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There have been quite a few conversations recently about the benefits of refurfacing, some have been accompanied with videos that showcase some "exceptional" recovery stories. As a result of my interest in the subject (I am a resurfacing recepient) I renewed some of my initial research and came across this video of a lecture by Dr. Mont here in Baltimore.

The good doctor received part of his training at John Hopkins, is one of the sponsors of the upcoming Resurfacing Symposium this summer, and I personally know two of his patients who I have met post-surgery, one with a THR and the other with a resurfacing - they both work out at my local gym. He was not my doctor, but they know each other and collaborate occassionally.

I believe this presentation offers some excellent general information on the whole resurfacing debate and is tempered by good common sense. some of the points I found most informative include:

[paraphrased]

"I don't recommend my patients to do extreme sports, I don't ski myself because out of concerns of damaging a good hip or knee."

"If someone is an athlete or has a special skill like dancing before the surgery, its not surprising at all to see them return to the activity afterwards. But this is probably just as true for recipients of a THR as for resurfacing."

"I like to keep my options open. If I get a resurfacing done I can always revise to a THR later if it becomes necessary. But you can't revise a THR to a resurfacing becasue you've already lost the bone."

"There are advantages to getting a resurfacing, but some of the claims have been overblown. I do more THR than resurfacing, I've had one dislocation in the last three years from a THR and none from resurfacing. There is not that much difference really (he does 800+ surgeries a year)"

"I don't know where these people come up with this magic number of surgeries performed? What if someone has done 5,000 bad surgieries? To get decent at this you need good training and do 4 a week or so.There shouldn't be this arrogance of numbers becasue everybody has to start somewhere."

And the ONLY comment that scared me, he said he had one resurfacing fracture on a guy who "LIVES IN A JEEP".

Anyway, if you have an hour or so to kill, its not a bad lecture:

---> broken link removed: https://video.google.com/videoplay?docid=-3875961289430396966 <---
 
Mud--Let me first say that I enjoy your posts immensely on this and other, some now closed, topics. You are a terrific asset to this site as are many members. It's nice to see someone who has had resurfacing, has had a wonderful result, and who takes a very knowledgeable, cautious and reasoned approach to these things.
I wanted resurfacing, but looked into it a little late. I was told that I was not a v. good candidate so I made the difficult decision, at the time, to have BTHR. It has been a great decision for me.
I also watched the entire video. Everyone should watch this. I don't know him, but Dr. Mont appears on the video to be knowledgeable, humble and very forthcoming and direct on the pros and cons of resurfacing. He speaks openly about hip failures and how difficult it is for a surgeon to cope with such failures. I have always wondered whether I should have gotten another opinion on my hips (and resurfacing options). Having watched the video, I now see additional reasons for my OS recommending against resurfacing for me.
tom
 
Hi Mudpro,
Thanks for the link – excellent information. Like Tom, I too looked very carefully at the resurfacing option, but for a number of reasons, decided on a THR. I am at the stage of looking at it again for my right hip, but am so happy with my left THR that I am kind of loathe to try something else!
Monica
 
That is a very old video, here is one I found that is very recent

broken link removed: https://www.surfacehippyinfo.com/Video-Interviews/20090407424/Video-Interviews/Dr.-Michael-Mont/menu-id-46.html

I believe done in 2009 if I remember right.

HipPain
 
Here is another more recent one also done by Dr. Mont

broken link removed: https://hipresurfacinginfo.com/featured_surgeon_g.html

HipPain

Moderator Note: This is the same video as the one posted by MudPro. It has just been edited slightly to remove the intro to the discussion.
 
Another one from the same doc, again, that first video is 'very' old, it appears to me that his opinions have changed drastically. This surgeon has done gait studies and he talks about that in this video.

broken link removed: https://hipresurfacinginfo.com/featured_story2.html

Very interesting info, thank you Mudpro for bringing this thread up as a subject. Because research is vital in picking an experienced surgeon for 'any' procedure and you need updated info, not outdated to do that research.

HipPain

Moderator Note: This link is not to a video. It is to written testimonials that are from 2004-2007. The original video posted by MudPro in this thread is from 2006 and is from the same point in time as these testimonials.
 
If you click on 5 weeks you will see the video, this was a patient that had surgery 5/17/07 and the video was taken 5 weeks later so that would make that ivdeo June 2007, still a year after the original video

broken link removed: https://hipresurfacinginfo.com/featured_story2.html

The patient is talking to Dr. Mont in the video at his 6 week check up.

HipPain
 
Hippain, now I see the video. Thanks for providing more information on where to find it on that page.
 
Interesting that Dr. Mont said it took him over 400 procedures before he "mastered" hip resurfacings and that they are much more difficult than replacements.

Also, unlike my resurfacing "top doc", Dr. Gross, Mont relies on substantial rehab. I didn't have to even go to PT. Mine turned out fine, BTW.

Dr. Gross told me I could go back to any sport, no restrictions, none of the talk MudPro mentioned.

I have heard some cases of surgeon error regarding Dr. Mont.

Hollie
 
From Dr. Gross interview: broken link removed: https://www.surfacehippyinfo.com/Doctors-Interviews/20081127124/Doctors-Interviews/Dr.-Gross-Interview/menu-id-83.html

"Golf and aerobic gym exercises at 6 weeks. Begin impact sports and running gradually at 6 months. Extreme activities such as competitive soccer, skydiving, double black diamond skiing, ice hockey with contact at 1 year. I have patients who have returned to virtually every sport."

And about recovery time and PT:

"Phase I: Walking and minor exercises for 6 weeks. Typically crutches for 1-2 weeks, followed by a cane for 1-2 weeks.

Phase II: Progressive walking and exercises between 6 weeks and 6 months.

Full return to all activities including running after 6 months.

Almost no one needs formal PT. Recovery from a posterior approach is not difficult. A lot more work may be required if the abductor muscles are impaired by a lateral or anterolateral approach."

On both my resurfs I walked without crutches or aids immediately after waking up from surgery, pain was gone though. I was walking down the road a few days after surgery, and dancing within 3 weeks.

Hollie
 
On both my resurfs I walked without crutches or aids immediately after waking up from surgery, pain was gone though. I was walking down the road a few days after surgery, and dancing within 3 weeks.

Hollie

Really? You walked without any type of aid "immediately after waking up from surgery"?

Amazing. I've never heard that claim before.
 
Yes, I stood up totally weight bearing and could walk with no crutches, walker. I even had a fight with Dr. Gross in hospital because the PTs wanted me to use a walker and I didn't need one. I didn't feel anasthestized so saw no reason to use something. I think it was about liability for them.

This happened on each of my two resurfs.

I felt so good not having that hip pain anymore.

Hollie
 
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