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Author Topic: Please share your Success with Surgeons who have Less #s of Resurfacings ?  (Read 2902 times)

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Two4One

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Would all of you hippies out and phreaks out there who have had great results with either 'no name' surgeons, and all of you who're feeling fantastic after using hip resurfacing surgeons with less numbers of procedures please take a moment to share your stories with us here on the board?

I've told my story more than a few times now, but I'd love to hear from you about your successful resurfacings from the less famous or exclusive surgeons.  How about it?

Over 2 years ago, I had 2 failed scopes by an arthroscopic specialist surgeon to repair my bilateral FAI and labral tears, and he unfortunately missed the the most critical fact that was staring him in the face.  Neither of us knew I was coming to him with a rare form of end stage, bone on bone, OA.  During our consultation, he questioned the severity of my pain and told me that he had never had a successful arthroscopic outcome with patients like me.  I asked the scope OA what he meant by patients like me?  The Scope OA Surgeon said labral tear patients like me who presented with a prescription drug history of Oxycontin and Fentanyl before their arthroscopy were using drugs that did not fit their pathology.  He said my films and scans showed normal, healthy cartilage, no arthritis or degenerative changes, and the bilateral labral tears and femoral acetabular impingement that did show did not warrant more than an occasional Vicodin.  This surgeon said patients like me had drug seeking behavior and that he would not do my bilateral arthroscopies unless I stopped using my narcotics of Oxycontin and the 100mg Fentanyl Patch. 

So, I did wean off them completely and in a hurry!  I badly wanted my surgeon to operate and was desperate enough to try anything to get out of the intense pain I was in.  I blamed myself for not being tough enough.  I  believed my arthroscopic surgeon when he told me I was a drug seeker, and the pain I was reporting was all in my head.  I felt horrible about myself, and for the first time in my life I wondered if I had a problem.

I was scared, and even if my pain was imaginary, it was so terrible that I had stopped leaving my bed immediately after I tore both of my labrums in August 2009.  I really didn't like the arthroscopic surgeon at our first meeting, and even though my 'gut' said no way Jose', I let him operate in spite of me not feeling very good about him.  The scope surgeon does have a very good reputation in our buckle of the bible belt, and Dr. Arthroscopic Specialist did fix my torn labrums and FAI just fine.

Unfortunately for me, my type of OA location was and is rare.  From sending my films and arthroscopy surgery notes to Dr. Sampson, CA, I learned much later that my OA was from what he called "an almost protrusio acetabuli" situation.  Dr. Sampson most kindly looked at my films for free, plus called me & emailed me with his medical second opinion.  I would have used him in a heartbeat because he's a highly skilled, experienced surgeon off world renown  who is also humble and kind, but unfortunately he does not accept insurance.

A similar experience happened to my friend 2 years ago too.  She went to a well known arthroscopic surgeon for her one hip arthroscopy, and she was also in worse pain afterward.  Her surgeon basically fired her, like mine did, when she kept complaining something was wrong.  Fortunately, now she's scheduled for a THR with a less known surgeon who has a lesser number of THR procedures under their belt, but she's done her research.  She knows 100 percent this surgeon is the right one for her, and he is not a well known surgeon from Stanford like the one she let do her failed scope and that she couldn't stand.

I'm so fortunate too, now that I'm recovering with a middle to upper tier OA resurfacing surgeon I like.  I'm so lucky and relieved that I didn't have to use another surgeon who didn't feel right in my 'gut'.  Plus, I'm so happy I'm not in the position anymore where I had no choice or knowledge but to choose an arthroscopic surgeon because he was a 'name' surgeon. and the irony of course is that I needed resurfacing all along.

It turns out that my particular arthroscopic surgeon was, (or it seemed to me at least) better at wearing $3000 dollar suits and swanning about than he was at hip surgery and properly diagnosing his patients.  I came to him on Oxycontin and a Fentanyl patch with labral tears showing on my films, but my scope surgeon didn't poke around and pull my femors out to to look for the obvious culprit of OA - given my prescription drug and reported pain history.  Instead, my scope surgeon did a fine job on my FAI and labrum repairs, observing in his notes the lack of any degenerative disease, and sadly did absolutely nothing about looking for the bone on bone arthritis that was located between the top of my femors and the deepest recess of my acetabulum. 

