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Author Topic: ESKA pure surfacing onlay  (Read 4795 times)

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DonC

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ESKA pure surfacing onlay
« on: August 26, 2009, 08:58:14 PM »
The ESKA 'pure surface Onlay'  appears to be one of the newest products to come to market. It appears to me to be the most aggressive bone growth material called 'Spongiosa Metal'. This seems unique in that it promotes an in growth into the three dimensional porous micro structure rather than bony growth to a roughened surface such as the BHR uses.At the "Hannover Exhibition 2006", ESKA Implants was awarded the iF material award for its surface structure Spongiosa Metal.(successful clinical use since 1982)

http://www.eskaaustralia.com.au/products.html

Also, under 'bearing surfaces' (very top of page) you can see their testing results on wear. It appears that the BHR is the highest wearing product. It would seem logical that this high wear rate would be the cause for high metal content in the blood. On the other hand the ESKA unit uses a dimpled  'Hydrodynamic Lubrication technique' yielding a significatly lower wear rate.

The ESKA system appears to be the most bone conserving, lowest wearing, and best bone growth unit that I've researched. Why is there no mention of this unit on this site?
It seems to address all the most common problems associated with the other units being used. Does anyone have any information on this product? Any Doctors using this method?
Is it approved only in Germany?

Any information would be greatly appreciated!

« Last Edit: August 26, 2009, 09:07:47 PM by DonC »

Pat Walter

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Re: ESKA pure surfacing onlay
« Reply #1 on: August 26, 2009, 09:09:27 PM »
Hi Don

Welcome to Hip Talk.

You certainly have been doing your homework. Where do you live?  I live in Ohio in the USA and am the owner/webmaster of the Surface Hippy Website.  I have found over the last 4 years since I started the website - it is very diffiuclt to find out about any products that are not approved by the FDA in the US.  If the product is not used in the US, there are few websites with information about them for US surgeons and patients.

In fact, it took the US and the FDA years to even approve the BHR.  It was used since 1997 by surgeons in overseas like Dr. De Smet and yet it took our country 12 years to even notice it and finally approve it.  The FDA still has not approved the ASR, Biomet and Wright C+ hip resurfacing devices which many people now have.

So I apologize that there is not more information about this ESKA hip device, but have no way of learning any more about it.  If you should find out more about it, I would appreciate it if you would share the information with me personally   pwalter@surfacehippy.info  or with the group.  I would be very surprised if you could find anyone that has this device in the US.  Again, if you do, I would love to post their story on my website.

I wanted to let you know why there is no other information available or most likely any people with the device on this website.

I personally wanted the most popular and most used hip resurfacing device in my hip and chose  a BHR placed by Dr. De Smet of Belgium that had done over 3000 hip resurfacings.  There is a long and excellent track record for the BHR.  I do hope that many new hip resurfacing devices and mid head devices become available, but it is a very slow process.  The BHMR is being used by several surgeons worldwide and I think a couple have used it in the US, but am not sure about the US doctors.  The FDA trials for it have not started as far as I know.

Good Luck and keep looking into your options.  I would most highly recommend a BHR, Biomet, ASR or Wright C+ hip resurfacing device. There are people on this board that have all of those hip devices.

Pat
Webmaster/Owner of Surface Hippy
3/15/06 LBHR De Smet

DonC

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Re: ESKA pure surfacing onlay
« Reply #2 on: August 26, 2009, 10:52:23 PM »
Hi Pat

Thanks for the warm welcome and thanks for a great web site!

I live in Florida. I had an auto accident when I was 22 and broke my femur in 12 places. I'm 58 now and as my previous Doctor predicted I would be very susceptible to arthritis in that hip as I got older. I have been to two Doctors here in Florida and both said to go with a total hip replacement. One head specialist said they could do a re-surfacing but felt it had a poor track record and he did not advise that route.

Fortunately I found your web site and have done more research on resurfacing. I filled out the forms and sent my xrays to Dr. Gross for evaluation. I'll report back what he says as my femur looks like a bent stick and am not sure if I'm a candidate.

I have sent e-mails to ESKA in both Australia and Germany. No reply as yet. I will call on the phone in the next day or two.

I congratulate Dr. Gross for his work in getting an improved cementless version of the BHR system. However, ESKA seems to be far more advanced in many ways. It seems due to the slow process of the FDA that it will take many,many years to catch up to the technology they currently use in Europe. I am concerned about the metal particles in the blood and am concerned that the BHR ranked as the highest on the list for wear. It seems BHR is recommended so highly because it is the only one to get FDA approval. Is it possible there are better performing units on the market but are not considered simply because they are not FDA approved? I feel this may be the sad reality.

