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Tuesday, July 12. 2011Tuesday, July 12. 2011Tuesday, July 12. 2011Steve's Hip Resurfacing with Dr. Jinnah 2009
Steve's hip
I just had surgery at Wake Forest Medical Center with Dr. Jinnah. Here is my story. Since I live in Virginia there were a few logistics about how I would get to and from the hospital. I have many friends who are pilots and one volunteered to take me to Wake Forrest and also provide the return trip. I was not worried about getting down there but getting back would pose some challenges. I went down with a companion and we stayed at the Hawthorne the night before. Not a bad place and they do have a shuttle. If I had to do it again though I would check out the Wingate. The morning of surgery we went over at 6:30 AM and waited for 2 hours. I was called into prep and that lasted about 30 minutes. My companion was allowed to wait until it was time to take me in. When I was ready they gave me a "cocktail" to make me sleepy. The next thing I remember was waking up in Post op. I had a spinal block. There was no ill affects and it was much better than full anesthesia. I felt nothing. The first day I was pretty groggy but my pain was managed well. I never got above 3 on a 1-10 scale. Slept fine the first night. They took the catetheter out ( it was put in when I was asleep in surg) and I was hoping I would be able to urinate. That turned out not to be the case and by 6 that night I was uncomfortable. They had to reinsert the catheter but because of my swelling it was difficult and took 4 attempts. That was very uncomfortable. When they were about to go for number 5 (the fourth one failed) I said "enough" and was somehow able to make it happen. From there on ..no problems. My recommendations here is to see if you can take Flowmax before surgery. They put me on it after that point and I have had no problems. In the hospital you get training from PT and OT which is not much as you don't need much. Its all about learning how to do certain things without breaking hip restrictions. It was easy and fun. I was walking the day after surgery, not fast but fine. Wake forrest likes to use walkers that work very well. I was discharged on Wednesday and made the flight home. I basically had to back into the back section of our small plane ( a bonanza). It was very similar to getting in or out of a car. As advised I have been staying ahead on my pain meds which has helped. Thursday ( first day home) I slept fine last night, no issues. In the morning I got up and was able to go the bathroom and had my first bowel movement since surgery. No big deal. I have been taking Fibercon which seems to work fine. There has been much talk about drugs causing constipation and it is a concern but not a huge one. First , take the pain pills, whatever you're concerns are about constipation they are minor compared to effect of pain on your recovery. If you hurt you don't move as much, drink as much and so everything is slower. From my experience I would say drink as much as you can and take a stool softener (they will prescribe one probably) Then something like Fiberone. I am in less pain today and was able to go down the stairs (12 of them) without any issues. The swelling in my leg is starting to go down so walking is easier. It is easy to overdue so I would suggest taking many small walks and resting as well for the first couple weeks. At this point I would say that the surgery and recovery is much less problematic than I imagined. Tuesday, July 12. 2011Kirk's Hip Resurfacing with Dr. Gross 2009
One week post op
I'm a 42 year old who had a left HR with Dr Gross on June 3, 2009. I am fairly heavyset (x Offensive lineman) and when I met with Dr Gross the day before, he responded that "I might be difficult.". After the surgery, he told my wife that I was the hardest one he's done this year, and instead of the operation taking an hour it took nearly 2hrs and 15 min. I have a very good friend who had her hip resurfaced four weeks ago with Dr Mont and we are both very happy with the outcomes so far. Here are some things that I've found to be strongly in favor of Dr Gross. (1) Minimally invasive normally with steristrips. Although it doesn't seem like much, was able to shower the day after the operation. no staples to remove 2) I'm not a doctor, but the blood spinning procedure, where they spin out the platelets and put about 300 cc back into the wound for quicker recovery 3) DEXA scan determines how long you stay on crutches. In my case with good bone density, doc said crutches one week and cane for a week, then nothing. I'm not quite ready for the cane, but happy to know that I can graduate when ready! 4) Icing the wound is so critical after the surgery, and they gave me this little cooler with a clever pump and blanket that keeps my wound cool for several hours. The device is called a polar care 300. It is definitely the neatest gadget I've seen in years. Could use it for any other injury recovery. 5) Administration. Everything is wired and designed to get you home if you are ready to go home. There is a nice hotel right across the parking lot from the hospital. I had my surgery on Wed morning and left the hospital at noon on Friday. Tuesday, July 12. 2011Evan's Hip Resurfacing Dr. Su 2009