To be fair, my terrific hip resurfacing surgeon, Dr. Schmitt, said my OA's rare location and the fact that my OA was in an X Ray and other films' 'blind spot' made my bone on bone OA hard to spot 'unless you knew what you were looking for'.

I'm genuinely curious to see the successes hippies have had with the resurfacing surgeons who are perhaps less well known, who may be newer in their practice, and/or who have done less numbers of hip resurfacing procedures.  I went back and rewrote this post because I was using too broad a brush; I realize I was labeling when all I really wanted to know about was the different successes of hippies across a broad spectrum of resurfacing surgeons with various levels of experience.
 
« Last Edit: January 17, 2012, 09:08:47 PM by Two4One »
"I was inspired by the very idea of turning the wildest figments of your imagination into something real and creating a life for yourself." - Ken Ilgunas

12/11 Failed Bilateral BHR by Dr. Schmitt  3/14 Positive Metal LTT for Nickel Allergy.   11/14 Bilat Ceramic/Titanium Revisions.

imgetinold

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Re: Experience vs less Experience
« Reply #1 on: January 17, 2012, 02:10:58 PM »
Well........this may not qualify, mostly because I had Dr. Gross for my resurfacing......but......

I found the only surgeon in the Atlanta area (in Georgia, in fact) listed on this website and went to him in December 2010.  He  took x-rays and pointed out that I was bone-on-bone.  He indicated that my choices were total hip replacement or resurfacing, and indicated that either was a perfectly good option.  That was an indication to me that he was not a specialist in resurfacing, and the more I read about the importance of experience, the more I gravitated to Dr. Gross.  He might have done a good job, but his lack of enthusiasm for the resurfacing made me look elsewhere.

-Andy
« Last Edit: January 17, 2012, 04:59:33 PM by Pat Walter »
Andy
- Right Biomet uncemented HR with Dr. Gross on 1/11/2012
- Left Biomet uncemented HR with Dr. Gross on 10/28/2020

BOILER UP!

hernanu

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Experience vs Less Experience
« Reply #2 on: January 17, 2012, 03:18:25 PM »
I went with Dr. Snyder in Newton-Wellesley, Boston area.

 At the time of my surgery, he had 800+ surgeries, had a good reputation with the patients I talked to and with the nurses in the hospital. There have been some bad experiences noted in the site with him, but my experience has been great both with him and with the whole Newton-Wellesley surgical area. An entire floor is dedicated to resurface / THR work, so the staff is really knowledgeable.

The office staff for Dr. Snyder is also very professional and capable. They have an XRay setup in the office, so nothing takes long. Dr. Snyder has some restrictions (no impact sports before 1 year, no running for six months), but very few others - he has no 90 degree rule (for me). The results were great, I had no problem going back to him for my second resurface. Any time I wanted to talk to them, I got an immediate call back from a nurse or Dr. Snyder; no problem at all with care, and they signed me up for both in home PT and outpatient PT - no worries there.

I recommended him to my brother in law (Coren Mini hip), so I trust his skill. Others may have other opinions, but this is my experience.
« Last Edit: January 17, 2012, 05:00:03 PM by Pat Walter »
Hernan, LHR 8/24/2010, RHR 11/29/2010 - Cormet, Dr. Snyder

Dannywayoflife

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Experience vs Less Experience
« Reply #3 on: January 17, 2012, 04:27:10 PM »
To be honest the surgeons over here are an odd breed! In my experience the ones that arnt at the top of the game are the ones that are full of importance and arrogance and in my view are oxygen thieves. I thinnk they are like this because they know they are not the best but have a complex about it and so give it the big one to patients! The guys at the top of the tree on the other hand have nothing to prove and are far more approachable and less full of them selfs! They seem to let there skill in the OR do the talking.
Just my 2cents
danny
« Last Edit: January 17, 2012, 05:00:18 PM by Pat Walter »
Train hard fight easy
LBHR 10/11/2011 Mr Ronan Treacy Birmingham England
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Rbhr 54mm head 60mm cup 12/02/15 Ronan Treacy ROH Birmingham England
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Pat Walter

