Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 , i sure would hate to wake up from surgery and have a THR. I am so delighted with my two resurfaced hips. I am doing yoga again. I am doing pilates exercises again. If i had a THR i would have to be careful even trimming my toenails. knee to chest rule. If there is even a chance that Mont would not give you what you want, i would not risk it. Also there is the idea, that experience is more than valuable especially with something that may need a tiny challenge. When i had my surgery with Dr. De Smet last sept. he had done 437 resurfacings. check out these little things, they do add up. Also, please do ask some of the people online also, what they have felt about Dr. Mont. I want the best for you. peg Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 , i sure would hate to wake up from surgery and have a THR. I am so delighted with my two resurfaced hips. I am doing yoga again. I am doing pilates exercises again. If i had a THR i would have to be careful even trimming my toenails. knee to chest rule. If there is even a chance that Mont would not give you what you want, i would not risk it. Also there is the idea, that experience is more than valuable especially with something that may need a tiny challenge. When i had my surgery with Dr. De Smet last sept. he had done 437 resurfacings. check out these little things, they do add up. Also, please do ask some of the people online also, what they have felt about Dr. Mont. I want the best for you. peg Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 > Hi everyone, > Dr. Mont told me he likes to perform resurfacing on " young patients " > and he gave me his reasons. One of those reasons is the activity > level of the younger population. I'm not old but at 59 I certainly > can't be considered young either. My understanding of " young " is anyone under the age of 65 (yes, that's an arbitrary figure since I know many frisky 70-plus folks) but the idea is that at age 65, you should only need one device to last you your " lifetime " - a good THR should do. In your case, there's a good possibility that you'll wear out your resurface at some point, and your " revision " will be a first-time THR. And > I would like the opportunity to return to that way of life. That's the beauty of resurfacing - you WILL be able to do this! > > I told Dr. Mont that I wanted resurfacing and gave him all the normal > reasons why. He said he could not guarantee it until I was on the > table and he could see what condition my hip was in. That sounded > completely reasonable to me and it wasn't what I wanted to hear. > However, he said, from what he saw in my x-rays, he was about 95% > certain that I was a good candidate. Of course, what I heard the > loudest was the missing 5% and that continues to bother me. I suspect that due to the litigation-prone American way of life, that no US doctor will ever guarantee anything 100%. In my year- plus of being on this board, it seems the folks who opted for a resurf and woke up with a THR were primarily large-boned men (due to the limitations of sizes of resurf devices available) and maybe someone with poor acetabulum bone structure (the BHR found in Europe is the only resurf device available with extra fixation options) If your hip problem falls into neither of these categories, you should feel safe that you will receive a resurf. I think I was the only patient of Mont's who was not asked what kind of THR I wanted, prior to the surgery, " just in case " . Either I had such a lovely hip (no cartilage/garden variety of arthritis/good bone/etc) - or they forgot, in light of a horrific traffic-accident victim who came in needing his jello-like leg put back in order! > > My questions are these: How many of you are Dr. Mont's patients and > are in my age range? Also, did he tell each of you the same thing? > How many of you awoke from the surgery with a total hip replacement? > > I am aware that I can go to Europe and avoid the trials, thus > eliminating that concern. However, I would prefer having the surgery > done closer to home but only if I'm feeling comfortable that my > chances for resurfacing aren't being compromised by the need for > trial performance. > > Happy Holidays. I suspect that the surgeons in the FDA Trials are the finest that America has to offer; and I've really not heard of anyone being turned away, unless they feel that a resurf is truly not the best option. While I was recuperating at Sinai (a wonderful place, by the way!) I met an 85 yr old man who had just received a THR from Mont - none of the OS's he had talked to around Milwaukee/Chicago would perform the surgery at his advanced age - yet he needed to care for his invalid wife. I'm " only " 49 - and I can't say enough good about Dr Mont, his staff, and Sinai hospital. My life has returned to normal - this means " life in the fast lane " The pain and limp are distant memories. I will warn you that once your hip is pain-free, you will begin to notice other little aches and pains that were totally overshadowed by the hip...... Best wishes! Deb C+ 5-2-02 Dr Mont Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 > Hi everyone, > Dr. Mont told me he likes to perform resurfacing on " young patients " > and he gave me his reasons. One of those reasons is the activity > level of the younger population. I'm not old but at 59 I certainly > can't be considered young either. My understanding of " young " is anyone under the age of 65 (yes, that's an arbitrary figure since I know many frisky 70-plus folks) but the idea is that at age 65, you should only need one device to last you your " lifetime " - a good THR should do. In your case, there's a good possibility that you'll wear out your resurface at some point, and your " revision " will be a first-time THR. And > I would like the opportunity to return to that way of life. That's the beauty of resurfacing - you WILL be able to do this! > > I told Dr. Mont that I wanted resurfacing and gave him all the normal > reasons why. He said he could not guarantee it until I was on the > table and he could see what condition my hip was in. That sounded > completely reasonable to me and it wasn't what I wanted to hear. > However, he said, from what he saw in my x-rays, he was about 95% > certain that I was a good candidate. Of course, what I heard the > loudest was the missing 5% and that continues to bother me. I suspect that due to the litigation-prone American way of life, that no US doctor will ever guarantee anything 100%. In my year- plus of being on this board, it seems the folks who opted for a resurf and woke up with a THR were primarily large-boned men (due to the limitations of sizes of resurf devices available) and maybe someone with poor acetabulum bone structure (the BHR found in Europe is the only resurf device available with extra fixation options) If your hip problem falls into neither of these categories, you should feel safe that you will receive a resurf. I think I was the only patient of Mont's who was not asked what kind of THR I wanted, prior to the surgery, " just in case " . Either I had such a lovely hip (no cartilage/garden variety of arthritis/good bone/etc) - or they forgot, in light of a horrific traffic-accident victim who came in needing his jello-like leg put back in order! > > My questions are these: How many of you are Dr. Mont's patients and > are in my age range? Also, did he tell each of you the same thing? > How many of you awoke from the