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Hip Resurfacing THR or Hip Resurfacing? 41 yo male

DaleB2020

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Hi everyone,

41 year old Male 6'2 215 lbs. I am currently Active Duty military. I had my left hip labrum repaired and my left hip cleaned out back in 2016. Now, I am back to the same level of pain prior to the June 2016 procedure. I have been doing research and, hip resurfacing looks like a better near term solution. I want to hear feed back and also on replacement. I need my right hip scoped eventually, and I have some lower back issues.

Thanks in advance!

Doug
 

dapplega

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It can be a difficult decision and there is another thread on this subject active now.
For me it came down to risk. I knew I could be pretty active still with THR and that I'd still have to baby my other natural hip anyways. The potential risk of metallosis was the main factor. While resurfacing may be bone sparing on the femur, it isn't on the acetabular side... If you look at the registries the longevity is similar when comparing resurfacing to THR using ceramic on highly crosslinked plastic (although it may be fair to assume activity levels may be different). My 64 year old neighbor just had resurfacing done by Pritchett in Seattle and was home same day. He is doing well.
FWIW - good luck as you work through the decision process...
 
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DaleB2020

DaleB2020

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@DaleB2020 Welcome to BoneSmart! Have you been assessed by a surgeon yet? Have you been told that you are a candidate for resurfacing? You really can't make a decision until you confirm the condition of your hip.


I am still waiting to see a specialist, prior to my left hip "clean out/repair" military Dr's quickly came to the decision that I needed a THR. I requested a second opinion and that is how my 2016 procedure went. I am just preparing, mentally lol.
 

BruceH

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I was/am a candidate for resurfacing. I chose THR. I did as much research as I could and my impression was that resurfacing might of been an option with the older generation THR components but it made no sense now.

The thought process was that it saved the femur for an eventual THR and subsquent revision. I'd rather have one surgery if possible. My hope is that I won't need a revision due to components wearing out. I plan to walk, hike, golf, and bicycle post surgery but I won't be running or jumping from things.

Good luck in your research!
 

Going4fun

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I consulted with a top resurfacing surgeon, Dr. Thomas Gross, out of South Carolina. And since my consult years ago, I've read notes from subsequent patients of his. Gross doesn't ban any activity after resurfacing, but he does not guarantee (at least at last check) that a patient will be able to run (lots of folks have resurfacing because they want to run).

Well ... I decided on total hip ... and I have no restrictions. What does my surgeon say? I don't ban, anything he says, but I can't guarantee that you'll feel great running.

Total hips have come a long way, and surgeons are more comfortable operating on "younger" patients than ever before. Lots of people have no restrictions on the total hip. Surgeons feel good about the new materials they're using. I'm about to head outside for a run on my total hip. I have no restrictions ... can dance, run, jump, hop. My surgeon is comfortable my hip can handle it all.

Note. Dr. Gross uses the Biomet Resurfacing device (which is still considered experimental--though Gross has a great track record). The Birmingham Hip Resurfacing is the main device in use ... the challenge is ... you don't want an inexperienced surgeon performing a resurfacing. Resurfacing tends to be its own specialty.

A good guideline is to find a surgeon who does 200+ surgeries a year ... My hip surgeon does about 350 hip replacements a year. Experience is the number one predictor of surgical skill (though obviously not a guarantee). There are very few surgeons, maybe like two dozen, in the U.S. who perform 200+ resurfacings a year. You don't want to "talk" your surgeon into a resurfacing. You want to go to someone who does lots of resurfacing surgeries.

Surgeons and the device manufacturers have made a number of big improvements in THR's since resurfacing came along.
 
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Elf1

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@DaleB2020 if I'm reading this right they've already gone into your hip twice to repair things or did they repair the labrum and do the clean out at the same time? Anyway, last procedure was basically 2 1/2 years ago and you're already back in the same level of pain. Doesn't sound like a very good trade off to me. Of course it does sound like typical military medical logic, let's put a band aid on it, give him some 800 mg ibuprofen and call it a day.

My concern, if it were me, is that the resurfacing looks like another stop gap solution, not necessarily a real, long term fix. Not sure what branch you're in but I know the Army is changing up their PT standards and I would be afraid that they could cause you to have a swinging door with hip surgery. I'm not a medical professional by any means but I'd really like a good professional opinion and from someone who has done lots of these surgeries. Are they sending you outside for these surgeries or are they planning on doing them in the military medical system?
 
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DaleB2020

DaleB2020

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@Going4fun,

Sorry for the time away. I got caught up with work and family. I complained enough about my hip that my military Dr. sent a consult to Dr. Gross the hip Dr. you mentioned. Sadly, my military health insurance does not cover his services but, they will cover Dr. Fowble. I had a consultation with him and I scheduled to have my hip resurfacing procedure in two weeks. The chronic pain, loss of ROM, and instability of my hip at age 41 has made me a shell of my former self. I hope I can get back in shape and be active again with my 6 and 10 year old kids. Thank you for posting!

V/R,

Doug
 
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DaleB2020

DaleB2020

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@Elf1 thank you for the reply. I only had one procedure in 2016. They repaired my hip labrum and cleaned out arthritis. I was "better" but never 100% after the procedure. I then moved from Hawaii to Charleston, South Carolina in January 2019. My hip pain began to increase begining in March 2019 and just worsened from there. I have requested referrals to local specialists and they recommended Dr. Gross in Columbia, SC. My military health insurance would not cover his services but, another Dr. in his practice accepted my case Dr. Fowble. I have my hip resurfacing procedure in 2 weeks. I am nervous and excited. I am at 21 years in the Air Force and I would like to continue serving but, I need to get this issue fixed.

Thank you and I want to wish you and family continued health!

V/R,

Doug
 

CricketHip

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Congratulations on making your decision. I hope you stay here with us and let us hear about your recovery? There will be many interested in hearing about it.
If you can leave your exact date of your surgery and which hip it is, then a moderator will add a signature that will show at the bottom of your posts. This is helpful for anyone reading your thread.

You've been through this or something similar, but am still going to leave you some guidelines that might be helpful while you get prepared for your upcoming surgery:

If you are at the stage where you are planning to have surgery but are looking for information so you can be better prepared for what is to come, take a look at these links:
Recovery Aids: A comprehensive list for hospital and home
Recliner Chairs: Things you need to know if buying one for your recovery


Again, glad to hear you've made your decision, I felt that was one of the hardest parts of the arthritic hip journey.

Additionally, I thank you for your service... :yes:




 

Elf1

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@DaleB2020 welcome back, glad that you're able to move forward with a surgeon that's in the TRICARE network. Hopefully they can get you fixed up so you can continue your military career.

I ran into a Soldier when I was recovering from my hip replacement while I was visiting my old work buddies. He was listening to us talking and finally asked what I'd had done and when I told him he was me too! So if course we had to compare recoveries and such. It totally amazed the folks I worked with as they never would have known he had surgery if we hadn't started talking. Keep the faith and don't push your recovery, if it hurts, stop! Keep us posted.
 

Layla

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Hello Doug,
Wishing you all the best tomorrow. We’ll be on the healing side ready to cheer you on if you will join us there. Hope to hear from you once you’re resting comfortably at home.
Take care!
@DaleB2020
 

Elf1

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Hey Doug, wishing you a great outcome tomorrow. We'll look forward to seeing upon the healing side. @DaleB2020
 

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