A collection of hippy emails about recovery and emotions are posted below
How Fast Will I Recover by Patricia Walter
Everyone Recovers at a Different Rate
Surgery experiences and recovery rates will be different for
each person having a hip resurfacing. Many of us were very
fortunate to have good experiences in the hospital and have
fairly quick recoveries. I guess we are the Rabbits.
There are people that have experienced very difficult
recoveries and their return to a normal life has been very
slow. I guess they are the Turtles.
Some are lucky and have an average recovery which puts
them right in the middle of the Rabbits and Turtles – don’t
really know what to call them but Average Joes.
There is really … Read the rest
I still use the BHR, Conserve Plus, and Biomet Recap. I think
the devices are very similar, but the BHR has the longest track
record, which is very important to me. The other devices do have
the benefit of more sizes than the BHR for right now (at least
in the US), so there are some patients for whom they fit better.
While all are high carbon cobalt chrome
alloys there is no way to know the slight variations if any in
the metals. The manufacturers are all very secretive about the
specifics for obvious reasons (to keep it out of the hands of
the competition). That said in the short term studies as well as
on the testing machines there … Read the rest
What metal ion levels are considered high and to be of concern for a patient to seek out treatment by Mr. McMinn
People report being told by their surgeons that they have “elevated levels of cobalt” ranging from single digit numbers (one person reported 9.2 for example) up to numbers as large as 2400+. What is the point at which one should have serious concern? If one person is living a normal life with 2400+, is it really significant if you have a level of 10 or 20? Or does the cobalt affect people in different ways?
What is considered to be toxic level of Cobalt in blood, some say 5.0 – others 7.0?
There is a lot of confusion in this area because of … Read the rest
A letter about FDA Approvals and Off Label Hip Resurfacing Components by Dr. Gross
The Birmingham (Smith & Nephew, Richards) total HSR was the first to get FDA approval in the US based on an unprecedented FDA decision to approve this implant on the basis of single (developing) surgeon’s foreign data. Cormet 2000 (Corin Ltd., Stryker) total HSR was the first to be approved based on the usual mechanism of a US run Multi-center FDA study (approval 7/2007, I was the lead investigator). Therefore, there are now 2 implants available in the US that have an FDA indication for total HSR.
The Recap/Magnum (Biomet), Conserve Plus (Wright Medical) and ASR (Depuy) are all also FDA approved implants in the USA. They may be legally used … Read the rest
Hip Resurfacing: To Cement or Not to Cement –
that is the Question! By: John S. Rogerson, MD April 2015
We have received a number of inquiries in our office
regarding the merits of cemented versus non-cemented femoral
head components in hip resurfacing arthroplasty.Bear in mind that my experience with hip resurfacing to date has essentially been associated with the Smith and Nephew Birmingham
hip resurfacing system as designed by Drs. McMinn and Treacy.The system utilizes a line to line fit on the femoral head component with a very thin thickness of cement. A small amount
of liquid cement is poured into the hollow inverted femoral head
component and then extruded (and cleaned off as necessary) as it
is gently impacted onto the … Read the rest
Return to FAQ LIST
I started back in 1991 with the antero-lateral approach to the hip for resurfacing. At that time we were worried about blood supply to the femoral head and on theoretical grounds the antero-lateral approach preserved the blood supply well. For many patients the approach was satisfactory but there were some problems. The exposure obtained in large patients was not good. This meant that heavy retraction had to be used, and heavy retraction caused trauma to muscle and other soft tissues which in turn led to heterotopic ossification. The other problem was that some patients had a permanent limp after my surgery as a result of the surgical approach. Please understand that the instruments were crude back then compared to today where newer designs … Read the rest
Obtained by Vicky Marlow Freelance Patient Advocate Volunteer
Dr. Kurtz had an article online that had concerns about the head neck ratios of hip resurfacing compared to total hip replacement. We wanted to provide potential hip resurfacing patients with opinions of other top resurfacing surgeons to explain their views.
Dr. Bose Reply
Thanks for the mail. I read Dr. Kurtz thoughts on hip resurfacing in his website. His concerns are very valid but I cannot agree with his conclusions.
In short, his concerns only underline the fact that bad results of resurfacing are due to badly done resurfacings. The head neck ratio is an important determinant of range of movement and prevention of impingement. In a patient with normal anatomy, if … Read the rest
I like antibiotics for up to two years after any joint
replacement. After two years only for procedures
that lead to blood like endodontic surgery. This
is also a controversial topic. We wrote two
papers on this topic and only found possible
dental related infections in patients that had
oral procedures that were greater than 1 hour
with blood loss that did not get antibiotics.
The problem is that sometimes patients don’t
know what they are getting from their dentist
My wife and I are general
dentists in Buffalo, NY, with a busy private
practice; also, she is a part time clinical
instructor at the U. of Buffalo Dental School,
and I am dental director for an HMO and I … Read the rest