any sleep over this, you are in excellent hands.

[Mike D]

That's a lot of years of bone grinding together!
Maybe that's one reason I can rule out as mine was diagnosed in January this year.
My main worry is about having my hip pinned as a teenager but someone on here found a successful HR on a pinned hip earlier this year, so I know it's not impossible.
Thanks for the replies.

[Dannywayoflife]

Mike if anyone can do it Ronan Treacy can!

[Mike D]

Definately,Danny.
From what I've read about him on here, he is at the very top of his profession.

[steveallan]

Hi Mike
I have my op with him in a couple if weeks mate. He told me I have AVN but aims for a BHR but will not know until he opens me up. Like Danny says, if anyone can he can, I think you have to trust him he's the man