surgery with a total hip replacement? > > I am aware that I can go to Europe and avoid the trials, thus > eliminating that concern. However, I would prefer having the surgery > done closer to home but only if I'm feeling comfortable that my > chances for resurfacing aren't being compromised by the need for > trial performance. > > Happy Holidays. I suspect that the surgeons in the FDA Trials are the finest that America has to offer; and I've really not heard of anyone being turned away, unless they feel that a resurf is truly not the best option. While I was recuperating at Sinai (a wonderful place, by the way!) I met an 85 yr old man who had just received a THR from Mont - none of the OS's he had talked to around Milwaukee/Chicago would perform the surgery at his advanced age - yet he needed to care for his invalid wife. I'm " only " 49 - and I can't say enough good about Dr Mont, his staff, and Sinai hospital. My life has returned to normal - this means " life in the fast lane " The pain and limp are distant memories. I will warn you that once your hip is pain-free, you will begin to notice other little aches and pains that were totally overshadowed by the hip...... Best wishes! Deb C+ 5-2-02 Dr Mont Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 > Hi everyone, > Dr. Mont told me he likes to perform resurfacing on " young patients " > and he gave me his reasons. One of those reasons is the activity > level of the younger population. I'm not old but at 59 I certainly > can't be considered young either. My understanding of " young " is anyone under the age of 65 (yes, that's an arbitrary figure since I know many frisky 70-plus folks) but the idea is that at age 65, you should only need one device to last you your " lifetime " - a good THR should do. In your case, there's a good possibility that you'll wear out your resurface at some point, and your " revision " will be a first-time THR. And > I would like the opportunity to return to that way of life. That's the beauty of resurfacing - you WILL be able to do this! > > I told Dr. Mont that I wanted resurfacing and gave him all the normal > reasons why. He said he could not guarantee it until I was on the > table and he could see what condition my hip was in. That sounded > completely reasonable to me and it wasn't what I wanted to hear. > However, he said, from what he saw in my x-rays, he was about 95% > certain that I was a good candidate. Of course, what I heard the > loudest was the missing 5% and that continues to bother me. I suspect that due to the litigation-prone American way of life, that no US doctor will ever guarantee anything 100%. In my year- plus of being on this board, it seems the folks who opted for a resurf and woke up with a THR were primarily large-boned men (due to the limitations of sizes of resurf devices available) and maybe someone with poor acetabulum bone structure (the BHR found in Europe is the only resurf device available with extra fixation options) If your hip problem falls into neither of these categories, you should feel safe that you will receive a resurf. I think I was the only patient of Mont's who was not asked what kind of THR I wanted, prior to the surgery, " just in case " . Either I had such a lovely hip (no cartilage/garden variety of arthritis/good bone/etc) - or they forgot, in light of a horrific traffic-accident victim who came in needing his jello-like leg put back in order! > > My questions are these: How many of you are Dr. Mont's patients and > are in my age range? Also, did he tell each of you the same thing? > How many of you awoke from the surgery with a total hip replacement? > > I am aware that I can go to Europe and avoid the trials, thus > eliminating that concern. However, I would prefer having the surgery > done closer to home but only if I'm feeling comfortable that my > chances for resurfacing aren't being compromised by the need for > trial performance. > > Happy Holidays. I suspect that the surgeons in the FDA Trials are the finest that America has to offer; and I've really not heard of anyone being turned away, unless they feel that a resurf is truly not the best option. While I was recuperating at Sinai (a wonderful place, by the way!) I met an 85 yr old man who had just received a THR from Mont - none of the OS's he had talked to around Milwaukee/Chicago would perform the surgery at his advanced age - yet he needed to care for his invalid wife. I'm " only " 49 - and I can't say enough good about Dr Mont, his staff, and Sinai hospital. My life has returned to normal - this means " life in the fast lane " The pain and limp are distant memories. I will warn you that once your hip is pain-free, you will begin to notice other little aches and pains that were totally overshadowed by the hip...... Best wishes! Deb C+ 5-2-02 Dr Mont Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 Peg, What a sweet note. Thank you. I am concerned and look forward to hearing from anyone who's had experience with Dr. Mont. I was thinking about taking yoga as a way to regain flexibility but dismissed that thought because I didn't think the positions would be possible. I'm thrilled to hear that you're having no trouble with them. Obviously my expitations have been very limited. I was willing to settle for being able to get back on the floor in a sitting position for my meditations. I tried it laying down but was more inclined to sleep than meditate. The chair will have to do for now. > , i sure would hate to wake up from surgery and have a THR. I am so > delighted with my two resurfaced hips. I am doing yoga again. I am doing > pilates exercises again. If i had a THR i would have to be careful even > trimming my toenails. > knee to chest rule. If there is even a chance that Mont would not give you > what you want, i would not risk it. Also there is the idea, that experience > is more than valuable especially with something that may need a tiny > challenge. When i had my surgery with Dr. De Smet last sept. he had done > 437 resurfacings. check out these little things, they do add up. Also, > please do ask some of the people online also, what they have felt about Dr. > Mont. I want the best for you. peg > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 Peg, What a sweet note. Thank you. I am concerned and look forward to hearing from anyone who's had experience with Dr. Mont. I was thinking about taking yoga as a way to regain flexibility but dismissed that thought because I didn't think the positions would be possible. I'm thrilled to hear that you're having no trouble with them. Obviously my expitations have been very limited. I was willing to settle for being able to get back on the floor in a sitting position for my meditations. I tried it laying down but was more inclined to sleep than meditate. The chair will have to do for now. > , i sure would hate to wake up from surgery and have a THR. I am so > delighted with my two resurfaced hips. I am doing yoga again. I am doing > pilates exercises again. If i had a THR i would have to be careful even > trimming my toenails. > knee to chest rule. If there is even a chance that Mont would not give you > what you want, i would not risk it. Also there is the idea, that experience > is more than valuable especially with something that may need a tiny > challenge. When i had my surgery with Dr. De Smet last sept. he had done > 437 resurfacings. check out these little things, they do add up. Also, > please do ask some of the people online also, what they