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Advances in Hip Resurfacing

Started by sdcycling, April 16, 2011, 03:06:56 PM

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Tin Soldier

Yeah that gets me stokes, I want to sprint again, in time I think I will.

Hey I'm missed the dust up, it looks like wise guy came in right after my post, darn.  I need to stick around more often.  However, as Pat pointed out long ago, folks who get through a good part iof their recovery go aff and have fun and aren't spending as much time here.  I'm doing that, because my left hip feels awesome.

With regards to wise guys and orthopedic surgeons that don't believe in HR, it simply shows that there are people that don't understand it.  It also suggests to me why a large insurance company would make comments like "hip arthroplasty is of questionable medical value".  Them's fightin' words.  So understandbly, wise guy (guru) and other "wise" guys are not helping the HR movement, but an orthopedic surgeon who doesn't believe in it, they are REALLY not helping the HR movement.  It's that sort of talk that gives insurance companies ammo to start chiselling away at benefits for HR or THR for that matter.  They need to see the numbers, like 96% success.  Hello?
LBHR 2/22/11, RBHR 8/23/11 - Pritchett.

phillwad

Spencer

thanks for the note on your running schedule, good encouragement - maybe I will start running  :o  probably stick with crazy mountain biking  ;D

Cheers - Phill

sroberts

Hey Phill,

We do lots of biking here in AZ...mostly road for me but lots of both. Drop me a line if you're ever in Tucson---I'll take you on a ride up Mt Lemmon. (That's also an open invite
for anyone on this board). We also have two or three cycling/triathlon camps in March.


best,

spencer

nekko

Hi Sean,

A few months ago, I did some search about material used on HR devices, trying understand the "why".
In a few words, most of the devices are using Metal-on-Metal design. One Dutch manufacturer is using a ceramic coating on both components. They are however differences on the manufacturing process of the 2 components (cast-cast, cast-wrought or wrought-wrought). They are also differences on the geometry, clearance between components and surface finish.

I have understood that the key issue is to keep wear as low as possible, because concentration of Cr-Co ions in blood is a function of the wear rate of the device. So, even if we have only 2 components, there is a huge set of parameters to optimize for future product research.





Conserve+ cemented, May 12-2011, Pr Migaud, CHu Lille

phillwad

Spencer - thanks I will keep a note as I do travel around plenty but AZ is not an area I currently have responsibility for.  I looked the ride up and a good 6000 feet of climbing classed as an  "epic ride"

This week I travel St Louis, Milwaukke, Madison and Minneapolis - great biking places but I will be in the pool at the hotel doing some "wet running"  My boss does not give me much time off during travel but I am planning on more time between visits as I start to get back on the road.

Mt Lemmon is on the list and I will let you know

Cheers - Phill

Jeremy76761

#45
Forward to my earlier note. As promised, here is what I found in my discussion with a research head leading a large team involved with regenerative medicine for a major Canadian hospital. This person is very prominent in the field of joint replacement. I'll pass on a few highlights from this source for those interested. I asked them at the end of the conversation whether I could do this, and it was fine.
1. Within 5-10 years the first biological joint replacement treatments will likely become available on a mass scale for humans. This might start in the United States.
2. Treatments will progress from smaller to larger joints. They are currently being done successfully in the lab with small joints in animals.
3. Eventually it is hoped there will be a toolbox of treatments for various clinical situations. Cartilage replacement will be one option. Another goal is to replace the entire top portion of the femur head.
4. Procedures involve growing the needed graphs from the patient's own stem cells to avoid rejection.
5. In time, people with hip resurfacing may have the option of a new biological joint instead of a "revision" to THR. People with THRs today may benefit from a new joint instead of a revision THR. The whole point is to have new biological joints as good as new.
6. This lead researcher certainly thinks that complete biological joint replacement will be widely available long before 20 years.


Jeremy76761

So there you have it. Feel free to ask other sources or do your own research if you want. Hope this is helpful to someone.

Lopsided

Quote from: Jeremy76761 on May 25, 2011, 07:50:09 PM
1. Within 5-10 years the first biological joint replacement treatments will likely become available on a mass scale for humans. This might start in the United States.
2. Treatments will progress from smaller to larger joints. They are currently being done successfully in the lab with small joints in animals.
3. Eventually it is hoped there will be a toolbox of treatments for various clinical situations. Cartilage replacement will be one option. Another goal is to replace the entire top portion of the femur head.
4. Procedures involve growing the needed graphs from the patient's own stem cells to avoid rejection.
5. In time, people with hip resurfacing may have the option of a new biological joint instead of a "revision" to THR. People with THRs today may benefit from a new joint instead of a revision THR. The whole point is to have new biological joints as good as new.
6. This lead researcher certainly thinks that complete biological joint replacement will be widely available long before 20 years.


Amazing. Each point is more incredulous than the last.





Proud To Be Dr. De Smet's First Uncemented Conserve Plus, Left, August 2010

23109VC

In no time they will just clone your body, and then download your consciousness into the new perfect younger body...new hip, new body!  I guess those of us who got our hips resurfaced got screwed!

Hahahahaha  ::)

Hey, all that stuff sounds great, but I wouldn't hold my breath fr any of it, especially if you are suffering now.  If you are thinking of stuff that might ne available to the next generation...great.  If you are limping all over in pain TODAY and need your hip fixd NOW.... Go get it resurfaced.  I had mine done three months ago and I feel like a million bucks!
Sean
Dr. Gross- Left Hip - 2/23/11, Right Hip 7/19/23

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