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re: Experience vs less Experience
« Reply #4 on: January 17, 2012, 04:57:50 PM »
I have personally met most of the top surgeons from McMinn, De Smet, Traecy, Gross, Su, Brooks, Amstutz, Schmalzried, Mont, Rogerson, etc. etc. etc.  You can see my video interviews with them.  Every one is very personable and if they have large egos, you don't see it when talking with them.  They are not the Big Shots because they are talked about, they are at the top of their game because of their medical series of hip resurfacing which show 99.9% retention rate for the top surgeons.  They have done thousands and thousands.  The problems are with the surgeons that only do them now and then.  This is not about egos - it is about skill.  I felt a bit timid when I first met the top surgeons at the hip resurfacing courses, but every one was very warm and friendly. 

I go by National Registries and medical studies.  I do hear a lot of patient stories, but I don't quote stories - I use the statistics that any one can read in the national registries.

So let's not continue to call top experienced surgeons Big Shots - please.  I will remove any kind of smart mouth comments about the highly skilled surgeons.  I would also like to comment that there are many less experienced surgeons that have excellent outcomes, but the 4 % of people that have problems are normally patients of the less experienced surgeons.  So the way to make sure you are not a statistic with problems is to use the top experienced surgeons.

Pat
« Last Edit: January 17, 2012, 04:58:55 PM by Pat Walter »
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Dannywayoflife

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Re: Experience vs Less Experience
« Reply #5 on: January 17, 2012, 05:53:49 PM »
Well said pat.
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
;)

Two4One

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Pat, my smart mouth seems to come with my foot permanently in it! :-[

Quote
I would also like to comment that there are many less experienced surgeons that have excellent outcomes....- Pat Walters
  Succinct and well said, and, uhm, that's exactly what I was trying to ask the other hippies with my post.  Will you please tell me about your excellent outcomes with your less experienced surgeon?

I rewrote my post and took out stuff that didn't need to be in there.  I think it's a better post for it, and I hope to hear more hippy stories.
"I was inspired by the very idea of turning the wildest figments of your imagination into something real and creating a life for yourself." - Ken Ilgunas

12/11 Failed Bilateral BHR by Dr. Schmitt  3/14 Positive Metal LTT for Nickel Allergy.   11/14 Bilat Ceramic/Titanium Revisions.

Dannywayoflife

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Two4,
        From what I understand your surgeon is excellent and has done well over 1000hr's
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
;)

Two4One

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He sure has, Dan.  I was real lucky to live 4 hours away from a great surgeon; of course, I'm biased because I can do so much more than B.O.A.  If I had seen Dr. Schmitt that fateful August in '09, Schmitt said that he would have delved into my history of severe pain and I would have had my bilateral resurfacing!  It was the bone on bone that tore my labrums in the first place, and Hello, it was the bone on bone that was also causing my femoroacetabular impingement! 

I can never get back those 2 years, so now I try to approach everything in a spirit of inquiry.  I'm curious to hear all about  successful outcomes from folks who used less experienced surgeons, so I'm asking.  While I'm working hard to heal and do all I can for myself and people around me, I still have a long way to go before I can go back to work and really interact with the world again.  I know that time will be here before I know it, but in the meantime I draw a lot of companionship and support from this pretty cool community.  I've been in this house, a shut in, for a very, very long time, and I miss hearing about other people's experiences, and sometimes it's nice just to shoot the breeze.

I'm sorry, what was the question, Danny? :)
"I was inspired by the very idea of turning the wildest figments of your imagination into something real and creating a life for yourself." - Ken Ilgunas

12/11 Failed Bilateral BHR by Dr. Schmitt  3/14 Positive Metal LTT for Nickel Allergy.   11/14 Bilat Ceramic/Titanium Revisions.

blmjumper

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I was the 22nd resurfacing by Dr. Menzner in Boise, ID... I ended up with a Cormet device which has been in place for just over three years now.