have felt about Dr. > Mont. I want the best for you. peg > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 Peg, What a sweet note. Thank you. I am concerned and look forward to hearing from anyone who's had experience with Dr. Mont. I was thinking about taking yoga as a way to regain flexibility but dismissed that thought because I didn't think the positions would be possible. I'm thrilled to hear that you're having no trouble with them. Obviously my expitations have been very limited. I was willing to settle for being able to get back on the floor in a sitting position for my meditations. I tried it laying down but was more inclined to sleep than meditate. The chair will have to do for now. > , i sure would hate to wake up from surgery and have a THR. I am so > delighted with my two resurfaced hips. I am doing yoga again. I am doing > pilates exercises again. If i had a THR i would have to be careful even > trimming my toenails. > knee to chest rule. If there is even a chance that Mont would not give you > what you want, i would not risk it. Also there is the idea, that experience > is more than valuable especially with something that may need a tiny > challenge. When i had my surgery with Dr. De Smet last sept. he had done > 437 resurfacings. check out these little things, they do add up. Also, > please do ask some of the people online also, what they have felt about Dr. > Mont. I want the best for you. peg > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 Deb, Thank you for responding and for sharing your knowledge and experience. I'm glad to hear that the criteria for " young " is anyone under 65. BTW, my husband added a year to my life yesterday when he read my posting. Seems my math was off and I'm only 58; a " young " 58. It really helps to take 4 ears with you into medical consultations. I heard 95% but according to my husband Mont said he was 98% certain that he could give me a resurfacing. Those are darn good odds and I should feel confident with them but I'd still rather have heard 100%. You're absolutely right; no doctor today should give guarantees. Without a crystal ball, it could be misleading and certainly could be libelous. As for other aches and pains…..I've got um. And I know they've all been caused because my body has been compromised by this hip. It will take a lot of effort on my part to restore all parts to good working order but I welcome that task. > > Hi everyone, > > Dr. Mont told me he likes to perform resurfacing on " young > patients " > > and he gave me his reasons. One of those reasons is the activity > > level of the younger population. I'm not old but at 59 I > certainly > > can't be considered young either. > > > My understanding of " young " is anyone under the age of 65 (yes, > that's an arbitrary figure since I know many frisky 70-plus folks) > but the idea is that at age 65, you should only need one device to > last you your " lifetime " - a good THR should do. In your case, > there's a good possibility that you'll wear out your resurface at > some point, and your " revision " will be a first-time THR. > > > > And > > I would like the opportunity to return to that way of life. > > > That's the beauty of resurfacing - you WILL be able to do this! > > > > > > I told Dr. Mont that I wanted resurfacing and gave him all the > normal > > reasons why. He said he could not guarantee it until I was on the > > table and he could see what condition my hip was in. That sounded > > completely reasonable to me and it wasn't what I wanted to hear. > > However, he said, from what he saw in my x-rays, he was about 95% > > certain that I was a good candidate. Of course, what I heard the > > loudest was the missing 5% and that continues to bother me. > > > I suspect that due to the litigation-prone American way of life, > that no US doctor will ever guarantee anything 100%. In my year- > plus of being on this board, it seems the folks who opted for a > resurf and woke up with a THR were primarily large-boned men (due to > the limitations of sizes of resurf devices available) and maybe > someone with poor acetabulum bone structure (the BHR found in Europe > is the only resurf device available with extra fixation options) > > If your hip problem falls into neither of these categories, you > should feel safe that you will receive a resurf. I think I was the > only patient of Mont's who was not asked what kind of THR I wanted, > prior to the surgery, " just in case " . Either I had such a lovely > hip (no cartilage/garden variety of arthritis/good bone/etc) - or > they forgot, in light of a horrific traffic-accident victim who came > in needing his jello-like leg put back in order! > > > > > My questions are these: How many of you are Dr. Mont's patients > and > > are in my age range? Also, did he tell each of you the same > thing? > > How many of you awoke from the surgery with a total hip > replacement? > > > > I am aware that I can go to Europe and avoid the trials, thus > > eliminating that concern. However, I would prefer having the > surgery > > done closer to home but only if I'm feeling comfortable that my > > chances for resurfacing aren't being compromised by the need for > > trial performance. > > > > Happy Holidays. > > I suspect that the surgeons in the FDA Trials are the finest that > America has to offer; and I've really not heard of anyone being > turned away, unless they feel that a resurf is truly not the best > option. While I was recuperating at Sinai (a wonderful place, by > the way!) I met an 85 yr old man who had just received a THR from > Mont - none of the OS's he had talked to around Milwaukee/Chicago > would perform the surgery at his advanced age - yet he needed to > care for his invalid wife. > > I'm " only " 49 - and I can't say enough good about Dr Mont, his > staff, and Sinai hospital. My life has returned to normal - this > means " life in the fast lane " The pain and limp are distant > memories. I will warn you that once your hip is pain-free, you will > begin to notice other little aches and pains that were totally > overshadowed by the hip...... > > Best wishes! Deb C+ 5-2-02 Dr Mont Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 Deb, Thank you for responding and for sharing your knowledge and experience. I'm glad to hear that the criteria for " young " is anyone under 65. BTW, my husband added a year to my life yesterday when he read my posting. Seems my math was off and I'm only 58; a " young " 58. It really helps to take 4 ears with you into medical consultations. I heard 95% but according to my husband Mont said he was 98% certain that he could give me a resurfacing. Those are darn good odds and I should feel confident with them but I'd still rather have heard 100%. You're absolutely right; no doctor today should give guarantees. Without a crystal ball, it could be misleading and certainly could be libelous. As for other aches and pains…..I've got um. And I know they've all been caused because my body has been compromised by this hip. It will take a lot of effort on my part to restore all parts to good working order but I welcome that task. > > Hi everyone, > > Dr. Mont told me he likes to perform resurfacing on " young > patients " > > and he gave me his reasons. One of those reasons is the activity > > level of the younger population. I'm not old but at 59 I > certainly > > can't be considered young either. > > > My understanding of " young " is anyone under the age of 65 (yes, > that's an arbitrary figure since I know