Dr. Su and the Hospital for Special Surgery
I had a right hip resurfacing on 3/5/09 performed by Dr. Edwin Su at the Hospital for Special Surgery (HSS). It is now 3/23 - I am feeling great and walking comfortably with the use of a cane. The lead up to surgery was two years of limping and pain. The decision to have surgery was an easy one. After doing my research - much of which was on this site - I met with Dr. Su once, on 1/29/09. He recommended resurfacing (I'm 55) -- I agreed. Christina (his assistant) took it from there -- her demeanor leading up to the surgery was both professional and reassuring. 3/5/09 arrived quickly. Everyone associated with the HSS is to be commended. The intake was seamless. Zoey (sp? - the intake nurse) and John (who prepped my hip) were both engaging and thorough (in fact John made it a point to visit me twice while I was in the hospital). Dr. Su visited me before the operation, and as he did when I first met him, he put me totally at ease with his quiet confidence, compassion, professionalism and his obvious love for what he is doing. Soon thereafter I was wheeled into the OR - followed by an epidural and sedation. I woke up in the recovery room approximately 2 hours later. No pain, just muscle soreness and stiffness in my right hip. I had great care in the recovery room (I was there overnight as beds were in short supply on this particular Thursday night - my surgery was at 6:30 PM.) The activity in the recovery room acutually served to pass the time and the warmth and caring of Eileen (the recovery nurse) and the others who attended to me there was much appreciated. I had my first visit from PT -- Mia and Lee. They were engaging and understanding and had me up and about in a walker. By Friday afternoon I was in a room - East River view no less! Mia and Lee visited me in the afternoon and in the evening Suzanna (from PT) took me for yet another "stroll" with a walker. Her good humor was wonderful. Dr. Su came by in the evening after what I can only imagine was a very long day, sat on the window sill and chatted. He fielded all my myriad questions with his usual grace. Saturday began with Rebecca from PT and a choice of crutches -I chose the metal forearm version. Walking with crutches was not a problem - although lightheadedness sent me back to my room before I could try the stairs (a prerequisite for discharge). Later that morning Dr. Su called (from his home) to check on my progress! My room nurse was Jordan - friendly, humorous, informative and patient - as capable a professional as I have ever been around. At around 3 PM Rebecca from PT returned - this time I passed the stair test. Rebecca was encouraging, patient and caring. I was discharged thereafter and had dinner at my kitchen table with my family at 6:30 PM pm on 3/7 -exactly 48 hours after my surgery. As noted above it is now 3/23 - my recovery has been slow and steady with the muscle soreness and stiffness getting better every day. Daily walks and visits from Farel (home PT) have gotten me stronger and steadier on my feet. My next visit to Dr. Su is on 4/1. Tuesday, July 12. 2011Ray's Hip Resurfacing with Dr. Sittiporn Thailand 2008July 28. 2008 Hi, firstly congratulations and many thanks for the excellent website and fantastic information. It was really helpful. I am now 3 months on from a resurfacing to my left hip using an ASR device. The orthopedic surgeon was Dr Sittiporn from Bumrungrad Hospital in Bangkok Thailand. He tells me I am hip resurfacing patient number 44 for him. I understand he trained at the Birmingham Clinic and I cannot recommend him highly enough. I am 51 and have always been active completing endurance adventure races but now mainly into cycling both road and mountain biking. I have had hip pain for about 10 years and earlier this year the pain became worse, my movement was restricted and I developed a noticeable limp. I was putting most of my weight on my right leg and there was a lack of power in the joint. There is a history of hip problems in my family with my mother and 3 of her brothers having hip replacements. Dr Sittiporn advised a hip resurfacing procedure. I asked him that I wanted to be pain free, improve my mobility and continue with my exercise program which is 3 rides (150 km) and 3 swims (6 km) per week. The operation went very well and the care at Bumrungrad was excellent. I was in hospital for a week and then on crutches and physio. Initially I tried to do far too much and pushed the rehab to far too fast despite the good Doctor's advice. This resulted in pain, frustration and lack of progress. I found by listening to my body and taking the Dr's advice I progressed really well. I kept up the crutches for a week or two longer to get better support and did all the rehab exercises. Now at 3 months I can walk in the hills for 3-4 hours, am pain free and no more limp. I have gained more flexibility and power and am back riding with the peleton in Bangkok albeit around 30-50 kms at a time without any problem. I am conscious of not falling off as that could pose a problem. Swimming has progressed really well and I can now do without the float between the legs. It has been a very positive experience for me and would certainly recommend the procedure, the doctor and the hospital. Best of luck Ray Tuesday, July 12. 