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AVN and Resurfacing

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mark_nimda

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Hi I'm new to the forum


Bilaterally Dx with AVN of hips in June '07 (They acidentally found it on a cat scan) but have just become symptomatic in the right hip within the last year with the last 3 months being the most troublesome so far, although MRI Still shows STAGE I on both sides. I am still asymptomatic in the left hip

I have neurological deficits (coordination difficulties) from a spinal cord tumor as well (24 years ago) so the hip issue right now really adds to the existing mobility issues.

I have limited my research strictly to AVN and Resurfacing and HAVE kept my focus on the works of Dr Derik McMinn (UK), Dr Bose (India) and Dr Thomas Gross (South Carolina USA) I'm sure many have heard of atleast one of these well known surgeons

Each has excellent experience with Hip Resurfacing with over 400 procedures from each one. Each also has done many procedures with AVN patients at various AVN stages.

I have communicated with DR Gross's Nurse and will be talking to Dr Gross in the next 2 weeks

But I am curious if anyone here has had AVN and Hip resurfacing done and who did it and which implant? What stage AVN were you? Any fractures or other failures? How long has it been?
 
There was a Walker that posted on here not too long ago that had AVN and resurfacing. Maybe he will respond. I know Floyd Landis had AVN the Tour de France guy and he had his hip resurfaced. Also look at this that I just ran across, the comment section was very interesting and the recent post was from a fellow who had AVN.

broken link removed: https://blogs.webmd.com/arthritis-and-joint-replacement/2008/12/total-hips-versus-surface-replacement.html?ext-ref=comm-sub-email

This guy had done amazing things that just posted on there. Here is what he posted on the link above.

"drfoulk said...

Dr. K -

Certainly there is a case for the total hip, just as there is one for a Resurfaced Hip. The patient populations are significantly different, the procedures significantly different. More importantly I believe the patient expectations to be very different.

Were I to have followed the standard and highly developed course of treatment in my condition (AVN / degenerative joint disease onset at 38 years of age) as recommended by many of the United States top orthopedic surgeons (my airfares far exceeded the surgeon consultation fees), I would have been on pain management medication with a very limited activity profile still, twelve years later. Thank goodness I would have been nearing the age by now (12 years later) when a radical surgeon would have just "throw out the rules" and given me a THR.

Instead, after a lot of research and years of study, I had my hip resurfaced three years ago. Instead of suffering for another three years, I have instead completed 8 Ironman Distance Triathlons, 5 Ultraman Distance Triathlons, 3 Ultramarathon runs, 3 marathon runs, and an Ultracycling race. My resurfaced hip functions well, I can leg press 625 pounds for reps, do full squats and run a sub-16 minute 5k. I have participated in chromium ion studies with blood draws and so on before during and after events, and have worked with a number of resurfacing and total hip patients. I am happy to have my life back. I have survived a major post-op cycle crash and had no injury to the resurfaced hip, no femoral neck fracture. I am the fellow who ran a marathon at 89 days post-op, and I have a fellow resurfacing patient who ran one at 4 months. neither of us suffered any more than one would normally suffer in a marathon, and neither of us has a long term debilitating failure.

I too have spoken before the AAOS and many surgical groups large and small. I believe the mistake here is that perhaps of an application to the wrong patient group - you comparing apples to oranges in other words. Certainly an orange will make better orange juice hands down, just as an apple will make better apple juice. I am very pleased to find myself in a more informed and demanding patient group (as the response to your ditty seems to indicate) than your profession has ever experienced, and I can see how daunting it must be for surgeons today to have to back their positions with real data as opposed to manufacturer hand-outs (which seems to be where most of your information came from) and bluster.

For me, I would suggest to anyone who suffers that there is a procedure that is right for you, whether it is a total hip or a total resurfacing. Find the best one for your case, and find the surgeon who best hears your expectations.

Bon viv!

Dr. William C. "Cory" Foulk
Jun 21, 2009 11:08:00 PM"

HipPain
 
Floyd Landis is a pretty good example. He went to Amstutz in LA and, I believe, had the Belgian surgeon (De Semet?) there also. Your recovery may be a little less smooth than that of a professional athlete, but similar disease, at least!

Cheers!
 
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