I flew a parachute into the ground in 2001 and shattered my femur which ended up causing some nasty OA in that hip. Due to it being a worker's compensation injury, I was limited on my choices for a surgeon (Dr. Menzner was also the one who pinned my femur). However, I was comfortable with him as a surgeon as we've gotten to know each other well over the years through all of my other injuries.

I still continue to abuse the daylights out of my body at work and at play and my Cormet hip is doing great. We did an X-Ray, MARS MRI and blood work last December as I was having some groin pain and wanted to rule out damage to the joint, metal ion issues, etc.

Everything came back perfect and the pain was attributed to an inflamed tendon (I started doing Krav Maga in November). Some deep tissue massage work has remedied the tendon issue and all is well.

Regardless, I feel very fortunate and am very thankful the procedure yielded such great results from a surgeon who was "new" to resurfacing.

Thank you Dr. Menzner

Dannywayoflife

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Re: Please share your Success with Surgeons who have Less #s of Resurfacings ?
« Reply #10 on: January 17, 2012, 10:49:24 PM »
No question mate :)
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
;)

Two4One

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Re: Please share your Success with Surgeons who have Less #s of Resurfacings ?
« Reply #11 on: January 17, 2012, 11:09:14 PM »
Hey Jumper!

I like your catch phrase "Hope is not a strategy".  I'm a huge believer in happening to life rather than life happening to you.

I digress.  You are hardcore, and that's a compliment.  I'm really excited that you feel so great that you can krav maga all over the place!  Thanks for Telling me about Dr. Menzer.  He did you a solid, Jump.

Three years of abusing your body sounds like heaven to me!  Keep up the good work.

2-4
"I was inspired by the very idea of turning the wildest figments of your imagination into something real and creating a life for yourself." - Ken Ilgunas

12/11 Failed Bilateral BHR by Dr. Schmitt  3/14 Positive Metal LTT for Nickel Allergy.   11/14 Bilat Ceramic/Titanium Revisions.

Aerial

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Re: Please share your Success with Surgeons who have Less #s of Resurfacings ?
« Reply #12 on: January 17, 2012, 11:37:59 PM »
I am fortunate to live in Columbia, SC so Dr. Gross was a "no brainer" for me.  I actually had someone tell me they did not like his manner.  However, I rarely have encountered such a poised Doctor.  With that said, I only saw him for my initial appointment (in which he took a tremendous amount of time with me), while I was under for surgery (never saw him before surgery because apparantly he has two operating rooms going at once) and for a quick visit the day after surgery in the hospital.  All other communications and appointments were through his staff.  So a top name doctor comes with these "limitations" (limitations is in quotes because I am not sure that this is the right word choice). The surgery I had for FAI and labral tear with another local doctor was more more personal in terms of seeing the doctor.  I am sure there are times when "bigger" is better and "smaller" is better.  Bottom line is, you have to feel comfortable with who you choose.  I had a rather complicated jaw surgery done by a local maxiofacial surgeon who did a tremendous job but certainly was not one of the "big names".  I couldn't be happier with the result of that surgery.  There was no way at that point in my life I could travel and go to a "big" name doctor and everything worked out fine.  I think the patient just has to be educated and proactive in learning about the procedure and questioning their doctor.
Right hip resurfacing with Dr. Gross on 12/5/11!

Two4One

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Re: Please share your Success with Surgeons who have Less #s of Resurfacings ?
« Reply #13 on: January 18, 2012, 12:00:36 AM »
That's an interesting and thoughtful take on the subject, Aerial.  You are bound to keep doing well with Dr. Gross as your surgeon.

I didn't have another flight left in me after flying out to Vail twice this summer and fall for what was to be bilateral arthroscopies.  I'm glad Dr. Detroit, aka Schmitt, seems to have done a fine job on my bilateral bionics.
"I was inspired by the very idea of turning the wildest figments of your imagination into something real and creating a life for yourself." - Ken Ilgunas

12/11 Failed Bilateral BHR by Dr. Schmitt  3/14 Positive Metal LTT for Nickel Allergy.   11/14 Bilat Ceramic/Titanium Revisions.

