Hello Bonesmart members,
A complete newbie to Bonesmart with my first post and I need advice.
I am 56 years old in a LOT of pain and 4 different hip specialists all say that my osteoarthritis is severe in both hips. They all recommend bilateral hip replacement. I have been researching the options and I am torn between anterior approach total hip replacement (with local surgeon Dr. Andrew Yun - Santa Monica, CA)... or BHR (Birmingham Hip Resurfacing) with Dr, Peter Callander (up in San Francisco, CA.). If you can comment on either surgeon, I would be most appreciative.
I plan on retiring after my operations and wish to be able to still be active for the next 10-15 years... especially in golf which I enjoy and play very well. For a guy my size, 6'4" tall, 180-185 pounds... the revision rate over time on the major Joint Registries (Australian, UK and Sweden) for the metal-on-metal BHR resurfacing is about the same as the total hip implant with the highly cross-linked poly. (Not so for smaller boned women, however.) Moreover, Dr. Callander says that his patients have absolutely no restrictions (run all you want, contact sports, whatever you want after 6 months). Moreover, it seems to me that the metal on metal BHR implant, IF installed correctly, will never wear out. When I analyze the data carefully... and exclude small-boned women... and exclude low-volume inexperienced doctors out of the equation, the BHR resurfacing appears to be superior to the THR... and keep in mind, BHR patients are typically younger and more active than the THR patients.
Yet... most of the local surgeons disagree with me. Those surgeons (that do the total hip procedure) say the new total hip implant can easily last 20 years or more. Yes.. I agree, the polyethylene liner is definitely better than the old poly... but aseptic loosening of the stem down the femur is the more common issue.... not the liner. And if the stem becomes a problem, revision total hip surgery appears to be more problematic with an even larger stem installed down the femur for the revision. (If the BHR goes bad, they simply keep the cup and put in a dual mobility total hip THR... like getting your first total hip.)
My question is: Is there anyone out there in the Bonesmart Universe that has one of each??? And if so, which side feels more natural. (or which side do you like better?) Does one feel more stable? Any input at all would be great.
Is there anyone out there that has had BOTH hips replaced with a total hip implant (or BHR) and is playing golf 2-3 times a week without pain or stability issues? I need advice... good or bad. Thanks in advance for your help. Gary
A complete newbie to Bonesmart with my first post and I need advice.
I am 56 years old in a LOT of pain and 4 different hip specialists all say that my osteoarthritis is severe in both hips. They all recommend bilateral hip replacement. I have been researching the options and I am torn between anterior approach total hip replacement (with local surgeon Dr. Andrew Yun - Santa Monica, CA)... or BHR (Birmingham Hip Resurfacing) with Dr, Peter Callander (up in San Francisco, CA.). If you can comment on either surgeon, I would be most appreciative.
I plan on retiring after my operations and wish to be able to still be active for the next 10-15 years... especially in golf which I enjoy and play very well. For a guy my size, 6'4" tall, 180-185 pounds... the revision rate over time on the major Joint Registries (Australian, UK and Sweden) for the metal-on-metal BHR resurfacing is about the same as the total hip implant with the highly cross-linked poly. (Not so for smaller boned women, however.) Moreover, Dr. Callander says that his patients have absolutely no restrictions (run all you want, contact sports, whatever you want after 6 months). Moreover, it seems to me that the metal on metal BHR implant, IF installed correctly, will never wear out. When I analyze the data carefully... and exclude small-boned women... and exclude low-volume inexperienced doctors out of the equation, the BHR resurfacing appears to be superior to the THR... and keep in mind, BHR patients are typically younger and more active than the THR patients.
Yet... most of the local surgeons disagree with me. Those surgeons (that do the total hip procedure) say the new total hip implant can easily last 20 years or more. Yes.. I agree, the polyethylene liner is definitely better than the old poly... but aseptic loosening of the stem down the femur is the more common issue.... not the liner. And if the stem becomes a problem, revision total hip surgery appears to be more problematic with an even larger stem installed down the femur for the revision. (If the BHR goes bad, they simply keep the cup and put in a dual mobility total hip THR... like getting your first total hip.)
My question is: Is there anyone out there in the Bonesmart Universe that has one of each??? And if so, which side feels more natural. (or which side do you like better?) Does one feel more stable? Any input at all would be great.
Is there anyone out there that has had BOTH hips replaced with a total hip implant (or BHR) and is playing golf 2-3 times a week without pain or stability issues? I need advice... good or bad. Thanks in advance for your help. Gary