DePuy ASR vs. Finsbury Adept

[leblovic]

I had a LASR in 2005 with Dr. Antoniou in Montreal. My right hip is now giving

me problems and so I recently paid another visit to Antoniou and he indicated

that I am now a candidate for a a right hip resurfacing. As noted in earlier

posts the ASR has now been withdrawn and Antoniou is now using the Adept

prosthetic. However he indicated that, as I had an ASR put in, if I wished he

could still provide the ASR for my right hip procedure. I know nothing about the


Adept except that is more like the BHR than the ASR and requires less tolerances


than the ASR. As Antoniou has an almost perfect record with the ASR (only one

failure out of about 1000 procedures) I am confident that he has the skill and

experience to properly install the RASR however he did warn that Depuy was no

longer "supporting" the ASR. I would appreciate any thoughts that any of you may


have as to the relative merits and disadvantages of the two prothetics and on my


options going forward.
Thanks
Nicholas Leblovic
Antoniou LASR April 2005

[Pat Walter]

Hi Nicholas

I am sorry, but I don't think most of us can say too much.  We know almost nothing about the Adept since it is not FDA approved or used in the US as far as I know.  I can only say that DePuy said the ASR was withdrawn from the market.  So I am surprised that you can still get one.  I know Dr. Antoniou is an excellent surgeon, so I would most likely listen to his recommendation.  I thought the Adept was very similar to the BHR, but again, I have never seen one or know anything about it.  I am sorry I don't much about either.  It is diffiuclt to find out about products that are not FDA approved and are discussed at the Hip Resurfacing Courses.  Personally, I would go with what my surgeon suggested since he is very expreinced and use to using the devices.  We as patients have no way of understanding the small differences and the instrumentation like the surgeon that placed the devices.  Good Luck.

Pat

[Pat Walter]

Here is Dr. Schmalzried's Statement

http://surfacehippy.info/hiptalk/index.php?topic=1753.0and

Dr. Bose's Statement

http://surfacehippy.info/hiptalk/index.php?topic=1749.0

and DePuy's Info

http://surfacehippy.info/hiptalk/index.php?topic=1726.0

[resurface]

If I can add something for you to consider: 

Why not just go with the proven product(s)? 

Why take a chance with something that it of limited experience and published data? 

These systems have different instruments even if they are similar. 

There seems to be no reason not to us a BHR.  Just my opinion.  This is not a time to experiment.

I wish you well...