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Dual mobility acetabular cup vs traditional implant #2
This is purely anecdotal and does not refer to ROM, yes, sure you can still run and jump with a traditional hip replacement. There are studies on ROM with regard to bearing size, but my main concern is dislocation which has happened to a relative of mine and its something that I really want to...- Andy P
- Post #55
- Forum: Hip Surgery Pre-Op Area
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Dual mobility acetabular cup vs traditional implant #2
I'm completely against traditional bearings now, the 36 and below wont give you a full range of movement. Which means your hip wont return to its fullest muscle balance. With bearings over 36mm there starts to be lubrication issues and greater potential for wear (as you've mentioned), but this...- Andy P
- Post #52
- Forum: Hip Surgery Pre-Op Area
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Dual mobility acetabular cup vs traditional implant #2
Regarding informed consent. I asked the surgeon whether the DM has any drawbacks in comparison with traditional CoC implants, I've needed to ask his secretary as he doesn't respond to emails Responses are: 1. this is your best option (no other comments) 2. Google it (and I am not kidding about...- Andy P
- Post #30
- Forum: Hip Surgery Pre-Op Area
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Dual mobility acetabular cup vs traditional implant #2
@Jaycey I'm sorry, but thats just patronising, yes, it is still surgery. But as NICE recommends MI THR then thats what i'd go for. The lateral has a history of issues around limping and continued pain around the entry point. @Josephine I'm afraid what Im seeing here is a mimicking of the NHS...- Andy P
- Post #27
- Forum: Hip Surgery Pre-Op Area
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Dual mobility acetabular cup vs traditional implant #2
@Josephine yes, and I'm aware of attempting to push a surgeon in the wrong direction Thing is, with UCLH, the first offer was a lateral approach (anterolateral-approach-watson-jones) then when I spoke to the lead surgeon he told me the standard practice of UCLH is mini-posterior. The later...- Andy P
- Post #24
- Forum: Hip Surgery Pre-Op Area
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Dual mobility acetabular cup vs traditional implant #2
@Josephine Yes, its the traditional lateral approach I'm referring to. https://www.orthobullets.com/approaches/12021/hip-anterolateral-approach-watson-jones I've had this recommended to me by three different surgeons, and when I say no thanks, they then offer the mini-posterior. Its an odd...- Andy P
- Post #21
- Forum: Hip Surgery Pre-Op Area
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Dual mobility acetabular cup vs traditional implant #2
Sorry @Josephine, this is different from everything I've read. The posterior approach is minimally invasive and much of the muscle can be pulled aside, there's still trauma but less actual cutting. The lateral approach requires a 20-28cm rectangle being cut through the side of the leg. The...- Andy P
- Post #18
- Forum: Hip Surgery Pre-Op Area
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Dual mobility acetabular cup vs traditional implant #2
@Josephine I do appreciate what you say. There is something very odd though. The initial recommendation of a Lateral approach is wrong, and I don't understand why the patient has to tell them this. A posterior approach reduces pain and speeds up recovery, even NICE are not sure why surgeons are...- Andy P
- Post #16
- Forum: Hip Surgery Pre-Op Area
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Dual mobility acetabular cup vs traditional implant #2
Hi @Josephine, thank you for helping out, I should know these things. Well, I haven't gotten very far at all. I'm certain of the benefits of dual mobility implants and the wear 'risks' I feels aren't relevant. Basing my thoughts on this: Relatively smaller bearings wear less quickly and have...- Andy P
- Post #14
- Forum: Hip Surgery Pre-Op Area
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Dual mobility acetabular cup vs traditional implant #2
Hi Josephine, I was attempting to send you a pm, but don't quite know how to work the forum tools.- Andy P
- Post #12
- Forum: Hip Surgery Pre-Op Area
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Dual mobility acetabular cup vs traditional implant #2
Hi Josephine, I think I just have a general anxiety about their lack of transparency. I've had a few surgeons lie to me and now I'm really suspicious about whether I'm in the right direction. I've seen 4 surgeons so far and each one tries to get you to agree to a lateral approach, meaning a...- Andy P
- Post #11
- Forum: Hip Surgery Pre-Op Area
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Dual mobility acetabular cup vs traditional implant #2
Thanks Dapplega, yes, it is very daunting indeed. I have tried asking several surgeons, but they get very frustrated very easily. The question I've put to two surgeons is one of bio-mechanics and neither wanted to talk about it. So my feeling is that they don't actually know or its way out of...- Andy P
- Post #7
- Forum: Hip Surgery Pre-Op Area
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Dual mobility acetabular cup vs traditional implant #2
Hi Josephine, thank you for replying to my message. I'm due to have surgery on the 28th July at Guys, London. I've seen a few surgeons so far and this one was the only one to actually communicate, I'm afraid Ive heard a lot of miss-truths in the last year, so decided to ask some previous...- Andy P
- Post #5
- Forum: Hip Surgery Pre-Op Area
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Dual mobility acetabular cup vs traditional implant #2
I've been searching for articles on the dual mobility implant but found very little in respect to there usability. Its really good of you to pass on your experience So, I'm at a very similar crossroads, looking at the dual mobility it is difficult to understand how the bio-mechanics actually...- Andy P
- Thread
- Replies: 55
- Forum: Hip Surgery Pre-Op Area
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