many frisky 70-plus folks) > but the idea is that at age 65, you should only need one device to > last you your " lifetime " - a good THR should do. In your case, > there's a good possibility that you'll wear out your resurface at > some point, and your " revision " will be a first-time THR. > > > > And > > I would like the opportunity to return to that way of life. > > > That's the beauty of resurfacing - you WILL be able to do this! > > > > > > I told Dr. Mont that I wanted resurfacing and gave him all the > normal > > reasons why. He said he could not guarantee it until I was on the > > table and he could see what condition my hip was in. That sounded > > completely reasonable to me and it wasn't what I wanted to hear. > > However, he said, from what he saw in my x-rays, he was about 95% > > certain that I was a good candidate. Of course, what I heard the > > loudest was the missing 5% and that continues to bother me. > > > I suspect that due to the litigation-prone American way of life, > that no US doctor will ever guarantee anything 100%. In my year- > plus of being on this board, it seems the folks who opted for a > resurf and woke up with a THR were primarily large-boned men (due to > the limitations of sizes of resurf devices available) and maybe > someone with poor acetabulum bone structure (the BHR found in Europe > is the only resurf device available with extra fixation options) > > If your hip problem falls into neither of these categories, you > should feel safe that you will receive a resurf. I think I was the > only patient of Mont's who was not asked what kind of THR I wanted, > prior to the surgery, " just in case " . Either I had such a lovely > hip (no cartilage/garden variety of arthritis/good bone/etc) - or > they forgot, in light of a horrific traffic-accident victim who came > in needing his jello-like leg put back in order! > > > > > My questions are these: How many of you are Dr. Mont's patients > and > > are in my age range? Also, did he tell each of you the same > thing? > > How many of you awoke from the surgery with a total hip > replacement? > > > > I am aware that I can go to Europe and avoid the trials, thus > > eliminating that concern. However, I would prefer having the > surgery > > done closer to home but only if I'm feeling comfortable that my > > chances for resurfacing aren't being compromised by the need for > > trial performance. > > > > Happy Holidays. > > I suspect that the surgeons in the FDA Trials are the finest that > America has to offer; and I've really not heard of anyone being > turned away, unless they feel that a resurf is truly not the best > option. While I was recuperating at Sinai (a wonderful place, by > the way!) I met an 85 yr old man who had just received a THR from > Mont - none of the OS's he had talked to around Milwaukee/Chicago > would perform the surgery at his advanced age - yet he needed to > care for his invalid wife. > > I'm " only " 49 - and I can't say enough good about Dr Mont, his > staff, and Sinai hospital. My life has returned to normal - this > means " life in the fast lane " The pain and limp are distant > memories. I will warn you that once your hip is pain-free, you will > begin to notice other little aches and pains that were totally > overshadowed by the hip...... > > Best wishes! Deb C+ 5-2-02 Dr Mont Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 Deb, Thank you for responding and for sharing your knowledge and experience. I'm glad to hear that the criteria for " young " is anyone under 65. BTW, my husband added a year to my life yesterday when he read my posting. Seems my math was off and I'm only 58; a " young " 58. It really helps to take 4 ears with you into medical consultations. I heard 95% but according to my husband Mont said he was 98% certain that he could give me a resurfacing. Those are darn good odds and I should feel confident with them but I'd still rather have heard 100%. You're absolutely right; no doctor today should give guarantees. Without a crystal ball, it could be misleading and certainly could be libelous. As for other aches and pains…..I've got um. And I know they've all been caused because my body has been compromised by this hip. It will take a lot of effort on my part to restore all parts to good working order but I welcome that task. > > Hi everyone, > > Dr. Mont told me he likes to perform resurfacing on " young > patients " > > and he gave me his reasons. One of those reasons is the activity > > level of the younger population. I'm not old but at 59 I > certainly > > can't be considered young either. > > > My understanding of " young " is anyone under the age of 65 (yes, > that's an arbitrary figure since I know many frisky 70-plus folks) > but the idea is that at age 65, you should only need one device to > last you your " lifetime " - a good THR should do. In your case, > there's a good possibility that you'll wear out your resurface at > some point, and your " revision " will be a first-time THR. > > > > And > > I would like the opportunity to return to that way of life. > > > That's the beauty of resurfacing - you WILL be able to do this! > > > > > > I told Dr. Mont that I wanted resurfacing and gave him all the > normal > > reasons why. He said he could not guarantee it until I was on the > > table and he could see what condition my hip was in. That sounded > > completely reasonable to me and it wasn't what I wanted to hear. > > However, he said, from what he saw in my x-rays, he was about 95% > > certain that I was a good candidate. Of course, what I heard the > > loudest was the missing 5% and that continues to bother me. > > > I suspect that due to the litigation-prone American way of life, > that no US doctor will ever guarantee anything 100%. In my year- > plus of being on this board, it seems the folks who opted for a > resurf and woke up with a THR were primarily large-boned men (due to > the limitations of sizes of resurf devices available) and maybe > someone with poor acetabulum bone structure (the BHR found in Europe > is the only resurf device available with extra fixation options) > > If your hip problem falls into neither of these categories, you > should feel safe that you will receive a resurf. I think I was the > only patient of Mont's who was not asked what kind of THR I wanted, > prior to the surgery, " just in case " . Either I had such a lovely > hip (no cartilage/garden variety of arthritis/good bone/etc) - or > they forgot, in light of a horrific traffic-accident victim who came > in needing his jello-like leg put back in order! > > > > > My questions are these: How many of you are Dr. Mont's patients > and > > are in my age range? Also, did he tell each of you the same > thing? > > How many of you awoke from the surgery with a total hip > replacement? > > > > I am aware that I can go to Europe and avoid the trials, thus > > eliminating that concern. However, I would prefer having the > surgery > > done closer to home but only if I'm feeling comfortable that my > > chances for resurfacing aren't being compromised by the need for > > trial performance. > > > > Happy Holidays. > > I suspect that the surgeons in the FDA Trials are the finest that > America has to offer; and I've really not heard of anyone being > turned away, unless they feel that a resurf is truly not the best > option. While I was recuperating at Sinai (a wonderful place, by > the way!) I met an 85 yr old man who had just received a THR from > Mont - none of the OS's he had talked to