I'll keep you posted to any information I find and please take a look at the ESKA site. Some very interesting cutting edge products there.

Thanks again!

Don
« Last Edit: August 26, 2009, 10:55:24 PM by DonC »

Dannywayoflife

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Re: ESKA pure surfacing onlay
« Reply #3 on: January 26, 2011, 05:23:15 PM »
Hi, has anyone any more info on this? Where is this available? It does seem to improve on the bhr, I'm no expert but from what I understand devices need replacing generally due to loosening and the rear surface does seem to address this point as the bone ingrowth would seem to be much firmer.
Train hard fight easy
LBHR 10/11/2011 Mr Ronan Treacy Birmingham England
60mm cup 54mm head
Rbhr 54mm head 60mm cup 12/02/15 Ronan Treacy ROH Birmingham England
;)

Lopsided

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Re: ESKA pure surfacing onlay
« Reply #4 on: January 27, 2011, 01:50:02 AM »
I was also interested in this. I was determined for a cementless device and the Eksa also has a mesh porous surface. Also, I just liked the look of it. If you are going to have something hi-tech implanted, it might as well be a fancy hi-tech device.

Unlike all the other devices though, it does not seem to be in general usage. So I went with the C+.



Proud To Be Dr. De Smet's First Uncemented Conserve Plus, Left, August 2010

obxpelican

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Re: ESKA pure surfacing onlay
« Reply #5 on: January 27, 2011, 03:08:57 AM »
The FDA approval (at least this is how my doc explained it to me) means that the device has been proven not to injure or kill the patient.

The ASR was FDA approved and unless the device was implanted by a really good doctor patients ended up with really poor results from wear particles caused by the device not being implanted at a proper angle.

Doctor Gross uses implants that he uses "off label" with great results, but again and we say this over and over, it's the experienced doctor that will give you your best shot at a postive result.
 
The BHR is one of the devices with a very good track record.


Chuck



It seems BHR is recommended so highly because it is the only one to get FDA approval. Is it possible there are better performing units on the market but are not considered simply because they are not FDA approved? I feel this may be the sad reality.

Chuck
RH/Biomet U/C Dr. Gross/Lee Webb
8-6-08

Dannywayoflife

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Re: ESKA pure surfacing onlay
« Reply #6 on: January 27, 2011, 11:57:54 AM »
Hi thanks for your input, so the general advise is to go with the Bhr then? I was hoping to be able to push a year out after my arthroscopy but I very much doubt I can. I'm really struggling to walk anymore than about 400m now and I'm struggling with stairs! And I'm not even 30!! I've got to say I feel like this is ruining my life!!
Train hard fight easy
LBHR 10/11/2011 Mr Ronan Treacy Birmingham England
60mm cup 54mm head
Rbhr 54mm head 60mm cup 12/02/15 Ronan Treacy ROH Birmingham England
;)

obxpelican

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Re: ESKA pure surfacing onlay
« Reply #7 on: January 27, 2011, 12:31:07 PM »
You sound like me, you sound like the end stage bone one bone.

You probably have some bone spurs and very poor ROM.

Sounds like time to get your life back, get the surgery, find the BEST, MOST EXPERIENCED surgeon that you possibly can, it will change/give you back your life.


Chuck
Chuck
RH/Biomet U/C Dr. Gross/Lee Webb
8-6-08

newdog

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Re: ESKA pure surfacing onlay
« Reply #8 on: January 27, 2011, 04:03:53 PM »
It's time to get it done. You sound just like I was before surgery. It's no way to live. Best of luck.

Steve (newdog)
Steve, Dr. Gross bilateral, uncemented Biomet, January 10 & 12, 2011, Columbia S.C.

Dannywayoflife

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Re: ESKA pure surfacing onlay
« Reply #9 on: January 27, 2011, 08:42:44 PM »
Chuck my rom has got significantly better after my arthroscopy as lots of bone growth was removed then. But prior to it my leg would hardly move. I think I do need to get it done but surgeons all say to me put it off as long as poss as I'm only 28. I think that I'm going to have to speak to my current surgeon and ask him who the top resurfacing surgeons are. I'm hoping to get back into my sports after I get it done.
Danny
Train hard fight easy
LBHR 10/11/2011 Mr Ronan Treacy Birmingham England
60mm cup 54mm head
Rbhr 54mm head 60mm cup 12/02/15 Ronan Treacy ROH Birmingham England
;)

 

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