Hello Everybody,

Just an update with good news. I saw Dr. Greidanus for my 2
month follow up. He declared that I now have no restrictions
allowing for a return to cross trainers, stairmasters, bicycles, and even
tennis. I was referred for physio for “aggressive” treatment. I had
related in an earlier post the following: I had a resurface with Dr.
Antoniou in Montreal on Jan. of 2005. It was the ASR by Depuy of Johnson
and Johnson.

For 18 months my hip was great, but beginning in
Sept. 06 pain came quite suddenly and became worse for months. I was
misdiagnosed first with bursitis, then with
heterotrophic soft
tissue ossification , and finally a minor infection for the pain.
After that long distance of time from Jan. 05, both my GP and Dr.
Antoniou did not think that it was a deep infection. I was mistreated
with anti-inflammatories, physio, and oral antibiotics until Dec.
06 when the incision “burst” open with a bloody discharge. This
occurred in the last couple of days in Cabo San Lucas after a 2 week on
crutches “holiday”. I believed that I was going to be
recuperating while on holidays in Mexico but it got worse.

When I
returned to Vancouver and finally saw Dr. Greidanus I was sent for an
aspiration because he was sure that I did have the deep infection and I
did. I had that ASR removed and replaced with a temporary
prosthesis in Feb 07. I was on antibiotics intravenously for 6 weeks and
when the infection was eradicated my THR revision was done on May
14/07.

One doctor at VGH said that I could have been afflicted with a
low grade infection for that time from 2005 but how I got the
infection
is a mystery. Perhaps an infected toe in Sept. 06 allowed
bacteria into the blood stream to gravitate to that “foreign object” in my
hip.

Dr. Greidanus warned me to be careful about causing any
wounds that could become infected and to consult with my Dentist re
antibiotics before dental work. A Dental
hygienist friend has stated that
the mouth is the greatest conduit for unwanted bacteria to enter
the blood stream.

I was pain free 2 days after my surgery and did
not continue with any pain meds except for
Tylenol for only 4
days after surgery. I am now very happy with the outcome.

I received
more info a couple of days ago with Dr. Greidanus. There is not
published literature yet about my new THR MOM. I was the first person
in Western Canada to receive it. It is by Depuy of Johnson and
Johnson, the same who had done my ASR resurface prosthesis. This has
a Summit femoral stem, a Pinnacle acetabulum, and a 44mm metal head
metal on metal.

Dr. Greidanus has done many resurfacings and agreed
that he would do my left hip with an ASR if I wanted next year but
did not see a reason why I should not have the THR MOM. He has
stated that he feels that it will last 25 years. He stated that (heaven
forbid) if another revision was needed on that same right hip that
he could easily “pop” out the THR. The femoral stem is different than
the typical THRs. I have yet to Google the Depuy site to learn
more. I still read this site regularly but I also participate on the
other site for THRs. How can I send this post to that site? Thanks
for any assistance.

Regards, Ted Wilson

RASR Jan 05 Antoniou (Montreal)

R THR MOM May 07 Greidanus (Vancouver)