around Milwaukee/Chicago > would perform the surgery at his advanced age - yet he needed to > care for his invalid wife. > > I'm " only " 49 - and I can't say enough good about Dr Mont, his > staff, and Sinai hospital. My life has returned to normal - this > means " life in the fast lane " The pain and limp are distant > memories. I will warn you that once your hip is pain-free, you will > begin to notice other little aches and pains that were totally > overshadowed by the hip...... > > Best wishes! Deb C+ 5-2-02 Dr Mont Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 Hi Peg - What intrigued me about your missive, was yoga. Please tell me more! I am 52, have done yoga for 20+ years (in fact, a standing bow pose yoga injury - my teacher was sure my foot could touch my head - probably contributed to this arthritis of my left hip), still do yoga, although I cannot lunge on my left side and I am significantly limited in side angle poses, have knowingly had arthritis for 6 years and am becoming more and more significantly limited in my movement. How old are you? What kind of yoga do you practice? Can you do all poses? Are you restricted at all? Can you sit criss cross applesauce? How long can you walk? When was your surgery - September of 2002 or 2001? When did you resume yoga? How long were you really down after your surgery? Is your sense that Dr. De Smet's 437 surgeries are better than Dr. Boyd (Salem, Oregon)'s 150? What device does Dr. De Smet use? And for how long has he been doing this? Please and thanks. Michele Re: Dr. Mont , i sure would hate to wake up from surgery and have a THR. I am so delighted with my two resurfaced hips. I am doing yoga again. I am doing pilates exercises again. If i had a THR i would have to be careful even trimming my toenails. knee to chest rule. If there is even a chance that Mont would not give you what you want, i would not risk it. Also there is the idea, that experience is more than valuable especially with something that may need a tiny challenge. When i had my surgery with Dr. De Smet last sept. he had done 437 resurfacings. check out these little things, they do add up. Also, please do ask some of the people online also, what they have felt about Dr. Mont. I want the best for you. peg Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 > However, I left his office with some concern > and that has been reinforced by a couple of postings I've read here > that refer to trials and the need for successful numbers. I'd like > to share my concern and hear back from anyone who cares to comment > but in particular Dr. Mont's patients. First of all, I urge you to take up your concerns with Dr. Mont. I realize he isn't the easiest person to talk with, particularly in the office, but you really owe it to yourself to get answers direct from him. When my wife was considering surgery, his office was willing to set up evening calls for patients. You might put together your lists of questions and concerns and then see if they can do that. I know the clinical trials have rules for patient selection, but I don't think that Dr. Mont would accept you as a patient for resurfacing unless he had every intention of performing resurfacing if it's possible. > I told Dr. Mont that I wanted resurfacing and gave him all the normal > reasons why. He said he could not guarantee it until I was on the > table and he could see what condition my hip was in. That sounded > completely reasonable to me and it wasn't what I wanted to hear. > However, he said, from what he saw in my x-rays, he was about 95% > certain that I was a good candidate. Of course, what I heard the > loudest was the missing 5% and that continues to bother me. 95% certainty is pretty high, especially since I doubt he would ever say 100%! > My questions are these: How many of you are Dr. Mont's patients and > are in my age range? Also, did he tell each of you the same thing? > How many of you awoke from the surgery with a total hip replacement? My wife Anne, who is 45, had surgery with Dr. Mont in July. She had osteoarthritis as a result of a congenital condition (dysplasia epiphysealis hemimelica) which also left her with a fused knee and a partially fused ankle. Dr. Mont accepted her for resurfacing, with a warning that there was a risk that he might have to do a THR. (I don't recall him quoting any probabilities.) As it turned out, after getting the C+ femoral component in place, he was unable to get a good press fit with the acetabular component, due to deformity related to her congenital condition and bone cysts. So he had to use screws--and the C+ doesn't have an acetabular component that allows the use of screws. As far as I know, only the BHR has an acetabular component that takes even one screw, and Dr. Mont needed two in order to get good fixation in Anne's case. So, Anne ended up with a metal-on-metal THR. She is five months post-op today and still marvels at how good she feels. > I am aware that I can go to Europe and avoid the trials, thus > eliminating that concern. However, I would prefer having the surgery > done closer to home but only if I'm feeling comfortable that my > chances for resurfacing aren't being compromised by the need for > trial performance. Obviously, we don't know what would have happened if Anne had her surgery in Europe. The BHR's " dysplasia cup " might have halped in her case, although Dr. Mont needed two screws to fix the cup he used. I can tell you that she feels great, her range of motion continues to improve and she has absolutely no restrictions with her THR. We expect that her MOM THR will last for a very long time. Hope this helps you in your decision-making. Jim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 > However, I left his office with some concern > and that has been reinforced by a couple of postings I've read here > that refer to trials and the need for successful numbers. I'd like > to share my concern and hear back from anyone who cares to comment > but in particular Dr. Mont's patients. First of all, I urge you to take up your concerns with Dr. Mont. I realize he isn't the easiest person to talk with, particularly in the office, but you really owe it to yourself to get answers direct from him. When my wife was considering surgery, his office was willing to set up evening calls for patients. You might put together your lists of questions and concerns and then see if they can do that. I know the clinical trials have rules for patient selection, but I don't think that Dr. Mont would accept you as a patient for resurfacing unless he had every intention of performing resurfacing if it's possible. > I told Dr. Mont that I wanted resurfacing and gave him all the normal > reasons why. He said he could not guarantee it until I was on the > table and he could see what condition my hip was in. That sounded > completely reasonable to me and it wasn't what I wanted to hear. > However, he said, from what he saw in my x-rays, he was about 95% > certain that I was a good candidate. Of course, what I heard the > loudest was the missing 5% and that continues to bother me. 95% certainty is pretty high, especially since I doubt he would ever say 100%! > My questions are these: How many of you are Dr. Mont's patients and > are in my age range? Also, did he tell each of you the same thing? > How many of you awoke from the surgery with a total hip replacement? My wife Anne, who is 45, had surgery with Dr. Mont in July. She had osteoarthritis as a result of a congenital condition (dysplasia epiphysealis hemimelica) which also left her with a fused knee and a partially fused ankle. Dr. Mont accepted her for resurfacing, with a warning that there was a risk that he might have to do a THR. (I don't recall him quoting any probabilities.) As it turned out, after getting the C+ femoral component in place, he was unable to get a good press fit with the acetabular component, due to deformity related to her congenital condition and bone cysts. So he had to use screws--and the C+ doesn't have an acetabular component that allows the use of screws. As far as I know, only the BHR has an acetabular component that takes even one screw, and Dr. Mont needed two in order to get good fixation in Anne's case. So, Anne ended up with a metal-on-metal THR. She is five months post-op today and still marvels at how good she feels. > I am aware that I can go to Europe and avoid the trials, thus > eliminating that concern. However, I would prefer having the surgery > done closer to home but only if I'm feeling comfortable that my > chances for resurfacing aren't being compromised by the need for > trial performance. Obviously, we don't know what would have happened if Anne had her surgery in Europe. The BHR's " dysplasia cup " might have halped in her case, although Dr. Mont needed two screws to fix the cup he used. I can tell you that she feels great, her range of motion continues to improve and she has absolutely no restrictions with her THR. We expect that her MOM THR will last for a very long time. Hope this helps you in your decision-making. Jim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 > , i sure would hate to wake up from surgery and have a THR. I > am so delighted with my two resurfaced hips. I am doing yoga again. > I am doing pilates exercises again. If i had a THR i would have to > be careful even trimming my toenails. Keep in mind that not all THRs have lifetime restrictions. As I noted elsewhere on this thread, my wife Anne ended up with a MOM THR from Dr. Mont. At four months post-op she had no restrictions. Even with a fused knee on her operated leg, she is able to tie her shoe for the first time in several years. (Try tying your shoe while keeping your knee absolutely straight to see how far past 90 degrees you have to go.) Jim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 > , i sure would hate to wake up from surgery and have a THR. I > am so delighted with my two resurfaced hips. I am doing yoga again. > I am doing pilates exercises again. If i had a THR i would have to > be careful even trimming my toenails. Keep in mind that not all THRs have lifetime restrictions. As I noted elsewhere on this thread, my wife Anne ended up with a MOM THR from Dr. Mont. At four months post-op she had no restrictions. Even with a fused knee on her operated leg, she is able to tie her shoe for the first time in several years. (Try tying your shoe while keeping your knee absolutely straight to see how far past 90 degrees you have to go.) Jim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 26, 2002 Report Share Posted December 26, 2002 > , i sure would hate to wake up from surgery and have a THR. I > am so delighted with my two resurfaced hips. I am doing yoga again. > I am doing pilates exercises again. If i had a THR i would have to > be careful even trimming my toenails. Keep in mind that not all THRs have lifetime restrictions. As I noted elsewhere on this thread, my wife Anne ended up with a MOM THR from Dr. Mont. At four months post-op she had no restrictions. Even with a fused knee on her operated leg, she is able to tie her shoe for the first time in several years. (Try tying your shoe while keeping your knee absolutely straight to see how far past 90 degrees you have to go.) Jim Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 27, 2002 Report Share Posted December 27, 2002 At 11:20 PM 12/25/2002 +0000, you wrote: >Before leaving Dr. Mont's office I scheduled resurfacing surgery for >this coming March 10. However, I left his office with some concern >and that has been reinforced by a couple of postings I've read here >that refer to trials and the need for successful numbers. That may be true, and some of the surgeons may be more conservative than others in their choice of patients. If they were taking only those who would guarantee good results though, I can assure you, I would have been one of the ones to come out with a THR. As it is, Dr. Boyd knew how badly I wanted to avoid THR and did everything he could to get that resurfacing component in there. >Dr. Mont told me he likes to perform resurfacing on " young patients " >and he gave me his reasons. One of those reasons is the activity >level of the younger population. I'm not old but at 59 I certainly >can't be considered young either. However, up until recent years I >have been extremely active teaching martial arts, lifting weights, >hiking, etc, and in better condition that most young people. You are young at heart and activity type if not in physical years. I know Maggie on TH just got her black sash 4 years after bilateral THR (cer/cer), so THR does not necessarily preclude a high activity level, but I would still go for THR for the preserving bone-first THR would be primary instead of revision-smaller chance of dislocation aspects. Conserve Plus 5/25/01 and 6/28/01 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 27, 2002 Report Share Posted December 27, 2002 At 11:20 PM 12/25/2002 +0000, you wrote: >Before leaving Dr. Mont's office I scheduled resurfacing surgery for >this coming March 10. However, I left his office with some concern >and that has been reinforced by a couple of postings I've read here >that refer to trials and the need for successful numbers. That may be true, and some of the surgeons may be more conservative than others in their choice of patients. If they were taking only those who would guarantee good results though, I can assure you, I would have been one of the ones to come out with a THR. As it is, Dr. Boyd knew how badly I wanted to avoid THR and did everything he could to get that resurfacing component in there. >Dr. Mont told me he likes to perform resurfacing on " young patients " >and he gave me his reasons. One of those reasons is the activity >level of the younger population. I'm not old but at 59 I certainly >can't be considered young either. However, up until recent years I >have been extremely active teaching martial arts, lifting weights, >hiking, etc, and in better condition that most young people. You are young at heart and activity type if not in physical years. I know Maggie on TH just got her black sash 4 years after bilateral THR (cer/cer), so THR does not necessarily preclude a high activity level, but I would still go for THR for the preserving bone-first THR would be primary instead of revision-smaller chance of dislocation aspects. Conserve Plus 5/25/01 and 6/28/01 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 27, 2002 Report Share Posted December 27, 2002 At 11:20 PM 12/25/2002 +0000, you wrote: >Before leaving Dr. Mont's office I scheduled resurfacing surgery for >this coming March 10. However, I left his office with some concern >and that has been reinforced by a couple of postings I've read here >that refer to trials and the need for successful numbers. That may be true, and some of the surgeons may be more conservative than others in their choice of patients. If they were taking only those who would guarantee good results though, I can assure