BHR to BMHR

[Dannywayoflife]

Here's one probably for Chuck or Pat,
                                                    In the event of a failure of a BHR can it sometimes be revised to a BMHR? Obviously it would depend on what the cause for the revision was (also if possible what causes of failures can be revised to BMHR?) or are there specific THR's that doc's generally use as a division device?

[Woodstock Hippy]

Dan, there was a post here recently from someone who had a revision.  He said that the doctor told him that he wouldn't know what he would use until he got in there. Then the doctor would decide.

[Dannywayoflife]

Thanks mate I think I might remember that thread now you've mentioned it.

[Jeremy76761]

Hi Danny,

According to Joseph Daniel, director at the McMinn centre,

"Possible conversion from a BHR to a BMHR will depend on the reason for revision. There are very limited failure reasons for BHR, which would allow conversion to a BMHR. So the answer is It is Highly unlikely that a failed BHR will be suitable for conversion to a BMHR."

Interestingly, Vijay Bose has indicated that a new kind of THR allowing unprecedented activities levels for a THR will be introduced in 6-7 years.

[Dannywayoflife]

I thought that would be the case. I would have thought that a bhr could possibly be revised to something like the silent hip though as that resects the head and fixes in the femoral neck. The guy who did my hip scope implants the silent hip and he told me that I'd be able to run on one.
I'd love to know what vijay Bose knows about future THR's. Mind I'm sincerely hoping my BHR out lasts me!

[Jeremy76761]

Hadn't heard of a "silent hip". Maybe another thing to add the list of "maybes" like the mitch per. Would be great if Dr. Bose could tell more but of course it's hard to know anything about what's in the developmental stage.

It makes sense that there would also be lots of experimental designs never used on a large scale that could work for an athletic individual. The trick would be getting information on these options and getting someone to let us sign off on the risk!

[Dannywayoflife]

The silent hip looks to me like it's based on the principle of the BMHR it's made by dupuy. If you look on pats other THR site it's in the THR devices section and it tells you a bit about my hip scope surgeon Jon Conroy.

[Jeremy76761]

Looks like an interesting device. Like the mini-hip and other short stem THRs it leaves more of the stem intact and surgeons are leaving running without restriction. Guess we'll see which of this group posts the best stats in the longer term and select from the most appropriate. Looks like Jon Conroy's just got started with it. 

[Dannywayoflife]

Mr Conroy has been doing these for several years now I believe he was certainly doing them last I spoke to him about a year ago. As I say I'm hoping my bhr never needs revising!

[Jeremy76761]

Yep, with the stats, fixation, and so far feedback no reason to think BHR will ever need revision even with your level and degree of training.

[Dannywayoflife]

Let's hope so. Theres certainly no way it will wear out unless placed poorly. I must say though at 15 weeks my body is still adjusting to it's new addition. It still feels weird sometimes.

[Jeremy76761]

What feels weird, different?

[Dannywayoflife]

It's hard to explain mate like I say I think it's a prorioception thing. I think it's fairly understandable I had my natural equipment for 28 years then all of a sudden there's a great big hunk of cobolt where my natural joint once was it's bound to take a while to adjust 

[Jeremy76761]

Very interesting, a proprioception thing. Makes sense. I wounder if stability/mobility work helps come along with that. ie. stability ball, balance board, etc.

[Dannywayoflife]

I think it does. As I've said on another thread since I started using my wobble cushion it got significantly better but it's not gone away as yet.

[hernanu]

I've run into this a bit, Danny - starting to try some more complex kicks (not that practical, but pretty), I did an inside crescent kick and it went fine with the ROM I have, but the outside crescent... it was like I was a white belt again, had to think about the hip, the leg, when the sweep began... it took at least five minutes before doing anything that resembled one.

Muscle memory is a bear. Another challenge. Actually, I'm psyched that I'm beginning to think of more complex moves, but BOY was that awkward.

[Dannywayoflife]

It's a weird feeling isnt it?! I'm pretty sure it's just the proprioception and muscle weakness but it sure does feel weird.