Return to FAQ LIST Mr. McMinn We use whole blood specimens drawn into lithium-heparin containing tubes with non-contamination precautions, and analysed with HRICPMS (high resolution inductively coupled plasma mass spectrometry) for the most accurate assessment of metal ion levels. The problem with using serum, plasma or erythrocytes is that metal ions are differentially distributed…
Continue reading →Return to FAQ LIST Updated 1/3/2012 Mr. McMinnIf someone is allergic to certain metal jewellery, what are the chances of having a deep tissue allergy? What is the most accurate way of testing someone for a deep tissue allergy? It is estimated that approximately 10% of the population shows skin (cutaneous) allergy to metal…
Continue reading →A collection of hippy emails about recovery and emotions are posted below Updated 2/8/2012 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…
Continue reading →Dr. Su Dr. Rubinstein Dr. Stulberg Dr. Su 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…
Continue reading →Return to FAQ LIST Updated 1/2/2012 Mr. McMinn What metal ion levels are considered high and to be of concern for a patient to seek out treatment? 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…
Continue reading →Dr. Pispati You are correct. AVN has 4 stages – 1 and 2 are the early stages. Stage 3 and 4 are the stages of arthritis – these last 2 stages are diagnosable on x rays. Stages 3 and 4 can be treated with resurfacing. Dr. RubinsteinFrom my point of view as a…
Continue reading →Return to FAQ LIST Dr. Su Dr. De Smet Dr. Gross Dr. SuFemur fracture Because the bone of the femur is retained, it is possible to fracture it after surface replacement. Most of the fractures occur early in the post-operative period if too much weight is put on the leg too early. The body needs…
Continue reading →Updated 4/22/2013 FDA Proposing Premarket Approval Application for Metal on Metal Devices 2013 FDA Safety Communication: Metal-on-Metal Hip Implants 2013 Questions I should ask my orthopaedic surgeon about metal-on-metal hip implants by the FDA Wright Medical Group, Inc. Receives FDA Approval to Market CONSERVE® Plus Total Hip Resurfacing System FDA Approval of BHR -…
Continue reading →Dr. De SmetWhen can full weight bearing start? The day after surgery walking is encouraged in a resurfacing. With a classical THA this is also 1 day, starting to walk with two crutches or a frame. Even with a normal revision case FWB is allowed when people start walking.
Continue reading →Updated 4/14/2015 Return to FAQ LIST Dr. De Smet Mr. McMinn Dr. Gross Dr. Rogerson Dr. RogersonHip 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…
Continue reading →Return to FAQ LIST Dr. BoseI have now done about 185 resurfacings for AVN cases over a 5 year period with many patients crossing the 4 yrs mark. It is interesting to note there has not been a collapse or fracture neck of femur even in a single patient. It is wrong to think…
Continue reading →Patient Questions Answered by Doctors Updated 1/31/2013 Pre Surgery Questions What precautions do I take before the surgery? Will steroid shots injury my hip? How do I choose a doctor? What questions should I ask my doctor? What kind of equipment will I need after surgery?
Continue reading →Return to FAQ LIST Dr. BalasubramanianThe radiation therapy is used by some surgeons to prevent heterotropic bone formation following total hip replacement. In cemented total hip replacement this does not cause much problem. However in Hip Resurfacing (Acetabular side) and uncemented total Hip Replacement the fixation of prosthesis is by the natural bone growing on the prosthesis. When…
Continue reading →Return to FAQ LIST A letter about FDA Approvals and 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…
Continue reading →FAQ LIST Mr. McMinn: The evidence from a DEXA study on BHR patients published from Japan is that the bone density in the proximal femur returns to normal 1 year after operation. The at-risk period for femoral neck fracture following the BHR is in the 6 months after surgery. I advise patients not to…
Continue reading →Return to FAQ LIST Updated 9/5/08 Mr. McMinn Dr. Su Dr. Bose Dr. Mont Dr. Brooks Dr. Lichtblau Dr. De Smet Dr. Amstutz Dr. Gilbert Dr. Rogerson Mr. McMinn 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…
Continue reading →Obtained by Vicky Marlow Freelance Patient Advocate Volunteer Updated 12/16/07 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 …
Continue reading →Dr. De SmetShould I use a heating pad or ice packs? We prefer ice packs, although both are effective to relieve pain. Both can be harmful in direct contact with the skin. It can damage the skin and even cause a severe burn. Never sleep with a heating pad on your hip. Ice can be…
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