you, I would have been one of the ones to come out with a THR. As it is, Dr. Boyd knew how badly I wanted to avoid THR and did everything he could to get that resurfacing component in there. >Dr. Mont told me he likes to perform resurfacing on " young patients " >and he gave me his reasons. One of those reasons is the activity >level of the younger population. I'm not old but at 59 I certainly >can't be considered young either. However, up until recent years I >have been extremely active teaching martial arts, lifting weights, >hiking, etc, and in better condition that most young people. You are young at heart and activity type if not in physical years. I know Maggie on TH just got her black sash 4 years after bilateral THR (cer/cer), so THR does not necessarily preclude a high activity level, but I would still go for THR for the preserving bone-first THR would be primary instead of revision-smaller chance of dislocation aspects. Conserve Plus 5/25/01 and 6/28/01 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 27, 2002 Report Share Posted December 27, 2002 Hi , One of the things that interests me re the BHR/THR debate is who will still be into high levels of activity in 8 to 10 years......... There almost seems to be this thing going on the TH list to prove that they can do everything a BHR person knows they can do........... I am suspicious this may work for a few years but wonder what will be the result long term.........for all the people I know who have had hassles with replacements were the active types..........people who insisted on going back golfing, running, driving trucks etc as if they didn't have to give a care about having to depend on a steel spike down the marrow of their femur......... I suspect they would have done a heap better with a BHR long term but sadly for them the option wasn't available......... Edith > >Before leaving Dr. Mont's office I scheduled resurfacing surgery for > >this coming March 10. However, I left his office with some concern > >and that has been reinforced by a couple of postings I've read here > >that refer to trials and the need for successful numbers. > > That may be true, and some of the surgeons may be more conservative than > others in their choice of patients. If they were taking only those who > would guarantee good results though, I can assure you, I would have been > one of the ones to come out with a THR. As it is, Dr. Boyd knew how badly > I wanted to avoid THR and did everything he could to get that resurfacing > component in there. > > >Dr. Mont told me he likes to perform resurfacing on " young patients " > >and he gave me his reasons. One of those reasons is the activity > >level of the younger population. I'm not old but at 59 I certainly > >can't be considered young either. However, up until recent years I > >have been extremely active teaching martial arts, lifting weights, > >hiking, etc, and in better condition that most young people. > > You are young at heart and activity type if not in physical years. I know > Maggie on TH just got her black sash 4 years after bilateral THR (cer/cer), > so THR does not necessarily preclude a high activity level, but I would > still go for THR for the preserving bone-first THR would be primary instead > of revision-smaller chance of dislocation aspects. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 27, 2002 Report Share Posted December 27, 2002 Hi , One of the things that interests me re the BHR/THR debate is who will still be into high levels of activity in 8 to 10 years......... There almost seems to be this thing going on the TH list to prove that they can do everything a BHR person knows they can do........... I am suspicious this may work for a few years but wonder what will be the result long term.........for all the people I know who have had hassles with replacements were the active types..........people who insisted on going back golfing, running, driving trucks etc as if they didn't have to give a care about having to depend on a steel spike down the marrow of their femur......... I suspect they would have done a heap better with a BHR long term but sadly for them the option wasn't available......... Edith > >Before leaving Dr. Mont's office I scheduled resurfacing surgery for > >this coming March 10. However, I left his office with some concern > >and that has been reinforced by a couple of postings I've read here > >that refer to trials and the need for successful numbers. > > That may be true, and some of the surgeons may be more conservative than > others in their choice of patients. If they were taking only those who > would guarantee good results though, I can assure you, I would have been > one of the ones to come out with a THR. As it is, Dr. Boyd knew how badly > I wanted to avoid THR and did everything he could to get that resurfacing > component in there. > > >Dr. Mont told me he likes to perform resurfacing on " young patients " > >and he gave me his reasons. One of those reasons is the activity > >level of the younger population. I'm not old but at 59 I certainly > >can't be considered young either. However, up until recent years I > >have been extremely active teaching martial arts, lifting weights, > >hiking, etc, and in better condition that most young people. > > You are young at heart and activity type if not in physical years. I know > Maggie on TH just got her black sash 4 years after bilateral THR (cer/cer), > so THR does not necessarily preclude a high activity level, but I would > still go for THR for the preserving bone-first THR would be primary instead > of revision-smaller chance of dislocation aspects. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 27, 2002 Report Share Posted December 27, 2002 Hi , One of the things that interests me re the BHR/THR debate is who will still be into high levels of activity in 8 to 10 years......... There almost seems to be this thing going on the TH list to prove that they can do everything a BHR person knows they can do........... I am suspicious this may work for a few years but wonder what will be the result long term.........for all the people I know who have had hassles with replacements were the active types..........people who insisted on going back golfing, running, driving trucks etc as if they didn't have to give a care about having to depend on a steel spike down the marrow of their femur......... I suspect they would have done a heap better with a BHR long term but sadly for them the option wasn't available......... Edith > >Before leaving Dr. Mont's office I scheduled resurfacing surgery for > >this coming March 10. However, I left his office with some concern > >and that has been reinforced by a couple of postings I've read here > >that refer to trials and the need for successful numbers. > > That may be true, and some of the surgeons may be more conservative than > others in their choice of patients. If they were taking only those who > would guarantee good results though, I can assure you, I would have been > one of the ones to come out with a THR. As it is, Dr. Boyd knew how badly > I wanted to avoid THR and did everything he could to get that resurfacing > component in there. > > >Dr. Mont told me he likes to perform resurfacing on " young patients " > >and he gave me his reasons. One of those reasons is the activity > >level of the younger population. I'm not old but at 59 I certainly > >can't be considered young either. However, up until recent years I > >have been extremely active teaching martial arts, lifting weights, > >hiking, etc, and in better condition that most young people. > > You are young at heart and activity type if not in physical years. I know > Maggie on TH just got her black sash 4 years after bilateral THR (cer/cer), > so THR does not necessarily preclude a high activity level, but I would > still go for THR for the preserving bone-first THR would be primary instead > of revision-smaller chance of dislocation aspects. