Hello Daniel,
Sorry to hear about your problems, but luckily there is a good way to full return of your previous life and sport activities. But bluntly put, that is not reached by the placement of any prosthesis whereby the femoral head and neck are sawn off, as would be the case with the ceramic-on-ceramic prosthesis that you took up. Apart from the question of the material choice (metal-on-plastic, ceramic-on ceramic, metal-on-metal, metal-on-bone) there are some very important other considerations that will determine to field of use for the prosthesis and the expected life of the device. For instance, the diameters of the joints bearing surfaces determine if high impact can be sustained or not without permanent damage to the components and high wear. Also, the larger the diameter, the less chance there is that dislocations will occur.
Apart from this there is the question whether or not the placed prosthesis introduces the negative phenomenon "Stress-Shielding", which disturbs the leg's loading that was required to keep the bone stimulated and healthy. You should even look at which other important bloodvessels and tissue is cut and tossed out during the operation.
All the above negative points are attached with your choice, the ceramic-on ceramic prosthesis. I will list and explain for the ceramic-on-ceramic applies:
1-The femoral head and neck are sawn off and tossed out together with bloodvessels that earlier on nourished the top section of your leg. Future nourishment for health of that top section is lost.
2-The bone is emptied from some or all of it's marrow to allow some reaming and the placement of the shaft. Marrow has an important function? Why remove it then?
3-Placing the shaft inside the now empty canal will create forces that are facing outward, if you like compare it with a wedge...and we all know what a wedge can do!
4-You introduce a hard, sturdy and non-flexible shaft in bone that is not hard and that can flex to some degree. Hereby you create an incompatibility, because the two just don't match in the type of action that they are intended for. In time this will cause loosening or at least it will attempt to loosen itself and cause irritation in the mating surfaces.
5-You are needlessly exposing yourself to dislocations of the hip by choosing the smaller ball size, because they don't come higher in size than 38mm for the newest of the newest.
6-Sawing off the femoral head/neck and placing a shaft also suddenly opens up for other mistakes, your foot could after the operation be facing to the left or right, if the shaft was accidentally rotated in the operation.
7-Your leg's length could after the operation suddenly be more or less than you expected, leaving you wobbling for many years to come.
Now with a "hip resurfacing" none of the above can or will occur!
The femoral neck stays in place and thereby all of the above negative points can be forgotten, every single point of them (and some more points that I haven't even touched yet).
I welcome you to contact me in any way you'd like, but please visit my website and learn as much as you can so that you really see how hip resurfacing is the best for you and certainly not any prosthesis with a shaft that mutulates your leg needlessly and changes your future negatively. Hip resurfacing was in fact specifically designed for the younger and active patients!
This can mean that you get another impression about your surgeon, the main point is that you stay awake and open for logic, whatever new views that will give.
Ron van Mierlo
https://resurfacingscan.be (click on "English)
Sorry to hear about your problems, but luckily there is a good way to full return of your previous life and sport activities. But bluntly put, that is not reached by the placement of any prosthesis whereby the femoral head and neck are sawn off, as would be the case with the ceramic-on-ceramic prosthesis that you took up. Apart from the question of the material choice (metal-on-plastic, ceramic-on ceramic, metal-on-metal, metal-on-bone) there are some very important other considerations that will determine to field of use for the prosthesis and the expected life of the device. For instance, the diameters of the joints bearing surfaces determine if high impact can be sustained or not without permanent damage to the components and high wear. Also, the larger the diameter, the less chance there is that dislocations will occur.
Apart from this there is the question whether or not the placed prosthesis introduces the negative phenomenon "Stress-Shielding", which disturbs the leg's loading that was required to keep the bone stimulated and healthy. You should even look at which other important bloodvessels and tissue is cut and tossed out during the operation.
All the above negative points are attached with your choice, the ceramic-on ceramic prosthesis. I will list and explain for the ceramic-on-ceramic applies:
1-The femoral head and neck are sawn off and tossed out together with bloodvessels that earlier on nourished the top section of your leg. Future nourishment for health of that top section is lost.
2-The bone is emptied from some or all of it's marrow to allow some reaming and the placement of the shaft. Marrow has an important function? Why remove it then?
3-Placing the shaft inside the now empty canal will create forces that are facing outward, if you like compare it with a wedge...and we all know what a wedge can do!
4-You introduce a hard, sturdy and non-flexible shaft in bone that is not hard and that can flex to some degree. Hereby you create an incompatibility, because the two just don't match in the type of action that they are intended for. In time this will cause loosening or at least it will attempt to loosen itself and cause irritation in the mating surfaces.
5-You are needlessly exposing yourself to dislocations of the hip by choosing the smaller ball size, because they don't come higher in size than 38mm for the newest of the newest.
6-Sawing off the femoral head/neck and placing a shaft also suddenly opens up for other mistakes, your foot could after the operation be facing to the left or right, if the shaft was accidentally rotated in the operation.
7-Your leg's length could after the operation suddenly be more or less than you expected, leaving you wobbling for many years to come.
Now with a "hip resurfacing" none of the above can or will occur!
The femoral neck stays in place and thereby all of the above negative points can be forgotten, every single point of them (and some more points that I haven't even touched yet).
I welcome you to contact me in any way you'd like, but please visit my website and learn as much as you can so that you really see how hip resurfacing is the best for you and certainly not any prosthesis with a shaft that mutulates your leg needlessly and changes your future negatively. Hip resurfacing was in fact specifically designed for the younger and active patients!
This can mean that you get another impression about your surgeon, the main point is that you stay awake and open for logic, whatever new views that will give.
Ron van Mierlo
https://resurfacingscan.be (click on "English)