L BHR with Mr Treacy

[rbt2011]

Great to hear you are up and moving around. 

[Dannywayoflife]

Yeah its making me feel more positive! Im likening the experience to the tortouise and the hare race! To be fair like ive said before i dont care how fast my recovery is so long as i get back what i lost! Ive set the full 12 months out in my mind so thats what i am aiming for, i'll start shadow boxing etc and gym non impact before then obviously but im going to heade the advice of my surgeon and wait untill i return to the high impact stuff ie bjj judo boxing etc.
In the mean time im hoping to get involved in my mates mma promotion maybe some judging etc just to keep my hand in the game :D

[Dannywayoflife]

Well had my second physio session this morning and it went real well. A fair bit of the swelling has gone down over the last week which had helped.
The physio did some assisted stretching and she said that in some plains of movement I already have a "normal" range! So there should be plenty to come!
I've been doing my own strengthening exercises mainly and they seem to be working so I'll continue!
Danny 

[hernanu]

Sounds good, Danny - I started at about 35 degrees from center on my right, below the 45 the PT said was normal, and walked out after a month and a half at about 55 degrees, which is better than normal. Sounds like it's going well, buddy.

[PistolPete]

Awesome Danny, keep making progress.  Are you still walking with 2 crutches?  How has the mobility improved?

[Dannywayoflife]

Pete, yeah still on 2 crutches I can go with 1 but my form fades so I'd rather not get into bad gait habbits!
Danny

[Dannywayoflife]

Wow well I feel like I'm paying for the physio yesterday!

[hernanu]

Some payment is ok - how are you feeling? Swelling?

[Dannywayoflife]

The swelling is about the same 50%down on when I left hospital. The stretching has caused some muscular "twinges" and some more clunking but I suppose it's for the greater good!

[hernanu]

Danny, you might also be loosening some scar tissue from the operation. I had twinges / clunking also, I was alarmed a lot, but it worked out. Sounds like you're about right.

[Dannywayoflife]

Hern, your probably right. I'm not too concerned at the min.
Danny

[Dannywayoflife]

Well i think im slowly improving. Its so hard to see improvement yourself!! But my mum and dad say im getting better! I am definatly getting slightly stronger but some days i make no improvement or very little but thats to be expected.
I have my post op check up with Mr Treacy on wednesday in birmingham, not particularly looking forward to 4 hours in the car each way but what doesnt kill us makes us stronger!
Im hoping to find out some more details on wednesday like confirming my component size, inclination angle anteversion angle etc.
Ive got shed loads of scar tissue in the leg i can feel it but im going to wait til atleast 6 weeks to allow full soft tissue healing before i let my mate whos just quallified as a sports therapist get into it!
Well hopefully on wednesday i can post some more details.
Oh just incase anyone is intersted ive found some really interesting papers on vickys site. If you search Longevity then it brings up a video by derrick mcminn and he discusses the early mcminn resurfacing device and how it evolved to the BHR. Some really really good info in it and made me very confident that this BHR will be in me for a LONG time! And theres also a paper by John O' Hara which i found really interesting as hes been involved in the design of HR devices for finsbury for a long time.
Danny

[stevel]

Let us know what Treacy says about impact sports and the longevity of the BHR.
McMinn says he switched to cemented femoral caps in March 1992.
I haven't found anything which documents cement failures due to impact loadings or cement failures due to breakdown over time.

[rbt2011]

Danny,
Are you talking about the third video in the series of three on Vicky's site?  If so, that was really the video that got me thinking about longevity.  It truly is promising data to support a long clinical success rate for these devices.  Then again, you and I are a bit biased.

Trust that your mom and dad can see the incremental gains that they see in your recovery.  I really think it is hard for us to assess our recovery day to day, or even week to week.  We had pain before.  We have some pain, weakness, ROM issues right after surgery but they are different.  I would imagine that you are getting better each day but probably just can't see it.  Your a strong guy and I am sure Treacy will have some encouraging news for you tomorrow.

Let us know what he says.

[Dannywayoflife]

Thanks for the kind words as ever rob. It really does help knowing that everyone on here has/is going through the same.
The video your talking about isn't the one I mentioned but is a good one! The one I'm on about can be found on vickys site but you have to do a search. Just type "longevity" into tge search box half way down the page on the right and it's tge second video that comes up titled "longevity of hip resurfacing with statistics of cementless resurfacing" well worth a watch mate!!
How are you progressing now rob?

[Dannywayoflife]

Had my first post op check with Mr Treacy today. I had to bring it forward due to being in quite significant pain(muscular). He assessed me and said i was around 2-3 weeks behind where he thought i would be. He thinks this is a combination of the sheer amount of muscle on my leg he had to cut through/seperate and the muscular spasams i had post op. He also felt that my physio had retarded my progress further by doing the assisted stretches way too early!!!
But on the bright side the device is PERFECTLY placed and he thinks i will make a full recovery it will just take a little longer than expected.
My mind is at ease a little more now as i have now seen my x rays my self and now know that he did a really good surgeory so that gives me the best chance of regaining my life!
He said my op was very routeen the only minor complication being my shallow acetabulum in a anterior aspect.
As i said to him i reallly dont care if im 2 weks behind expected at the min so long as i make a full recovery in time and he assured me in his experience and opininon i would so i cannot ask for much more!
He wants to see me again in January just to see how im getting on then.

[rbt2011]

That is great!  In the long run, who cares if your 2 weeks behind or 2 months behind.  As long as the surgery went great and the device is placed well, then that is ALL that matters. 
Looks like he also confirmed your 54/60 mm sizing, as well.  Did you talk about how long he expected it to last, hypothetically speaking.

Great to hear that things turned out as well as they did. 

[hernanu]

Sounds excellent, Danny. Like rob says, no worries on x behind, you're right on time for you.

[imgetinold]

Congrats Danny!  So, Dr. Treacy thinks that PT too soon may be a contributing factor?  Did he say when it would be most appropriate to start?  I'm due under the knife in about 4-5 weeks, so that is an interesting thing to hear.

[Dannywayoflife]

Yes im pleased now having been told by every ortho doc thats looked at my x rays that its in as it was designed! Yeah i really dont care if im 2 weeks behind if i make a full recovery! ive already set it in my mind that it will take a full year so theres 335 days for my body to heal till then :D
I asked him about longevity at my initial consultation and he explained that theres no way of knowing how long these will last, he explained that with his current stats he could tell me that being a male under 65 with OA been oppereated on by him there was around a 97-98% probability it would last 14 years. He then explained in his oppinion there would be verry little change of those figures out at 20 years and dont forget that a failure could be as the result of a car crash or any other non rellated reason they all go into the figures. He also pointed out that THR's with the same metulergy and same tollerences had lasted 40+ years ad that the HR was far superior to a THR as it loads the femur in a normal way. So in theory it should last way longer than a THR as THR's fail not due to wear but loosening and a large part of loosening is down to the abnormal way stress is transmitted to the femour.
So in a non comital way he basicly is of the opinion it SHOULD last a very long time so long as the surgeon does his/her part.