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Potential acetabulum problems after revisions from HR to THR

Started by lckp, February 11, 2024, 01:02:57 PM

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lckp

First off, thanks to all the people involved in helping this community, going through hip issues is not pleasant and it was nice to stumble upon this resource.

My story is a familiar one to this forum, in short:

Male, 193 cm (over 6'3"), 35 y/o, very sportive person, trying to stay active while undergoing serious hip issues, and the only option available in my country is THR. I have scanned a lot of posts here, looked at a lot of studies and extensively browsed youtube, so I'm generally informed on the matter. However, I do have a specific question which I have not seen mentioned yet:

I was discussing resurfacing with my designated THR surgeon and while he said that resurfacing indeed preserves a lot more bone, it is in his experience that the matter is a bit oversimplified. He said that resurfacing creates a substantially bigger bone deficit in the acetabulum/pelvis region, which can be a problem in further revisions. Due to my age, it is not impossible that I will need 2 revisions in my life (and that is potentially a good scenario), and the way I understood it - the 2nd revision could be problematic due to the missing bone into which a new socket might be added.

I am weighing my options for activity/longitude. I would love to be able to do everything again, but at the same time I would also still like to be able to walk in my 60s. I understand no one has definite answers for this, I am just wondering if the debate has ever popped up or if anyone has any experience to share.

Thanks!

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