Aerial

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Re: Please share your Success with Surgeons who have Less #s of Resurfacings ?
« Reply #14 on: January 18, 2012, 12:07:28 AM »
Let me say though that what I appreciate most about Dr. Gross is that he actually collects data and
Publishes on the topic.  This says something about how the quality of what he does, presents, says, etc. is accepted by his peers.  He is very convincing when he clarifies statements based on data!  I took the time to look up some of his publications!
Right hip resurfacing with Dr. Gross on 12/5/11!

Ernie

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Re: Please share your Success with Surgeons who have Less #s of Resurfacings ?
« Reply #15 on: January 18, 2012, 12:33:08 AM »
I had my right hip resurfaced by Dr. Kenneth Kress in Atlanta on April 1, 2011.  He is a very experienced and respected ortho surgeon, but hadn't don't a lot of resurfacings.  I came home from the hospital the same day and had a very quick and full recovery.  I feel he did a masterful job on me.  However, when time came this past December to resurface my left hip, Dr. Kress didn't want to do the MOM any longer because he'd had two bad outcomes, and because of the broader problems being reported with MOM.  So I postponed my surgery with him while we had my metal ions checked.  They came came back low indicating that I didn't have a problem with the resurfaced hip which was a great relief.   I wish he was continuing with resurfacing because he is an excellent surgeon and I believe it is the better option for people like me who are physically very active.   However, when the time comes to resurface my left hip (it looks like crap on the x-rays but isn't hurting badly yet; I got a new dog that needs a lot of exercise and the twice or three times daily walks surprisingly seem to be helping!) I plan to go to Dr. Gross in South Carolina.  I want a surgeon who is confident in the value of the procedure.
Right Hip Resurfaced - Wright Conserve Plus, April 1, 2011 by Dr. Kress, Atlanta, GA

Left Hip Resurfaced - Biomet, May 4, 2015 by Dr. Gross, Columbia, SC

Two4One

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Re: Please share your Success with Surgeons who have Less #s of Resurfacings ?
« Reply #16 on: January 18, 2012, 01:27:04 AM »
Wow, Ernie, although he's since decided to not do resurfacing any longer and hadn't done that many, isn't it amazing that Dr. Kenneth Kress installed your R Hip hardware that's holding up beautifully for you?

Six months will soon turn into years, and I know your new buddy will keep your 'bad' hip in much better shape with all the hikes that all dogs love!  Counter intuitively, isn't exercise, especially walking, supposed to be excellent for non symptomatic OA?  Your new dog is definitely volunteering to be your personal trainer!

Thanks for opining on this topic.

2-4

"I was inspired by the very idea of turning the wildest figments of your imagination into something real and creating a life for yourself." - Ken Ilgunas

12/11 Failed Bilateral BHR by Dr. Schmitt  3/14 Positive Metal LTT for Nickel Allergy.   11/14 Bilat Ceramic/Titanium Revisions.

moe

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Re: Please share your Success with Surgeons who have Less #s of Resurfacings ?
« Reply #17 on: January 18, 2012, 02:15:28 PM »
2.5 years for me, bi-lateral, same day, difficult for the surgeon, most won't do it. Dr Marchand, South County Hospital RI, which is in southern New England. So Co is at the forefront of orthopedics in NE, and it's near the ocean, which is nice! I am an extremely active 59 year old, hike, trail run, road and mountain bike, kayak, active occupation. No issues, ever, no clunks, no squeaks, no pain. I really think these are as good as my original hips. I believe Dr Marchand is up around 800 resurfs. Trained by Dr Su. He is well known in this area, personable. No worries mates!
Bi-lateral, BHR, Dr Marchand. 7-13-09

Two4One

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Re: Please share your Success with Surgeons who have Less #s of Resurfacings ?
« Reply #18 on: January 18, 2012, 05:04:47 PM »
Congratulations, fellow Bilat!

I'm so pleased Dr. Marchand has given you a great pair of hips!  I got mine on the same day too, and it was totally worth it!

2-4
"I was inspired by the very idea of turning the wildest figments of your imagination into something real and creating a life for yourself." - Ken Ilgunas

12/11 Failed Bilateral BHR by Dr. Schmitt  3/14 Positive Metal LTT for Nickel Allergy.   11/14 Bilat Ceramic/Titanium Revisions.

 

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