2011Friday, July 8. 2011Larger Cups and Optimal Positioning Produce Lowest Ion Levels Medical StudyLarger cups and optimal positioning produced lowest ion levels and wear In a review of 585 blood serum evaluations following hip resurfacing, only femoral size and cup inclination were found to have an effect on ion levels, according a study by orthopedic investigators. The findings were presented at the 2010 Annual Meeting of the American Academy of Orthopaedic Surgeons. David J. Langton, MRCS, and his colleagues also found that the size of the coverage angle of the acetabular component contributed significantly to its tolerance of suboptimal positioning. "Larger joints, it must be emphasized, tolerated suboptimal cup position," he said. "This must be taken into account in all analyses." Inverse relationships Using routinely obtained blood serum metal ion levels from patients under the care of the two senior authors of the paper being presented - both highly experienced hip resurfacing surgeons - metal ion results were analyzed regarding their relationship to femoral and acetabular component size and orientation, UCLA activity score, age, time post surgery and postoperative femoral head/neck ratios. Langton reported an inverse relationship between metal ion levels and femoral size. A smaller acetabular coverage arc was associated with higher metal ion levels. Another significant inverse correlation was noted by Langton between metal ion levels and contact patch to rim (CPR) distance. CPR is a measurement that relates the position of the articular contact patch with the patient in standing position to the cup rim. According to the abstract, CPR less than 5 mm is associated with a 50% chance of ion levels greater than 30 mg/L. Words of warning Langton warned the audience, "To increase metal ion levels as quickly as
possible, use as small a bearing diameter as possible, use a cup with the
smallest coverage arc, and combine very high anteversion with high inclination."
Reference: Langton D, Jameson S, Joyce T, et al. A review of 585 serum metal ion results post hip resurfacing: cup design and position is critical. Paper 006. Presented at the 2010 Annual Meeting of the American Academy of Orthopaedic Surgeons. March 9-13. New Orleans. Langton has received research or institutional support from DePuy, a Johnson
& Johnson Company, DJ Orthopaedics; he has also received miscellaneous
non-income support (e.g., equipment or services) from DePuy, a Johnson & Johnson
Company. Friday, July 8. 2011Katie Ellis hip resurfacing Mr. McMinn 1991Mar 7, 2007 I had a check up today at the Royal Orthopaedic in Birmingham after 15.5 years of having had my resurfacing and thought I would post an update. My check up went very well and it looks like my hip is still going very strong. The x-ray showed no change since my last check up 2 years ago which I was really pleased to hear. For anyone who hasn't read my posts before, my kids were born 2 years and 7 years post op. They are now 13 and 8. They are very fit and well with absolutely no signs of any ill affects from metal ions that may or may not have passed across to them during pregnancy. I am not a gym bunny and don't do any extreme sports, instead I keep fit by
walking (especially walking around shops looking for shoes - I must do a ten
mile hike doing that on a Saturday afternoon!!) Mar 24, 2004 I thought I'd share my experience as I am an old surface-hippy, not in age
but in the number of years post op. I had mine done by Mr. McMinn at the ROH in
Birmingham when the procedure was a twinkle in most peoples eyes. I had CDH
which was only diagnosed at 4yrs so I had many ops to try to 'build' a hip
socket but it finally gave up the ghost and I was faced with either a non tried
and tested new op or a THR. I didn't think there was much choice!! I had my left
hip resurfaced in September 1991 when I was 21 - Mr. McMinn was still pioneering
it and I was the youngest person to have it at that time. I had to have bone
grafting at the same time so my post op recovery took longer than normal. I was
in traction for 4 weeks & crutches for a few months but it meant I could walk
down the isle in 1992 with no hint of a limp which made my Mum cry! 2 years
later I had my first baby followed by another one 5 years after that. . Friday, July 8. 2011Mitchell Hill celebrates 20 year anniversary of hip resurfacing Mr. McMinnhttp://www.mcminncentre.co.uk/mitchell-hill-metal-on-metal-hip-resurfacing.html Mitchell Hill Celebrates 20 Years with his Metal-on-Metal Hip Resurfacing |
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