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 27, 2002 Report Share Posted December 27, 2002 " Conventional THR's are reasonably successful in elderly relatively inactive patients, but offers unacceptably poor long-term outcomes for young, active patients often with unavoidable multiple revision surgeries and associated complications. This sequence of events is exactly what lead the BHR to be developed. The BHR not only offers young active patients a conservative and far less traumatic alternative to the THR, but also allows then an unmatched quality of life. The metal on metal BHR has the potential of being 'everlasting' unlike the conventional THR which will definitely fail at a rate proportional to the usage level. " > Hi , > > One of the things that interests me re the BHR/THR debate is who will still > be into high levels of activity in 8 to 10 years......... There almost seems > to be this thing going on the TH list to prove that they can do everything a > BHR person knows they can do........... I am suspicious this may work for a > few years but wonder what will be the result long term.........for all the > people I know who have had hassles with replacements were the active > types..........people who insisted on going back golfing, running, driving > trucks etc as if they didn't have to give a care about having to depend on a > steel spike down the marrow of their femur......... I suspect they would > have done a heap better with a BHR long term but sadly for them the option > wasn't available......... > > Edith > > > > > > >Before leaving Dr. Mont's office I scheduled resurfacing surgery for > > >this coming March 10. However, I left his office with some concern > > >and that has been reinforced by a couple of postings I've read here > > >that refer to trials and the need for successful numbers. > > > > That may be true, and some of the surgeons may be more conservative than > > others in their choice of patients. If they were taking only those who > > would guarantee good results though, I can assure you, I would have been > > one of the ones to come out with a THR. As it is, Dr. Boyd knew how badly > > I wanted to avoid THR and did everything he could to get that resurfacing > > component in there. > > > > >Dr. Mont told me he likes to perform resurfacing on " young patients " > > >and he gave me his reasons. One of those reasons is the activity > > >level of the younger population. I'm not old but at 59 I certainly > > >can't be considered young either. However, up until recent years I > > >have been extremely active teaching martial arts, lifting weights, > > >hiking, etc, and in better condition that most young people. > > > > You are young at heart and activity type if not in physical years. I know > > Maggie on TH just got her black sash 4 years after bilateral THR > (cer/cer), > > so THR does not necessarily preclude a high activity level, but I would > > still go for THR for the preserving bone-first THR would be primary > instead > > of revision-smaller chance of dislocation aspects. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 28, 2002 Report Share Posted December 28, 2002 Jim, Thanks for taking the time to respond. I appreciate receiving your advice and hearing about wife's experience with Dr. Mont. I'll add it to all the other good info I'm getting from this group. Hopefully I'll be able to make the right decision and get the outcome I'm looking for. > > However, I left his office with some concern > > and that has been reinforced by a couple of postings I've read here > > that refer to trials and the need for successful numbers. I'd like > > to share my concern and hear back from anyone who cares to comment > > but in particular Dr. Mont's patients. > > First of all, I urge you to take up your concerns with Dr. Mont. I > realize he isn't the easiest person to talk with, particularly in the > office, but you really owe it to yourself to get answers direct from > him. When my wife was considering surgery, his office was willing to > set up evening calls for patients. You might put together your lists > of questions and concerns and then see if they can do that. > > I know the clinical trials have rules for patient selection, but I > don't think that Dr. Mont would accept you as a patient for > resurfacing unless he had every intention of performing resurfacing if > it's possible. > > > I told Dr. Mont that I wanted resurfacing and gave him all the > normal > > reasons why. He said he could not guarantee it until I was on the > > table and he could see what condition my hip was in. That sounded > > completely reasonable to me and it wasn't what I wanted to hear. > > However, he said, from what he saw in my x-rays, he was about 95% > > certain that I was a good candidate. Of course, what I heard the > > loudest was the missing 5% and that continues to bother me. > > 95% certainty is pretty high, especially since I doubt he would ever > say 100%! > > > My questions are these: How many of you are Dr. Mont's patients and > > are in my age range? Also, did he tell each of you the same > thing? > > How many of you awoke from the surgery with a total hip replacement? > > My wife Anne, who is 45, had surgery with Dr. Mont in July. She had > osteoarthritis as a result of a congenital condition (dysplasia > epiphysealis hemimelica) which also left her with a fused knee and a > partially fused ankle. Dr. Mont accepted her for resurfacing, with a > warning that there was a risk that he might have to do a THR. (I don't > recall him quoting any probabilities.) As it turned out, after getting > the C+ femoral component in place, he was unable to get a good press > fit with the acetabular component, due to deformity related to her > congenital condition and bone cysts. So he had to use screws--and the > C+ doesn't have an acetabular component that allows the use of screws. > As far as I know, only the BHR has an acetabular component that takes > even one screw, and Dr. Mont needed two in order to get good fixation > in Anne's case. > > So, Anne ended up with a metal-on-metal THR. She is five months > post-op today and still marvels at how good she feels. > > > I am aware that I can go to Europe and avoid the trials, thus > > eliminating that concern. However, I would prefer having the > surgery > > done closer to home but only if I'm feeling comfortable that my > > chances for resurfacing aren't being compromised by the need for > > trial performance. > > Obviously, we don't know what would have happened if Anne had her > surgery in Europe. The BHR's " dysplasia cup " might have halped in her > case, although Dr. Mont needed two screws to fix the cup he used. I > can tell you that she feels great, her range of motion continues to > improve and she has absolutely no restrictions with her THR. We expect > that her MOM THR will last for a very long time. > > Hope this helps you in your decision-making. > > Jim Quote Link to comment Share on other sites More sharing options...
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