Hip Talk Forum About Hip Resurfacing

Hip Resurfacing General Questions => Hip Resurfacing Topics => Topic started by: Jason0411 on April 22, 2014, 11:10:55 AM

Title: Arthroscopy
Post by: Jason0411 on April 22, 2014, 11:10:55 AM
Saw Mr McMcinn about my painful left hip and was tld I didin't need a BHR but he referred me to Mt R. Villar.
I have now been thoroughly scoped.
They showed me the coloured pics of inside my joint after I woke.

My Labrum had all whispy bits along it which was the tear, My acetabulum had a crinkly bit of cateledge, there was a white thing about the size of a finger nail floating about in the joint and a small isolated patch of wear on the femoral head. (Micro fracture and stem cell repair)

After snipping nipping and doing what ever else was required I am now taking it easy until I am told I can do more by the Physio. ROm is alrerady better and pain less.

He told me before I had an 80% chance of being better 15% chance of being the same and 5% chance of being worse but If I did nothing it would get worse anyway, so no brainer.

After he said I had a pretty good chance now he had repaired all the damage. He also could not believe the mess I had managed to make of it with no knowledge of any sudden trauma.

Title: Re: Arthroscopy
Post by: Dannywayoflife on April 22, 2014, 11:21:49 AM
Sounds like you'll be on the mend now :)
Title: Re: Arthroscopy
Post by: Jason0411 on April 23, 2014, 04:31:13 AM
Hope so Danny took the car out for the first time this morning 1 week post op. Should have taken the big car instead of the Cabriolet but so tempting in the sunshine. Not a very comfy drive to work.
Learnt now big car from now on. No posing  :(
Title: Re: Arthroscopy
Post by: Dannywayoflife on April 23, 2014, 05:50:30 AM
Keep us updated mate :)
Title: Re: Arthroscopy
Post by: hernanu on April 23, 2014, 08:46:33 AM
Jason, I'm glad you got relief. If you ever need it, HR is there down the road, but for now if this fixes things, more power to you.

You'll be able to pose soon enough.
Title: Re: Arthroscopy
Post by: evant on April 23, 2014, 10:53:14 AM
Glad you're doing well.

Shame there's not more brilliant surgeons like Mr Villar specialising in arthroscopy.
Title: Re: Arthroscopy
Post by: Dannywayoflife on April 23, 2014, 12:37:45 PM
There is plenty nick it's just Mr Villar is amongst the best in the world.
Title: Re: Arthroscopy
Post by: Jason0411 on April 25, 2014, 05:25:49 AM
Went to Physio Wednesday morning 1 week post op and he could not believe how good my ROM was. Told me to ditch the crutches for everyday walking but for distance to use two no more than half a mile for this week. Also no more than 5 minutes walking about at a time. Got loads of excercises and am doing exactly as I am told this time. Little and often apparently is the secret. Fingers crossed.
Title: Re: Arthroscopy
Post by: hernanu on April 25, 2014, 12:03:19 PM
Sounds really positive Jason. Keep it up...
Title: Re: Arthroscopy
Post by: HippyDogwood on April 26, 2014, 05:58:49 AM
Really pleased for you Jason and thanks for the PM
Title: Re: Arthroscopy
Post by: Jason0411 on May 07, 2014, 10:13:43 AM
4 Weeks post Arthroscopy:- Feeling better by the day had 3rd Physio appointment today one more to go. He is very pleased with my progress and is now getting me to do difficult excercises which he said in a few weeks I will find easy. Expecting to be sore tonight as it always is after the physio has been pulling me about but apart from that back cycling and swimming although still no breastroke.
Title: Re: Arthroscopy
Post by: Dannywayoflife on May 08, 2014, 09:06:20 AM
That's great Jase! I'm currently recovering from my shoulder surgery. And I see Mr Treacy on the 21st with my right hip. :)
Title: Re: Arthroscopy
Post by: Jason0411 on May 08, 2014, 10:56:29 AM
Good luck mate.
Title: Re: Arthroscopy
Post by: Dannywayoflife on May 08, 2014, 11:44:22 AM
Cheers mate been prescribed cocodamol now for the hip :(
Title: Re: Arthroscopy
Post by: Jason0411 on May 09, 2014, 07:08:02 AM
On the slippery slope now 30/500s I presume.
Title: Re: Arthroscopy
Post by: Dannywayoflife on May 09, 2014, 12:37:23 PM
Yep theme the ones! Lol I really need to get another 12 -18 months out of it before I do another surgery!
Title: Re: Arthroscopy
Post by: Jason0411 on June 05, 2014, 01:17:07 PM
A bit behind but had my 6 week check last Thursday. Every seems hunky dorey. Good ROM good strength in muscle, the odd twinge and niggle on twisting wrongly or overdoing it but apart from that no pain when sitting standing or walking. I get the occasional clunking feeling (non painful) but have been assured that is my flexors that need stretching out. Which I think is true because once I get moving or have a good flexor stretch the feeling goes.

