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Author Topic: Will a surgeon do HR for just moderate joint space narrowing?  (Read 1182 times)

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Miguelito

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Will a surgeon do HR for just moderate joint space narrowing?
« on: August 20, 2013, 06:35:26 PM »
Just a quick question before I bug my surgeon. I'm pretty sure they would, that it's a facts and circumstances thing, not simply how much joint space narrowing. I have Cam FAI as well, the hip hurts mostly constantly (though not like the already HR'd right hip did, thank Jeebus).

Thank you!

Mike
RHR April 2012.
LHR March 2014.

Both Biomet Magnum/Recap 54/48, by Dr. Thomas Gross.

Dannywayoflife

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Re: Will a surgeon do HR for just moderate joint space narrowing?
« Reply #1 on: August 20, 2013, 06:41:12 PM »
I believe there has to be a certain degree of arthritis in the joint as this changes the circulation within the joint. But once past that point there's no real point to postponing further
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
;)

Miguelito

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Re: Will a surgeon do HR for just moderate joint space narrowing?
« Reply #2 on: August 20, 2013, 06:51:43 PM »
Sorry. I was very unclear in my brevity.

There is definitely arthritis (a word whose meaning I am still a little unclear on after 32 years of having it) in the joint. I have lots of different kinds of pain (including the traditional groin pain), the FAI, moderate joint space narrowing, etc.

I just don't have severe joint space narrowing or debilitating pain yet.

So given that, I will take your answer as a yes.

Thanks again,

Mike
RHR April 2012.
LHR March 2014.

Both Biomet Magnum/Recap 54/48, by Dr. Thomas Gross.

HippyDogwood

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Will a surgeon do HR for just moderate joint space narrowing?
« Reply #3 on: August 20, 2013, 07:47:12 PM »
Mike

Before surgery, the surgeon will assess two things;

  • Whether he considers your pain to be manageable - they treat pain rather than x-rays
  • They then look at the source. The FAI could have caused a torn / detached labrum which is giving you the pain and would show up in an MRI scan. If so, an arthroscopy to have the FAI removed and labrum fixed could be a better first option, if the spacing is still good
David

Tim Bratten

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Re: Will a surgeon do HR for just moderate joint space narrowing?
« Reply #4 on: August 20, 2013, 11:29:31 PM »
Send Koen De Smet an e-mail with the x-ray and ask him what he thinks. He'll reply for free and give you a better answer than we can.
« Last Edit: August 20, 2013, 11:33:09 PM by Tim Bratten »
Botched LHR by Dr. Vilicich 06-17-2010 revised by Koen De Smet 02-14-2012
RHR Koen De Smet 02-05-2014

 

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