Hip Talk Forum About Hip Resurfacing

Hip Resurfacing General Questions => Hip Resurfacing Topics => Topic started by: mhiller on May 16, 2012, 02:01:44 PM

Title: Contraindications of Hip Resurfacing
Post by: mhiller on May 16, 2012, 02:01:44 PM
I Have been told by one doctor (Dr. Schmalzreid) that I have an anteverted femur which could increase ware problems if I choose to do a hip resurfacing opposed to a THR.   I was not told this by the doctor I first saw but he was conservative being that I was a women (although not excluded due to any specific reason).  Has anyone else had this issue and did they choose to go ahead with resufacing anyway and what were your results?  I was ready to do the resurfacing until this latest comment by Dr. Schmalzreid.
Title: Re: Contraindications of Hip Resurfacing
Post by: Dannywayoflife on May 16, 2012, 02:43:13 PM
Get several opinions. There are several of the top surgeons who will do a consult via email for fee. De smet, Bose and gross will do this. With things like dysplasia you can still get a great outcome but you need to go to the best surgeons as its even more difficult to perform the op than normal. I actually had a kind of dysplasia my acetabulum was very shallow but I had one of the best in the world doing the op so to him it was very straightforward
Title: Re: Contraindications of Hip Resurfacing
Post by: triathlete98 on May 16, 2012, 04:24:56 PM
Yes I had this and the dr said it might be a problem when going in but post op no problems to worry about.  He stated if anything I would lose some internal rotation.
Title: Re: Contraindications of Hip Resurfacing
Post by: Pat Walter on May 16, 2012, 08:47:09 PM

Dr. Schmalzried is an excellent hip resurfacing surgeon but is very conservative in candidate selection, especially when it involves women.  A person can actually get opinons of 3 top hip resurfacing surgeons and not have them agree.  If you are young and want to stay active without restrictions by having a hip resurfacing, I would suggest getting input from several other surgeons.  You can see some experienced surgeons in CA like Dr. Ure, Dr. Ball or Dr. Klug.  Take a look at the list

http://www.surfacehippy.info/listofdoctors.php#California_ (http://www.surfacehippy.info/listofdoctors.php#California_)

Hip resurfacing is not the only solution, but I feel it is the best for a more natural gait, bone conservation and having no restrictions.  Large ball THRs are good solutions, but not quite as good in my opinon.  People with MOM THRs usually have no restrictions, but still have a large part of their femur bones cut off.  Then the bone does not regenerate and act normal with a hunk is cut off and a large stake is driven into it.  Dr. Brooks of the Cleveland Clinic explains it well in the video interviews I did with him

  http://www.surfacehippy.info/shvideos/doctor-interviews-Patricia-Walter.php (http://www.surfacehippy.info/shvideos/doctor-interviews-Patricia-Walter.php)

I hope that helps.  Keep in touch.

Pat
Title: Re: Contraindications of Hip Resurfacing
Post by: mhiller on May 17, 2012, 03:40:38 AM
Thanks for all of your in put! The interviews were also very helpful.   Thanks!