Cycling and swimming walking all I want but no Breaststroke (wil have to stroke the wifes back instead). :o
Title: Re: Arthroscopy
Post by: hernanu on June 10, 2014, 09:30:42 PM
Nice, Jason! keep it up.
Title: Re: Arthroscopy
Post by: HippyDogwood on June 11, 2014, 05:06:28 PM
Hope the recovery stays positive Jase and thanks for all your PM feedback.

Hopefully I can see similar results after I have surgery with Mr Bajwa in October
David
Title: Re: Arthroscopy
Post by: Jason0411 on June 23, 2014, 04:30:43 AM
Had a bit of fun on saturday and thoroughly tested both hips racing my 11 and 15 year olds and a friend with his 11 year old round a mini asault course. I beat all the younguns but Nigel who is 7 years younger than me and an ex squaddy beat me. Loving being able to do daft things with my family and friends again. ;D
Title: Re: Arthroscopy
Post by: evant on June 23, 2014, 03:24:43 PM
Yours is the first successful arthroscopy I've heard of.

Mine certainly didn't work (prior to my BHR of course) but I learnt rapidly not to trust the smug, uncaring, local orthopaedic surgeon.

It's good to read you're doing well.
Title: Re: Arthroscopy
Post by: HippyDogwood on June 24, 2014, 09:09:25 AM
Quote from: evant on June 23, 2014, 03:24:43 PM
Yours is the first successful arthroscopy I've heard of.

Mine certainly didn't work (prior to my BHR of course) but I learnt rapidly not to trust the smug, uncaring, local orthopaedic surgeon.

It's good to read you're doing well.

Evant

It is an interesting point. I have looked into this in detail and my conclusion is that it is firstly down to the quality of surgeon and secondly what they do. There seems to be a lot of evidence that suggests arthroscopy has limited benefit where OA is established if all you do is stitch up tears / debride. Where things seem to be heading is surgeons using a combination of microfracture and stem cells to then compensate for the lost cartilage.

General consensus is still that this is not as strong as the original cartilage, but can (in suitable patients) extend the natural hip life from anything between 3 and 10 years.

So I guess it's where you fix the bar for success. If you end up with HR / THR within 12 months of Artho then that's definitely a failure. If you get 3+ years with good improvement over that period then that's well worth looking at. But artho where OA is present without microfracturing or stem cells does seem to be limited.

What was your situation out of interest?

Rgds
David
Title: Re: Arthroscopy
Post by: evant on June 25, 2014, 02:30:00 PM
David

Thanks for your response.

I agree the quality of the surgeon and what they actually do is vital. If they can also do the arthroscopy rapidly once the symptoms have been confirmed then all the better.

My surgeon scored a dismal failure in all of the above.

My arthroscopy was officially confirmed unsuccessful at 6 months post-op.

It could have been worse - he wasn't in the least concerned that the arthroscopy had failed rapidly, and then wanted to practice his incompetence further by trying his hand at resurfacing my hip - he'd done @20 in 4 years. I declined his offer and thanks to Dannywayoflife and MikeD 
found the incredible Mr Treacy instead.

If an experienced surgeon skilled in arthroscopy is able to give an extra 3 - 10 years life to an ailing hip that sounds promising.

I'm sure Jason will be looking for the higher end of that life span if not more. Being referred by Mr McMinn to Mr Villar certainly gives him the very best chance.
Title: Re: Arthroscopy
Post by: Jason0411 on July 01, 2014, 08:25:13 AM
Feels ab fab at the moment. Villar has not been doing the stem cells for long. but so far so good.